Effective Method of Purification of Betulin from Birch Bark: The Importance of Its Purity for Scientific and Medicinal Use

A new and relatively simple method for purification of betulin from birch bark extract was developed in this study. Its five purification steps are based on the differential solubility of extract components in various solvents and their crystallization and/or precipitation, on their affinity for Ca(OH)2 in ethanol, and on the affinity of some impurities for silica gel in chloroform. In addition, all used solvents can be simply recycled. Betulin of more than 99% purity can be prepared by this method with minimal costs. Various observations including crystallization of betulin, changes in crystals during heating, and attempt of localization of betulin in outer birch bark are also described in this work. The original extract, fraction without betulinic acid and lupeol, amorphous fraction of pure betulin, final crystalline fraction of pure betulin and commercial betulin as a standard were employed to determine the antiproliferative/cytotoxic effect. We used WST-1 tetrazolium-based assays with triple negative breast cancer cell line BT-549. The decrease in cell survival showed clear relationship with the purity of the samples, being most pronounced using our final product of pure crystalline betulin. WST-1 proliferation/cytotoxicity test using triple negative breast cancer cell line BT-549 clearly showed the importance of purity of betulin for biological experiments and, apparently, for its medicinal use.


Introduction
Betulin is a pentacyclic triterpene of lupane type: lup-20(29)-en-3β,28-diol (CAS no. 473-98-3)-see Fig 1. It occurs in a number of plants, especially in many species of birch, where it can be found in large amount in the outer bark. The quantity of betulin can be up to 20-30% (or even nearly 45% [1]) of the dry outer bark weight depending on the tree species and its regional location [2][3][4]. A lesser amount of betulin can also be found in the root skin and leaves of birches [5].
As a member of the plant pentacyclic triterpene family, betulin has antifungal and antimicrobial effects [6][7][8]. Thus as with lupeol and betulinic acid, it may protect the tree against fungal and bacterial attack through the bark.
Other triterpenes can be found in birch bark. Lupeol and betulinic acid appear as the most abundant of the other triterpenes. In much lesser amount there may be betulon, erythrodiol and oleanolic acid [9][10][11]. All the terpenes mentioned above can be easily extracted in the form of a triterpene-rich extract that can be used for biological studies in the same way as the pure substances [10]. The content of betulin and the ratio of triterpenes depend on the botanical species and the locality of the tree [3,4]. The common European species Betula pendula Roth., Betulaceae (syn. B. alba) can contain 10-20% of lupeol and betulinic acid in relation to content of betulin in the outer bark, and both these triterpenes are the main impurities of crude betulin [12]. Lupeol and betulinic acid show similar efficiency in most of their biological activities [13][14][15][16]. Moreover, betulin and betulinic acid are valuable templates for many semisynthetic derivatives that can be even more effective drugs [17][18][19][20][21][22].
It is well known that betulin and other triterpenes exhibit a wide range of important biological effects on animal and human health [5]. Along with the antimycotic and antimicrobial activity mentioned above, anti-inflammatory [23,24], antiviral (including anti-HIV) [16,20,25], hepatoprotective [26,27], gastroprotective [28,29], anti-proliferative and anti-cancer [17,23,[29][30][31] properties have previously been demonstrated. Betulin also moderates the biosynthesis of cholesterol and fatty acids, and so ameliorates diet-induced obesity and reduces the size and improves the stability of atherosclerotic plaques (evidenced by reduced accumulation of macrophages) [32]. It can be also used in the treatment of type II diabetes via promotion of insulin sensitivity of cells [32].
