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By
Kevin KF Ng, MD, PhD.
Former Associate Professor of Medicine
Division of Clinical Pharmacology
University of Miami, Miami, FL., USA
Email: kevinng68@gmail.com
A Slide Presentation for HealthCare Providers March 2023
Contents
▪ Poll results in LinkedIn Post.
▪ What is chicken soup?
▪ History of chicken soup.
▪ Nutrients of chicken soup.
▪ Ingredients in chicken soup.
▪ Scientific studies.
▪ Mechanisms of action.
▪ Summary.
Poll results on “Is chicken soup a good symptom reliever for a common cold?” posted
in LinkedIn from 2/15/2023 to 2/23/2023
https://www.linkedin.com/analytics/post-summary/urn:li:activity:7031501858342924289/
https://www.linkedin.com/analytics/post-
summary/urn:li:activity:7031501858342924289/
Poll results on “Is chicken soup a good symptom reliever for a common cold?” posted
in LinkedIn from 2/15/2023 to 2/23/2023
History of chicken soup
Sources: Internet
What is in a chicken soup?
▪ Chicken soup is a mixture of chicken meat cooked with
vegetables, fruits, herbs and spices. Noodles and rice
may be added.
▪ A typical Chinese chicken soup is made with
▪ chicken meat
▪ onions
▪ garlics
▪ ginger
▪ salt
▪ noodles.
▪ The ingredients vary widely from countries to countries.
Chicken soups around the world in 6 continents
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1. Asia
2. Africa
3. Australasia
4. Europe
5. North America
6. South America.
Sources: Internet
Number of publications on “chicken soup” in PubMed from
1970 to 2022
https://pubmed.ncbi.nlm.nih.gov/?term=chicken+soup
NUTRIENT COMPOSITION
Composition of Chicken Soup
©DRKEVINNG
Major chemicals in Chinese Chicken Soup
:cysteine
©DRKEVINNG
Major bioactive compounds and their properties
in Chinese chicken soup
©DRKEVINNG
Ingredient variations in chicken soup
across the world
©DRKEVINNG
BIOACTIVE COMPOUNDS
▪ CYSTEINE
▪ PHYTOCHEMICALS
What is cysteine in chicken soup?
• Cysteine is a nonessential amino acid important for making proteins.
• Cysteine is present in the chicken meat
• Cysteine is a precursor to glutathione (a three-peptide antioxidant in all cells)
glutathione
Ginger enhanced the release of cysteine in
Chicken Soup (2021)
Adapted from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307344/
n.d.
n.d.=not detected
Reported pharmacological activities of cysteine
▪ Antibacterial
▪ Antioxidant
▪ Anti-inflammatory
▪ Immuno-modulatory
▪ Anticancer
▪ Mucolytic
▪ Precursor to glutathione
https://link.springer.com/article/10.1007/s00726-021-03062-z
Anti-inflammatory effect of cysteine on nuclear factor-kappa B
(NF-κB) activation (2012)
Clin Exp Immunol. 2012 Feb; 167(2): 269–274.
Nuclear factor kappa B (NF-κB) is a protein transcription factor and
considered a regulator of innate immunity.
Metabilism of cysteine on passage through the liver
©DRKEVINNG
Fate of cysteine in the human body
▪ Cysteineis utilized by multiple pathways. Once generated,cysteine is consumed by variousmetabolic pathwayssuch as
protein synthesis, generationof glutathione,taurine, lanthionine,coenzyme A and the gasotransmitter hydrogen sulfide
(H2S).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912966/#:~:text=Metabolism%20
of%20cysteine&text=(B)%20Cysteine%20is%20utilized%20by,sulfide%20(H2S).
