Effect of the hexane extract of Piper auritum on insulin release from β-cell and oxidative stress in streptozotocin-induced diabetic rat
Rosa Martha Perez Gutierrez
Laboratory of Natural Products Research, School of Chemical Engineering and Extractive Industries, IPN Avenue, National Polytechnic Institute S/N, Col Zacatenco, cp 07758, Maxico
|Date of Submission||26-Sep-2011|
|Date of Decision||21-Jan-2012|
|Date of Web Publication||22-Nov-2012|
Rosa Martha Perez Gutierrez
Laboratory of Natural Products Research, School of Chemical Engineering and Extractive Industries, IPN Avenue, National Polytechnic Institute S/N, Col Zacatenco, cp 07758
Source of Support: The authors are immensely thankful to the Instituto de Ciencia y Tecnologia del Distrito Federal for their support, Conflict of Interest: None
| Abstract|| |
Background: The large-leafed perennial plant Piper auritum known as Hoja Santa, is used for its leaves that because of their spicy aromatic scent and flavor have an important presence in Mexican cuisine, and in many regions, this plant is known for its therapeutic properties. Materials and Methods: In the present study, we investigated the effect of hexane, chloroform and methanol extracts from Piper auritum on cell culture system and the effect in streptozotocin-induced type 1 diabetic rats treated by 28 days on the physiological, metabolic parameters and oxidative stress. Results: The hexane extract of P. auritum (HS) treatment significantly reduced the intake of both food, water and body weight loss as well as levels of blood glucose, serum cholesterol, triglycerides and increase HDL-cholesterol. After 4-week administration of HS antioxidant enzyme as SOD, CAT, GSH, GPx in pancreas were determined. These enzyme increased significantly compared with those of the diabetic rats control and normal animals. For all estimated, the results of HS treated groups leading to a restoration of the defense mechanism. The treatment also improves pancreatic TBARS-reactive substance level and serum NO and iNOS. To determine the insulin releasing activity, after extract treatment the serum and pancreatic sections were processed for examination of insulin-releasing activity using an immunocytochemistry kit. The results showed that administration of the hexane extract (200 and 400 mg/kg) exhibited a significant increase in serum and pancreas tissue insulin. Administration of streptozotocin decreased the insulin secretory activity in comparison with intact rats, but treatment with the HS extract increased significantly the activity of the beta cells in comparison with the diabetic control rats. The extract decreased serum glucose in streptozotocin-induced diabetic rats and increased insulin release from the beta cells of the pancreas. In cultured RIN-5F cells, we examined whether hexane extract of P. auritum would protect the pancreas-derived β-cells from oxidative stress. Moreover, HS could protect pancreatic β-cells from advanced glycation end products-induced oxidative stress. Conclusion: From these results, HS is suggested to show anti-diabetic effect by stimulating insulin-dependent and by protecting pancreatic β-cells from advanced glycation end products-induced oxidative stress.
Keywords: Antioxidant enzyme, glycation, piper auritum, pancreatic β-cells
|How to cite this article:|
Gutierrez RP. Effect of the hexane extract of Piper auritum on insulin release from β-cell and oxidative stress in streptozotocin-induced diabetic rat. Phcog Mag 2012;8:308-13
|How to cite this URL:|
Gutierrez RP. Effect of the hexane extract of Piper auritum on insulin release from β-cell and oxidative stress in streptozotocin-induced diabetic rat. Phcog Mag [serial online] 2012 [cited 2022 Jan 23];8:308-13. Available from: http://www.phcog.com/text.asp?2012/8/32/308/103661
| Introduction|| |
Diabetes is a serious metabolic disorder with micro and macro vascular complications resulting in significant morbidity and mortality. Diabetes is characterized by hyperglycemia, abnormal lipid and protein metabolism, along with specific long-term complications affecting the retina, the kidney and the nervous system mainly.  Oxidative stress and advanced glycation endproducts (AGEs) formation induced by hyperglycemia are known to influence diabetic renal changes and nephropathy.  The number of people with diabetes is increasing worldwide due to population growth, aging, urbanization, increasing prevalence of obesity, calorie rich diet and physical inactivity. Current treatments, although provide a good glycemic control do little preventing complications.  Besides, most of the prescribed hypoglycemic drugs or insulin are associated with unwanted side effects. Because of this there is an increasing demand to research for natural products with antidiabetic activity.  Herbal medicines are an option because of their comparably therapeutic effects and nontoxic side effects. 
