iOnco
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Elderberry / Holunder

Sambucus nigra

Immune Modulatorpreliminary evidence

European Elderberry has been called 'the medicine chest of the common people' — used across Europe for centuries for fevers, infections, and cancer-adjacent conditions. Cyanidin-3-glucoside and cyanidin-3-sambubioside — elderberry's primary anthocyanins — show anti-proliferative activity against colon, breast, and pancreatic cancer cells. Elderberry polyphenols significantly stimulate NK cell activity and cytokine production, making the immune system more effective at cancer surveillance. A key oncological property is its lectin content — elderberry lectins bind specifically to carbohydrate motifs overexpressed on many cancer cell surfaces. Elderberry also reduces chemotherapy-induced immunosuppression and is widely used in Europe as a supportive care supplement during treatment. The berries must be cooked — raw elderberries contain sambunigrin (cyanogenic glycoside) and cause nausea.

Medicinal Properties

ImmunomodulatoryAnti-tumourAntiviralAntioxidantCytokin modulatingAnthocyanin-rich
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Cancer Types Studied

ColonBreastPancreaticProstate

Recommended Dosage

600–1200 mg standardised elderberry extract daily. Or 15–30 ml elderberry syrup (Sambucol) daily. Always use heat-processed preparations.

Preparations

Elderberry Syrup (Sambucol)

15–30 ml standardised elderberry syrup daily (Sambucol or equivalent). Widely available, palatable, and the most clinically studied form. Takes with food.

Elderberry Capsules

600–1200 mg standardised Sambucus nigra extract daily. Ensure product uses heat-processed berries, not raw extract.

NIH / PubMed Research

Links open on PubMed (National Library of Medicine). Research is ongoing — results may not reflect clinical use.

Cautions & Interactions

  • Never consume raw elderberries — sambunigrin causes nausea and vomiting; always use heat-processed preparations
  • May stimulate immune system — caution in autoimmune conditions or with immunosuppressants
  • May interact with diuretics (elder flowers have diuretic properties)
  • Elderberry leaves, bark, and root are toxic — only ripe berry preparations are used medicinally

Informational only. Not medical advice. Consult your healthcare provider before use.