Podophyllum

Common name

Mayapple

ID

HD0235

Scientific name of the plant

Podophyllum peltatum L.

Anatomical part for use

root

Human use

Constipation

Summary

Podophyllum is an herbaceous perennial plant in the family Berberidaceae, described as a genus by Linnaeus in 1753. In the past, several species were included in the genus, but all but one have been transferred to other genera (Dysosma and Sinopodophyllum). The one remaining species is Podophyllum peltatum, with common names mayapple, American mandrake, wild mandrake, and ground lemon. It is widespread across most of the eastern United States and southeastern Canada.Mayapples are woodland plants, typically growing in colonies derived from a single root. The stems grow to 30–40 cm tall, with palmately lobed umbrella-like leaves up to 20–40 cm diameter with 3–9 shallowly to deeply cut lobes. The plants produce several stems from a creeping underground rhizome; some stems bear a single leaf and do not produce any flower or fruit, while flowering stems produce a pair or more leaves with 1–8 flowers in the axil between the apical leaves. The flowers are white, yellow or red, 2–6 cm diameter with 6–9 petals, and mature into a green, yellow or red fleshy fruit 2–5 cm long.All the parts of the plant are poisonous, including the green fruit, but once the fruit has turned yellow, it can be safely eaten . The ripe fruit does not produce toxicity.The substance they contain (podophyllotoxin or podophyllin) is used as a purgative and as a cytostatic. Posalfilin is a drug containing podophyllin and salicylic acid that is used to treat the plantar wart. Podophyllotoxin is highly toxic if consumed. They are also grown as ornamental plants for their attractive foliage and flowers, and they are a larval host for the golden borer moth and the may apple borer.Though the common name is mayapple, in some areas it is the flower that appears in early May, not the "apple". The fruit or "apple" is usually produced early in summer and ripens later in summer. Many species of plants have mycorrhizae to assist with nutrient uptake in infertile conditions. Mayapple plants are considered obligately dependent upon such mycorrhizae, although it may also be facultatively dependent upon rhizome age and soil nutrient levels. Plants are commonly found infected by the rust Allodus podophylli, appearing as honeycomb-patterned orange colonies under the leaves, and yellowish lesions on the upper surface. (Source: Wiki)

Evidence Level

Level 1 (Individual reports from one medical center)

Hepatotoxicity Description

Ba Jiao Lian causes a toxic syndrome that includes abnormal liver tests, although the other symptoms overshadow the liver injury and most patients have not developed jaundice or hepatic failure. In cases of intoxication reported from Asia, patients have had minimal elevations (1 to 3 times the upper limit of the normal range) in serum aminotransferase levels, with AST usually higher than ALT and no jaundice. Indeed, muscle and other organ injury may account for some of the serum enzyme elevations in Ba Jiao Lian toxicity. (Source: LiverTox)

Relevant Public Information

Wiki
NIH LiverTox
Nature Medicines