The large-leafed perennial plant Piper auritum known by the name of Hoja Santa, is used for their spicy aromatic scent and flavor have an important presence in Mexican cuisine, this plant is known for its therapeutic properties. It has been used traditionally as an emollient, antirheumatic, diuretic, stimulant and abortifacient, anti-inflammatory, antibacterial, antifungal and antidermatophytic.  Phytochemicals, the main components of the essential oil of leaves of P. auritum are safrol, and myristycin  and it has been reported to possess pharmacological properties like antioxidant.  A search of the literature revealed that no studies of the potential hypoglycemic effects of this plant have ever made. The aim of this investigation was to test the effect of P. auritum on hypoglycemic, oxidative stress, insulin level in diabetic rodent model and AGEs formation in pancreatic β-cells in culture.
| Materials and Methods|| |
Fresh plants of Piper auritum were collected in Mexico State. A voucher specimen (No. 7345) was deposited in the Herbarium of the UAM-Xochimilco, for further reference.
Study was conducted in male Wistar rats, provided by the bioterium of the National School of Biological Sciences. Rats weighted from 180 to 225 g. Animals were housed in microlon boxes in a controlled environment (temperature 25 ± 2 o C) with standard laboratory diet ( Mouse Chow 5015, Purina) and water ad libitum. Litter was renewed three times a week to ensure hygiene and maximum comfort for animals. Rats were acclimatized for a period of three days in their new environment before the initiation of the experimental procedures. Ethical clearance for handling animals (NIH publication No. 85-23 revised 1985) was observed at all times.
Preparation of plant extracts
A total of 300 g of the aerial parts of P. auritum were dried and powdered in a mechanical grinder. The grinded material was extracted with 900 ml of hexane, chloroform and methanol consecutively using a soxhlet apparatus. These extracts were filtered and concentrated by a rotary vacuum evaporator and kept in a vacuum desiccator for complete removal of solvent. An aqueous suspension was prepared using 2% (v/v) Tween-80 and then used for oral administration.
Induction of experimental diabetes
Severe diabetes mellitus was induced in overnight fasted male rats by a single intraperitoneal injection of streptozotocin, at a dose of 50 mg/kg body weight dissolved in cold citrate buffer (pH 4.5).  Hyperglycemia was confirmed by measuring glucose 72h after the streptozotocin shot and 7 days after injection, confirming a high glucose level. Rats with permanent high fasting blood glucose level > 300 mg/dl were included for the experiments.
In the experiment a total 40 rats for each extract were divided into four groups (n =10 per group): 1 normal control, 2 diabetes control, groups 3 to 4 correspond to diabetic rats treated with P. auritum aqueous reconstituted solution from organic solvent extract at dose of 200 and 400 mg/kg body weight on a daily basis for 28 days. All the drugs solutions or vehicle were administered orally by gastric intubations once daily at 9:00 am for 28 days. At the end of the experiment rats were fasted overnight and were euthanized by anesthesia. Each pancreas was quickly removed from the sacrificed rat, placed in ice cold saline solution, trimmed of adipose tissue and weighed. Part of each pancreas was finely minced and homogenized in 50 mM phosphate buffer, pH 7.4 and centrifuged at 2000 rpm for 10min at 4° C. The supernatant was used for all the assays.
Body weights of rats and the intake of food and water and were taken prior to the induction of hyperglycemia, at day 0 of Piper auritum treatment, and on a daily basis thereafter, for 4 weeks.
Serum lipid profile and glucose levels
The serum determination of total cholesterol (TC), triglycerides (TG) and HDL-cholesterol, using a commercial Diagnostic Kit (Genzyme Diagnostics, MA. USA). Blood glucose levels were measured employing the glucose oxidase-peroxidase (GOD-POD) method. 
