Wild yam

Synonym(s): Dioscorea villosa, diosgenin, yam root
Nutrient group: plant extracts & active ingredients, Hormones & hormone-like substances

Sources and physiological effects

Dietary sources
The wild yam is  widely used in the tropics and Asia as both a food and medicinal plant. The starchy tuber is used as food, similar to the potato. Its taste is slightly sweet and is reminiscent of potatoes or sometimes chestnuts or sweet potatoes. In many tropical countries, certain types of yams are consumed as a staple food.
Physiological effects
Hormone balance
  • Progesterone-like saponins harmonize the hormone balance
Cholesterol level
  • Reduction of cholesterol levels by stimulating bile production

Detailed information

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Diosgenin, the active ingredient of the yam root
Dioscorea villosa belongs to the large family of Yam plants. In the tropics, many yams are planted as food due to their high starch and micronutrient content. The active ingredient diosgenin contained in the tuber, a saponin similar to the hormone progesterone, is used in naturopathy. Like progesterone, diosgenin supports and harmonizes the body's hormonal balance. The genus name of the yam family, Dioscorea, dates back to the Greek physician Dioskurides.
Hormonal balance via diosgenin
Since the production of synthetic progesterone takes place via the precursor diosgenin, it has long been discussed whether this conversion process also takes place in the human body. The observed and anecdotal positive effects on hormone balance in animal experiments increasingly speak in favor of this. In rats, for example, the effects of an ovariectomy could be compensated by diosgenin supplementation. This affects the kidney tissue (1), the adrenal glands (2) and the bone tissue (3). In Vivo a positive effect was observed in glucocorticoid-induced osteoporosis (14).
In addition, diosgenin can displace estradiol bound to receptors (4) and thus – like the known phytohormones - exert an estrogen-modulating effect.
Health-promoting effects of diosgenin
The successful use of yams in alternative and complementary medicine mayalso be explained by other properties of diosgenin. For example, diosgenin improves antigen-specific IgG2a and IFN expression and thereby promotes the immune system (5). Several in vitro and in vivo studies deal with the anticarcinogenic effect of diosgenin. Diosgenin has an inhibitory effect on hepatic tumor cells (6) and prevents the proliferation of tumor cells (7). This has also been demonstrated for leukemia cells in which diosgenin blocks cell proliferation and induces apoptosis (8).
By opening the Ca2+ channels in the nerve membranes, diosgenin affects the influence of calcium on the nerve cells and can thus modulate neural activities (9). In addition to hormonal control, the positive effects of yams could also affect the neural systems.
Cholesterol reduction and antioxidant protection
Yam root and its ingredients could also be of interest for the treatment of elevated cholesterol levels under a holistic therapy framework.
In animal studies, diosgenin shows significant therapeutic and preventive effects in hypercholesterolemia (10) (11). In estrogen-induced hypercholesterolemia, diosgenin can also lower cholesterol levels. This happens through an increased production of bile acids, which in turn seems to be related to the hormonal balance (12). In addition to an improvement of the lipid profile, an increase in antioxidative status was achieved by diosgene intake (13).

Indications

Effect Indication Dosage
Physiological effects
at a low intake
For age-related hormonal imbalance and to maintain cell health 600 mg/d
Supportive therapy for hypercholesterolemia 600 mg/d

Administration

General mode of administration
 
When
Yam root extract should be taken with meals.
Side effects
No side effects are known to date.
Contraindications
No contraindications are known to date.

Interactions

Drug interactions 
None No interactions are known to date.
Nutrient interactions
None No interactions are known to date.

