Benefits
Bitter flavoring and traditional appetite tonic
The US FDA lists quassia from Quassia amara or Picrasma excelsa as a natural flavoring substance for foods. An older US pharmacy reference called it a simple bitter useful for poor appetite. This rests on tradition: no controlled human trial has measured appetite or digestion with quassia, and no EU monograph covers it.
Daily energy intake with a bitter flavor blend containing quassia
In a randomized double-blind trial, 60 slightly overweight women took twice-daily capsules with a bitter mix (sucrose octaacetate, raisin flavor and 0.088 mg quassia extract) or placebo for 14 days. Calorie intake at test meals did not differ significantly between groups, and body weight barely changed. Quassia's own role cannot be separated.
Stomach lining protection in rodent studies
This is animal work. In mice, oral extracts of quassia bark wood (100 mg/kg) reduced stomach lining damage from stress or acid and alcohol, raised protective mucus, and one extract raised prostaglandins by 52%. In rats, an oral extract lowered stomach acidity and damage from indomethacin, while pure quassin did not. No human study has tested this.
Blood sugar handling in rodent studies
This is animal work. In rats with drug-induced diabetes, an oral quassia extract at 100 or 200 mg/kg for 14 days lowered fasting blood sugar and improved blood lipids, and it improved glucose tolerance in normal rats. No human trial has measured blood sugar with quassia.
Mechanism of action
Bitter taste receptor activation
In cell tests, quassin switched on two human bitter taste receptors, TAS2R30 and TAS2R46. How bitter quassin tastes to a person depends partly on which version of TAS2R30 they carry. Bitter taste is the usual rationale for taking bitters before meals, but no human study has linked quassia to digestive effects.
Quassinoid content of commercial extracts
Quassin and neoquassin are the main bitter compounds. Government lab analyses in Japan found a commercial Jamaica quassia extract was 21.4% quassin and 55.5% neoquassin isomers, and a later analysis found commercial Jamaica quassia extracts resembled a Quassia amara extract, suggesting they are probably made from Quassia amara rather than the officially listed Picrasma excelsa.
Stomach mucus, prostaglandins and acid in rodents
In mice, the stomach protection seen with quassia extracts came with more stomach mucus and higher prostaglandin production, and both effects disappeared when indomethacin blocked prostaglandins. In rats, an extract and its alkaloid 2-methoxycanthin-6-one lowered stomach acid output, while quassin did not.
Lower testosterone production in rats
In male rats, a quassia stem wood extract lowered blood testosterone, LH and FSH and reduced testosterone release from testis cells, and isolated quassin reproduced these effects, which the authors call the antifertility principle. This is a safety signal from animal work, not a benefit.
Clinical trials
Randomized double-blind parallel trial: capsules twice daily for 14 days with a bitter mix (0.88 mg sucrose octaacetate, 0.088 mg quassia extract, 0.22 mg raisin flavor) versus non-bitter placebo capsules; ad libitum test meals on day 0 and day 14; all authors from Unilever Research and Development (Peters et al. 2016, Appetite)
60 slightly overweight women.
Total energy intake change from day 0 to day 14 did not differ significantly between groups (minus 109 kcal versus placebo, P = 0.13), and no single meal differed. Body weight changes were negligible. Quassia was a trace part of a three-flavor mix.
Animal study: four bark wood extracts (70% and 100% ethanol, dichloromethane, hexane) given by mouth (100 mg/kg, or 25 to 100 mg/kg in the acid and alcohol test) before ulcer induction by drugs, cold restraint stress or acid and alcohol; acute toxicity tested at 5,000 mg/kg by mouth (Toma et al. 2002, Biol Pharm Bull)
Mice and rodent ulcer models; group sizes not given in the abstract.
The extracts cut stress-induced stomach damage by 60 to 83% and drug-induced ulcers by 22 to 51%, raised free stomach mucus, and the hexane extract raised prostaglandin synthesis by 52%. No toxicity or deaths at 5,000 mg/kg by mouth. Animal data only.
Animal study: standardized methanol extract of Quassia amara at 100 or 200 mg/kg by mouth for 14 days versus vehicle, with glibenclamide as a reference drug, in rats made diabetic with nicotinamide and streptozotocin; oral glucose tolerance test in normal rats (Husain et al. 2011, Phytother Res)
Rats with drug-induced diabetes, plus normal rats; group sizes not given in the abstract.
Both doses significantly lowered elevated fasting blood glucose, improved glucose tolerance versus vehicle, and returned cholesterol, LDL, HDL and triglycerides toward normal. Animal data only.
Animal medium-term liver bioassay: one injection of the liver carcinogen diethylnitrosamine, then diets with 500, 5,000 or 30,000 ppm of a commercial Jamaica quassia extract (a food bittering agent officially listed as made from Picrasma excelsa) for 6 weeks, versus basal diet and a phenobarbital positive control (Woo et al. 2007, Food Chem Toxicol)
Male F344 rats; group sizes not given in the abstract.
At 30,000 ppm the extract significantly increased the number and area of precancerous liver cell foci, with nonsignificant increases at 5,000 ppm. The authors conclude a high dose can promote liver tumor development in rats. A safety signal at doses far above flavoring use.