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Cyclo (His-Pro)
(Histidyl-proline di-ketopiperazine)


 General Info  

Active Forms
Animal prostate powder, which contains approximately 1% cyclo (his-pro).

Absorption
Cyclo (his-pro) is well absorbed when taken orally.

Dietary Sources
It has been determined that some common foods contain substantial amounts of cyclo (his-pro). Examples include dried shrimp, fish sauce, tuna, ham, potted meat, non-dairy creamer, white bread, and noodles. Research suggests that cyclo (his-pro) may not occur naturally in these foods, but rather is a consequence of the thermal manipulation of hydrolyzed proteins during the manufacturing (food processing) process.(1) Researchers have also discovered that some nutritional supplements that contain proteins that are partly hydrolyzed and thermally treated during manufacturing also contain substantial amounts of cyclo (his-pro). Products in which the protein sources are casein and/or soy include Ensure, Ensure-Plus, and Osmolite.(2)

 Dosage Info
Dosage Range
300 mg, four times a day

Most Common Dosage
One capsule 4 times daily, taken 30 to 45 minutes before meals and bedtime. Each capsule consists of 300 mg of powdered bovine prostate complex, which contains approximately 1% cyclo (his-pro).

Dosage Forms
Capsules
Adult RDI
None established

Adult ODA
None established

 
 Overview
Interactions
Drug/Nutrient Interactions
Diabetic / Hypoglycemic medications
Cyclo (his-pro) is a naturally occurring cyclic dipeptide consisting of histidyl and proline. Concentrations of cyclo (his-pro) have been found in the blood, cerebrospinal fluid (CSF), semen, brain, spinal cord, and gastrointestinal tract of humans.(3) It has been determined that cyclo (his-pro) has several biological activities and stereospecific cyclo (his-pro) receptors have been identified in the liver.(4) Research indicates that cyclo (his-pro) is one of the primary metabolites of thyrotropin-releasing hormone (TRH) and the greatest concentration of this substance has been found to occur in the prostate gland. (5)

Consequently, numerous trials have utilized powdered prostate gland or extracts from the prostate glands of various species of animals to study the effects of cyclo (his-pro). Studies suggest that cyclo (his-pro) is one of numerous compounds in the prostate gland that regulate the intestinal absorption of zinc.(6) Both animals and humans with diabetes have altered zinc metabolism(7, 8) and zinc is known to play a key role in synthesis, storage, and secretion of insulin.(9) Zinc is also required for proper glucose utilization by muscle and fat cells.(10) Cyclo (his-pro) enhances both zinc absorption and glucose utilization, which results in a significant decline in both blood and urine glucose levels of diabetic patients.(11) It appears that cyclo (his-pro) is an important new agent that can help improve glucose metabolism in patients with type 2 diabetes. Currently the source of cyclo (his-pro) in commercial products is powdered animal prostate, which contains approximately 1% cyclo (his-pro).

 Toxicities & Precautions

Cyclo (his-pro) is well absorbed when taken orally.

General
There are no known toxicity side effects associated with cyclo (his-pro).

Health Conditions
Diabetic individuals who are using medications to control their blood sugar levels should consult their physician. Taking cyclo (his-pro) may necessitate close monitoring and possibly changing the dosage of their diabetic medications.

 Functions in the Body
Uses
Clinical Applications

Diabetes, Type 2

Intestinal Absorption of Zinc
Cyclo (his-pro) enhances the intestinal absorption of zinc.(12)

Lowers Blood Glucose Levels
Cyclo (his-pro) helps lower blood glucose levels.(13)

Reduces Hemoglobin A1C
Cyclo (his-pro) causes a significant reduction in hemoglobin A1C (HbA1C).(14)


