Effects of hot‑water extracts from 26 herbs on α‑glucosidase activity
- Authors:
- Published online on: July 31, 2020 https://doi.org/10.3892/mmr.2020.11397
- Pages: 3525-3532
Abstract
Introduction
Glucose is an essential nutrient in the human body, and its uptake via food results in energy production that is used by various tissues, having been delivered via the general circulation after it is absorbed in the intestine (1). The peak of the blood glucose level (BGL) after a meal, as opposed to that after fasting, is usually limited to 30–50 mg/dl, and this phenomenon is based on the net balance between the rate of carbohydrate being absorbed from the gastrointestinal tract and the rate at which it is taken up by the liver and peripheral tissues (1). Moreover, the disturbance of the net balance results in uncontrolled glucose regulation and induces hyperglycemia, which is widely recognized as a causal link between diabetes and diabetes-related complications (2).
α-glucosidase is a key enzyme that plays a role in glucose absorption in the gastrointestinal tract, and inhibition of its activity induces the prevention of hyperglycemia (3). In addition, α-glucosidase inhibitors such as acarbose, voglibose and miglitol have been used as medicines for type 2 diabetes (1,4). Furthermore, a similar effect is observed in natural resources. For instance, vegetables in the daily diet potentially inhibit α-glucosidase activity (5,6). Traditional natural products including herbs and their phytochemicals are also known for their α-glucosidase-inhibiting activities, and some of these products are already sold as functional foods (7,8). Our previous studies have focused on the biological activity and safety of natural products, including food, traditional herbs, kampo and their phytochemicals (9–12).
To identify the presence of an α-glucosidase inhibitory effect in herbs, in which various functional effects have been reported, the present study investigated the effects of hot-water extracts of 26 types of herbs on α-glucosidase activity in an in vitro assay. In addition, the effects of bearberry, green tea and coltsfoot hot-water extracts on α-glucosidase activity in vivo were evaluated according to the BGLs in maltose- and glucose-load model rats.
Materials and methods
Materials
Acarbose, maltose, glycerol and Glucose CII-test Wako kit were purchased from Wako Pure Chemical Industries, Ltd., unless otherwise stated. All herbs were purchased from various companies (Table I). Intestinal acetone powders from rat were purchased from Sigma-Aldrich (Merck KGaA).
Preparation of hot-water extract from herbs
The extracts were prepared from herbs based on a previously described method (9). Briefly, 1 g each herb was decocted with 20 ml Milli-Q water at 100°C for 30 min. After the extracts were cooled and filtered, they were used in animal experiments as described below. Furthermore, to assess α-glucosidase activity, the extracts were evaporated using a freeze dryer, after which the dried samples were weighed and dissolved or suspended at a concentration of 100 mg/ml in Milli-Q water and stored at −20°C until further use.
Measurement of α-glucosidase activity in vitro
α-glucosidase activity was measured according to a previously described method with modifications (13). Briefly, 10 µl of 72.5 mg/ml intestinal acetone powder suspension in 50 mM Tris-HCl (pH 7.8) containing 20% glycerol or Milli-Q water (blank), 5 µl of 5.17 µg/ml (8 µM) acarbose (final concentration: 0.52 µg/ml, as a positive control), 26 types of herb extracts (Table I) [concentrations: 2.5, 5.0, 7.5 and 10 mg/ml (final concentrations: 250, 500, 750 and 1,000 µg/ml, respectively)] and Milli-Q water (control or blank) and 27 µl Milli-Q water were mixed in 1.5 ml tubes, and then pre-incubated in a heat block at 37°C for 10 min. Subsequently, 8 µl of 500 mM maltose monohydrate solution in Milli-Q water (final concentration: 80 mM) was added and incubated in a heat block at 37°C for 30 min. The tubes were incubated at 100°C for 2 min to terminate the reaction. To assess the amount of glucose production, a Glucose CII-test Wako kit was used according to the manufacturer's protocol with modifications. Samples were centrifuged at 20,400 × g for 5 min, and 2 µl supernatants and 100 µl chromogenic solution were mixed and incubated in a 96-well plate at 37°C for 5 min. Subsequently, the glucose levels of the samples were determined by measuring the absorbance at 505 nm using a microtiter plate reader, SpectraMax Pro M5e (Molecular Devices, LLC). The relative α-glucosidase inhibitory activity (% of inhibition) was calculated using the following equation:
% of inhibition=[(A505 control-A505 blank)-(A505 sample-A505 blank)]/(A505 control-A505 blank),
where A505 sample denotes the positive control or herb extract samples.
