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Sanguinaria canadensis

Sanguinaria canadensis

Cladus: Eukaryota
Regnum: Plantae
Divisio: Magnoliophyta
Classis: Magnoliopsida
Ordo: Ranunculales
Familia: Papaveraceae
Subfamiliae: Papaveroideae
Tribus: Chelidonieae
Genus: Sanguinaria
Species: Sanguinaria canadensis


Sanguinaria canadensis L., Sp. Pl. 1: 505. 1753.


* Belharnosia canadensis (L.) Nieuwland, Amer. Midl. Naturalist 3: 350. 1914.
* Belharnosia mesochora (Greene) Nieuwland
* Sanguinaria acaulis Moench
* Sanguinaria australis Greene
* Sanguinaria canadensis L.
* Sanguinaria canadensis f. colbyorum Benke, Rhodora 35: 45. 1933.
* Sanguinaria canadensis f. incarnata Farwell, Pap. Michigan Acad. Sci. 26, pt. 1: 12. 1941.
* Sanguinaria canadensis f. multiplex (E.H.Wilson) Weatherby, Connecticut State Geol. Surv. Bull. 48: 50. 1931.
* Sanguinaria canadensis var. australis (Greene) Fedde
* Sanguinaria canadensis var. dilleniana (Greene) Fedde, Pflanzenr. (Engler) 4, Fam. 104: 204. 1909.
* Sanguinaria canadensis var. mesochora (Greene) Fedde, Pflanzenr. (Engler) 4, Fam. 104: 205. 1909.
* Sanguinaria canadensis var. multiplex E.H.Wilson, Gard. Chron. ser. 3, 73: 283. 1923.
* Sanguinaria canadensis var. rotundifolia (Greene) Fedde, Pflanzenr. (Engler) 4, Fam. 104: 205. 1909.
* Sanguinaria canadensis var. stenopetala Pursh
* Sanguinaria dilleniana Greene, Fl. Amer. Sept. (Pursh) 2: 366. 1814.
* Sanguinaria grandiflora Rosc.
* Sanguinaria major Dill.
* Sanguinaria mesochora Greene
* Sanguinaria rotundifolia Greene
* Sanguinaria stenopetala Steudel
* Sanguinaria vernalis Salisbury
* Sanguinaria virginiana Gaertn


* PLANTS Profile

Vernacular names
Dansk: Blodurt
English: Bloodroot
Français: Sanguinaire du Canada
Lietuvių: Kanadinė sangvinarija
Svenska: Blodrot
Türkçe: Kan otu

Bloodroot (Sanguinaria canadensis) is a perennial, herbaceous flowering plant native to eastern North America from Nova Scotia, Canada southward to Florida, United States. It is the only species in the genus Sanguinaria, and is included in the family Papaveraceae and most closely related to Eomecon of eastern Asia.

Bloodroot is also known as bloodwort, red puccoon root, and sometimes pauson. Bloodroot has also been known as tetterwort in America, although that name is used in Britain to refer to Greater Celandine.

Appearance and growth

Bloodroot is a variable species growing from 20 to 50 cm tall, normally with one large, sheath-like basal multi-lobed leaf up to 12 cm across. The flowers are produced from March to May, with 8-12 delicate white petals and yellow reproductive parts. The flowers appear over clasping leaves while blooming. Plants are variable in leaf and flower shape and have in the past been separated out as different subspecies due to these variable shapes; currently most taxonomic treatments lump these different forms into one highly variable species. Bloodroot stores sap in an orange colored rhizome, that grows shallowly under or at the soil surface. Over many years of growth, the branching rhizome can grow into a large colony. Plants start to bloom before the foliage unfolds in early spring and after blooming the leaves expand to their full size and go summer dormant in mid to late summer. Plants are found growing in moist to dry woods and thickets, often on flood plains and near shores or streams on slopes, they grow less frequently in clearings and meadows or on dunes, and are rarely found in disturbed sites. The flowers are pollinated by small bees and flies, seeds develop in elongated green pods 40 to 60 mm in length and ripen before the foliage goes dormant. The seeds are round in shape and when ripe are black to orange-red in color. Deer will feed on the plants in early spring.

