Compound Monograph
Kaempferitrin
Kaempferitrin is kaempferol-3,7-O-α-L-dirhamnoside (synonym lespedin) — a flavonol diglycoside of epazote, Justicia and many plants. No human trial of the isolate exists; its evidence is a small preclinical set led by a genuine insulin-mimetic antidiabetic signal (it stimulates glucose uptake in skeletal muscle and is hypoglycaemic in diabetic rodents), with anti-inflammatory and antioxidant data. Poorly absorbed and hydrolysed toward kaempferol in the gut.
Where Does It Come From? (5)
Kaempferitrin is a naturally occurring flavonol glycoside (kaempferol-3,7-o-α-l-dirhamnoside), found in Epazote and 4 other sources. It is well tolerated orally (low toxicity).
Pharmacology & Research
Kaempferitrin is the 3,7-dirhamnoside of kaempferol (synonym lespedin, an identity established in 1951 13Reference 13Identity of lespedin with kaempferitrinView study →) — a sibling of the monoglucoside astragalin, from which it differs by carrying a second (7-position) sugar and swapping glucose for rhamnose (twice). Its evidence is a small, multi-lab preclinical literature clustered on one genuinely distinctive signal: an insulin-mimetic antidiabetic effect. Unlike most flavonol glycosides, kaempferitrin shows an intact-molecule action in muscle — so it is not purely a kaempferol prodrug — although its poor absorption and gut-flora hydrolysis toward kaempferol still make chronic oral benefit bioavailability-limited. No human trials of the isolate exist.
- A genuine, somewhat kaempferitrin-specific antidiabetic signal: the intact molecule stimulates glucose uptake in skeletal muscle and adipocyte insulin signalling, and is hypoglycaemic in diabetic rodents 1,3,2Reference 1AnimalInsulinomimetic effects of kaempferitrin on glycaemia and on ¹⁴C-glucose uptake in rat soleus muscleView study →Reference 3Kaempferitrin activates the insulin signalling pathway and stimulates secretion of adiponectin in 3T3-L1 adipocytesView study →Reference 2Hypoglycemic effect and antioxidant potential of kaempferol-3,7-O-(α)-dirhamnoside from Bauhinia forficata leavesView study →.
- The honest headline: no human trials; the glucose-uptake data are tissue-divergent (muscle up, one adipocyte study down), and the anti-inflammatory/antioxidant signals are largely shared with the kaempferol class 4Reference 4Kaempferitrin inhibits GLUT4 translocation and glucose uptake in 3T3-L1 adipocytesView study →.
1. Antidiabetic / insulin-mimetic
The most-developed and most kaempferitrin-specific activity. Kaempferitrin acutely stimulates ¹⁴C-glucose uptake in rat soleus (skeletal) muscle in an insulin-mimetic, insulin-signalling-dependent manner 1Reference 1AnimalInsulinomimetic effects of kaempferitrin on glycaemia and on ¹⁴C-glucose uptake in rat soleus muscleView study →, activates insulin signalling and adiponectin secretion in adipocytes 3Reference 3Kaempferitrin activates the insulin signalling pathway and stimulates secretion of adiponectin in 3T3-L1 adipocytesView study →, drives glucose uptake in skeletal muscle 5Reference 5Insulin signalling: a potential pathway for the stimulatory effect of kaempferitrin on glucose uptake in skeletal muscleView study →, and in mice modulated hepatic AMPK phosphorylation and lowered PEPCK (gluconeogenesis) after a high-fat/high-sucrose diet 6Reference 6AnimalKaempferitrin modulates AMPK phosphorylation and PEPCK expression in the liver after a short-term high-fat, high-sucrose diet in miceView study →; the classic in-vivo anchor is a hypoglycaemic + antioxidant effect in diabetic rats for the isolated dirhamnoside from Bauhinia forficata 2Reference 2Hypoglycemic effect and antioxidant potential of kaempferol-3,7-O-(α)-dirhamnoside from Bauhinia forficata leavesView study →.
Gap: all preclinical, and tissue-divergent — one adipocyte study reports kaempferitrin inhibits GLUT4 translocation and glucose uptake 4Reference 4Kaempferitrin inhibits GLUT4 translocation and glucose uptake in 3T3-L1 adipocytesView study →, conflicting with the muscle picture, with no standardised dose-response and no human trial 1,4Reference 1AnimalInsulinomimetic effects of kaempferitrin on glycaemia and on ¹⁴C-glucose uptake in rat soleus muscleView study →Reference 4Kaempferitrin inhibits GLUT4 translocation and glucose uptake in 3T3-L1 adipocytesView study →.