The IC50 values were calculated from the relative α-glucosidase inhibitory activity curve.
Animals
All experiments and the care and handling of animals were approved by the Josai University Institutional Animal Care and Use Committee. In total, 48 male Wistar rats (age, 5 weeks; weight, 140–160 g), were obtained from CLEA Japan, Inc. The rats were housed in 16 cases, with three rats per cage. Animals were housed in a 12-h light/dark cycle and maintained at a constant temperature of 22±2°C and humidity of 55±10%. The rats were allowed 1 week to adapt to the laboratory environment before the experiments and fed laboratory pellet chow (CE-2; CLEA Japan, Inc.) and water ad libitum. After the experiments had been completed, all rats were euthanized via the intraperitoneal injection of sodium pentobarbital (150 mg/kg).
To investigate the antihyperglycemic effects based on α-glucosidase inhibition in rats, an oral glucose tolerance test (OGTT) was performed based on a previously published method with modifications (14). The access to pellet chow supplied to the rats was denied the night before the experiment. The rats were then randomly divided into five groups: Control (n=6); acarbose (24 mg/kg, n=6); bearberry (~13.7 mg/ml, n=6); green tea (~8.8 mg/ml, n=6); and coltsfoot (~7.2 mg/ml, n=6). All groups were orally administrated with distilled water (control), each of three herb extracts or acarbose (5 ml/kg, respectively) 0.5 h before oral administration of 2 g/kg maltose or glucose. A diagram of the timeline of the experiment is presented in Fig. 1.
Measurement of BGLs
Blood samples (~10 µl) were collected from all groups into sensor chips (Breeze2 sensor; Panasonic Corporation) sequentially at 0.083, 0.25, 0.5, 1.0, 1.5, 2.0, 3.0 and 4.0 h via a small incision in the tail vein using a razor blade. Then, the blood samples were measured using a glucometer (Breeze2; Bayer Thai Co., Ltd.). The area under the curve (AUC) was calculated using GraphPad Prism Ver 8.1.2 (GraphPad Software, Inc.) for subsequent analysis.
Statistical analysis
Statistical analysis was performed with GraphPad Prism Ver 8.1.2 (GraphPad Software, Inc.) using a one-way ANOVA (in vitro studies) followed by Dunnett's test for multiple comparisons and a repeated-measures one-way ANOVA or a repeated-measures two-way ANOVA (in vivo studies) followed by Bonferroni's multiple comparison test. P<0.05 was considered to indicate a statistically significant difference. Data from the animal experiments are presented as the mean ± SEM or mean ± 95% CI (n=6, respectively), and the other data as the mean ± SD of three separate experiments.
Results
Dose-dependent inhibitory effects of acarbose on α-glucosidase activity
To assess the effects of acarbose on α-glucosidase inhibitory activity and to calculate the IC50 value of acarbose, α-glucosidase activity was assessed in vitro. It was demonstrated that α-glucosidase inhibitory activity significantly increased in a dose-dependent manner (Fig. 2A). Furthermore, the IC50 value was 0.52 µg/ml (95% CI, 0.4356-0.6047; R2=0.9528).
Inhibitory effect of herb extracts on α-glucosidase activity
To investigate the α-glucosidase inhibitory effect of the 26 types of 1,000 µg/ml herb extracts, α-glucosidase activity was assessed in vitro (Fig. 2B). Overall, >50% inhibition of α-glucosidase activity was significantly demonstrated in 0.52 µg/ml acarbose, which served as the positive control, and in 1,000 µg/ml coltsfoot, green tea and bearberry extracts. Moreover, significant increases in the inhibition of α-glucosidase were observed in 1,000 µg/ml olive (P<0.01), white willow (P<0.01) and red rooibos extracts (P<0.05). However, significant decreases were observed in 1,000 µg/ml hemp, cayenne pepper and bitter orange peel extracts (P<0.01; Fig. 2B).
To calculate the IC50 values of the three herb extracts, the dose-dependent inhibition of α-glucosidase activity was assessed (Fig. 3). The IC50 values were 801.3 (bearberry; 95% CI, 751.9-854.0; R2=0.9739; Fig. 3A), 744.6 (green tea; 95% CI, 696.7-795.1, R2=0.9767; Fig. 3B) and 724.0 µg/ml (coltsfoot; 95% CI, 641.9-818.1; R2=0.9538; Fig. 3C).
