# From Husks and Seeds to Health: an Inevitable Outcome Rather than a Fluke

**Authors:** Nevin Sanlier, Ebru Ozler

PMC · DOI: 10.1007/s13668-025-00722-4 · Current Nutrition Reports · 2026-02-26

## TL;DR

This review explores the health benefits of psyllium, a natural fiber, and its potential in managing chronic diseases and improving gut health.

## Contribution

The paper systematically reviews psyllium's therapeutic applications and mechanisms, highlighting its potential as a natural dietary supplement.

## Key findings

- Psyllium may regulate blood glucose, blood pressure, and cholesterol levels.
- It promotes bowel regularity and improves gut microbiota composition.
- Psyllium exhibits antioxidant, antimicrobial, and anti-inflammatory properties.

## Abstract

This review was conducted to examine the promising health benefits of psyllium, its therapeutic potential in relation to various chronic diseases, its mechanisms, and its possible side effects or toxicity; to explore its applications in food systems; to identify the positive and negative effects of its consumption; and to provide perspectives for future research and development efforts for psyllium.

Psyllium, also known as ispaghula, is a dietary fiber obtained from the shells of Plantago ovata seeds. The most abundant monosaccharides in its composition are xylose and arabinose. Psyllium is a natural alternative to the use of food additives such as gum and hydrocolloid to increase the fiber content in fortified foods. Psyllium may have therapeutic effects on various diseases. In recent years, its potential in the management of conditions such as hypertension, diabetes, and liver disease has been emphasized and multifaceted therapeutic applications have been introduced. Psyllium may help to regulate blood glucose, blood pressure and cholesterol levels. It may also increase feelings of fullness and reduce food intake. Furthermore, psyllium may promote bowel regularity and improve the composition of gut microbiota. Psyllium has been reported to exhibit antioxidant and antimicrobial properties, as well as reducing inflammatory mediators such as TNF-α and nitric oxide. Furthermore, psyllium has been associated with lower creatinine and uric acid levels, as well as a reduced risk of carcinogenesis.

Studies in the literature support the therapeutic effects of psyllium. However, longer-term clinical trials are needed to determine the effective dose and duration of use. Innovative product development studies should be conducted to enhance the functional benefits of psyllium in the food industry.

The online version contains supplementary material available at 10.1007/s13668-025-00722-4.

## Linked entities

- **Proteins:** TNF (tumor necrosis factor)
- **Diseases:** diabetes (MONDO:0005015), liver disease (MONDO:0005154)
- **Species:** Plantago ovata (taxon 185002)