Triterpenes may be applied and developed as novel drugs with broad clinical applications [17,20]. Besides this, cosmetic applications have also been reported, and betulin and birch bark extracts are used as additives in cosmetology and food products [21]. Thus, betulin of high purity can be found widely-used in the pharmaceutical and cosmetic industries. Betulin and its semisynthetic derivatives have very high potential for application, mainly in medicine [16,30].
Antiproliferative and/or cytotoxic effect of betulin has been described for many cell lines of human cancers and also on some animal (mouse) cell lines. For most cancer cell lines betulin exhibited cytotoxic potential with IC 50 (inhibitory effect 50%) values in range 5-10 μg/ml. Only some types of cancer cells resist this treatment and had IC 50 values about 100 μg/ml and more. It can be summarized that many of malignant cell cultures and cancers are very sensitive to betulin [23,29,31,33].
Moreover betulin is nontoxic compound for whole living organism. The minimal lethal (LD16) and median lethal (LD50) doses in mice are 6500 mg/kg and 9000 mg/kg, respectively [28]. Therefore, according to the international classification, it can be assigned to the 4th class of low-toxic substances [28]. Its low toxicity was documented for experimental animals as mice, rats or dogs. Changes in the ratio of leucocytes and platelets during subchronic toxicity studies was observed after i.p. and s.c. application of more than 100 mg/kg of triterpenoid extract of birch bark (with more than 80% content of betulin) [10]. In pharmacological safety studies this extract showed no histopathological or other deleterious effect at doses up to 540 mg/kg (i.p.) and 300 mg/kg (s.c.), respectively [10].
Birch bark is the best raw material for betulin isolation or production, not only for its content of triterpenes but also for the large amount of bark being produced as waste by the timber industry, especially the paper industry [34]. At present, birch bark is mainly burnt for combined heat and power production instead of its more valuable use as a source of triterpenes, antioxidants and suberin [16,20,35].
Various methods of isolation and purification of betulin have been described, mostly from birch bark. Simple extraction by organic solvents is the easiest way to obtain biologically active material. As solvent we can use methanol, ethanol, propan-2-ol, n-heptane or n-hexane, ethyl acetate and its mixtures with ethanol and water, dichloromethane, a mixture of chloroform/ dichloromethane/methanol, a mixture of ethanol and aqueous alkali, butan-1-ol, toluene, petroleum ether, limonene and others [10,12,16,22,23,28,33,[36][37][38]. Ionic liquids based on imidazole are also effective [39]. The extraction is often forced and accelerated by milling or crushing of the bark. Other techniques include ultrasonic disruption and activation of the bark by steam, superheated steam or microwaves [1,11,40,41]. Supercritical extraction with carbon dioxide, with a mixture of methanol, ethanol or acetone, or extraction after esterification of betulin to its diacetate or dipropionate are more difficult methods than simple extraction [1,34,41,42]. A sublimation method has also been described [43], in which atmospheric pressure or high vacuum and high temperatures were used. Recrystallization and/or various column chromatography methods are the major methods for purification of betulin from extracts [22,29,36,37,44,45].
The importance of betulin and other triterpenes in present medicine is obvious and may get an increase. But most purification methods developed so far cannot reach criteria for purity of the drug along with ecological and economical demands. Also the importance of purity of used triterpenes for research tests and for medical applications has not yet been sufficiently supported. This work may give some contribution for solving these problems.