References

References

(1) Tucci M, Benghuzzi H: Structural changes in the kidney associated with ovariectomy and diosgenin replacement therapy in adult female rats. Biomed Sci Instrum. 2003;39:341-6.
(2) Benghuzzi H, Tucci M, Eckie R, Hughes J.:The effects of sustained delivery of diosgenin on the adrenal gland of female rats. Biomed Sci Instrum. 2003;39:335-40.
(3) Higdon K, Scott A, Tucci M, Benghuzzi H, Tsao A, Puckett A, Cason Z, Hughes J: The use of estrogen, DHEA, and diosgenin in a sustained delivery setting as a novel treatment approach for osteoporosis in the ovariectomized adult rat model. Biomed Sci Instrum. 2001;37:281-6.
(4) Yen ML, Su JL, Chien CL, Tseng KW, Yang CY, Chen WF, Chang CC, Kuo ML: Diosgenin induces hypoxia-inducible factor-1 activation and angiogenesis through estrogen receptor-related phosphatidylinositol 3-kinase/Akt and p38 mitogen-activated protein kinase pathways in osteoblasts. Mol Pharmacol. 2005 Oct;68(4):1061-73. Epub 2005 Jul 5.
(5) Jan-TongRong; Wey-ShiawPyng; Kuan-ChioChin; Liao-MeiHsiu; Wu-HsinYin: Diosgenin, a steroidal sapogenin, enhances antigen-specific IgG2a and interferon- gamma expression in ovalbumin-sensitized BALB/c mice. Planta-Medica. 2007; 73(5): 421-426
(6) Wang LJ, Wang Y, Chen SW, Ma JS, Fu Q, Wang BX: The antitumor activity of Diosgenin in vivo and in vitro: Zhongguo Zhong Yao Za Zhi. 2002 Oct;27(10):777-9
(7) Shishodia,-S; Aggarwal,-B-B: Diosgenin inhibits osteoclastogenesis, invasion, and proliferation through the downregulation of Akt, I kappa B kinase activation and NF- kappa B-regulated gene expression. Oncogene-. 2006; 25(10): 1463-1473
(8) Leger,-D-Y; Liagre,-B; Corbiere,-C; Cook-Moreau,-J; Beneytout,-J-L: Diosgenin induces cell cycle arrest and apoptosis in HEL cells with increase in intracellular calcium level, activation of cPLA2 and COX-2 overexpression. Int-J-Oncol. 2004 Sep; 25(3): 555-62
(9) Wang,-Y-J; Liu,-Y-C; Chang,-H-D; Wu,-S-N : Diosgenin, a plant-derived sapogenin, stimulates Ca2+-activated K+ current in human cortical HCN-1A neuronal cells. Planta-Med. 2006 Apr; 72(5): 430-6
(10) Juarez Oropeza, M A : Diaz Zagoya, J C : Rabinowitz, J L: In vivo and in vitro studies of hypocholesterolemic effects of diosgenin in rats. Int-J-Biochem. 1987; 19(8): 679-83
(11) Ma,-H-Y; Zhao,-Z-T; Wang,-L-J; Wang,-Y; Zhou,-Q-L; Wang,-B-X: Comparative study on anti-hypercholesterolemia activity of diosgenin and total saponin of Dioscorea panthaica. Zhongguo-Zhong-Yao-Za-Zhi. 2002 Jul; 27(7): 528-31
(12) Accatino, L : Pizarro, M : Solis, N : Koenig, C S: Effects of diosgenin, a plant-derived steroid, on bile secretion and hepatocellular cholestasis induced by estrogens in the rat. Hepatology. 1998 Jul; 28(1): 129-40
(13) Son IS, Kim JH, Sohn HY, Son KH, Kim JS, Kwon CS: Antioxidative and hypolipidemic effects of diosgenin, a steroidal saponin of yam (Dioscorea spp.), on high-cholesterol fed rats. Biosci Biotechnol Biochem. 2007 Dec;71(12):3063-71
(14) Han, N., Xu, J., Xu, F., Liu, Z., & Yin, J.: The in vivo effects of a fraction from Dioscorea spongiosa on glucocorticoid-induced osteoporosis. Journal of Ethnopharmacology,  2016; 185, 53-59.

References Interactions:
(1) Stargrove Mitchell Bebel, Treasure Jonathan, McKee Dwight L.: Herb, Nutrient, and Drug Interactions: Clinical Implications and Therapeutic Strategies. 2008
(2) Gröber Uwe: Mikronährstoffe. Metabolic Tuning – Prävention – Therapie. 3. Auflage, 2011
(3) Gröber Uwe: Arzneimittel und Mikronährstoffe. Medikationsorientierte Supplementierung. 2. Auflage, 2012

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