2. Anti-inflammatory
Kaempferitrin shows consistent NF-κB restraint across unrelated models: it attenuated LPS-induced septic acute lung injury 7Reference 7AnimalKaempferitrin alleviates LPS-induced septic acute lung injury in mice through downregulating the NF-κB pathwayView study →, inhibited proliferation and inflammation in rheumatoid-arthritis synoviocytes 8Reference 8Kaempferitrin inhibits proliferation, induces apoptosis and ameliorates inflammation in rheumatoid-arthritis fibroblast-like synoviocytesView study →, and reduced renal inflammation and fibrosis by inhibiting NOX4-mediated tubular ferroptosis 9Reference 9Kaempferitrin attenuates unilateral-ureteral-obstruction-induced renal inflammation and fibrosis by inhibiting NOX4-mediated tubular ferroptosisView study →.
Gap: three single-model rodent/cell studies, with no replication or human data, largely shared with the kaempferol/flavonol class 7,8Reference 7AnimalKaempferitrin alleviates LPS-induced septic acute lung injury in mice through downregulating the NF-κB pathwayView study →Reference 8Kaempferitrin inhibits proliferation, induces apoptosis and ameliorates inflammation in rheumatoid-arthritis fibroblast-like synoviocytesView study →.
3. Antioxidant
Kaempferitrin’s antioxidant activity overlaps its antidiabetic story: radical scavenging linked to hypoglycaemia in diabetic rats 2Reference 2Hypoglycemic effect and antioxidant potential of kaempferol-3,7-O-(α)-dirhamnoside from Bauhinia forficata leavesView study → and protection of mesangial cells from advanced-glycation-end-product-induced apoptosis and oxidative stress 14Reference 14Protective effects of kaempferitrin on advanced-glycation-end-product-induced mesangial-cell apoptosis and oxidative stressView study →.
Gap: class-level flavonol antioxidant behaviour in narrow models, not distinctively kaempferitrin 2,14Reference 2Hypoglycemic effect and antioxidant potential of kaempferol-3,7-O-(α)-dirhamnoside from Bauhinia forficata leavesView study →Reference 14Protective effects of kaempferitrin on advanced-glycation-end-product-induced mesangial-cell apoptosis and oxidative stressView study →.
4. Antitumour / hepatoprotective
Kaempferitrin induces intrinsic apoptosis in HeLa cells 10Reference 10Kaempferitrin induces apoptosis via the intrinsic pathway in HeLa cellsView study →, and as the major compound of an epazote ethanol extract it produced antitumour and hepatoprotective effects in a human-liver-cancer mouse xenograft without hepatotoxicity 11Reference 11AnimalKaempferitrin, a major compound from the ethanol extract of Chenopodium ambrosioides (epazote), exerts antitumour and hepatoprotective effects in mice with human liver-cancer xenograftsView study →.
Gap: heterogeneous and exploratory — single studies at the isolate or extract level, with no translational follow-up 10,11Reference 10Kaempferitrin induces apoptosis via the intrinsic pathway in HeLa cellsView study →Reference 11AnimalKaempferitrin, a major compound from the ethanol extract of Chenopodium ambrosioides (epazote), exerts antitumour and hepatoprotective effects in mice with human liver-cancer xenograftsView study →.
Mechanisms
| Target / pathway | Effect | Relevant to |
|---|---|---|
| Skeletal-muscle glucose uptake (insulin-mimetic) | ↑ uptake, insulin-signalling-dependent | antidiabetic |
| Insulin signalling (IR → PI3K/Akt) + adiponectin | pathway activated; ↑ adiponectin | antidiabetic |
| GLUT4 translocation | tissue-divergent — muscle uptake up, but inhibited in one adipocyte study | antidiabetic (nuance/contradiction) |
| Hepatic AMPK / PEPCK | ↑ AMPK, ↓ PEPCK → ↓ gluconeogenesis | antidiabetic (in vivo) |
| NF-κB; NOX4 → tubular ferroptosis | suppressed; inhibited | anti-inflammatory / antioxidant |
| ROS / AGE-induced oxidative stress | reduced | diabetic-complication protection |
| Intrinsic (mitochondrial) apoptosis | pro-apoptotic in tumour cells | antitumour |
Pharmacokinetics
No dedicated human pharmacokinetics exists. As a flavonol 3,7-di-O-rhamnoside, kaempferitrin is a poorly absorbed, high-polarity diglycoside: the two rhamnose units block passive uptake, and human intestinal flora biotransform it by stepwise deglycosylation (loss of rhamnose → monorhamnoside intermediates → the aglycone kaempferol), which is then conjugated 12Reference 12The biotransformation of kaempferitrin by human intestinal floraView study →. The net result is low, non-sustained systemic exposure to the intact parent, and a meaningful fraction of chronic in-vivo activity should be read as kaempferol-equivalent exposure (see kaempferol). The important nuance: the acute insulin-mimetic muscle effects are reported for the intact molecule in ex-vivo/cell systems, so the antidiabetic mechanism is not purely a kaempferol proxy — but oral, whole-animal benefit is bioavailability-limited.
