Benefits
Systolic blood pressure readings
In 63 adults with type 2 diabetes, three capsules a day of Portusana for 12 weeks lowered systolic blood pressure more than placebo in the whole group (-7.5 vs -0.01 mmHg, P < .0001). The trial was designed around glucose control, and the abstract reports no whole-group HbA1c or glucose difference. Two authors were affiliated with the maker, and no repeat trial was found.
HbA1c readings in the Portusana trial
The abstract reports no HbA1c difference between Portusana and placebo across the whole group. HbA1c fell more on the extract only among 'responders', defined as anyone whose week-12 HbA1c was below baseline (-0.8% vs -0.6%, P = .03). Because that subgroup was chosen by the outcome itself, it cannot show that the extract lowers HbA1c.
Blood pressure data pooled across purslane products
A pooled analysis of 5 randomized trials of purslane seeds or extracts, including the Portusana trial, found systolic pressure about 3 mmHg lower than control, with very large differences between trials and no overall change in diastolic pressure. Leaving out any one of three trials, the Portusana trial among them, made the systolic result no longer significant.
Fasting blood sugar data pooled across purslane products
Pooled analyses of randomized trials of purslane seeds and extracts found fasting blood sugar about 6 mg/dL lower than control overall, and about 15 mg/dL lower in adults with type 2 diabetes, with no change in insulin, insulin resistance or HbA1c. These analyses pooled different purslane products, so they do not show what Portusana itself does.
Cholesterol and triglyceride data pooled across purslane products
In a pooled analysis of trials in adults with type 2 diabetes, purslane products lowered total cholesterol, triglycerides, LDL cholesterol and CRP and raised HDL cholesterol versus control. The Portusana trial abstract lists blood lipids among its measures but reports no lipid difference from placebo.
Mechanism of action
Nutrients in the purslane plant
A food analysis found that fresh purslane leaves contain more alpha-linolenic acid (ALA), a plant omega-3, than spinach, along with vitamin E, vitamin C and glutathione. The Portusana trial abstract does not describe the extract's plant part or composition, so how much of these the extract supplies is not known.
Proposed compounds behind glucose effects
The author of a purslane seed study suggested that polyunsaturated fatty acids, flavonoids and polysaccharides might explain the changes seen in blood sugar and blood fats. This was a suggestion, not something the study tested, and it concerned seeds rather than the Portusana extract.
Blood pressure: mechanism not studied
The Portusana trial reported a fall in systolic blood pressure but did not study how it happened. No mechanism for this effect has been shown in people.
Clinical trials
Randomized, double-blind, placebo-controlled trial of three capsules a day of a purslane extract (the branded Portusana) or matched placebo for 12 weeks in adults on one oral glucose-lowering drug; two authors were affiliated with the maker, Frutarom Switzerland. (Wainstein et al. 2016, J Med Food)
63 adults with type 2 diabetes at a medical center in Holon, Israel (31 extract, 32 placebo).
Systolic blood pressure fell more on the extract than on placebo in the whole group (-7.5 vs -0.01 mmHg, P < .0001). HbA1c fell more on the extract only in a responder subgroup, defined as anyone whose week-12 HbA1c was below baseline (-0.8% vs -0.6%, P = .03), a subgroup chosen by the outcome itself; the abstract reports no HbA1c difference for the whole group. Adverse events were few, mild and similar between groups.