 Clinical Applications
Diabetes, Type 2
Results from animal studies and clinical trials in patients with non-insulin dependent diabetes indicate that cyclo (his-pro) helps ameliorate diabetic symptoms. It appears that the mechanism of action is due to cyclo (his-pro)'s ability to stimulate intestinal zinc absorption, which produces a reduction in blood glucose levels.(15, 16, 17)
 Symptoms & Causes of Deficiency
Studies have not been conducted to determine the symptoms or causes of a deficiency of cyclo (his-pro) in humans.
 Footnotes
1 Hilton CW, Prasad C, Vo P, Mouton C. Food contains the bioactive peptide, cyclo(His-Pro). J Clin Endocrinol Metab. Aug1992;75(2):375-8.
View Abstract
2 Hilton CW, Prasad C, Svec F, Vo P, Reddy S. Cyclo (His-Pro) in nutritional supplements. Lancet. Dec1990;336(8728):1455.
3 Prasad C. Cyclo(His-Pro): its distribution, origin and function in the human. Neurosci Biobehav Rev. Apr1988;12(1):19-22.
View Abstract
4 Hilton CW, Prasad C, Svec F, Vo P, Reddy S. Cyclo (His-Pro) in nutritional supplements. Lancet. Dec1990;336(8728):1455.
5 Pekary AE, Sharp B, Briggs J, et al. High concentrations of p-Glu-His-Pro-NH2 (thyrotropin-releasing hormone) occur in rat prostate. Peptides. Nov1983;4(6):915-9.
View Abstract
6 Song MK, Rosenthal MJ, Kang KW, et al. Animal prostate extract ameliorates diabetic symptoms by stimulating intestinal zinc absorption in rats. Diabetes Research. 1996;31:157-170.
7 Johnson WT, Canfield WK. Intestinal absorption and excretion of zinc in streptozotocin-diabetic rats as affected by dietary zinc and protein. J Nutr. Sep1985;115(9):1217-27.
View Abstract
8 Kinlaw WB, Levine AS, Morley JE, et al. Abnormal zinc metabolism in type II diabetes mellitus. Am J Med. Aug1983;75(2):273-7.
9 Chausmer AB. Zinc, insulin and diabetes. J Am Coll Nutr. Apr1998;17(2):109-15.
View Abstract
10 Ezaki O. IIb group metal ions (Zn2+, Cd2+, Hg2+) stimulate glucose transport activity by post-insulin receptor kinase mechanism in rat adipocytes. J Biol Chem. Sep1989;264(27):16118-22.
View Abstract
11 Song MK, Rosenthal MJ, Naliboff BD, et al. Effects of bovine prostate powder on zinc, glucose, and insulin metabolism in old patients with non-insulin-dependent diabetes mellitus. Metabolism. Jan1998;47(1):39-43.
View Abstract
12 Song MK, Rosenthal MJ, Kang KW, et al. Animal prostate extract ameliorates diabetic symptoms by stimulating intestinal zinc absorption in rats. Diabetes Research. 1996;31:157-170.
13 Song MK, Rosenthal MJ, Naliboff BD, et al. Effects of bovine prostate powder on zinc, glucose, and insulin metabolism in old patients with non-insulin-dependent diabetes mellitus. Metabolism. Jan1998;47(1):39-43.
View Abstract
14 Song MK, Rosenthal MJ, Naliboff BD, et al. Effects of bovine prostate powder on zinc, glucose, and insulin metabolism in old patients with non-insulin-dependent diabetes mellitus. Metabolism. Jan1998;47(1):39-43.
View Abstract
15 Song MK, Rosenthal MJ, Naliboff BD, et al. Effects of bovine prostate powder on zinc, glucose, and insulin metabolism in old patients with non-insulin-dependent diabetes mellitus. Metabolism. Jan1998;47(1):39-43.
View Abstract
16 Song MK, Rosenthal MJ, Kang KW, et al. Animal prostate extract ameliorates diabetic symptoms by stimulating intestinal zinc absorption in rats. Diabetes Research. 1996;31:157-170.
17 Song MK, Rosenthal MJ, Hong S, et al. Synergistic antidiabetic activities of zinc, cyclo (his-pro), and arachidonic acid. Metabolism. Jan2001;50(1):53-9.
View Abstract
 
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