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''Sanguinaria canadensis'', bloodroot, is a
perennial A perennial plant or simply perennial is a plant that lives more than two years. The term ('' per-'' + '' -ennial'', "through the years") is often used to differentiate a plant from shorter-lived annuals and biennials. The term is also widel ...
,
herbaceous Herbaceous plants are vascular plants that have no persistent woody stems above ground. This broad category of plants includes many perennials, and nearly all annuals and biennials. Definitions of "herb" and "herbaceous" The fourth edition o ...
flowering plant Flowering plants are plants that bear flowers and fruits, and form the clade Angiospermae (), commonly called angiosperms. The term "angiosperm" is derived from the Greek words ('container, vessel') and ('seed'), and refers to those plants t ...
native to eastern
North America North America is a continent in the Northern Hemisphere and almost entirely within the Western Hemisphere. It is bordered to the north by the Arctic Ocean, to the east by the Atlantic Ocean, to the southeast by South America and th ...
. It is the only species in the
genus Genus ( plural genera ) is a taxonomic rank used in the biological classification of living and fossil organisms as well as viruses. In the hierarchy of biological classification, genus comes above species and below family. In binomial nom ...
''Sanguinaria'', included in the poppy family
Papaveraceae The Papaveraceae are an economically important family of about 42 genera and approximately 775 known species of flowering plants in the order Ranunculales, informally known as the poppy family. The family is cosmopolitan, occurring in temperat ...
, and is most closely related to '' Eomecon'' of eastern Asia. ''Sanguinaria canadensis'' is sometimes known as Canada puccoon, bloodwort, redroot, red puccoon, and black paste. Plants are variable in leaf and flower shape, and have been separated as a different subspecies due to these variable shapes, indicating a highly variable species. In bloodroot, the juice is red and poisonous. Products made from sanguinaria extracts, such as
black salve Black salve, also known by the brand name Cansema, is a pseudoscientific alternative cancer treatment. The product is commonly classified as an escharotic—a topical paste which destroys skin tissue and leaves behind a scar called an eschar. E ...
, are
escharotic An eschar (; Greek: ''ἐσχάρᾱ'', ''eskhara''; Latin: ''eschara'') is a slough or piece of dead tissue that is cast off from the surface of the skin, particularly after a burn injury, but also seen in gangrene, ulcer, fungal infections, n ...
and can cause permanent disfiguring
scarring A scar (or scar tissue) is an area of fibrous tissue that replaces normal skin after an injury. Scars result from the biological process of wound repair in the skin, as well as in other organs, and tissues of the body. Thus, scarring is a na ...
. Although preliminary studies have suggested that sanguinaria may have potential applications in cancer therapy, clinical studies are lacking, and its use is not recommended.


