Sesame Seeds: our new ‘flax seed’
Jacob Schor, ND, FABNO
August 6, 2010
Note: the website version of this article contains full abstracts for most studies cited in the text and is posted at:
http://denvernaturopathic.com/sesame.htmFew people eat flax seeds because they love their flavor, they eat flax seeds because they are supposed to be good for you. Sesame seeds, on the other hand, taste good. Imagine what humus made with mashed flax seeds would taste like. Sesame seeds win out over flax seeds when it comes to taste. It now seems that sesame seeds also compete with flax seeds for providing health benefit.
When it comes to lignin content, flax seeds are the clear winner. A Dutch analysis tells us that flax seeds contain 301,120 mcg/100 gm while sesame seeds only contain 39,348 mcg/100 gm. While it might seem that flax wins this competition as sesame seeds contain only about 13% of the lignans by weight as flax, there are several considerations that argue that they may have equal effect.
First, lignans, in both sesame and flax seeds, are converted by gut bacteria into phyotestrogenic chemicals that are active in the blood. When these phytoestrogens levels are measured, both seeds have equivalent effect at raising serum levels. Even if in the lab flax looks better, in animals the benefit looks equal.
Second, actual lignan content may not matter that much as both seeds easily supply more than enough lignans to maximize benefit. Both seeds supply lignans in such overabundance that it probably doesn’t really matter. In McCann’s June 2010 paper that found a correlation between high lignan content in the diet and improved survival among breast cancer patients, their definition of a high lignan diet was eating more than 319 mcg per day. Thus according to their data, eating 0.1 gram of flax seed per day made a significant difference. Even if a woman needed to eat ten times as much sesame seed to get an effect equivalent to flax, eating even one gram per day is easy to do. It is easier to eat sesame streets than flax seeds. Patients do not complain about sesame seeds being a bulking laxative like they do about flax. Sesame tastes good. Sesame is a food, flax a nutrient.
Third, our knowledge of sesame’s health benefits is growing. Sesame is valued for both its anti-inflammatory action and it’s anticancer action. Let’s look at some recent papers and see how we might interpret them clinically:
Sesamin, a chemical isolated from sesame seeds, changes the way white blood cells are drawn to chemoattractants, reducing the production of the cytokines involved in infection, inflammation and cancer. Sesamin decreases the damaging effect that oxidized blood lipids have on endothelial function. Thus they may have value in atherosclerosis and cardiovascular disease. Indeed, in animal models sesame extracts actually prevent lipid oxidation normally triggered by various chemical oxidizing agents.
Sesame also protects brain neurons as seen in rat brain reperfusion experiments in which blood flow is cut off and then restored. If a similar effect occurred in the human brain, this form of protection is what we would desire to bring to our stroke patients.
Epidemiological and clinical trials suggest sesame may have a mild effect at lowering blood pressure, enough to drop numbers by a few points. Yet these findings are not unanimous. A 2009 clinical trial in which obese or overweight men and women were feed about an ounce of sesame seeds/day for five weeks raised urinary excretion of the mammalian lignans by approximately 8-fold (P<0.001) but, “…did not produce significant changes in blood indices of cardiovascular disease risk…” Blood lipids and blood pressure did not change, nor did markers of systemic inflammation (C-reactive protein, interleukin-6, tumor necrosis factor-alpha) or lipid peroxidation.
A number of published studies suggest sesame may have anti cancer effect. Most of these are in vitro or rodent studies. We still lack the human trials that we would prefer to reference. Thus we must look at this information cautiously, favorable though it might appear.
In a May 2010 paper, researchers from MD Anderson described some of the mechanisms by which sesame acts to prevent or inhibit cancer. Testing the sesame extract, sesamin, they found that it inhibited a range of different types of cancer cells including leukemia, multiple myeloma, and colon, prostate, breast, pancreas and lung cancers. Sesamin enhanced tumor necrosis factor alpha’s action at inducing apoptosis. This action was linked to a suppression of production of certain chemicals linked to cell survival (Bcl-2 and survivin), proliferation (cyclin D1), inflammation (cyclooxygenase-2), invasion (matrix metalloproteinase-9) and angiogenesis (vascular endothelial growth factor). Sesamin downregulated NF-kappaB, a factor normally stimulated by various inflammatory and carcinogenic triggers.
I’ve focused on NF-kappaB in past reviews that suggest that lowering this chemical increases gemcitabine’s action against pancreatic cancer:
http://denvernaturopathic.com/Nigella.htmTwo months later in July 2010, researchers from the National Institutes of Health reported that sesamin inhibits the ability of macrophages to make vascular endothelial growth factor (VEGF) and thus limits angiogenesis, that is growth of new vessels to deliver blood to cancer tumors.
Other studies suggest that sesame protects agains development of colon cancer and will inhibit skin cancer. A clinical trial published in February 2010, tells us that oral sesame oil was useful in treating small bowel obstruction caused by adhesions. Other studies suggest a similar possible effect against leukemia and lymphoma cells. A 2007 paper suggests we consider using sesame oil to protect the kidneys during cisplatin treatment.
Sesame oils have long been thought to raise platelet counts and we still frequently employ them for this situation in our practice. Paul Reilly and Mark Gignac have reported their clinical use of sesame oil for this purpose on OncANP’s chat room. Standard Process that has sold nutritional supplements made from sesame oil to health practitioners specifically to increase platelet levels for the better part of a century. As well accepted as this use is, we have yet to see any peer reviewed clinical trials supporting these claims.
At this time there is one significant caution to using sesame with cancer patients. We discourage women from eating sesame when they have breast cancer and are being treated with tamoxifen. Papers published in 2007 and 2008 looked at breast tumor growth in mice treated with both sesame seeds and tamoxifen. While flaxseed increases tamoxifen’s inhibition of breast cancer growth, sesame does not. In fact sesame actually decreases tamoxifen’s benefit. Yet, like flax, sesame increased tamosifen’s bone strengthening benefits.
There are numerous ways that patients can add sesame seeds into their diet. We suggest to our patients that they make and eat foods that have tahini (ground sesame butter) added as an ingredient (humus, baba-ghanoush, tahina etc) or to eat the seeds directly on food. Many people prefer the taste of slightly ground sesame seeds. They can be purchased pre-ground but I have found fresh ground to be preferable and have purchased small hand grinders from our local Korean market. The novelty of using these gadgets seems to have increased our consumption of sesame in our home. So also has experimenting with the various types of sesame seeds available. At the moment I am trying to use up all the seeds in our grinder as I’ve recently purchased a bag labeled as ‘wild’ sesame seeds.