Ethics Statement
Outer white bark for extraction of betulin was obtained by careful peeling from a relatively freshly felled tree Betula pendula in the locality of Hradec Kralove, Czech Republic. The study was carried out on private land and owner of the land gave permission to conduct the study (collection of outer white bark of freshly felled tree Betula pendula) on this site. The Betula pendula tree is not listed as endangered, protected or rare species.

Extraction and purification
Notes: 1. A small part of each particular fraction was used for sample analysis and other experimental purposes. Therefore, the amount of fraction used in the next purification step is smaller than the amount of respective fraction obtained in the previous purification step.
2. All fractions mentioned below are marked by letter (B-betulin fraction, L-lupeol fraction, A-betulinic acid fraction) and number (number of purification step; 0-for basic extraction from bark).
Extraction. Outer white bark for extraction of betulin was obtained by careful peeling from a relatively freshly felled tree Betula pendula in the locality of Hradec Kralove, Czech Republic (coordinates: 50.2429658N, 15.8921664E; spring 2014; botanist: Prof. RNDr. Lubomir Opletal, CSc., Department of Pharmaceutical Botany and Ecology, Faculty of Pharmacy in Hradec Kralove, Charles University in Prague, Czech Republic) on this site. The Betula pendula tree is not listed as endangered, protected or rare species. The bark was air-dried indoors in laboratory, shielded from the sun, at room temperature for approximately one month up to constant weight. About 50 g of this bark was cut into small pieces and crushed in a kitchen blender. 300 mL of technical grade ethanol was used for Soxhlet extraction. The bark was extracted only by seven cycles of extraction. The resulting extract was then concentrated by distillation until the first precipitate appeared. This concentrate was cooled to laboratory temperature, and the thick precipitate was filtered on filter glass and quickly washed with cold pure ethanol. Brownish fraction B0 was obtained after drying the precipitate in air.
The first step of purification-removal of betulinic acid. About 0.5 g of freshly precipitated Ca(OH) 2 obtained from CaCl 2 and NaOH was first washed with absolute ethanol. This wet hydroxide was then immediately added to a solution of 5 g of fraction B0 dissolved in 100 mL of hot absolute ethanol. The original brownish colour darkened to brownish-red. This mixture was boiled on a water bath with shaking for about 15 minutes, and the hot precipitate was quickly filtered on filter glass. All the ethanol from the clear brownish-red filtrate was carefully evaporated and the resulting brownish powder of fraction B1 was dried in air.
The dark brown filter residue of Ca(OH) 2 with many impurities was washed with cold ethanol and dried. This powder was then treated with 20% HCl to remove hydroxide and the residue-fraction A1-was washed with distilled water and dried in air.
The second step of purification-removal of lupeol. 50 mL of pure benzene was added to 4.7 g of fraction B1, stirred and then refluxed for 20 minutes. After cooling to 4°C the resulting gel-like precipitate was centrifuged (30 min., 2500 r.p.m., 4°C) and the supernatant separated and retained. This procedure was repeated twice, and following the third purification by benzene the precipitate was able to be filtrated on a glass filter, and centrifugation was not necessary. After washing of the final precipitate with cold benzene and drying, pale brownish fraction B2 was obtained.
The three combined benzene fractions (including the benzene washings) were carefully distilled off and nearly all benzene was recycled by distillation and used again for the next purification process of betulin. After evaporation, 1.12 g of a brownish fraction L2 was obtained.
The third step of purification-removal of more polar impurities. In the third step, 3 g of fraction B2 was dissolved in 120 mL of boiling 96% ethanol and quickly filtered on paper filter (filter for quantitative analysis KA-1-M, Paper mills Pernštejn, Czech Republic). 20 mL of distilled water was then added to the hot filtrate, and the resulting fine precipitate dissolved by boiling to give a clear pale beige solution. This was left to stand overnight at 7°C. The thick precipitate which had formed was centrifuged (30 min., 2500 r.p.m., 4°C) and then dissolved in 70 mL of boiling 96% ethanol. After 5 hours at 7°C the resulting fine crystalline precipitate was filtered on a glass filter, washed with cold ethanol and dried in air. Pale beige fraction B3 was obtained.
The liquids from the centrifugation and crystallisation procedures were collected and evaporated, and the solid residue was kept for the next isolation as a valuable additive to "future" fraction B1.
The fourth step of purification-removal of all residual impurities. 1 g of fraction B3 was dissolved in 50 mL of chloroform at room temperature and this clear, slightly yellowish solution was filtered on a column of silica gel (silica gel for column chromatography Silpearl, Glassworks Kavalier, Czech Republic) in chloroform. The height of the column filling was only about 1.5 cm and the diameter of the column was 1 cm. All colored impurities and maybe all residual impurities were visually captured in the top layer of approximately 2-3 mm of the silica gel. The column was then washed with 20 ml of pure chloroform. All eluent was carefully distilled off and bright white amorphous fraction B4 was obtained.
All the used chloroform-up to 70 mL (except for a very small amount in the silica gel)was recycled by distillation for use in the next purification process of betulin.
The fifth step of purification-crystallization. In the last step, 0.85 g of fraction B4 was dissolved in 20 mL of boiling absolute ethanol and the clear colourless solution was allowed to stand overnight at 7°C. Betulin crystallized out as flat transparent colourless small crystals, about 0.2 mm length on average. The crystalline precipitate was washed with a small amount of ice-cold absolute ethanol and dried in air. Fraction B5, betulin of high purity, was obtained.
Extraction and purification of betulin described above is shown in the

