Huperzine A: Benefits, Dosage, Contraindications

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Huperzine A is an alkaloid derived from the club moss Huperzia serrata, a fern native to China, renowned for its centuries-old use in traditional Chinese medicine under the name "Qian Ceng Ta." Historically, it has been employed to treat various ailments, including memory disorders and inflammations. Huperzine A efficiently crosses the blood-brain barrier and acts as a selective, reversible, and competitive inhibitor of acetylcholinesterase (AChE), an enzyme that catalyzes the breakdown of acetylcholine, a neurotransmitter essential for cognitive functions and memory. Acetylcholine plays a crucial role in modulating neuronal activity and intercellular communication within the nervous system. By inhibiting AChE, Huperzine A prevents the breakdown of acetylcholine, thus increasing its availability and potentially enhancing cognition and memory function. This property makes Huperzine A particularly relevant for the treatment of neurodegenerative diseases such as Alzheimer's disease, where cholinergic deficiency is evident. Clinical studies and in vitro research have shown that Huperzine A might have a protective role against neurodegeneration by interacting with molecular pathways that modulate amyloid deposits and plaque formation characteristic of Alzheimer's disease. Besides its cholinergic effects, Huperzine A has demonstrated mitochondrial protection abilities and modulation of phosphorylated tau proteins, thus contributing to its capability to improve Alzheimer's disease symptoms. Approved in China as a preferred medication for Alzheimer's disease treatment and available as a dietary supplement in France, Huperzine A continues to be the subject of extensive research to fully evaluate its therapeutic potential and clinical applications.

Other name(s) 

Huperzia serrata

Scientific name(s)

Huperzine A

Family or group: 

Phytochemicals


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Alzheimer's Disease
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Meta-analyses of clinical studies, mainly conducted in China where Huperzine A is approved for Alzheimer's disease treatment, show that Huperzine A administered at doses of 200 to 800 mcg divided into 2-3 daily intakes over 8 to 36 weeks improves cognitive function, measured by the Mini-Mental Exam (MMSE). However, results are inconsistent with other scales. Meta-analyses also indicate an improvement in overall behavior and daily activity performance compared to placebo. A clinical trial in the United States showed that Huperzine A at 200 mcg twice daily for at least 16 weeks does not enhance cognition as measured by the ADAS-Cog in patients with mild to moderate Alzheimer's disease but offers a modest benefit on the MMSE. A higher dose of 400 mcg twice daily shows a modest benefit on both scales. Long-term and large-scale clinical trials are needed to confirm these results.

Posologie

posologieOrally

posologie200 - 500 µg

duration6 - months


Cognitive Performance
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Huperzine A has shown promising results in enhancing cognitive functions through various clinical studies. In a study conducted on Chinese adolescents, the daily administration of 100 micrograms of Huperzine A for four weeks significantly improved memory quotient scores compared to a placebo. Another recent placebo-controlled Phase II study aimed to assess the effectiveness of Huperzine A in improving memory and learning in individuals who suffered a moderate to severe traumatic brain injury. Participants were randomly assigned to receive either Huperzine A or a placebo for 12 weeks and evaluated using the California Verbal Learning Test – 2nd Edition (CVLT-II). The results indicate no significant difference in memory performance between the Huperzine A and placebo groups after 12 weeks of treatment.

Posologie

posologieOrally

posologie100 - 300 µg

duration12 - weeks


Properties


Neurological

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Huperzine A is extensively studied for its benefits on cognitive and neurological functions. It primarily acts as an acetylcholinesterase inhibitor (AChE), an enzyme that breaks down acetylcholine, a crucial neurotransmitter for memory and information processing in the brain. By blocking this enzyme, Huperzine A increases the available levels of acetylcholine, which enhances neuron communication, notably in the frontal and parietal cortex, areas crucial for reflection and planning. Compared to other drugs such as tacrine (Cognex) or donepezil (Aricept), also used in Alzheimer's disease treatment, Huperzine A proves to be more specific for AChE and possesses a longer duration of action. Furthermore, Huperzine A is recognized for its neuroprotective effects. It helps protect nerve cells against oxidative stress and damage induced by beta-amyloid peptide, often associated with Alzheimer's disease. This protection is partly due to its antioxidant and anti-apoptotic action, downregulating genes that promote apoptosis or programmed cell death. Additionally, Huperzine A stimulates the production of nerve growth factors and their receptors, supporting neuronal survival and repair. These mechanisms provide Huperzine A with significant therapeutic potential, particularly in treating neurodegenerative diseases such as dementia and Alzheimer's disease.

Usages associés

Alzheimer's Disease, Cognitive Performance


Safety dosage

Adult: 200 µg - 800 µg

Huperzine A has been used in clinical trials lasting up to 6 months.


Interactions

Médicaments

Anticholinesterases: weak interaction

Huperzine A has inhibitory effects on acetylcholinesterase. Theoretically, Huperzine A could reduce the effects of anticholinergic medications.

Cholinergics: moderate interaction

Theoretically, simultaneous use of Huperzine A and cholinergic medications may increase the side effects of these drugs.


Precautions

Pregnant women: avoid

Insufficient data, avoid as a precaution.

Nursing women: avoid

Insufficient data, avoid as a precaution.


Contraindications

Epilepsy: prohibited

Theoretically, Huperzine A might exacerbate seizure disorders.

Intestinal obstruction: prohibited

Theoretically, Huperzine A might exacerbate gastrointestinal obstruction due to its pro-secretory effects.

Gastric ulcer: prohibited

Theoretically, Huperzine A might exacerbate gastroduodenal ulcers due to its pro-secretory effects. Huperzine A inhibits acetylcholinesterase (AChE) and may cause cholinergic adverse effects due to increased gastric acid secretions.