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Mini Review Open Access
Shi Kin Tai1, Rhun Yian Koh1, Khuen Yen Ng2, Soi Moi Chye1*
Abstract
Edible bird’s nest is a famous and nutritious food which is well-known among
Chinese community. It is made from the saliva of swiftlets. It is consumed for various
reasons, including as health tonic, complexion enhancer, asthma alleviator and immune
system enhancer. It contains both macronutrients and micronutirents such as carbohy-
drates, glycoproteins, calcium, sodium, magnesium, zinc, manganese, iron and others.
To date, a number of studies have reported on the health benets of EBN consumption.
Hence, this review describes the various medicinal values of EBN.
*Corresponding author: Soi Moi Chye, International Medical University, Kuala Lumpur, Malaysia, Tel: +6032731 7220;
E-mail: chye_soimoi@imu.edu.my
Received Date: April 28, 2017
Accepted Date: June 4, 2017
Published Date: June 6, 2017
Citation: Chye, S.M., et al. A Mini Re-
view on Medicinal Effects of Edible Bird’s
Nest. (2017) Lett Health Biol Sci 2(1): 65-
67
Lett Health Biol Sci | volume 2: issue 1
www.ommegaonline.com
Introduction
Edible bird’s nest (EBN), also known as the “Caviar
of the East”, is a renowned delicacy among Chinese communi-
ty for its nutritional and medicinal value[1]. EBN is made from
the saliva of tiny cave-dwelling birds known as swiftlets that
are commonly found in Southeast Asia, including Malaysia[2].
The rst consumption of EBN dated back into the Tang Dynasty
(618 - 907 A.D) where it was served to the courts of the China’s
Emperor as a supreme delicacy. Since then, the medicinal ben-
ets of EBN have been carefully documented and it was later
recognized as one of the great four tonics in Traditional Chi-
nese Medicine during the late Ming (1405 - 1433 AD) and early
Ching (1644 - 1911 AD) Dynasties[1,3]. Due to its scarcity and
rarity, EBN was regarded as a symbol of wealth, power and pres-
tige[3]. For centuries, EBN had been consumed as health tonic,
complexion enhancer, asthma alleviator and immune system en-
hancer[2].
The major nutrient components of EBN are carbohy-
drates and glycoproteins, along with minor essential trace ele-
ments such as calcium, sodium, magnesium, zinc, manganese
and iron[2,3]. EBN contains many bioactive compounds which
have health promoting effects such as glucosamine, lactoferrin,
sialic acid, amino acids, fatty acids, triacylglycerol, vitamins,
minerals and other antioxidants[3-5]. Despite many health effects
were claimed to be associated with EBN consumption, its mech-
anism of action is unknown and there is no clinical evidence to
support those claims. This article aims to provide an overview
A Mini Review on Medicinal Effects of Edible Bird’s Nest
Copyrights: © 2017 Chye, S.M. This is an Open access article distributed under the terms of Creative Commons
Attribution 4.0 International License. 65
1School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia
2School of Pharmacy, Monash University Malaysia, Selangor, Malaysia
Letters In Health and
Biological Sciences
Chye, S.M., et al.
DOI: 10.15436/2475-6245.17.016
on EBN and its medicinal effects, with support from the latest
evidence-based discoveries on the benets of EBN consump-
tion.
Medicinal Effects of EBN
Antiviral properties of EBN
In 2006, a research was conducted to study the antiviral
efcacy of natural cave and house-cultured EBN[4]. The research
demonstrated that EBN extract could effectively inhibit inuen-
za infection independent of its strains− human, avian and swine,
by directly binding to the inuenza virus itself or inhibiting the
hemagglutination of the virus to human erythrocytes (Figure 1).