PHYTOCHEMICALS IN CHICKEN SOUP INGREDIENTS
Major Bioactive compounds in an onion (Allium cepa)
Adapted from https://www.sciencedirect.com/topics/medicine-and-dentistry/s-allyl-cysteine
N-acetylcysteine (NAC)
4.5 mg/100g*
*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136759/
Major bioactive compounds in garlic (Allium sativum)
https://lpi.oregonstate.edu/book/export/html/394
a precursor to glutathione (GSH),
Bioactive compounds in ginger (zingiber officinale)
https://www.precisionnutrition.com/all-about-ginger
30%
Pharmacological properties of chicken soup ingredients
(NAC)
©DRKEVINNG
SCIENTIFIC STUDIES
▪ NASALMUCUS PRODUCTION
▪ NEUTROPHIL CHEMOTAXIS
▪ IMMUNO-MODULATION
Chicken soup increased nasal mucus secretion in
15 healthy subjects (1978)
https://www.sciencedirect.com/science/article/abs/pii/S0012369215373876
https://journal.chestnet.org/article/S0012-3692%2815%2937721-7/pdf
Grandma’s Chicken Soup recipe used in the following study:
Chicken soup inhibits neutrophil chemotaxis in vitro (2000)
https://www.unmc.edu/news/stories/chicken-soup.html https://hal.science/hal-03427686/document
Cell viability and inhibition of chemotaxis by
chicken soup ingredients (2000)
https://journal.chestnet.org/article/S0012-3692%2815%2937721-7/pdf
● ●
vegetables
% Cell viability Chemotaxis (Cells/PHF)
Effects of chicken soups on the serum cytokines in the
immunosuppressed mice. (2022)
Abbreviations:
• CBS, Cobb broiler soup;
• GCS, Gushi chicken soup;
• HCS, Honglashan chicken soup;
• MC, model control;
• NC, normal control.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411684/
Effects of chicken soups on the release of immunoglobulins in
the immunosuppressed mice (2022)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411684/
Normal control (NC), Model control (MC), Gushi Chicken Soup (GCS), Honglashan Chicken Soup (HCS), and Cobb Broiler Soup (CBS)
COMMON COLD
▪ INCIDENCE
▪ SYMPTOMS
TREATMENT
Common Cold Virus
Mean annual incidence of respiratory illnesses
per person by age group (2003)
https://www.thelancet.com/journals/lancet/article/PIIS0140673603121629/fulltext
Symptoms of a common cold
▪ The symptoms of a common cold vary from person to person. They can include:
▪ A runny nose
▪ A sore throat
▪ Sneezing
▪ Coughing
▪ Watery eyes
▪ A headache
https://www.pinterest.com/pin/675258537867740315/
Difference between a cold and a flu (influenza)
Common cold
▪ Runny nose
▪ A sore throat
▪ Sneezing
▪ Coughing
▪ Watery eyes
▪ A headache
Influenza (Flu)
▪ A cough full of mucus.
▪ A sore throat can be the
first sign of a flu.
▪ A blocked nose
▪ Headaches. They nearly
always come with the flu.
▪ A fever above 102o
.
▪ Body aches and pains.
©DRKEVINNG
Treatment for the common cold
▪ There is no cure for the common cold caused by rhinovirus
▪ There is no vaccine for the prevention of common cold.
▪ There is no antiviral drug that targets rhinovirus.
▪ Fortunately, the illness is self-limiting.
▪ The symptoms of the common cold are usually relieved by chicken soup.
Over-the-counter medications are generally ineffective
©DRKEVINNG
The question is:
Why is chicken soup commonly used as a home remedy?
©DRKEVINNG
Ineffective
Widely used
Answer:
Synergy of cysteine and phytochemicals in the chicken soup
▪ Chicken meat:
▪ cysteine
▪ Precursor of glutathione
▪ mucolytic
▪ Antioxidant
▪ Anti-inflammatory
▪ Immuno-modulatory
▪ Ingredients from vegetable and spice:
▪ Onion phytochemicals
▪ Garlic phytochemicals
▪ Ginger phytochemicals
How does chicken soup relieve the common cold symptoms?
©DRKEVINNG
Effect of chicken soup
Chicken soup reduced severity and duration of cold symptoms
©DRKEVINNG
Examples of some delicious chicken soups
Summary
▪ Chicken soup became popular in China more than two thousand years ago.
▪ The soup is made by cooking chicken with vegetables or herbs.
▪ Chicken soup has now spread to almost every country in the world.
▪ Scientific studies on how chicken soups affect the commoncold are scarce.
▪ A few studies show that chicken cooked with vegetables, herbs or spices produced
mucolytic, immuno-modulatory and anti-inflammatory effects.
▪ The pharmacological effects are attributed to cysteine in the chicken meat and
phytochemicals in the ingredients.