Effects of bearberry, green tea and coltsfoot extracts on BGLs in rats
All rats were healthy before the experiments, and adverse events were not observed during the experiments. It was revealed that treatment with 2 g/kg maltose caused temporary hyperglycemia in the rats (maltose control group), as indicated by a significant increase in BGLs at 0.25 (P<0.01), 0.5 (P<0.01) and 1.0 h (P<0.05; Fig. 4A-D). BGLs upon administration of 5 ml/kg bearberry extract were significantly lower compared with the levels in the maltose control group at 0.083 (P<0.05) and 0.5 h (P<0.01; Fig. 4A). Moreover, BGLs after administration of 5 ml/kg green tea extract were significantly lower compared with the levels in the maltose control group at 0.5 h (P<0.01; Fig. 4B). In addition, BGLs after administration of 5 ml/kg coltsfoot extract were significantly lower compared with the levels in the maltose control group at 0.25 (P<0.01) and 0.5 h (P<0.01; Fig. 4C). After administration of 5 ml/kg acarbose (24 mg/kg, positive control group) BGLs were significantly lower compared with the levels in the maltose control group at 0.25 (P<0.01), 0.5 (P<0.01) and 1.5 h (P<0.05; Fig. 4D). Furthermore, the AUC of the acarbose group, compared with the maltose control group, was significantly decreased (P<0.05), but no significant differences were observed in each of the three herb extracts (Fig. 4E).
It was demonstrated that treatment with 2 g/kg glucose caused temporary hyperglycemia in the rats serving as the glucose control group, as indicated by a significant increase in BGLs at 0.083 (P<0.05), 0.25 (P<0.01), 0.5 (P<0.01), 1.0 (P<0.01) and 1.5 h (P<0.01; Fig. 5A-D). BGLs after the administration of 5 ml/kg bearberry (Fig. 5A) and green tea extracts (Fig. 5B) were not significantly different compared with the levels of each time-point in the glucose control group. Moreover, BGLs upon administration of 5 ml/kg coltsfoot extract were significantly lower compared with the levels of each time-point in the glucose control group at 0.25 (P<0.05) and 0.5 h (P<0.05; Fig. 5C). It was indicated that the AUCs in each of the three herb extracts were not significantly different compared with those in the glucose control group (Fig. 5D).
Discussion
In the present study, it was demonstrated that acarbose, an α-glucosidase inhibitor, significantly inhibited α-glucosidase activity in vitro, indicating that acarbose can be used as a positive control in the measurement of this activity in vitro. In total, 6/26 herb extracts, olive, white willow, rooibos, bearberry, green tea and coltsfoot, significantly inhibited α-glucosidase activity in vitro. However, 3/26 herb extracts, hemp, cayenne pepper and bitter orange peel, induced significant α-glucosidase activation. Although the mechanisms underlying the effects of these herbs are unknown, it was speculated that the inherent values of the herb extracts in the measurement of absorbance had an effect on the measurement of α-glucosidase activity.
Olive leaf (Olea europea) is widely recognized as a natural resource with potential beneficial effects (15). Previous studies have reported that 80% aqueous ethanol extract of olive significantly inhibited BGLs in starch-intubated into fasting healthy or streptozotocin (STZ)-injected diabetic Sprague-Dawley rats, and treatment with olive extract was associated with a beneficial hypoglycemic effect in patients with diabetes (16). In addition, hot water and 98% ethanol extract was revealed to inhibit α-amylase activity, and olive powder and its phytochemicals reduced BGLs in GK/Jcl rats (known as type 2 diabetic rats) orally treated with starch (17). Furthermore, hydroxytyrosol and oleuropein, phytochemicals in olive extracts were revealed to significantly inhibit α-glucosidase activity (18). Thus, both these previous results and those of the present study indicate that olive extract may induce a decrease in BGLs via an α-glucosidase inhibitory effect.