Furthermore, EBN was found to neutralize the virus infection in
Madin-Darby canine kidney (MDCK) cells. In the experiment,
EBN extracts treated with the protease pancreatin, has shown
a stronger inhibitory activity against inuenza virus, indicating
that the lower molecular peptides (10 - 25kDa sialyl glycopro-
tein) were accounted for the antiviral properties of EBN. Con-
versely, EBN extracts treated with neuraminidase (NA), which
cleaves the terminal sialic acid residues, causes reduction in the
EBN/virus binding activity. This suggests that the virus binding
effect of EBN is related to the presence of sialic acid. Generally,
the viral inhibition activities of the wild EBN extracts were high-
er than the house-cultured EBN extracts. It was proved that the
main antiviral effect of EBN was mediated by the sialyl glycol
conjugates with Neu5Ac2-3Gal linkages. The study concluded
that EBN could be a safe and effective natural source for the
prevention of inuenza virus infection. However, the detailed
in vivo effects of the inuenza virus inhibition by EBN should
be evaluated. Later in 2008, Yagi et al., reported the presence of
N-glycosylation in EBN and proposed that the sialylated high
antennary N-glycans of EBN, particularly, tri-antennary N-gly-
can bearing the a 2,3-N-acetylneuraminic acid residues, contrib-
uted to the inhibition of viral infection[5].
Figure 1: Anti-inuenza virus effects of edible bird’s nest.
The antiviral activity of EBN is further supported in the
2016 study by Haghani and his colleagues[6]. The bioactive sialic
acids or thymol derivatives in EBNs have shown to effectively
inhibit the virus IAV strain A/Puerto Rico/8/1934 (H1N1) by de-
creasing the viral intracellular NA and extracellular non-struc-
tural protein 1 (NS1) genes which are required for the viral in-
fection initiation and replication, respectively. However, these
effects were only observed in untreated EBN. EBN which re-
ceived enzymatic treatment (either pancreatin or NA) showed
no effect on the NA gene, while EBN with pancreatin treatment
showed increased extracellular NS1 copy number and reduced
immunomodulatory property[6]. The observations suggested that
some amino acids of EBN might cause an increase in the viral
activities. On the other hand, EBN has shown to improve the
outcome of inuenza infection in BALB/c mice through modu-
lation of immune responses by actively changing the cytokines
patterns, such as activation of pro-inammatory responses and
cell-mediated immunity, depending on the infection phases.
On top of that, pre-treatment with EBN showed protective ef-
fect against the virus in the mice. EBN which contains higher
amount of acetylated sialic acid (Neu 2,4,7,8,9Ac6) displayed
better antiviral activity regardless of the source locations they
were obtained. It is recommended, however, to examine the
bioactive metabolites of EBN before using it as an alternative
antiviral medicine in clinical trials as the origin of EBN and the
species of swiftlets might affect the EBN’s composition.
Figure 2: Anti-H1N1 virus effects of edible bird’s nest.
Anti-oxidant properties of EBN
Apart from antiviral activities, EBN is also well-known
for its antioxidant properties. An in vivo study was carried out
to elucidate the antioxidant and anti-inammatory effects of
EBN on high fat diet (HFD)-induced oxidative stress and in-
ammation in rat models[7]. The results demonstrated that EBN
attenuated the HFD-induced oxidative stress and inammation
via transcriptional regulation of hepatic antioxidant and inam-
mation-related genes; and the effects were better than Simvasta-
tin, a well-known lipid-lowering medication. In short, the study
supported the use of EBN as an effective supplement for the
prevention of obesity-related inammation and oxidative stress.
The ability of EBN in reducing oxidative stress is be-
lieved to be attributed by its antioxidant content, as demonstrat-
ed in a study conducted by Yida et al.[8]. The EBN samples were
rst subjected to a simulated gut digestion model, and the di-
gested samples were then tested for their antioxidant activities.
Results showed that the digested samples displayed potent anti-
oxidant activities that contributed to the reduction in oxidative
stress markers. Similarly in another study, EBN displayed pro-
tective effect against hydrogen peroxide-induced toxicity in SH-
SY5Y cells[9]. Hydrogen peroxide is a chemical which induces
oxidative stress in cells. The protective effect of EBN suggest-
ed that it had the ability to scavenge free radicals and decrease
radical oxygen species, thereby lowering the oxidative stress.
Hou et al., further suggested that the antioxidant properties of
EBN were conferred by its constituents, namely lactoferrin and
ovotransferrin[9].