Description

Bloodroot grows from tall. It has one large basal
leaf A leaf ( : leaves) is any of the principal appendages of a vascular plant stem, usually borne laterally aboveground and specialized for photosynthesis. Leaves are collectively called foliage, as in "autumn foliage", while the leaves, ...
, up to across, with five to seven lobes. The leaves and flowers sprout from a reddish
rhizome In botany and dendrology, a rhizome (; , ) is a modified subterranean plant stem that sends out roots and shoots from its nodes. Rhizomes are also called creeping rootstalks or just rootstalks. Rhizomes develop from axillary buds and grow ...
with bright orange to red sap. The color of the sap is the reason for the genus name ''Sanguinaria'', from Latin "bloody". The rhizomes grow longer each year, and branch to form colonies. Plants start to bloom before the foliage unfolds in early spring. After blooming the leaves unfurl to their full size and go summer dormant in mid to late summer, later than some other
spring ephemeral An ephemeral plant is one marked by short life cycles. The word ephemeral means transitory or quickly fading. In regard to plants, it refers to several distinct growth strategies. The first, spring ephemeral, refers to perennial plants that emerge ...
s. The
flower A flower, sometimes known as a bloom or blossom, is the reproductive structure found in flowering plants (plants of the division Angiospermae). The biological function of a flower is to facilitate reproduction, usually by providing a mechanis ...
s bloom from March to May depending on the region and weather. They have 8–12 delicate white
petal Petals are modified leaves that surround the reproductive parts of flowers. They are often brightly colored or unusually shaped to attract pollinators. All of the petals of a flower are collectively known as the ''corolla''. Petals are usuall ...
s, many yellow
stamen The stamen (plural ''stamina'' or ''stamens'') is the pollen-producing reproductive organ of a flower. Collectively the stamens form the androecium., p. 10 Morphology and terminology A stamen typically consists of a stalk called the fila ...
s, and two
sepal A sepal () is a part of the flower of angiosperms (flowering plants). Usually green, sepals typically function as protection for the flower in bud, and often as support for the petals when in bloom., p. 106 The term ''sepalum'' was coine ...
s below the petals, which fall off after the flowers open. Each flower stem is clasped by a leaf as it emerges from the ground. The flowers open when they are in sunlight and close at night. They are pollinated by small bees and flies. Seeds develop in green pods long, and ripen before the foliage goes dormant. The seeds are round and black to orange-red when ripe, and have white elaiosomes, which are eaten by ants. File:Bloodroot-apr-2010-clasping-leaves.jpg, Leaves clasping the flower stems in early spring File:Bloodroot closeup.JPG, White petals and yellow stamens File:Sanguinariapod.jpg, Fruit (a pod holding the seeds) in early summer File:Sanguinaria.canadensis(02).jpg, Leaves after flowering File:Sanguinaire du Canada.jpg, A carpet of leaves in late spring File:(Root) wildflower.JPG, Rhizomes with orange flesh


Distribution and habitat

Bloodroot is native to eastern North America from
Nova Scotia Nova Scotia ( ; ; ) is one of the thirteen provinces and territories of Canada. It is one of the three Maritime provinces and one of the four Atlantic provinces. Nova Scotia is Latin for "New Scotland". Most of the population are native Eng ...
to
Florida Florida is a state located in the Southeastern region of the United States. Florida is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Bahamas and Atlantic Ocean, and ...
, and west to the
Great Lakes The Great Lakes, also called the Great Lakes of North America, are a series of large interconnected freshwater lakes in the mid-east region of North America that connect to the Atlantic Ocean via the Saint Lawrence River. There are five lakes ...
and down the Mississippi embayment. ''Sanguinaria canadensis'' grows in moist to dry woods and thickets, often on
floodplain A floodplain or flood plain or bottomlands is an area of land adjacent to a river which stretches from the banks of its channel to the base of the enclosing valley walls, and which experiences flooding during periods of high discharge.Goudi ...
s and near shores or streams on slopes. They grow less frequently in clearings and meadows or on dunes, and are rarely found in disturbed sites.