Termination of treatment
In each treatment group, animals were killed at 28 days of the completion of treatment under pentobarbital (60 mg/ kg bw). Laparotomy was performed and the pancreas was excised, trimmed free of fat, rinsed in PBS. Portions of the pancreas were also stored at 80 °C for analysis of oxidative stress markers.
Lipid peroxidation and oxidative stress markers
The tissue homogenate was used for the determination of lipid peroxidation and antioxidant enzyme. Pancreas homogenate was obtained by centrifugation (3000Xg) in 50 mM phosphate buffer, pH 7.4 at 4°C according to the method of Johnson and Lardy.  The concentration of TBA-reactive substance was determined using malonaldehyde level by Oxis international, CA, USA, and expressed as mol/mg of protein.
Antioxidant enzyme activities in the pancreas were assayed using commercial kits: superoxide dismutase (SOD) assay kit Bioxytech SOD-525 for SOD activity (Oxis International, CA, USA), catalase assay kit for catalase activity (CAT) (Cayman Chemical), and glutathione reductase (GSH ) assay kit Bioxytech GR-340 for GR activity, (Oxis International) and glutathione peroxidase (GPx ) assay kit GPx-340 for GPx (Oxis International).
Determination of insulin
Serum insulin was measured by enzyme linked inmunosorbent assay (ELISA) using the kit (Boehringer Mannheim Diagnostic, Mannheim, Germany). The intra assay variation was 4.9%. As the samples were run at a time, so there is no inter assay variation. The level of insulin in serum was expressed in μIU/ml.
Syntheses of advanced glycation end products
Advanced glycation end products (AGEs) were generated from co-incubation of BSA with either D-glucose (AGE1) or D-glyceraldhyde (AGE2) according to the method of Kume et al.  AGE1 and AGE2 were incubated at 37°C for 8 weeks and 2 weeks, respectively. BSA alone was incubated at 37°C for 2 weeks under conditions without any carbohydrates, and employed as the control for AGE1 and AGE2.
Protective effect onpancreatic β-cells from oxidative stress
β-cells are vulnerable to oxidative stress. Thus, in cultured RIN-5F cells, (American Type Culture Collection; number: CRL-2058) we examined whether P. auritum would protect the pancreas-derived β-cells from oxidative stress. RIN-5F cells that had been adhered and pre-cultured with medium alone for 72 h were treated with HS or medium alone for another 3 h. At the end of the culture, the intracellular peroxide level was measured with 2′,7′-dichloro-dihydrofluorescein diacetate (DCFH-DA) fluorescent probe. 
The effect of Piper auritum aqueous extracts on each parameter was examined using one-way analysis of variance (ANOVA). Individual differences among groups were analyzed by Dunnett´s test using SPSS software. P values less than 0.05 were considered as statistically significant. Data are expressed as mean ± S.E.M. for 6 rats in each group.
| Results|| |
Effect on blood glucose
STZ (50mg/kg) injection resulted in a significant elevation of blood glucose level. Daily oral administration of the hexane extract of leaves of P. auritum to diabetic rats for 14 and 28 days produced significant improvements in glycemic control as shown in [Table 1]. In contrast with body weight loss, diabetic control rats showed an increase in blood glucose from initial value from 306.2 to final 356.7 mg/dl. One the other hand, 400 mg of P. auritum-treated diabetic rats showed a significant decrease compared with diabetic control rats (from 325.4 mg/ dl to 100.2 mg/dl) resulted a significant recovery of glucose level and resettled to the control level. However, chloroform and methanol extracts to the same doses did not produced hypoglycemic activity.
|Table 1: Effect of hexane extract Piper auritum (HS) after 28 days treatment on blood glucose level in STZ-induced diabetes|
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Body weight and intakes of food, water
The body weight and food, water intakes in control and experimental animals are shown in [Table 2]; the induction of STZ-diabetes resulted in elevated intake of both. A significant decrease in body weight during the 28 days was observed in the diabetic control rats compared with control rats, showing no difference between initial and final values; however, administration of P. auritum at doses of 400 mg to diabetic rats increased body weight gain significantly (from 192.4g to 225.1g). Diabetic rats showed increase in food and water intakes as compared to normal control rats but the administration of 200 and 400mg/kg of hexane extract led to a decrease in water and food intake in experimental groups.