## Full-text entities

- **Genes:** PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, Srebf1 (sterol regulatory element binding transcription factor 1) [NCBI Gene 78968] {aka ADD-1, ADD1, SREBP-1, SREBP-1c, Srebp1}, Pparg (peroxisome proliferator-activated receptor gamma) [NCBI Gene 25664] {aka PPARgamma2}, Ptgs2 (prostaglandin-endoperoxide synthase 2) [NCBI Gene 29527] {aka COX-2, Cox2, PGHS-2, PHS II, Pghs2}, Cldn2 (claudin 2) [NCBI Gene 300920] {aka RGD1560247}, APOB (apolipoprotein B) [NCBI Gene 338] {aka FCHL2, FLDB, LDLCQ4, apoB-100, apoB-48}, Mc4r (melanocortin 4 receptor) [NCBI Gene 25635], MC4R (melanocortin 4 receptor) [NCBI Gene 4160] {aka BMIQ20}, RETNLB (resistin like beta) [NCBI Gene 84666] {aka FIZZ1, FIZZ2, HXCP2, RELM-beta, RELMb, RELMbeta}, LEP (leptin) [NCBI Gene 3952] {aka LEPD, OB, OBS}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, PIK3R1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 5295] {aka AGM7, GRB1, IMD36, p85, p85-ALPHA, p85alpha}, Retnlb (resistin like beta) [NCBI Gene 498074], CCK (cholecystokinin) [NCBI Gene 885], SREBF1 (sterol regulatory element binding transcription factor 1) [NCBI Gene 6720] {aka HMD, IFAP2, SREBP1, bHLHd1}, Cldn3 (claudin 3) [NCBI Gene 65130], GPT (glutamic--pyruvic transaminase) [NCBI Gene 2875] {aka AAT1, ALT, ALT1, GPT1, SGPT}, Il6 (interleukin 6) [NCBI Gene 24498] {aka ILg6, Ifnb2}, LEPR (leptin receptor) [NCBI Gene 3953] {aka CD295, LEP-R, LEPRD, OB-R, OBR, huB219}, Cldn8 (claudin 8) [NCBI Gene 304124], IL1A (interleukin 1 alpha) [NCBI Gene 3552] {aka IL-1 alpha, IL-1A, IL1, IL1-ALPHA, IL1F1}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, PTGS2 (prostaglandin-endoperoxide synthase 2) [NCBI Gene 5743] {aka COX-2, COX2, GRIPGHS, PGG/HS, PGHS-2, PHS-2}, Crp (C-reactive protein) [NCBI Gene 25419] {aka Aa1249, Ab1-341, Ab2-196, Ac1-114, Ac1262, Ac2-069}, Tnf (tumor necrosis factor) [NCBI Gene 24835] {aka RATTNF, TNF-alpha, Tnfa}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, Lepr (leptin receptor) [NCBI Gene 24536] {aka Fa}, Ocln (occludin) [NCBI Gene 83497], Lep (leptin) [NCBI Gene 25608] {aka OB, obese}, INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}, Cat (catalase) [NCBI Gene 24248] {aka CS1, Cas1, Cat01, Catl, Cs-1}, Gcg (glucagon) [NCBI Gene 24952] {aka GLP-1, Glp1, Glp2}, GCG (glucagon) [NCBI Gene 2641] {aka GLP-1, GLP1, GLP2, GRPP}, SLC22A12 (solute carrier family 22 member 12) [NCBI Gene 116085] {aka OAT4L, RST, UAT, URAT1, hURAT1}
- **Diseases:** IBD (MESH:D015212), kidney disease (MESH:D007674), abdominal bloating (MESH:D000007), fecal incontinence (MESH:D005242), FODMAP (MESH:C562602), wheezing (MESH:D012135), hypercholesterolemia (MESH:D006937), Type-2 diabetes mellitus (MESH:D003924), IBS (MESH:D043183), Constipation (MESH:D003248), allergic reactions (MESH:D004342), intestinal obstruction (MESH:D007415), heartburn (MESH:D006356), liver damage (MESH:D056486), obstruction of the esophagus (MESH:D004938), liver cancer (MESH:D006528), gastritis (MESH:D005756), bloating (MESH:C535647), chronic (MESH:D002908), bladder cancer (MESH:D001749), colon damage (MESH:D003108), atherogenic (MESH:D050197), colon cancer (MESH:D015179), death (MESH:D003643), hypertension (MESH:D006973), colitis (MESH:D003092), ischemic heart diseases (MESH:D017202), gastrointestinal diseases (MESH:D005767), allergic rhinitis (MESH:D065631), Cardiovascular Diseases (MESH:D002318), infection (MESH:D007239), insulin resistance (MESH:D007333), dizziness (MESH:D004244), ulcer (MESH:D014456), weight loss (MESH:D015431), Toxic (MESH:D064420), Obese (MESH:D009765), nausea (MESH:D009325), carcinogenesis (MESH:D063646), diarrhea (MESH:D003967), overweight (MESH:D050177), gastroparesis (MESH:D018589), related diseases (MESH:D000077733), vomiting (MESH:D014839), Burns (MESH:D002056), anaphylaxis (MESH:D000707), Endocr Disord (MESH:D009358), epidermoid tumors (MESH:D002294), Metabolic syndrome (MESH:D024821), hyperlipidemia (MESH:D006949), cirrhosis (MESH:D005355), hepatic inflammation (MESH:D007249), gastrointestinal symptoms (MESH:D012817), liver disease (MESH:D008107), bowel movements (MESH:D012778), GERD (MESH:D005764), injury (MESH:D014947), skin reactions (MESH:D012871), cervical cancer (MESH:D002583), dyslipidemia (MESH:D050171)
- **Chemicals:** ursodeoxycholic acid (MESH:D014580), butyric acid (MESH:D020148), IR-820 (MESH:C541053), glutathione (MESH:D005978), loperamide (MESH:D008139), guar gum (MESH:C007894), polyphenols (MESH:D059808), fructose (MESH:D005632), arabinose (MESH:D001089), xylose (MESH:D014994), urea nitrogen (MESH:C530477), lipid (MESH:D008055), cellulose (MESH:D002482), caffeic acid (MESH:C040048), alcohol (MESH:D000438), gellan gum (MESH:C048288), folate (MESH:D005492), beta-glucan (MESH:D047071), magnesium (MESH:D008274), flavonoids (MESH:D005419), creatinine (MESH:D003404), glucose (MESH:D005947), NO (MESH:D009614), bile acid (MESH:D001647), (1 4)-linked beta-D-xylose (-), indoxyl sulfate (MESH:D007200), sodium (MESH:D012964), oligofructose (MESH:C120489), oligosaccharides (MESH:D009844), potassium (MESH:D011188), malondialdehyde (MESH:D008315), carbohydrates (MESH:D002241), water (MESH:D014867), disaccharides (MESH:D004187), inulin (MESH:D007444), copper (MESH:D003300), Carbopol (MESH:C006912), blood glucose (MESH:D001786), Nitric oxide (MESH:D009569), cholesterol (MESH:D002784), vildagliptin (MESH:D000077597), hemicellulose (MESH:C007916), lactitol (MESH:C014635), fat (MESH:D005223), alginate (MESH:D000464), zinc (MESH:D015032), phosphorus (MESH:D010758), phosphate (MESH:D010710), sugar (MESH:D000073893), dietary fiber (MESH:D004043), uric acid (MESH:D014527), pectin (MESH:D010368), polyols (MESH:C024617), polysaccharide (MESH:D011134), glucomannan (MESH:C022901), monosaccharides (MESH:D009005), CCl4 (MESH:D002251), triglyceride (MESH:D014280)
- **Species:** Plantago ovata (blond plantain, species) [taxon 185002], Portulaca oleracea (species) [taxon 46147], Bacillus anthracis (anthrax bacterium, species) [taxon 1392], Staphylococcus aureus (species) [taxon 1280], Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606], Nigella sativa (black-caraway, species) [taxon 555479], Ocimum basilicum (basil, species) [taxon 39350], Allium sativum (garlic, species) [taxon 4682], Malus domestica (apple, species) [taxon 3750], Mus musculus (house mouse, species) [taxon 10090]
- **Cell lines:** HCT-15 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0292), HeLa — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), C57BL/6J — Mus musculus (Mouse), Transformed cell line (CVCL_C0MW), C57BL/6 — Mus musculus (Mouse), Transformed cell line (CVCL_C0MU), Huh7 — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_0336)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12935724/full.md

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Source: https://tomesphere.com/paper/PMC12935724