Tea produced from rooibos (Aspalathus lineari) leaf is generally known as ‘rooibos tea’ or ‘rooibos tisane’ (19). Moreover, rooibos is classified as red or green depending on the presence or absence of fermentation treatment (19). Pharmacologically, rooibos is traditionally used in the treatment of asthma, colic, eczema, headache, nausea and mild depression; it has also been used as an antihypertensive, immune stimulant, laxative, sedative and spasmolytic agent, as well as for the treatment of atherosclerosis and diabetes (19). A previous in vitro study reported that 65, 75 or 85°C aqueous extracts from red (fermented) rooibos significantly inhibited α-glucosidase activity (20). However, an in vivo study by Ulicná et al (21) revealed that hot aqueous extracts from fermented rooibos did not significantly affect plasma glucose, glycated hemoglobin and fructosamine levels in STZ-induced diabetic Wistar rats; similar results were also reported by Ayeleso et al (22). Therefore, these studies and the present results indicated that the hot-water extract of red rooibos may not affect BGLs via α-glucosidase inhibitory effects in vivo.
White willow, the white bark of Salix alba, is known to have an anti-inflammatory effect resulting from the suppression of prostaglandin synthesis by salicin, the main component of white willow (23). However, there are few experiments on the hyperglycemic and/or α-glucosidase inhibitory effects of the white willow. The present results indicated that the white willow extract inhibited α-glucosidase activity in vitro; however, more detailed in vivo experiments are required in the future.
Bearberry (Arctostaphylos uva-ursi) is one of the most commonly used antimicrobial botanicals for the treatment of urinary tract infections (24); however, only a few studies have been conducted to investigate its hyperglycemic and/or α-glucosidase inhibitory effects. Huerta et al (25) reported that 80°C aqueous extracts of bearberry leaves inhibited α-amylase and α-glucosidase activity in vitro. Moreover, the present results demonstrated that bearberry extracts had ≥50% inhibition of α-glucosidase activity (IC50=801.3 µg/ml). However, Swanston-Flatt et al (26) revealed that the use of standard powdered diets containing powdered bearberry ad libitum did not induce a reduction of the increasing BGLs in STZ-injected adult male mice. In contrast, in the present study, administration of bearberry extract reduced the increasing BGLs until 0.5 h in maltose-treated rats, but not in glucose-treated rats. Furthermore, the administration of bearberry extract in rats did not reveal any effect on AUCs, an indicator of glucose absorption. These differences may be because the present study used extracts different from those used by Swanston-Flatt et al (26). Therefore, the details of this result may become more evident in future studies using an animal model of diabetes. However, it can be speculated that bearberry can inhibit α-glucosidase activity, resulting in antihyperglycemic activity.
Camellia sinensis leaf is used to produce various types of teas, such as green tea, black tea and oolong tea; in particular, green tea is one of the most widely consumed beverages in the world (27). Previous studies on green tea, including those focusing on its antihyperglycemic, α-glucosidase inhibitory and antidiabetic activities, have been reported in vitro, in vivo and in clinical research (28–33). Furthermore, the present results demonstrated that each extract of green tea extract had ≥50% inhibition (IC50=744.6 µg/ml), and administration of green tea extract reduced the increasing BGLs at 0.5 h in maltose-treated rats, but not in glucose-treated rats. However, the administration of green tea extract in rats had no effect on AUCs. Moreover, similar results have been revealed by Nishiumi et al (34); OGTT in mice when fed a control diet or high-fat diet with water, hot-water extracts of green tea or black tea demonstrated a in reduction the BGLs. Furthermore, the effect on AUCs was not found in control diet-fed mice, but was reduced in high-fat diet-fed mice (34). In addition, the intake of their extracts prevented the impairment of glucose transporter type 4-dependent glucose transport in muscle in high-fat diet-fed mice. Yang et al (35) revealed that weight reduction, alleviation of metabolic syndrome and risk reduction in diabetes were only observed in individuals who consume ≥3–4 cups of tea (600–900 mg tea catechins) daily. Thus, based on all these results it was speculated that green tea may inhibit α-glucosidase activity, resulting in antihyperglycemic activity. Furthermore, the various effects of green tea may reduce the risk of diabetes.
