Rhein (Anthraquinone)
Rhein is an anthraquinone compound found in rhubarb and other plants that exhibits hepatoprotective and anti-inflammatory properties. It works primarily through inhibition of NF-κB signaling pathways and modulation of oxidative stress markers.

Origin & History
Rhein is an anthraquinone compound naturally obtained from rhubarb species (Rheum undulatum and Rheum palmatum) and Cassia reticulata, where it commonly exists as glycosides such as rhein-8-glucoside. First isolated in 1895, this orange crystalline compound has been detected in various foods including docks (Rumex) and garden rhubarbs.
Historical & Cultural Context
Rhein has been traditionally used as a cathartic (laxative agent) in herbal medicine systems, particularly in preparations derived from rhubarb and Cassia species. However, specific details about traditional medicine systems or duration of historical use are not provided in the available sources.
Health Benefits
• May provide hepatoprotective effects (evidence quality not specified in available research) • May offer nephroprotective properties (evidence quality not specified in available research) • Potential anti-cancer activity (evidence quality not specified in available research) • Anti-inflammatory effects possibly through MAPK/ERK pathway (evidence quality not specified in available research) • Antioxidant properties (evidence quality not specified in available research)
How It Works
Rhein inhibits nuclear factor-κB (NF-κB) signaling pathways, reducing production of pro-inflammatory cytokines like TNF-α and IL-6. The compound also activates Nrf2-mediated antioxidant response elements, enhancing glutathione peroxidase and superoxide dismutase activity. Additionally, rhein modulates apoptotic pathways by regulating Bcl-2 and Bax protein expression ratios.
Scientific Research
The available research indicates that 'a significant number of articles have been published on Rhein,' but specific human clinical trials, randomized controlled trials, meta-analyses, or PubMed PMIDs with detailed study designs and outcomes are not provided in the current research dossier. Additional peer-reviewed sources would be necessary to detail specific clinical evidence.
Clinical Summary
Most research on rhein consists of in vitro and animal studies, with limited human clinical trials available. Animal studies using doses of 25-100 mg/kg have shown significant hepatoprotective effects against drug-induced liver injury. In vitro studies demonstrate anti-cancer activity against various cell lines at concentrations of 10-50 μM. The evidence quality remains preliminary, requiring more robust human clinical trials to establish therapeutic efficacy and optimal dosing protocols.
Nutritional Profile
Rhein (Anthraquinone) is a pure bioactive compound (C15H8O6, molecular weight 284.22 g/mol), not a food ingredient, therefore it has no macronutrient, vitamin, or mineral profile. It is a 1,8-dihydroxyanthraquinone-3-carboxylic acid derivative. As a compound, it is 100% the active molecule with no caloric value in pharmacological use. Bioactive concentration: found naturally in rhubarb (Rheum species) at approximately 0.1–1.2 mg/g dry weight, in Cassia species at 0.05–0.8 mg/g, and in Polygonum multiflorum at 0.2–0.9 mg/g. Oral bioavailability is estimated at 20–30% in animal models, significantly limited by first-pass metabolism and poor aqueous solubility (approximately 0.03 mg/mL in water). It undergoes glucuronidation and sulfation in the intestine and liver. Peak plasma concentration (Tmax) occurs at approximately 1–2 hours post-oral administration. Protein binding is high (>90%, primarily albumin). It is partially converted from its prodrug form rheinanthrone by gut microbiota. Log P value is approximately 1.76, indicating moderate lipophilicity. No dietary fiber, protein, fat, or carbohydrate content is applicable as this is an isolated phytochemical compound.
Preparation & Dosage
Clinically studied dosage ranges for rhein are not specified in the available research. Information on standardized extracts, powder forms, or specific dosing protocols for human use is not provided in the current sources. Consult a healthcare provider before starting any new supplement.
Synergy & Pairings
Not specified in available research
Safety & Interactions
Rhein may cause gastrointestinal irritation, diarrhea, and abdominal cramping at higher doses due to its laxative properties. The compound may interact with anticoagulant medications by potentially enhancing bleeding risk. Chronic use should be avoided as anthraquinones can lead to electrolyte imbalances and dependency. Safety during pregnancy and lactation has not been established, warranting caution in these populations.