Neuroprotective effects of EBN
Several studies investigated that the neuroprotective ef-
fects of EBN were reported. Hou et al., demonstrated that EBN
attenuated cortical and hippocampal neurodegeneration in ova-
riectomized rats[10]. The data obtained showed that EBN supple-
mentation improved estrogen deciency-induced neurodysfunc-
tion by reducing advanced glycation end-products in serum and
down-regulating genes associated with neuro-degeneration and
apoptosis in the hippocampus and frontal cortex. Similar nd-
ings were observed in another study whereby EBN conferred
the neuroprotective effects against 6-hydroxydopamine-induced
degeneration of dopaminergic neurons principally through inhi-
bition of apoptosis. Thus, it could be concluded that EBN might
serve as a novel alternative therapy for oxidative-stress mediat-
ed neurodegenerative diseases such as Alzheimer’s disease and
Parkinson’s disease[11].
Effects of EBN on cardiometabolic diseases
To date, several studies which employed HFD or ova-
riectomized rat models have reported that EBN might possess
benecial effects on cardiometabolic diseases such as diabetes
and cardiovascular diseases (CVD)[12-14]. HFD and the lack of
hormones in ovariectomized rats worsen the metabolic indices
(such as increased leptin and decreased adiponectin) and lipid
prole. This would induce hypercholesterolemia along with in-
sulin resistance, a condition which contributes to an increased
risk for developing cardiometabolic diseases. Adiponectin and
lectin are both important regulators of lipid metabolism and co-
agulation, whereby high metabolic indices are reected by high
adiponectin level and decreased level of leptin. In these stud-
ies, EBN has been proven to improve lipid prole and metabolic
indices in rats, in comparison to the non-treated and Simvas-
tatin-treated groups[12-14]. The effects were possibly mediated
through the regulation of coagulation-related genes and insulin
signalling genes.
Effects of EBN on bone regeneration
The effects of EBN on bones and cartilages were also
investigated in several studies. Matsukawa et al., showed that
ovariectomized rats fed with EBN had improved femur bone
strength accompanied with an increase in dermal thickness[15]. It
was also observed that oral administration of EBN signicantly
produced rats with heavier body weight along with higher fe-
Lett Health Biol Sci | volume 2: issue 1
Medicinal Effects of Edible Bird’s Nest
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mur calcium, phosphorus and hydroxyproline concentration as
compared to the control group. Generally, the ovariectomized
rats provided with high EBN supplementation showed greater
improvement as compared to the rats given low EBN supple-
mentation. However, the administration of EBN did not affect
the serum estradiol concentration. Skin samples collected from
the rats were stained with Masson’s trichrome staining to evalu-
ate the thickness of collagen brils. Results from the histological
evaluation show that EBN treatment was able to increase the
dermal thickness. In summary, EBN supplementation might in-
crease bone strength and improve skin aging (as thinning of der-
mal layer is associated with skin aging in human subjects). The
ndings are in line with the ancient Chinese literature, in which
EBN is believed to enhance skin complexion[16]. Through the
study in Drosophila melanogaster, Hu et al., further described
the anti-aging effect of EBN to be increasing the activity of an-
tioxidant enzymes, fecundity and life span, and decreasing mor-
tality rate and lipid peroxidation[17].
On top of that, investigation of EBN as a chondro-pro-
tective agent was carried out in vitro by using human articular
chondrocytes that were isolated from knee joint of patients with
osteoarthritis[18]. The addition of EBN to the cell cultures slows
the progression of osteoarthritis and aided in the regeneration
of cartilage. Moreover, EBN reduces catabolic activities and in-
creases cartilage extracellular matrix synthesis. Hence, all these
conditions would be helpful in alleviating osteoarthritis and
hence it was speculated that EBN is a nutraceutical agent for the
treatment of osteoarthritis.
Conclusion
Consumption of EBN has shown to bring multiple
health benets including antivirus, antioxidant and neuroprotec-
tion. It is also helpful in improving cardiometabolic diseases and
bone degeneration. However many of these health effects were
described in a handful of studies. More validation is required to
not only conrm the ndings but also to investigate the underly-
ing mechanisms.
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Medicinal Effects of Edible Bird’s Nest
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Journal Name: Letters In Health and Biological Sciences
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