Ecology

Bloodroot is one of many plants whose seeds are spread by
ants Ants are Eusociality, eusocial insects of the Family (biology), family Formicidae and, along with the related wasps and bees, belong to the Taxonomy (biology), order Hymenoptera. Ants evolved from Vespoidea, vespoid wasp ancestors in the Creta ...
, a process called
myrmecochory Myrmecochory ( (sometimes myrmechory); from grc, μύρμηξ, mýrmēks ("ant") and ''khoreíā'' ("circular dance") is seed dispersal by ants, an ecologically significant ant–plant interaction with worldwide distribution. Most myrmec ...
. The seeds have a fleshy organ called an elaiosome that attracts ants. The ants take the seeds to their nest, where they eat the elaiosomes, and put the seeds in their nest debris, where they are protected until they germinate. They also benefit from growing in a medium made richer by the ant nest debris. The flowers produce pollen, but no nectar. Various bees and flies visit the flowers looking in vain for nectar, for instance sweat bees in the genera ''
Lasioglossum The sweat bee genus ''Lasioglossum'' is the largest of all bee genera, containing over 1700 species in numerous subgenera worldwide.Gibbs, J., et al. (2012)Phylogeny of halictine bees supports a shared origin of eusociality for ''Halictus'' and ...
'' and ''
Halictus The genus ''Halictus'' is a large assemblage of bee species in the family Halictidae. The genus is divided into 15 subgenera, some of dubious monophyly, containing over 200 species, primarily in the Northern Hemisphere (a few species occur in ...
'',
cuckoo bee The term cuckoo bee is used for a variety of different bee lineages which have evolved the kleptoparasitic behaviour of laying their eggs in the nests of other bees, reminiscent of the behavior of cuckoo birds. The name is perhaps best applied to ...
s in the genus ''
Nomada With over 850 species, the genus ''Nomada'' is one of the largest genera in the family Apidae, and the largest genus of kleptoparasitic "cuckoo bees." Kleptoparasitic bees are so named because they enter the nests of a host and lay eggs there, st ...
'',
small carpenter bee The cosmopolitan bee genus ''Ceratina'', often referred to as small carpenter bees, is the sole lineage of the tribe Ceratinini, and is not closely related to the more familiar carpenter bees. The genus presently contains over 300 species in 23 s ...
s (''Ceratina''), and bee flies in the genera '' Bombylius'' and '' Brachypalpus''. Some insects come to collect pollen, including mining bees (''Andrena''), which are the most effective pollinators, and at least one beetle species, '' Asclera ruficollis''. The bitter and toxic leaves and rhizomes are not often eaten by
mammalian Mammals () are a group of vertebrate animals constituting the class Mammalia (), characterized by the presence of mammary glands which in females produce milk for feeding (nursing) their young, a neocortex (a region of the brain), fu ...
herbivore A herbivore is an animal anatomically and physiologically adapted to eating plant material, for example foliage or marine algae, for the main component of its diet. As a result of their plant diet, herbivorous animals typically have mouthpar ...
s.


Cultivation

''Sanguinaria canadensis'' is cultivated as an
ornamental plant Ornamental plants or garden plants are plants that are primarily grown for their beauty but also for qualities such as scent or how they shape physical space. Many flowering plants and garden varieties tend to be specially bred cultivars that ...
. The double-flowered forms are prized by gardeners for their large showy white flowers, which are produced very early in the gardening season. Bloodroot flower petals are shed within a day or two of
pollination Pollination is the transfer of pollen from an Stamen, anther of a plant to the stigma (botany), stigma of a plant, later enabling fertilisation and the production of seeds, most often by an animal or by Anemophily, wind. Pollinating agents can ...
, so the flower display is short-lived, but the double forms bloom much longer than the normal forms. The double flowers are made up of stamens that have been changed into petal-like parts, making pollination more difficult. The double-flowered
cultivar A cultivar is a type of cultivated plant that people have selected for desired traits and when propagated retain those traits. Methods used to propagate cultivars include: division, root and stem cuttings, offsets, grafting, tissue culture ...
''S. canadensis'' f. ''multiplex'' 'Plena' has gained the
Royal Horticultural Society The Royal Horticultural Society (RHS), founded in 1804 as the Horticultural Society of London, is the UK's leading gardening charity. The RHS promotes horticulture through its five gardens at Wisley (Surrey), Hyde Hall (Essex), Harlow Carr (Nor ...
's
Award of Garden Merit The Award of Garden Merit (AGM) is a long-established annual award for plants by the British Royal Horticultural Society (RHS). It is based on assessment of the plants' performance under UK growing conditions. History The Award of Garden Merit ...
.