Analysis of samples
Gas chromatography with mass spectroscopy detection was chosen for quantification of the isolated triterpenes. Samples were derivatized with a mixture of pyridine (Sigma Aldrich, USA) with N,O-bis(trimethylsilyl)trifluoroacetamide (Supelco, USA) (1:1 v/v) at 45 min., 75°C. The trimethylsilyl derivatives of the triterpenes were determined by gas chromatography-mass spectrometry (Agilent Technologies-GC 7890A, MS 7890A, USA) and capillary column J and W DB-5 MS 60m x 250 um x 0.25 um (Agilent Technologies, USA). Injector temperature was 280°C and the oven was programmed as follows: initial temperature 70°C, hold time 1 min., rate 15°C/min., to 300°C. The pressure at the column head was 50 kPa. The mass spectrometer was used in electron impact mode (electron energy 70 eV, temperature of source 230°C and quadrupole 150°C). Sample concentrations were quantified using external standard method and this method is resistant to derivatization differences. The ratio of betulin, betulinic acid and lupeol were quantified by calculation of calibration curve. Betulin of purity >98%, lupeol of purity >94% and betulinic acid of purity >98% from Sigma-Aldrich were used as standards for qualitative determination of the peaks. The standard substances were used for evaluation of retention time of extracts and calculation of amounts of each presented substances. Mass spectra were the same in standards and samples.

Cell cultures
The WST-1 experiments were carried out with the triple negative breast cancer cell line BT-549 (ATCC, USA). Triple negative breast cancer is a carcinoma negative for estrogen and progesterone receptors and without overexpression of HER/2 protein. We chose this cell line because it would be original research, and also for its high invasiveness as a primary tumorinvasive ductal carcinoma. In the studied publications, betulin has not yet been used for in vitro treatment of this cell culture. BT-549 cells were propagated in Dulbecco's Modified Eagle's medium DMEM (Sigma-Aldrich, USA) supplemented with 10% FBS (Life Technologies, USA), 2% glutamine (Life Technologies, UK), 1% penicillin/streptomycin (Life Technologies, UK) and 1% insulin (Sigma-Aldrich, USA). The cell cultures were maintained at 37°C in a humidified incubator in an atmosphere of 5% CO 2 −95% air. BT-549 cells in the maximum range of 20 passages and in an exponential growth phase were used for this study.

WST-1 proliferation test
Cell proliferation was determined by the WST-1 quantitative colorimetric assay. The solution of betulin was prepared by dissolving 1 mg in 0.5 mL of hot ethanol and 0.5 mL of DMSO. This basic stable solution was then diluted by the complete cultivation medium for BT-549 cells to a concentration of 20 μg/mL (50x), and this final solution was added by programmable microplate dispenser MultiFlo (BioTek Instruments, USA) to minimally the same volume of 24 hours pre-seeded cells in the complete cultivation medium. The 10.000 cells per mL, 400 cells per well in a 384-well plates (Greiner Bio-One, Austria) were treated with betulin at various concentrations from 1 to 10 μg/mL (2.26-22.6 μmol/L) for 24 hours in a humidified atmosphere with 5% CO 2 and 37°C. After the incubation period, WST-1 was added and the cells were incubated for 3 h. Absorbance of the samples at 440 nm against a background control (medium alone) as a blank was measured using a microplate reader Tecan Infinite M200 (Tecan, Switzerland). The confluence of the cells examined in previous pilot experiments reached under 80% in negative controls over the whole assay time course. Results from cells cultured in medium without betulin were used as a negative control. The results from experiments using doxorubicin treatment for 24 hours at 1 and 2 μM were considered as a positive control. The maximal concentration of ethanol and DMSO in the cell cultures was 0.5%, which is the "safe" non-toxic concentration of both solvents for these cells. This assertion was confirmed experimentally before performing WST-1 tests. . We used Kolmogorov-Smirnov test to test normality of the data distribution. We compared the tested samples with control samples with the help of the two-sample t-test (and Levene's test to check the homoscedasticity assumption). To adjust for multiple comparisons and keep the family-wise α at 0.05 we used the Bonferroni correction. The resulting α for a single comparison was 0.001. The IC 50 values of the viability datasets (obtained by use of WST-1 assay) were determined using a non-linear regression.