Reproduction and genetics

Bloodroot is one of many plants whose seeds are spread by ants, a process called myrmecochory. The seeds have a fleshy organ called an elaiosome that attracts ants. The ants take the seeds to their nest, where they eat the elaiosomes, and put the seeds in their nest debris, where they are protected until they germinate. They also get the added bonus of growing in a medium made richer by the ant nest debris.

The double flowering forms are prized by gardeners for their large showy white flowers, which are produced very early in the gardening season. Bloodroot flower petals are shed within a day or two of pollination so the flower display is short lived. The double forms bloom much longer than the normal forms, the double flowers are made up of stamens that have been changed into petal looking like parts, making pollination more difficult.


Bloodroot produces morphine-like benzylisoquinoline alkaloids, primarily the toxin sanguinarine. The alkaloids are transported to and stored in the rhizome. Comparing the biosynthesis of morphine and sanguinarine, the final intermediate in common is (S)-reticuline.[1][2][3] A number of plants in Papaveraceae and Ranunculaceae, as well as plants in the genus Colchicum (family Colchicaceae) and genus Chondodendron (family Menispermaceae), also produce such benzylisoquinoline alkaloids.

Plant geneticists have identified and sequenced genes which produce the enzymes required for this production. One enzyme involved is CYP80B1,[4] which produces (S)-3'-hydroxy-N-methylcoclaurine and mendococlaurine from (S)-N-methylcoclaurine.

Bloodroot extracts are toxic to animal cells

Sanguinarine kills animal cells by blocking the action of Na+/K+-ATPase transmembrane proteins. As a result, applying bloodroot to the skin may destroy tissue and lead to the formation of a large scab, called an eschar. Bloodroot and its extracts are thus considered escharotic.

In spite of supposed curative properties and historical use by Native Americans as an emetic, internal use is inadvisable. Although applying escharotic agents, including bloodroot, to the skin is sometimes suggested as a home treatment for skin cancer, these attempts can be severely disfiguring.[5] Salves derived from bloodroot cannot be relied on to remove an entire malignant tumor. Microscopic tumor deposits may remain after visible tumor tissue is burned away, and case reports have shown that in such instances tumor has recurred and/or metastasized.[6]

In 2005, "folk healer" Dan Raber (of Georgia, United States) was arrested and charged with causing severe bodily harm and practicing medicine without a license for dispensing bloodroot paste to nine women with various ailments including breast cancer, causing severe disfiguring destruction of their skin and underlying tissue (as well as failing to successfully excise their tumors). Lois March, M.D. of Cordele, Georgia, was also charged as an accomplice and had her medical license permanently revoked for her role in assisting Raber's unlicensed treatment by prescribing massive amounts of opiate pain medication to his customers in order to allow them to continue their bloodroot treatment despite the severe burning pain and disfigurement it caused. [7][8][9]

Commercial use of sanguinarine and bloodroot extracts

The United States FDA has approved the inclusion of sanguinarine in toothpastes as an antibacterial or anti-plaque agent.[10][11][12][13] Currently, it is believed that this use may cause leukoplakia, a premalignant oral lesion.[14] On 24 Nov 2003, the Colgate-Palmolive Company of Piscataway, New Jersey, United States commented by memorandum to the United States Food and Drug Administration that then-proposed rules for levels of sanguinarine in mouthwash and dental wash products were lower than necessary.[15] However, this conclusion is controversial.[16]

Some animal food additives sold and distributed in Europe such as Phytobiotics' Sangrovit contain sanguinarine and chelerythrine. On 14 May 2003, Cat Holmes reported in Georgia Faces[17] that Jim Affolter and Selima Campbell, horticulturists at the University of Georgia College of Agricultural and Environmental Sciences, were meeting with Phytobiotics to relate their research into commercial cultivation of bloodroot. It is also used in the mole remover Dermatend.