Numerous parts of coltsfoot (Tussilago farfara), including the flower buds, flowers, leaves and roots, have been traditionally used for the treatment of several conditions, such as colds, asthma, influenza, gastroenteritis diarrhea, metabolic stimulation and wounds in China, North Africa, Siberia and Europe (36). Moreover, Uysal et al (37) reported that methanolic extracts from the leaves of coltsfoot exhibited significant α-glucosidase activity. In addition, Gao et al (38) and Sun et al (39) revealed that methanolic extracts from the flower buds of coltsfoot exhibited maltase inhibitory activity, with maltose as a substrate. However, the effects of hot-water extract obtained from the leaves of coltsfoot remain unknown. The present results demonstrated that coltsfoot extract had ≥50% inhibition (IC50=724.0 µg/ml), and administration of coltsfoot extract reduced the increasing BGLs until 0.5 h, not only in maltose-treated rats, but also in glucose-treated rats. However, the administration of coltsfoot extract in rats had no effect on AUCs. These results indicated that the reducing effect of these extracts on increasing BGLs results not only from the inhibition of α-glucosidase activity, but also from the absorption of dietary glucose. However, the effect of the absorption of dietary glucose requires further examination in future experiments, such as increasing BGLs without intestinal absorption.
In conclusion, the present results revealed that the hot-water extracts from olive, white willow, red rooibos, bearberry, green tea and coltsfoot inhibited α-glucosidase activity in vitro. Moreover, bearberry, green tea and coltsfoot extracts suppressed BGL increase following maltose administration, due to their α-glucosidase inhibitory effects. Furthermore, it was demonstrated that coltsfoot extract exerted inhibitory effects on glucose absorption, as well as α-glucosidase activity. Collectively, the present results may facilitate the understanding of the novel functionality in traditional herbs, which will aid in the prevention of disease onset and progression in hyperglycemia and type 2 diabetes, among other diseases. However, to assess the effective use of the present findings, the active substance(s) need to be identified and the improving effects of hyperglycemia should be examined using a diabetic animal model.
Acknowledgements
Not applicable.
Funding
The present study was supported by the Japan Herb Association (grant no. FY2016).
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Authors' contributions
KS conceived this study, and with HK had full access to all of the data in the study and took responsibility for the integrity of the data and the accuracy of the data analysis. All authors contributed to the design of the study. NT and SE acquired data. HK, NT, SY and YH analyzed and interpreted the data. HK and NT wrote the draft of the manuscript, and KS and YH revised it critically for important intellectual content. All authors participated in the preparation of this manuscript, revised it critically for important intellectual content and approved the version submitted for publication.
Ethics approval and consent to participate
All experiments and the care and handling of animals were approved by the Josai University Institutional Animal Care and Use Committee.
Patient consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
Glossary
Abbreviations
Abbreviations:
BGL |
blood glucose level |
AUC |
area under the curve |
References
Lebovitz HE: Alpha-glucosidase inhibitors. Endocrinol Metab Clin North Am. 26:3525–551. 1997. View Article : Google Scholar | |
Rolo AP and Palmeira CM: Diabetes and mitochondrial function: Role of hyperglycemia and oxidative stress. Toxicol Appl Pharmacol. 212:167–178. 2006. View Article : Google Scholar : PubMed/NCBI | |
Puls W, Keup U, Krause HP, Thomas G and Hoffmeister F: Glucosidase inhibition. A new approach to the treatment of diabetes, obesity, and hyperlipoproteinaemia. Naturwissenschaften. 64:536–537. 1977. View Article : Google Scholar : PubMed/NCBI | |