Clinical trials
There are no randomised or open-label human trials of isolated kaempferitrin for any indication; human relevance is limited to dietary/traditional intake within kaempferitrin-bearing plants (epazote, Justicia spicigera, Bauhinia forficata).
| Completed | Planned | Terminated | Preclinical |
|---|---|---|---|
| —(none, isolate) | — | — | Small multi-lab set (antidiabetic-led) |
Last checked: July 2026.
Toxicity & Safety
Kaempferitrin is a dietary flavonol glycoside in food and medicinal plants, used across preclinical studies as a protective or benign agent with no dietary harm signal — consistent with a [low] flag; notably, the epazote-extract xenograft study reported antitumour efficacy without hepatotoxicity 11Reference 11AnimalKaempferitrin, a major compound from the ethanol extract of Chenopodium ambrosioides (epazote), exerts antitumour and hepatoprotective effects in mice with human liver-cancer xenograftsView study →. There is no isolate toxicology, genotoxicity or human safety dataset, and cautions are theoretical and generic to concentrated polyphenol supplements (possible additive effects with antiplatelet/anticoagulant therapy). One specific pharmacodynamic caution: given the insulin-mimetic/glucose-lowering signal, additive hypoglycaemia with antidiabetic drugs is plausible in theory though unquantified in humans.
Pregnancy & lactation
Dietary amounts fine; avoid isolated supplements. Kaempferitrin as naturally present in foods and herbs is considered fine, but an isolated or concentrated supplement should be avoided in pregnancy and lactation — there are no human or reproductive-safety data for the isolate.
Dosage
There is no efficacy dose established (no human trials) and no standard supplemental dose — kaempferitrin is obtained incidentally through diet and herbal preparations rather than dosed on its own, and any oral efficacy target is undercut by its poor absorption and gut-flora hydrolysis to kaempferol, so a meaningful “kaempferitrin dose” cannot honestly be stated.
References
- (2004). Insulinomimetic effects of kaempferitrin on glycaemia and on ¹⁴C-glucose uptake in rat soleus muscle. Chemico-Biological Interactions. https://pubmed.ncbi.nlm.nih.gov/15501431/
- (2004). Hypoglycemic effect and antioxidant potential of kaempferol-3,7-O-(α)-dirhamnoside from Bauhinia forficata leaves. Journal of Natural Products. https://pubmed.ncbi.nlm.nih.gov/15165145/
- (2009). Kaempferitrin activates the insulin signalling pathway and stimulates secretion of adiponectin in 3T3-L1 adipocytes. European Journal of Pharmacology. https://pubmed.ncbi.nlm.nih.gov/19326566/
- (2009). Kaempferitrin inhibits GLUT4 translocation and glucose uptake in 3T3-L1 adipocytes. Biochemical and Biophysical Research Communications. https://pubmed.ncbi.nlm.nih.gov/19146827/
- (2013). Insulin signalling: a potential pathway for the stimulatory effect of kaempferitrin on glucose uptake in skeletal muscle. European Journal of Pharmacology. https://pubmed.ncbi.nlm.nih.gov/23458067/
- (2026). Kaempferitrin modulates AMPK phosphorylation and PEPCK expression in the liver after a short-term high-fat, high-sucrose diet in mice. Nutrition and Health. https://pubmed.ncbi.nlm.nih.gov/40390681/
- (2023). Kaempferitrin alleviates LPS-induced septic acute lung injury in mice through downregulating the NF-κB pathway. Allergologia et Immunopathologia. https://pubmed.ncbi.nlm.nih.gov/37937489/
- (2019). Kaempferitrin inhibits proliferation, induces apoptosis and ameliorates inflammation in rheumatoid-arthritis fibroblast-like synoviocytes. Phytotherapy Research. https://pubmed.ncbi.nlm.nih.gov/31155798/
- (2024). Kaempferitrin attenuates unilateral-ureteral-obstruction-induced renal inflammation and fibrosis by inhibiting NOX4-mediated tubular ferroptosis. Phytotherapy Research. https://pubmed.ncbi.nlm.nih.gov/38487990/
- (2013). Kaempferitrin induces apoptosis via the intrinsic pathway in HeLa cells. Journal of Ethnopharmacology. https://pubmed.ncbi.nlm.nih.gov/23211658/
- (2023). Kaempferitrin, a major compound from the ethanol extract of Chenopodium ambrosioides (epazote), exerts antitumour and hepatoprotective effects in mice with human liver-cancer xenografts. Journal of Pharmacy and Pharmacology. https://pubmed.ncbi.nlm.nih.gov/37203217/
- (2005). The biotransformation of kaempferitrin by human intestinal flora. Acta Pharmaceutica Sinica. https://pubmed.ncbi.nlm.nih.gov/16268506/
- (1951). Identity of lespedin with kaempferitrin. Nature. https://pubmed.ncbi.nlm.nih.gov/14882347/
- (2018). Protective effects of kaempferitrin on advanced-glycation-end-product-induced mesangial-cell apoptosis and oxidative stress. International Journal of Molecular Sciences. https://pubmed.ncbi.nlm.nih.gov/30373106/