Extraction and purification
A relatively simple environmentally friendly chemical method was developed for isolation of betulin from birch bark and its subsequent purification to achieve high-purity (higher than 99%) betulin. Ethanol, water and CaCl 2 are harmless compounds. Two solvents-benzene and chloroform-are ecologically undesirable, but both are nearly 100% recycled via distillation and can be repeatedly used for further purifications of betulin. NaOH and HCl are used in relatively small amounts and practically in stoichiometric ratio, and therefore are not dangerous for the environment. Solid waste from the bark after extraction is quite environmentally harmless and can be used also as a relatively pure source of suberin. Two of the by-products are a potentially valuable source of betulinic acid (fraction A1) and lupeol (fraction L2). Taken together, this is why this method can be declared as "green".
The results of extraction and of purification steps are summarized in Table 1. Chromatograms of four most interesting fractions are shown in Fig 3. The total efficiency of the purification process in our case (result: small crystals of fraction B5) was about 20% of the initial weight of dry extract B0. This "total" efficiency was calculated as a multiple of the efficiencies of the particular purification steps. The real efficiency with respect to the content of betulin in fraction B0 is somewhat higher. However the betulin from all "wastes" and by-products can be reused in the next purification process as an additive to the initial extract or to solutions of later phases of purification. Theoretically, in a continuous and "endless" (semi)industrial process, the efficiency could reach substantially over 90% of betulin content in the dry extract if no losses on filtration material or on the surfaces of the vessels are considered. Unfortunately, a careful comparison of our method with the methods published in papers referenced earlier [1,10,11,12,16,22,23,28,33,[36][37][38][39][40][41][42][43][44][45], even considering patents, is not possible as there are insufficient data on efficiency of the extraction and purification process and/or the purity of the product.
The method described in this paper was performed on a laboratory scale only, with gram quantities. However there is no reason why this method is not applicable on a pilot-plant or commercial scale. It is only a matter of the technological equipment and amount of material used. Collectively, all materials are cheap and easily available, including the initial raw material: birch bark, a waste product of the paper and wood industries.

Crystals
Fraction B5 crystallized out the ethanol solution as flat transparent colourless small crystals, about 0.2 mm length on average (see Fig 4A). If the hot saturated ethanolic solution was allowed to cool slowly to room temperature, much bigger crystals formed, up to 12 mm long  ( Fig 4B). The filtrate was also allowed to stand for spontaneous evaporation in air. Acicular crystals (needle-like, slender crystals) were formed (see Fig 4C-macroscopic photo and 3Dmicroscopic photo). Betulin crystallizes from ethanol solution in orthorhombic symmetry with one molecule of ethanol per one molecule of betulin bonded by hydrogen bond [28,49]. Such crystals are quite transparent. About 100 mg of crystals of fraction B5 were heated to 135°C in a drier for 30 minutes. The resulting brightly white and opaque material was then weighed and from the difference it was estimated that the molecular weight of evaporated material was about 55 Da. If we assume some loss of weight from sublimation of betulin, the result corresponds well with the literature data mentioned above (ethanol: 46 Da).
One of the classic physicochemical characteristics of pure substances is their melting point. Unfortunately, we can find a wide range of melting points assigned to betulin in the literature: 251-261°C [28]. Most authors report a value around 255°C. Pure betulin from Sigma-Aldrich (declared >98% by HPLC) was taken as a standard for comparison. The melting point of the standard was determined at 254-255°C, and for fraction B5 we measured 255-256°C.
During heating of a pure B5 fraction sample under a cover glass changes in the crystals were observed: 130-140°C-darkening of the crystals (in transmitted light in microscope, macroscopically whitening) as crystal-bound ethanol is evaporated, and the crystals visibly fragment (see chapter about crystals above); 160-170°C-betulin begins visibly to sublime; 180-200°C-new transparent microcrystals arise on the surface of the original crystals (see Fig 5); 255-256°C-general melting.
After cooling down no crystals were formed and the melt solidified as an amorphous glass. Amorphous microscopic beads were also formed as a bright white powder during sublimation under atmospheric pressure in a sublimation apparatus.
The outer bark consists of numerous tightly packed layers of periderm cells on the surface of the stem [50] (see also Fig 6A).
A simple approach for microscopic localization of triterpenes in the outer bark was performed. A lateral cut of the bark was made. Nile red dissolved in dimethyl phthalate was added to this cut and almost immediately was removed again by suction. Fluorescence microscopy was used to obtain a microscopy image (Fig 6B). The fluorescent dye nile red is very lipophilic, and is consequently used for labelling of lipophilic structures, e.g. adipose tissue [51,52]. Thus the brighter regions on the photograph may indicate the locality of hydrophobic triterpenes, especially betulin.
The structure of the outer bark revealed after labelling by nile red may be an interesting result. If mainly triterpenes were labelled by this lipophilic fluorescence dye, we can conclude that betulin is localized in small longitudinal clads through the outer bark. Bearing in mind the existence of triterpene clads and the non-homogeneity of localization of the betulin particles, proper consideration must be given to the mechanical processing of the birch bark before the extraction process. This observation is supported by the fact that when cut into small pieces about 5x5 mm, the bark yielded on average only about 19% extractives, compared with about 26% under the same conditions of extraction after the bark had been crushed in a kitchen blender as described above. Even more so, extraction from paper-like leavings on surface of the bark of thickness about 4 μm gave more than 45% of extractives.