Liu Z and Ma S: Recent advances in synthetic α-Glucosidase inhibitors. ChemMedChem. 12:819–829. 2017. View Article : Google Scholar : PubMed/NCBI | |
Kawada Y, Miura M and Gomyo T: Inhibitory effect of vegetables, fruits and herbs on α-glucosidase in an immobilized enzyme assay system. Food Sci Technol Res. 12:275–277. 2006. View Article : Google Scholar | |
Kim JS, Kwon CS, Son KH and Kim JI: Alpha-glucosidase inhibitory activities of some wild vegetable extracts. J Food Sci Nutr. 5:174–176. 2000. | |
Morikawa T, Akaki J, Ninomiya K, Kinouchi E, Tanabe G, Pongpiriyadacha Y, Yoshikawa M and Muraoka O: Salacinol and related analogs: New leads for type 2 diabetes therapeutic candidates from the Thai traditional natural medicine Salacia Chinensis. Nutrients. 7:1480–1493. 2015. View Article : Google Scholar : PubMed/NCBI | |
Benalla W, Bellahcen S and Bnouham M: Antidiabetic medicinal plants as a source of alpha glucosidase inhibitors. Curr Diabetes Rev. 6:247–254. 2010. View Article : Google Scholar : PubMed/NCBI | |
Kikuchi H, Kogure S, Arai R, Saino K, Ohkubo A, Tsuda T and Sunaga K: Rosehip inhibits xanthine oxidase activity and reduces serum urate levels in a mouse model of hyperuricemia. Biomed Rep. 6:539–544. 2017. View Article : Google Scholar : PubMed/NCBI | |
Ohkubo A, Chida T, Kikuchi H, Tsuda T and Sunaga K: Effects of tomato juice on the pharmacokinetics of CYP3A4-substrate drugs. Asian J Pharm Sci. 12:464–469. 2017. View Article : Google Scholar : PubMed/NCBI | |
Sunaga K, Ohkawa K, Nakamura K, Ohkubo A, Harada S and Tsuda T: Mechanism-based inhibition of recombinant human cytochrome P450 3A4 by tomato juice extract. Biol Pharm Bull. 35:329–334. 2012. View Article : Google Scholar : PubMed/NCBI | |
Kikuchi H, Yuan B, Hu X and Okazaki M: Chemopreventive and anticancer activity of flavonoids and its possibility for clinical use by combining with conventional chemotherapeutic agents. Am J Cancer Res. 9:1517–1535. 2019.PubMed/NCBI | |
Oki T, Matsui T and Osajima Y: Inhibitory effect of alpha-glucosidase inhibitors varies according to its origin. J Agric Food Chem. 47:550–553. 1999. View Article : Google Scholar : PubMed/NCBI | |
Serra-Barcellona C, Habib NC, Honoré SM, Sánchez SS and Genta SB: Enhydrin regulates postprandial hyperglycemia in diabetic rats by inhibition of α-glucosidase activity. Plant Foods Hum Nutr. 72:156–160. 2017. View Article : Google Scholar : PubMed/NCBI | |
El SN and Karakaya S: Olive tree (Olea europaea) leaves: Potential beneficial effects on human health. Nutr Rev. 67:632–638. 2009. View Article : Google Scholar : PubMed/NCBI | |
Wainstein J, Ganz T, Boaz M, Bar Dayan Y, Dolev E, Kerem Z and Madar Z: Olive leaf extract as a hypoglycemic agent in both human diabetic subjects and in rats. J Med Food. 15:605–610. 2012. View Article : Google Scholar : PubMed/NCBI | |
Komaki E, Yamaguchi S, Maru I, Kinoshita M, Kakehi K, Ohta Y and Tsukada Y: Identification of anti-α-amylase components from olive leaf extracts. Food Sci Technol Res. 9:35–39. 2003. View Article : Google Scholar | |
Hadrich F, Bouallagui Z, Junkyu H, Isoda H and Sayadi S: The α-glucosidase and α-amylase enzyme inhibitory of hydroxytyrosol and oleuropein. J Oleo Sci. 64:835–843. 2015. View Article : Google Scholar : PubMed/NCBI | |
McKay DL and Blumberg JB: A review of the bioactivity of South African herbal teas: Rooibos (Aspalathus linearis) and honeybush (Cyclopia intermedia). Phytother Res. 21:1–16. 2007. View Article : Google Scholar : PubMed/NCBI | |
Santos JS, Deolindo CTP, Esmerino LA, Genovese MI, Fujita A, Marques MB, Rosso ND, Daguer H, Valese AC and Granato D: Effects of time and extraction temperature on phenolic composition and functional properties of red rooibos (Aspalathus linearis). Food Res Int. 89:476–487. 2016. View Article : Google Scholar : PubMed/NCBI | |
Ulicná O, Vancová O, Bozek P, Cársky J, Sebeková K, Boor P, Nakano M and Greksák M: Rooibos tea (Aspalathus linearis) partially prevents oxidative stress in streptozotocin-induced diabetic rats. Physiol Res. 55:157–164. 2006.PubMed/NCBI | |