Phytochemicals

Sanguinaria root is rich in
isoquinoline Isoquinoline is a heterocyclic aromatic organic compound. It is a structural isomer of quinoline. Isoquinoline and quinoline are benzopyridines, which are composed of a benzene ring fused to a pyridine ring. In a broader sense, the term isoquin ...
alkaloid Alkaloids are a class of basic, naturally occurring organic compounds that contain at least one nitrogen atom. This group also includes some related compounds with neutral and even weakly acidic properties. Some synthetic compounds of simila ...
s, mainly
sanguinarine Sanguinarine is a polycyclic quaternary alkaloid. It is extracted from some plants, including the bloodroot plant, from whose taxonomic name, ''Sanguinaria canadensis,'' its name is drawn; the Mexican prickly poppy (''Argemone mexicana''); ''Chel ...
and
chelerythrine Chelerythrine is a benzophenanthridine alkaloid present in the plant ''Chelidonium majus'' (greater celandine). It is a potent, selective, and cell-permeable protein kinase C inhibitor ''in vitro''. And an efficacious antagonist of G-protein-coup ...
. Sanguinarine is a benzophenanthridine alkaloid (see
phenanthridine Phenanthridine is a nitrogen heterocyclic compound that is the basis of DNA-binding fluorescent dyes through intercalation. Examples of such dyes are ethidium bromide and propidium iodide. Acridine is an isomer of phenanthridine. Phenanthridine ...
), which, unlike most other alkaloids, has a red color in aqueous solutions. It is present in the greatest concentration in the
rhizome In botany and dendrology, a rhizome (; , ) is a modified subterranean plant stem that sends out roots and shoots from its nodes. Rhizomes are also called creeping rootstalks or just rootstalks. Rhizomes develop from axillary buds and grow ...
s, and the second greatest in the roots , with lesser amounts found in leaves and flowers. Related compounds in the plant are
berberine Berberine is a quaternary ammonium salt from the protoberberine group of benzylisoquinoline alkaloids found in such plants as ''Berberis vulgaris'' (barberry), ''Berberis aristata'' (tree turmeric), ''Mahonia aquifolium'' (Oregon grape), ''Hydras ...
and
protopine Protopine is an alkaloid occurring in opium poppy, ''Corydalis'' tubers and other plants of the family papaveraceae, like ''Fumaria officinalis''. Protopine is metabolically derived from the benzylisoquinoline alkaloid ''(S)''- Reticuline through ...
, among other minor alkaloids.


Toxicity

Bloodroot produces
benzylisoquinoline Substitution of the heterocycle isoquinoline at the C1 position by a benzyl group provides 1‑benzylisoquinoline, the most widely examined of the numerous benzylisoquinoline structural isomers. The 1-benzylisoquinoline moiety can be identified w ...
alkaloid Alkaloids are a class of basic, naturally occurring organic compounds that contain at least one nitrogen atom. This group also includes some related compounds with neutral and even weakly acidic properties. Some synthetic compounds of simila ...
s, primarily the toxin
sanguinarine Sanguinarine is a polycyclic quaternary alkaloid. It is extracted from some plants, including the bloodroot plant, from whose taxonomic name, ''Sanguinaria canadensis,'' its name is drawn; the Mexican prickly poppy (''Argemone mexicana''); ''Chel ...
. The alkaloids are transported to and stored in the rhizome. Sanguinarine kills animal cells by blocking the action of Na+/K+-ATPase transmembrane proteins. As a result, applying bloodroot to the skin may destroy tissue and lead to the formation of necrotic tissue, called an
eschar An eschar (; Greek: ''ἐσχάρᾱ'', ''eskhara''; Latin: ''eschara'') is a slough or piece of dead tissue that is cast off from the surface of the skin, particularly after a burn injury, but also seen in gangrene, ulcer, fungal infections, ...
. Bloodroot and its extracts are thus considered
escharotic An eschar (; Greek: ''ἐσχάρᾱ'', ''eskhara''; Latin: ''eschara'') is a slough or piece of dead tissue that is cast off from the surface of the skin, particularly after a burn injury, but also seen in gangrene, ulcer, fungal infections, n ...
. Although applying escharotic agents (including bloodroot) to the skin is sometimes suggested as a home treatment for
skin cancer Skin cancers are cancers that arise from the skin. They are due to the development of abnormal cells that have the ability to invade or spread to other parts of the body. There are three main types of skin cancers: basal-cell skin cancer (BCC) ...
, these attempts can be severely disfiguring. Salves, most notably
black salve Black salve, also known by the brand name Cansema, is a pseudoscientific alternative cancer treatment. The product is commonly classified as an escharotic—a topical paste which destroys skin tissue and leaves behind a scar called an eschar. E ...
, derived from bloodroot do not remove tumors. Microscopic tumor deposits may remain after visible tumor tissue is burned away, and case reports have shown that in such instances tumor has recurred and/or
metastasize Metastasis is a pathogenic agent's spread from an initial or primary site to a different or secondary site within the host's body; the term is typically used when referring to metastasis by a cancerous tumor. The newly pathological sites, then, ...
d. Internal use is not recommended. An overdose of bloodroot extract can cause vomiting and loss of consciousness.