How chicken soup relieves common cold symptoms

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How chicken soup relieves common cold symptoms

  • 1. By Kevin KF Ng, MD, PhD. Former Associate Professor of Medicine Division of Clinical Pharmacology University of Miami, Miami, FL., USA Email: kevinng68@gmail.com A Slide Presentation for HealthCare Providers March 2023
  • 2. Contents ▪ Poll results in LinkedIn Post. ▪ What is chicken soup? ▪ History of chicken soup. ▪ Nutrients of chicken soup. ▪ Ingredients in chicken soup. ▪ Scientific studies. ▪ Mechanisms of action. ▪ Summary.
  • 3. Poll results on “Is chicken soup a good symptom reliever for a common cold?” posted in LinkedIn from 2/15/2023 to 2/23/2023 https://www.linkedin.com/analytics/post-summary/urn:li:activity:7031501858342924289/
  • 4. https://www.linkedin.com/analytics/post- summary/urn:li:activity:7031501858342924289/ Poll results on “Is chicken soup a good symptom reliever for a common cold?” posted in LinkedIn from 2/15/2023 to 2/23/2023
  • 5. History of chicken soup Sources: Internet
  • 6. What is in a chicken soup? ▪ Chicken soup is a mixture of chicken meat cooked with vegetables, fruits, herbs and spices. Noodles and rice may be added. ▪ A typical Chinese chicken soup is made with ▪ chicken meat ▪ onions ▪ garlics ▪ ginger ▪ salt ▪ noodles. ▪ The ingredients vary widely from countries to countries.
  • 7. Chicken soups around the world in 6 continents ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 1. Asia 2. Africa 3. Australasia 4. Europe 5. North America 6. South America. Sources: Internet
  • 8. Number of publications on “chicken soup” in PubMed from 1970 to 2022 https://pubmed.ncbi.nlm.nih.gov/?term=chicken+soup
  • 10. Composition of Chicken Soup ©DRKEVINNG
  • 11. Major chemicals in Chinese Chicken Soup :cysteine ©DRKEVINNG
  • 12. Major bioactive compounds and their properties in Chinese chicken soup ©DRKEVINNG
  • 13. Ingredient variations in chicken soup across the world ©DRKEVINNG
  • 15. What is cysteine in chicken soup? • Cysteine is a nonessential amino acid important for making proteins. • Cysteine is present in the chicken meat • Cysteine is a precursor to glutathione (a three-peptide antioxidant in all cells) glutathione
  • 16. Ginger enhanced the release of cysteine in Chicken Soup (2021) Adapted from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307344/ n.d. n.d.=not detected
  • 17. Reported pharmacological activities of cysteine ▪ Antibacterial ▪ Antioxidant ▪ Anti-inflammatory ▪ Immuno-modulatory ▪ Anticancer ▪ Mucolytic ▪ Precursor to glutathione https://link.springer.com/article/10.1007/s00726-021-03062-z
  • 18. Anti-inflammatory effect of cysteine on nuclear factor-kappa B (NF-κB) activation (2012) Clin Exp Immunol. 2012 Feb; 167(2): 269–274. Nuclear factor kappa B (NF-κB) is a protein transcription factor and considered a regulator of innate immunity.
  • 19. Metabilism of cysteine on passage through the liver ©DRKEVINNG
  • 20. Fate of cysteine in the human body ▪ Cysteineis utilized by multiple pathways. Once generated,cysteine is consumed by variousmetabolic pathwayssuch as protein synthesis, generationof glutathione,taurine, lanthionine,coenzyme A and the gasotransmitter hydrogen sulfide (H2S). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912966/#:~:text=Metabolism%20 of%20cysteine&text=(B)%20Cysteine%20is%20utilized%20by,sulfide%20(H2S).
  • 21. PHYTOCHEMICALS IN CHICKEN SOUP INGREDIENTS
  • 22. Major Bioactive compounds in an onion (Allium cepa) Adapted from https://www.sciencedirect.com/topics/medicine-and-dentistry/s-allyl-cysteine N-acetylcysteine (NAC) 4.5 mg/100g* *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136759/
  • 23. Major bioactive compounds in garlic (Allium sativum) https://lpi.oregonstate.edu/book/export/html/394 a precursor to glutathione (GSH),
  • 24. Bioactive compounds in ginger (zingiber officinale) https://www.precisionnutrition.com/all-about-ginger 30%
  • 25. Pharmacological properties of chicken soup ingredients (NAC) ©DRKEVINNG
  • 26. SCIENTIFIC STUDIES ▪ NASALMUCUS PRODUCTION ▪ NEUTROPHIL CHEMOTAXIS ▪ IMMUNO-MODULATION
  • 27.