Bloodroot extracts have also been promoted by some supplement companies as a treatment or cure for cancer, but the U.S. Food and Drug Administration has listed some of these products among its "187 Fake Cancer 'Cures' Consumers Should Avoid".[18]

Bloodroot is a popular red natural dye used by Native American artists, especially among southeastern rivercane basketmakers.[19]

Historical use of Bloodroot and derivatives
Canada puccoon by Sydenham Edwards from The Botanical Magazine (1791)

The blood of the root (when cut open) was used as a dye and was used for a herbal remedy by the native population. A break in the surface of the plant, especially the roots, reveals a reddish sap.

In physician William Cook's 1869 work The Physiomedical Dispensatory is recorded a chapter on the uses and preparations of bloodroot.[20] described tinctures and extractions, and also included at least the following cautionary report:

The U. S. Dispensatory says four persons lost their lives at Bellevue Hospital, New York, by drinking largely of blood root tincture in mistake for ardent spirits [...]

Greater Celandine (Chelidonium majus), a member of the Poppy family (Papaveraceae) was used in Colonial America as a wart remedy. Bloodroot has been similarly applied in the past. This may explain the multiple American and British definitions of "Tetterwort" in 1913.


1. ^ Alcantara J, Bird DA, Franceschi VR, Facchini PJ (May 2005). "Sanguinarine biosynthesis is associated with the endoplasmic reticulum in cultured opium poppy cells after elicitor treatment". Plant Physiol. 138 (1): 173–83. doi:10.1104/pp.105.059287. PMC 1104173. PMID 15849302.
2. ^ KEGG PATHWAY: Alkaloid biosynthesis I - Reference pathway
3. ^ Sanguinarine Biosynthesis Is Associated with the Endoplasmic Reticulum in Cultured Opium Poppy Cells after Elicitor Treatment - Alcantara et al. 138 (1): 173 - PLANT PHYSIOLOGY
5. ^ Don't Use Corrosive Cancer Salves (Escharotics), Stephen Barrett, M.D.
6. ^ McDaniel S., Goldman GD (December 2002). "Consequences of Using Escharotic Agents as Primary Treatment for Nonmelanoma Skin Cancer". Archives of Dermatology 138 (12): 1593–6. doi:10.1001/archderm.138.12.1593. PMID 12472348. http://archderm.ama-assn.org/cgi/content/full/138/12/1593.
7. ^ Ga. Doctor Accused of Aiding Flesh-Eating Treatment, Health Highlights: Aug. 14, 2005
8. ^ Composite State Board of Medical Examiners (Georgia) (2005-07-26). "Accusation against Lois March, M.D.". http://www.casewatch.org/board/med/march/march.shtml.
9. ^ http://www.dhp.virginia.gov/Notices/Medicine/0101039564/0101039564Order01042006.pdf
10. ^ Godowski KC (1989). "Antimicrobial action of sanguinarine". J Clin Dent 1 (4): 96–101. PMID 2700895.
11. ^ Southard GL, Boulware RT, Walborn DR, Groznik WJ, Thorne EE, Yankell SL (March 1984). "Sanguinarine, a new antiplaque agent: retention and plaque specificity". J Am Dent Assoc 108 (3): 338–41. PMID 6585404.
12. ^ How to Report Problems With Products Regulated by FDA
13. ^ Kuftinec MM, Mueller-Joseph LJ, Kopczyk RA (1990). "Sanguinaria toothpaste and oral rinse regimen clinical efficacy in short- and long-term trials". J Can Dent Assoc 56 (7 Suppl): 31–3. PMID 2207852.
14. ^ Leukoplakia, (pdf format) hosted by the American Academy of Oral and Maxillofacial Pathology. Page accessed on December 19, 2006.
15. ^ Letter to FDA, Collgate-Palmolive Company, 24 Nov. 2003
16. ^ Letter to FDA, Professor George T. Gallagher, Boston University Goldman School of Dental Medicine, 23 June 2003.
17. ^ Georgia FACES
18. ^ "187 Fake Cancer "Cures" Consumers Should Avoid". United States Food and Drug Administration. http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/EnforcementActivitiesbyFDA/ucm171057.htm. Retrieved 2010-04-15.
19. ^ Nolan, Justin. "Northeast Oklahoma, USA." Society of Ethnobotany. 2007 (retrieved 9 Jan 2011)
20. ^ Sanguinaria Canadensis. | Henriette's Herbal Homepage

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