Alkaloid biosynthesis

Comparing the
biosynthesis Biosynthesis is a multi-step, enzyme-catalyzed process where substrates are converted into more complex products in living organisms. In biosynthesis, simple compounds are modified, converted into other compounds, or joined to form macromolecul ...
of
morphine Morphine is a strong opiate that is found naturally in opium, a dark brown resin in poppies ('' Papaver somniferum''). It is mainly used as a pain medication, and is also commonly used recreationally, or to make other illicit opioids. T ...
and sanguinarine, the final intermediate in common is (''S'')- reticuline. A number of plants in
Papaveraceae The Papaveraceae are an economically important family of about 42 genera and approximately 775 known species of flowering plants in the order Ranunculales, informally known as the poppy family. The family is cosmopolitan, occurring in temperat ...
and
Ranunculaceae Ranunculaceae (buttercup or crowfoot family; Latin "little frog", from "frog") is a family of over 2,000 known species of flowering plants in 43 genera, distributed worldwide. The largest genera are ''Ranunculus'' (600 species), ''Delphinium' ...
, as well as plants in the genus ''
Colchicum ''Colchicum'' ( or ) is a genus of perennial flowering plants containing around 160 species which grow from bulb-like corms. It is a member of the botanical family Colchicaceae, and is native to West Asia, Europe, parts of the Mediterranean coa ...
'' (family
Colchicaceae Colchicaceae is a family of flowering plants that includes 15 genera with a total of about 285 known species according to Christenhusz and Byng in 2016. Description The family is characterized by the presence of colchicine. Taxonomy The APG III ...
) and genus ''
Chondrodendron ''Chondrodendron'' is a genus of flowering plants belonging to the family Menispermaceae. Its native range is Central & Southern Tropical America. Species: *'' Chondrodendron microphyllum'' *'' Chondrodendron platyphyllum'' *''Chondrodendro ...
'' (family
Menispermaceae Menispermaceae (botanical Latin: 'moonseed family' from Greek ''mene'' 'crescent moon' and ''sperma'' 'seed') is a family of flowering plants. The alkaloid tubocurarine, a neuromuscular blocker and the active ingredient in the 'tube curare' form ...
), also produce such benzylisoquinoline alkaloids. Plant geneticists have identified and sequenced genes which produce the enzymes required for this production. One enzyme involved is N-methylcoclaurine 3'-monooxygenase, which produces (''S'')-3'-hydroxy-''N''-methylcoclaurine and mendococlaurine from (''S'')-''N''-methylcoclaurine.