|Table 2: Effect on physico-metabolic symptoms of hexane extract Piper auritum (HS)|
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[Table 3] shows the results of lipids in the serum. Total cholesterol, triglycerides levels of diabetic control rats were significantly increased to the control levels. These parameters were decreased significantly in the hexane extract supplemented groups in respect to the corresponding diabetic groups, and were resettled towards the control level. HDL-cholesterol, a friendly lipoprotein, was decreased in diabetic groups in respect to the control. After 28d of hexane extract of leaves of P. auritum supplementation, there was a significant elevation of this lipoprotein level in serum to and was resettled to the control level.
|Table 3: Effect hexane extract leaves of Piper auritum (HS) on lipid profile in STZ- induced diabetic rats|
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Effect on pancreatic oxidative status and serum nitric oxide level
In the pancreatic function of the diabetic rats, lipid peroxidation and antioxidant defense system capabilities were evaluated. [Table 4] shows the level of lipid peroxidation marker TBARS, antioxidant defense system components as CAT, SOD, GSH, GPx and serum NO, iNOS in normal and experimental rats. There was a significant elevation in TBARS concentration and serum NO level, while the activity of catalase and SOD, and glutathione (GSH and GPx) content decreased in diabetes when compared with normal control group. Treatment of the rats with HS significantly decreased lipid peroxidation TBARS pancreatic and serum NO. In addition, SOD and catalase activities and the glutathione content in pancreatic tissue significantly increased compared to diabetic control group.
|Table 4: Effect hexane extract leaves of Piper auritum (HS) on antioxidant enzyme, TBARS in pancreas and NO and inducible iNOS in serum|
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Insulin releasing activity
Serum insulin level was significantly decreased in diabetic rats in respect to control. After 28 days of hexane extract of leaves of P. auritum supplementation to the diabetic rats, there was a significant elevation in serum insulin level in respect to diabetic-control group though the level of this hormone was significantly low than the control [Table 5]. In pancreas insulin level with ex- tract supplementation (200 and 400mg/kg) resulted also in a significant variation in insulin level in respect to only diabetic-control. Treatment group increased active β cells.
|Table 5: Effect of HS on pancreatic insulin levels in serum and pancreas|
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Effect on pancreatic AGEs
The fluorescence intensity of the HS-treated group was significantly lower than that of the control (0μg HS) group [Table 6]. This result suggested that HS might reduce oxidative stress in RIN-5F cells. To verify this hypothesis, RIN-5F cells were given oxidative stress by adding AGE1 and AGE2, BSA conjugated with glucose and glyceraldehyde, respectively, to experimental media. Control cells were incubated with BSA alone. After 3h treatment with AGEs, fluorescence intensity of AGE1 and AGE2-treated cells was significantly higher than that of the BSA-treated cells. In the same experiments with AGEs, treatment of RIN-5F cells with HS for 3 h resulted in dramatic reductions in oxidative stress with significant differences. These results clearly defined that P. auritum was capable to protect pancreatic β-cells from AGEs-induced oxidative stress.
|Table 6: Effect of HS on advanced glycation end products-induced oxidative stress in pancreatic culture RIN-5F cells|
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| Discussion|| |
When rats are injected with streptozotocin they provide an animal model of non-insulin-dependent diabetes mellitus. In this model, the destruction of β-cells and disorder of insulin secretion in the diabetic state causes physic-metabolic abnormalities such as higher levels of fasting and fed glucose levels, lower body weight, increase in food and water intakes as compared to normal control rats.
Treatment with P. auritum significantly reduced body weight loss, food and water intakes. Those observations could be due to an improvement of elevated blood glucose and the effect of the plant extract on lipolysis. Administration of HS at doses of 200 and 400 mg/kg significantly decreased serum glucose in streptozotocin-induced diabetic fasted animals and also increased the activity of beta cells in comparison with the diabetic control rats.