Ayeleso AO, Oguntibeju OO and Brooks NL: Impact of co-administration of red palm oil (Elaeis guineensis Arecaceae) and rooibos (Aspalathus linearis Fabaceae) on glycaemic parameters, liver function and key glycolytic enzymes in diabetic rats. Trop J Pharm Res. 14:1613–1619. 2015. | |
Shara M and Stohs SJ: Efficacy and safety of white willow bark (Salix alba) extracts. Phytother Res. 29:1112–1116. 2015. View Article : Google Scholar : PubMed/NCBI | |
Head KA: Natural approaches to prevention and treatment of infections of the lower urinary tract. Altern Med Rev. 13:227–244. 2008.PubMed/NCBI | |
Huerta V, Mihalik K, Maitin V, Crixell SH and Vattem DA: Effect of Central/South American medicinal plants on energy harvesting ability of the mammalian GI tract. J Med Plant Res. 1:38–49. 2007. | |
Swanston-Flatt SK, Day C, Bailey CJ and Flatt PR: Evaluation of traditional plant treatments for diabetes: Studies in streptozotocin diabetic mice. Acta Diabetol Lat. 26:51–55. 1989. View Article : Google Scholar : PubMed/NCBI | |
Boehm K, Borrelli F, Ernst E, Habacher G, Hung SK, Milazzo S and Horneber M: Green tea (Camellia sinensis) for the prevention of cancer. Cochrane Database Syst Rev. 2009:CD0050042009. | |
Yang X and Kong F: Evaluation of the in vitro α-glucosidase inhibitory activity of green tea polyphenols and different tea types. J Sci Food Agric. 96:777–782. 2016. View Article : Google Scholar : PubMed/NCBI | |
Snoussi C, Ducroc R, Hamdaoui MH, Dhaouadi K, Abaidi H, Cluzeaud F, Nazaret C, Le Gall M and Bado A: Green tea decoction improves glucose tolerance and reduces weight gain of rats fed normal and high-fat diet. J Nutr Biochem. 25:557–564. 2014. View Article : Google Scholar : PubMed/NCBI | |
Chacko SM, Thambi PT, Kuttan R and Nishigaki I: Beneficial effects of green tea: A literature review. Chin Med. 5:132010. View Article : Google Scholar : PubMed/NCBI | |
Oh J, Jo SH, Kim JS, Ha KS, Lee JY, Choi HY, Yu SY, Kwon YI and Kim YC: Selected tea and tea pomace extracts inhibit intestinal α-glucosidase activity in vitro and postprandial hyperglycemia in vivo. Int J Mol Sci. 16:8811–8825. 2015. View Article : Google Scholar : PubMed/NCBI | |
Venables MC, Hulston CJ, Cox HR and Jeukendrup AE: Green tea extract ingestion, fat oxidation, and glucose tolerance in healthy humans. Am J Clin Nutr. 87:778–784. 2008. View Article : Google Scholar : PubMed/NCBI | |
Tsuneki H, Ishizuka M, Terasawa M, Wu JB, Sasaoka T and Kimura I: Effect of green tea on blood glucose levels and serum proteomic patterns in diabetic (db/db) mice and on glucose metabolism in healthy humans. BMC Pharmacol. 4:182004. View Article : Google Scholar : PubMed/NCBI | |
Nishiumi S, Bessyo H, Kubo M, Aoki Y, Tanaka A, Yoshida K and Ashida H: Green and black tea suppress hyperglycemia and insulin resistance by retaining the expression of glucose transporter 4 in muscle of high-fat diet-fed C57BL/6J mice. J Agric Food Chem. 58:12916–12923. 2010. View Article : Google Scholar : PubMed/NCBI | |
Yang CS, Wang H and Sheridan ZP: Studies on prevention of obesity, metabolic syndrome, diabetes, cardiovascular diseases and cancer by tea. J Food Drug Anal. 26:1–13. 2018. View Article : Google Scholar : PubMed/NCBI | |
Roeder E: Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie. 50:83–98. 1995.PubMed/NCBI | |
Uysal S, Senkardes I, Mollica A, Zengin G, Bulut G, Dogan A, Glamočlija J, Soković M, Lobine D and Mahomoodally FM: Biologically active compounds from two members of the Asteraceae family: Tragopogon dubius Scop. and Tussilago farfara L. J Biomol Struct Dyn. 37:3269–3281. 2019. View Article : Google Scholar : PubMed/NCBI | |
Gao H, Huang YN, Gao B, Xu PY, Inagaki C and Kawabata J: α-Glucosidase inhibitory effect by the flower buds of Tussilago farfara L. Food Chem. 106:1195–1201. 2008. View Article : Google Scholar | |
Sun J, Yu JH, Zhang JS, Song XQ, Bao J and Zhang H: Chromane enantiomers from the flower buds of Tussilago farfara L. and assignments of their absolute configurations. Chem Biodivers. 16:e18005812019. View Article : Google Scholar : PubMed/NCBI |