Probing the Benefits of Green Tea

This article originally appeared in the November 2006 issue of VA Research Currents

For many centuries, green tea has been consumed and used medicinally in India, China, Japan and other Asian countries. Today, millions worldwide not only drink green tea but look for it in their sunscreen, shampoo and even toothpaste. The website of one popular nutrition-supplement retailer lists no fewer than 740 products consisting of or containing green tea.

But is green tea really a health elixir, as many believe? And, of particular interest to many scientists: Can it fight cancer?

After studying the topic for 16 years, VA scientist Santosh Katiyar, PhD, MS, is convinced that green tea, because of its rich polyphenol content, is among the most potent tumor-inhibitors that nature provides. In general, he is a feisty proponent of the Hippocratic maxim "Let food be thy medicine and medicine be thy food."

Green tea plant In the Oct. 16 online edition of the Journal of Nutritional Biochemistry, Katiyar reviewed the latest biomedical findings on green tea and skin cancer, including those from his own animal studies at the Birmingham VA and University of Alabama. He outlined five mechanisms through which green tea's most prevalent and active polyphenol—a robust antioxidant called epigallocatechin-3-gallate, or EGCG—appears to protect the skin from ultraviolet (UV) radiation and prevent tumor formation.

Green tea boosts interleukin-12

One of those pathways was recently elucidated for the first time in an article published by Katiyar's group in Cancer Research. They showed that EGCG prevents UV-induced cancer in mice through a DNA-repair mechanism involving interleukin- 12, an important immune-system chemical.

Experts believe most skin cancer is caused by solar UV light that penetrates the skin's top layer and strikes DNA molecules in the chromosomes, causing harmful mutations. The process is aided by oxidative stress and inflammation.

"The polyphenols in green tea have strong antioxidant and anti-inflammatory properties," said Katiyar, "but more importantly, they enhance the production of interleukin-12, which has a role in DNA repair. If green tea polyphenols can repair DNA, then they can prevent skin cancer."

In their experiments, Katiyar's team exposed two groups of mice to UV radiation and measured the DNA damage that occurred. Then, they treated one group with a topical application of EGCG and left the other group untreated. In the treated mice, the formation and spreading of tumors were markedly reduced. Furthermore, DNA damage was resolved more quickly in these mice. However, when the same treatment was given to mice lacking the gene that codes for interleukin-12 (IL-12 knockout mice) EGCG's protective effect disappeared.

Santosh Katiyar, PhD

Santosh Katiyar, PhD, Birmingham, has found that administering green-tea polyphenols to mice in their drinking water protects against solar ultraviolet-induced skin cancer. He has also helped elucidate the mechanisms responsible for the effect.

These and other lab results may be compelling, but as far as the U.S. Food and Drug Administration is concerned, the jury is still out, pending stronger clinical evidence. A 2005 statement appearing on the FDA website asserts, "Existing evidence does not support qualified health claims for green tea consumption and a reduced risk of [prostate, breast or] any other type of cancer."

Katiyar suggests that some epidemiologic and clinical studies on green tea and cancer may have failed to adequately control for variables such as climate, race, diet and frequency of tea consumption, which can dramatically influence green tea's effects.

Preparing the perfect cup

A native of India who became a U.S. citizen in the 1990s, Katiyar drinks two cups a day of green tea. He says people with fairer skin, who are at higher risk for skin cancer, may need to drink up to six cups per day to derive benefit.

For the perfect cup of tea, he advises that people boil water, remove it from the heat, and then steep the leaves, covered, for four or five minutes. "In that time, most of the polyphenols will dissolve in the warm water. If you boil it with the leaves in it, the polyphenols may get oxidized and polymerized and reduce their activity."

The researcher, who has been funded by VA as well as the National Center for Complimentary and Alternative Medicine and National Cancer Institute, believes military personnel may be at special risk for skin cancer, given their increased exposure to sunlight. That is part of what motivated him to join VA in 2003 and conduct research on behalf of veterans. More than a decade earlier, his initial passion for exploring natural cancer therapies had centered on quite a different population: mothers.

"I lost my mother to breast cancer," shared Katiyar. "I had done my PhD in nutrition, and I realized that my parents had devoted a lot of time and energy to my education. Yet, I could not help my mother. So I resolved to do something to help all the other mothers who are still here. I decided I would work on cancer— how it can be prevented, particularly by dietary supplements and nutrients."