Hyperglycemia-induced oxidative stress plays a key role in the development of diabetes or its complications. On the other hand, reactive oxygen species are well known as important risk factors for pancreas diseases. These facts indicate that hyperglycemia-induced oxidative stress may also cause pancreas cell damage. It is possible that the antioxidant defense system against oxidative stress induced by chronic hyperglycemia plays an important role in the pathogenesis of pancreas disease.
Our results showed that the chronic administration of HS leaves improves impairments of SOD activity and glutathione homeostasis in STZ-induced diabetic rat pancreas with lowering the blood glucose level. In particular, the diabetes-associated free radical injury, accumulation of lipid peroxidation products, depletion of GSH, decrease in GSH/GPx ratio and down-regulation of key antioxidant enzymes, have been detected not only in the liver, but also in pancreas. Accordingly, there was a decrease in GSH in the pancreas of diabetic rats, probably due to increased utilization following the diabetes-induced oxidative stress. Previous studies have reported that there was an increased lipid peroxidation in the pancreas of diabetic rats  that that could be due to increased oxidative stress in the cell as a result of depletion of antioxidant scavenger systems.
iNOS, as a source of hydroxyl radicals in diabetes, leads to lipid peroxidation and its protein expression correlated with increased free radical production in the serum examined.  Treatment with HS strongly decreased serum NO level and iNOS activity to those of normal ones.
A significant increase in TBA-reactive substance, an index of endogenous lipid peroxidation, has been shown under diabetic conditions. Therefore, the measurement of TBA-reactive substance is frequently used to determine the level of oxidative stress in diabetic patients. In addition, the increased lipid peroxidation in the pancreas implies the level of susceptibility of diabetic oxidative stress. Lipid peroxide-mediated tissue damage has been observed in the development of type 1 and type II diabetes. 
The repeated administration of HS increased the GSH content in the pancreas leading to a restoration of the defense mechanism and significantly decreased the pancreas lipid peroxidation. HS may help to control free radicals and offered protection to cells against oxidative stress by scavenging free radicals. These results suggest that P. auritum may act as a suppressor against pancreas cell damage and inhibit the progression of pancreas dysfunction induced by chronic hyperglycemia. ,
It is well known that chronic hyperglycemia leads to the auto-oxidation of glucose and causes the nonenzymatic glycation of proteins through Maillard's reaction which produces Schiff base, Amadori product, and finally AGEs.  In these processes, reactive oxygen species are produced. To avoid oxidative stress, antioxidant enzymes play an important role against oxidative stress. However, hyperglycemia also causes nonenzymatic glycation of these antioxidant enzymes. In the diabetic state, glycation reaction is observed in various tissues and organs, and various kinds of glycated proteins such as glycosylated hemoglobin, albumin, and lens crystalline are produced in a nonenzymatical manner through the glycation reaction.  In the present study, P. auritum lowered the level of blood glucose significantly as compared with that of the diabetic control group. Therefore, our data demonstrated that HS protected RIN-5F cells from AGEs-induced oxidative stress which is followed by decreasing insulin gene expression and secretion.  Although, the serum insulin level of the HS group tended to increase as compared with that of the diabetic control suggesting that HS might partially rescue exhausted pancreatic β-cells of rats from further AGEs-induced oxidative stress. AGEs might deteriorate function of pancreatic beta cells in patients with long-term hyperglycemia.
| Conclusion|| |
P. auritum leaves prevents hyperglycemia-induced oxidative stress in the pancreas using STZ-induced type-I diabetic rat models. As a result, we found that the chronic administration of HS mitigates the pancreas dysfunction in STZ-diabetic rat via the improvement of the antioxidant defense system. However, we did not try to determine which ingredient(s) of this leaves exerts this beneficial effect. Further study will be needed.