WST-1 test
WST-1 antiproliferation/cytotoxic test in the broad concentration range 1-10 μg/mL was chosen as a control test of biological efficiency of the product. The results of some representative measurements are shown in Fig 7. The points representing concentrations 1 and 2 μg/mL were excluded from data evaluation process using GraphPad statistic software. Betulin in a case of low (subcytotoxic) concentrations, similarly as many other compounds, causes increase in mitochondrial dehydrogenase activities above that of nontreated controls rather than decrease. In our experiment these low concentrations roughly deteriorated accuracy of calculated curves.
The WST-1 test using the human breast cancer BT-549 cell line clearly demonstrated the antiproliferative and/or cytotoxic effect of betulin against this cancer cell line in vitro. The results were well reproducible. Four independent experiments showed an IC 50 value between 4.3-4.6 μg/mL for pure betulin B5 and 4.6-4.9 μg/mL for standard betulin B-S from Sigma-Aldrich. The amorphous fraction B4 had practically the same IC 50 value as crystalline fraction B5 (4.0 and 4.3 μg/mL; two simultaneous measurements). The decrease of BT-549 cell viability compared to the negative controls was statistically significant (P < 0.001) at 3 μg/mL for B4 (P < 1Á10 −6 ), B5 (P < 1Á10 −6 ) and for B-S (P < 0.000564), at 5 μg/mL for B3 (P < 5Á10 −6 ), and at 6 μg/mL for B0 (P < 1Á10 −6 ). Comparison of effects between the various intermediate products of the purification process showed a clear relationship with the purity of the samples. In accordance with expectation, the original extract B0 demonstrated the smallest antiproliferative/cytotoxic effect with IC 50 value nearly doubles that of B5 (about 9 μg/mL, three measurements). Fraction B3-almost pure betulin without betulinic acid and lupeolhad an IC 50 value also substantially higher (nearly 5.7 and 6.1 μg/mL, two measurements). These results do not exactly correspond to the content of betulin in the fractions and the influence of some inhibitor(s) to betulin efficiency may have to be considered. Such inhibitor(s) possibly remains in the fractions until purification is performed by filtration through silica gel (step 4), and the small rests of colored impurities in the fraction are removed. For example, some antioxidants (phenols, sesquiterpenes and the like) occurred in birch bark [42,48] and in fractions up to fraction B3 may prevent the cytotoxic effect of betulin. This is one of questions for separate study to explore mode of betulin activity against the cancer cells.
On the basis of these observations we can conclude that the purity of betulin is extremely important for any scientific experiments and measurements in the field of the biological effects of this triterpene. Similarly, the purity may be very important for the medical use of betulin and other triterpenes.

Conclusions
A relatively simple and cheap method for isolation of betulin from birch bark and its purification to very high purity > 99% was developed. For isolation Soxhlet extraction to ethanol was chosen due to its high efficiency and technical simplicity. The purification procedure consisted of five steps: 1st step-removal of acids and other impurities with Ca(OH) 2 ; 2nd step-removal of lupeol by benzene extraction; 3rd step-recrystallization from ethanol solution; 4th step-removal of residual (partly colored) impurities on silica gel in chloroform; 5th step-recrystallization from ethanol solution.
The purification method is environmentally friendly despite the use of benzene and chloroform. Moreover both biologically and environmentally hazardous solvents are almost 100% Importance of Betulin Purity for Scientific and Medicinal Use recycled by distillation and can be reused in further purification processes or used for other purposes. From small (gram-scale for laboratory use) to large industrial-scale amounts of betulin with more than 99% purity can be prepared by this method. On top of this, three valuable by-products are generated-solid bark waste as a potential source of suberin, the fraction after removal of acids as a rich source of betulinic acid, and the fraction after processing by benzene as a rich source of lupeol.
WST-1 proliferation/cytotoxicity test using triple negative breast cancer cell line BT-549 clearly showed the importance of purity of betulin for scientific experiments and for medicinal use. This is an original and high important result.
Various interesting observations regarding pure betulin and birch bark were also described in this work.