Uses


Traditional medicine

Bloodroot was used historically by Native Americans for curative properties as an
emetic Vomiting (also known as emesis and throwing up) is the involuntary, forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose. Vomiting can be the result of ailments like food poisoning, gastroenteritis ...
, respiratory aid, and other treatments. Bloodroot extracts have also been promoted by some
dietary supplement A dietary supplement is a manufactured product intended to supplement one's diet by taking a pill, capsule, tablet, powder, or liquid. A supplement can provide nutrients either extracted from food sources or that are synthetic in order ...
companies as a treatment or cure for cancer, but the U.S.
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food ...
listed some of these products among its "187 Fake Cancer 'Cures' Consumers Should Avoid". Oral use of products containing bloodroot are strongly associated with the development of oral
leukoplakia Oral leukoplakia is a ''potentially malignant disorder'' affecting the oral mucosa. It is defined as "essentially an oral mucosal white lesion that cannot be considered as any other definable lesion." Oral leukoplakia is a white patch or plaque th ...
, which is a
premalignant A precancerous condition is a condition, tumor or lesion involving abnormal cells which are associated with an increased risk of developing into cancer. Clinically, precancerous conditions encompass a variety of abnormal tissues with an increased ...
lesion that may develop into
oral cancer Oral cancer, also known as mouth cancer, is cancer of the lining of the lips, mouth, or upper throat. In the mouth, it most commonly starts as a painless white patch, that thickens, develops red patches, an ulcer, and continues to grow. When on ...
, although one review disputed this finding. Viadent, a dental product containing bloodroot, was withdrawn from the North American market due to concerns about its potential to cause cancer.


Commercial uses

Commercial uses of sanguinarine and bloodroot extract include dental hygiene products. Some animal food additives sold and distributed in Europe contain sanguinarine and chelerythrine.


Plant dye

Bloodroot is a red
natural dye Natural dyes are dyes or colorants derived from plants, invertebrates, or minerals. The majority of natural dyes are vegetable dyes from plant sources— roots, berries, bark, leaves, and wood—and other biological sources such as fungi. Ar ...
used by
Native American art Visual arts by indigenous peoples of the Americas encompasses the visual artistic practices of the indigenous peoples of the Americas from ancient times to the present. These include works from South America and North America, which includes ...
ists, especially among southeastern
rivercane ''Arundinaria gigantea'' is a species of bamboo known as giant cane (not to be confused with ''Arundo donax''), river cane, and giant river cane. It is endemic to the south-central and southeastern United States as far west as Oklahoma and Texas ...
basketmakers. A break in the surface of the plant, especially the roots, reveals a reddish sap which can be used as a dye.


Medical research

According to various medical reviews, sanguinarine has shown
antioxidant Antioxidants are compounds that inhibit oxidation, a chemical reaction that can produce free radicals. This can lead to polymerization and other chain reactions. They are frequently added to industrial products, such as fuels and lubrica ...
,
anti-inflammatory Anti-inflammatory is the property of a substance or treatment that reduces inflammation or swelling. Anti-inflammatory drugs, also called anti-inflammatories, make up about half of analgesics. These drugs remedy pain by reducing inflammation as o ...
,
proapoptotic Apoptosis (from grc, ἀπόπτωσις, apóptōsis, 'falling off') is a form of programmed cell death that occurs in multicellular organisms. Biochemical events lead to characteristic cell changes ( morphology) and death. These changes inclu ...
, and growth inhibitory effects on tumor cells of various
cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...
s. These effects have been shown in both ''in vitro'' and ''in vivo'' studies and suggest that sanguinarine may have potential as a therapeutic agent for treating cancer in humans, although further research is needed.


See also

* Orange-root


References


External links

* Flora of North America
Distribution map
*
Floridanature.org: Bloodroot pictures and information
{{Authority control Papaveroideae Monotypic Papaveraceae genera
Sanguinaria canadensis ''Sanguinaria canadensis'', bloodroot, is a perennial, herbaceous flowering plant native to eastern North America. It is the only species in the genus ''Sanguinaria'', included in the poppy family Papaveraceae, and is most closely related to ...
Plant dyes Garden plants of North America Plants used in traditional Native American medicine Abortifacients