| References|| |
|1.||Setter SM, Campbell RK, Cahoon CJ. Biochemical pathways for microvascular complications of diabetes mellitus. Ann Pharmacother 2003;37:1858-66. |
|2.||Grover JK, Yadav SP, Vats V. Effect of feeding Murraya koeingii and Brassica juncea diet on kidney functions and glucose levels in streptozotocin diabetic mice. J Ethnopharmacol 2003;85:1-5. |
|3.||Modi P. Diabetes beyond insulin: Review of new drugs for treatment of diabetes mellitus. Curr Drug Discov Technol 2007;4:39-7. |
|4.||Rang HP, Dale MM. The endocrine system pharmacology. 2nd ed. UK: Longman, Harlow; 1991. p. 514-6. |
|5.||Baily C, Flatt PR. Antidiabetic drug, new development. Indian Biotech 1986;6:139-42. |
|6.||Garcia A, Leyva M, Martinez J, Stashenko E. Determinación de la composición química y actividad antioxidante in vitro del aceite esencial de Piper auritum Kunth (Piperaceae). Sci Tech 2007;33:439-42. |
|7.||Navarro MC, Montilla MP, Cabo MM, Galísteo M, Cáceres A, Morales C. Antibacterial, antiprotozoal and antioxidant activity of five plants used in Izabal for infectious diseases. Phytother Res 2003;17:325-9. |
|8.||Abubakar G, Danladi AE, Sunday A, Sani I. Antidiabetic effect of Nauclea latifolia leaf ethanolic extract in streptozotocin-induced diabetic rats. Phcog Res 2009;1:392-5. |
|9.||Sang-Eun P, Mee-Hyun C, Jin-Kyu L, Jong-Sang K, Jeong-Hwan K, Dae YK, et al. A New Colorimetric method for determining the isomerization activity of sucrose isomerase. Biosci Biotechnol Biochem 2007 ; 71:583-6. |
|10.||Johnson D, Lardy H. Isolation of liver or kidney mitochondria. In Methods in Enzymology. In: Estabrook RW and Pullman ME. New York: Academic Press; vol. 10, 1967. p. 94- 6. |
|11.||Chick WL, Warren S, Chute RN, Like AA, Lauris V, Kitchens KC. A transplantable insulinoma in the rat. Proc Natl Acad Sci U S A 1977;74:628-32. |
|12.||Marina C, Aldini G, Piccone M, Facino MN. Fluorescent probes as markers of oxidative stress in keratinocyte cell lines following UVB exposure. Farmaco 2000;55:526-34. |
|13.||Yilmaz HR, Uz E, Yucel N, Altuntas L., Ozcelik N. Protective effect of caffeic acid phenethyl ester (CAPE) on lipid peroxidation and antioxidant enzymes in diabetic rat liver. J Biochem Mol Toxicol 2004;18:234-8. |
|14.||Stadler K, Bonini MG, Dallas S. Involvement of inducible nitric oxide synthase in hydroxyl radical-mediated lipid peroxidation in streptozotocin-induced diabetes. Free Radic Biol Med 2008;45 : 866-74. |
|15.||Chackrewarthy S, Thabrew MI, Weerasuriya MK, Jayasekera S. Evaluation of the hypoglycemic and hypolipidemic effects of an ethylacetate fraction of Artocarpus heterophyllus (jak) leaves in streptozotocin-induced diabetic rats. Pharmacogn Mag 2010;6:186-90. |
|16.||Abd El-Mawla AM, Osman HH. Effects of Gum acacia aqueous extract on the histology of the intestine and enzymes of both the intestine and the pancreas of albino rats treated with Meloxicam. Pharmacognosy Res 2011;3:114-21. |
|17.||Mansi K, Abushoffa AM, Disi A, Aburjai T. Hypolipidemic Effects of Seed Extract of Celery (Apium graveolens) in Rats. Pharmacogn Mag 2009;20:301-5. |
|18.||Lim M, Park L, Shin G, Hong H, Kang I, Park Y. Induction of apoptosis of Beta cells of the pancreas by advanced glycation end-products, important mediators of chronic complications of diabetes mellitus. Ann NY Acad Sci 2008;1150:311-5. |
|19.||Schmidt AM, Yan SD, Yan SF, Stern DM. The multiligand receptor RAGE as a progression factor amplifying immune and inflammatory responses. J Clin Invest 2001;108:949-55. |
|20.||Eizirik DL, Korbutt GS, Hellerström C. Prolonged exposure of human pancreatic islets to high glucose concentrations in vitro impairs the beta-cell function. J Clin Invest 1992;90:1263-8. |
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6]
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