  • 28. Chicken soup increased nasal mucus secretion in 15 healthy subjects (1978) https://www.sciencedirect.com/science/article/abs/pii/S0012369215373876
  • 30. Grandma’s Chicken Soup recipe used in the following study: Chicken soup inhibits neutrophil chemotaxis in vitro (2000) https://www.unmc.edu/news/stories/chicken-soup.html https://hal.science/hal-03427686/document
  • 31. Cell viability and inhibition of chemotaxis by chicken soup ingredients (2000) https://journal.chestnet.org/article/S0012-3692%2815%2937721-7/pdf ● ● vegetables % Cell viability Chemotaxis (Cells/PHF)
  • 32.
  • 33. Effects of chicken soups on the serum cytokines in the immunosuppressed mice. (2022) Abbreviations: • CBS, Cobb broiler soup; • GCS, Gushi chicken soup; • HCS, Honglashan chicken soup; • MC, model control; • NC, normal control. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411684/
  • 34. Effects of chicken soups on the release of immunoglobulins in the immunosuppressed mice (2022) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411684/ Normal control (NC), Model control (MC), Gushi Chicken Soup (GCS), Honglashan Chicken Soup (HCS), and Cobb Broiler Soup (CBS)
  • 35. COMMON COLD ▪ INCIDENCE ▪ SYMPTOMS TREATMENT
  • 37. Mean annual incidence of respiratory illnesses per person by age group (2003) https://www.thelancet.com/journals/lancet/article/PIIS0140673603121629/fulltext
  • 38. Symptoms of a common cold ▪ The symptoms of a common cold vary from person to person. They can include: ▪ A runny nose ▪ A sore throat ▪ Sneezing ▪ Coughing ▪ Watery eyes ▪ A headache https://www.pinterest.com/pin/675258537867740315/
  • 39. Difference between a cold and a flu (influenza) Common cold ▪ Runny nose ▪ A sore throat ▪ Sneezing ▪ Coughing ▪ Watery eyes ▪ A headache Influenza (Flu) ▪ A cough full of mucus. ▪ A sore throat can be the first sign of a flu. ▪ A blocked nose ▪ Headaches. They nearly always come with the flu. ▪ A fever above 102o . ▪ Body aches and pains. ©DRKEVINNG
  • 40. Treatment for the common cold ▪ There is no cure for the common cold caused by rhinovirus ▪ There is no vaccine for the prevention of common cold. ▪ There is no antiviral drug that targets rhinovirus. ▪ Fortunately, the illness is self-limiting. ▪ The symptoms of the common cold are usually relieved by chicken soup.
  • 41. Over-the-counter medications are generally ineffective ©DRKEVINNG
  • 42. The question is: Why is chicken soup commonly used as a home remedy? ©DRKEVINNG Ineffective Widely used
  • 43. Answer: Synergy of cysteine and phytochemicals in the chicken soup ▪ Chicken meat: ▪ cysteine ▪ Precursor of glutathione ▪ mucolytic ▪ Antioxidant ▪ Anti-inflammatory ▪ Immuno-modulatory ▪ Ingredients from vegetable and spice: ▪ Onion phytochemicals ▪ Garlic phytochemicals ▪ Ginger phytochemicals
  • 44. How does chicken soup relieve the common cold symptoms? ©DRKEVINNG Effect of chicken soup
  • 45. Chicken soup reduced severity and duration of cold symptoms ©DRKEVINNG
  • 46. Examples of some delicious chicken soups
  • 47. Summary ▪ Chicken soup became popular in China more than two thousand years ago. ▪ The soup is made by cooking chicken with vegetables or herbs. ▪ Chicken soup has now spread to almost every country in the world. ▪ Scientific studies on how chicken soups affect the commoncold are scarce. ▪ A few studies show that chicken cooked with vegetables, herbs or spices produced mucolytic, immuno-modulatory and anti-inflammatory effects. ▪ The pharmacological effects are attributed to cysteine in the chicken meat and phytochemicals in the ingredients.