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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2013.1534</article-id>
<article-id pub-id-type="publisher-id">ijmm-33-01-0128</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Effects of mulberry ethanol extracts on hydrogen peroxide-induced oxidative stress in pancreatic &#x003B2;-cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>YOUNG RAE</given-names></name><xref rid="af1-ijmm-33-01-0128" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>JONG SEOK</given-names></name><xref rid="af1-ijmm-33-01-0128" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>KI RIM</given-names></name><xref rid="af1-ijmm-33-01-0128" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>YOUNG EON</given-names></name><xref rid="af2-ijmm-33-01-0128" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>BAEK</surname><given-names>NAM IN</given-names></name><xref rid="af3-ijmm-33-01-0128" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>HONG</surname><given-names>EOCK KEE</given-names></name><xref rid="af1-ijmm-33-01-0128" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-33-01-0128"/></contrib></contrib-group>
<aff id="af1-ijmm-33-01-0128">
<label>1</label>Department of Bioengineering and Technology, Kangwon National University, Chuncheon, Kangwon-do 200-701, Republic of Korea</aff>
<aff id="af2-ijmm-33-01-0128">
<label>2</label>Korea Food Research Institute, Songnam-si, Kyunggi-do 463-746, Republic of Korea</aff>
<aff id="af3-ijmm-33-01-0128">
<label>3</label>Department of Oriental Medicinal Materials and Processing, Kyung Hee University, Yongin-si, Gyeonggi-do 446-701, Republic of Korea</aff>
<author-notes>
<corresp id="c1-ijmm-33-01-0128">Correspondence to: Professor Eock Kee Hong, Department of Bioengineering and Technology, College of Engineering, Kangwon National University, 192-1 Hyoja-2-dong, Chuncheon, Kangwon-do 200-701, Republic of Korea, E-mail: <email>ekhong@kangwon.ac.kr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>10</month>
<year>2013</year></pub-date>
<volume>33</volume>
<issue>1</issue>
<fpage>128</fpage>
<lpage>134</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>07</month>
<year>2013</year></date>
<date date-type="accepted">
<day>01</day>
<month>10</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Reactive oxygen species (ROS) are key mediators of mammalian cellular damage and are associated with diseases such as aging, arteriosclerosis, inflammation, rheumatoid arthritis and diabetes. Type 1 diabetes develops upon the destruction of pancreatic &#x003B2;-cells, which is partly due to ROS activity. In this study, we investigated the cytoprotective and anti-oxidative effects of fractionated mulberry extracts in mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells). Treatment with hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) induced significant cell death and increased intracellular ROS levels, lipid peroxidation and DNA fragmentation in the MIN6N cells. Fractionated mulberry extracts significantly reduced the H<sub>2</sub>O<sub>2</sub>-dependent production of intracellular ROS, 2,2-diphenyl-1-picrylhydrazyl (DPPH) radicals and lipid peroxidation. In addition, mulberry extracts inhibited DNA fragmentation induced by H<sub>2</sub>O<sub>2</sub>. Thus, the antioxidant properties of mulberry extracts in pancreatic &#x003B2;-cells may be exploited for the prevention or treatment of type 1 diabetes.</p></abstract>
<kwd-group>
<kwd>MIN6N cells</kwd>
<kwd>diabetes</kwd>
<kwd>oxidative stress</kwd>
<kwd>mulberry</kwd>
<kwd><italic>Morus</italic></kwd>
<kwd>pancreas</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Reactive oxygen species (ROS) are derived from the metabolism of molecular oxygen and chemically reactive molecules containing oxygen, such as superoxide anion radicals (O<sub>2</sub><sup>&#x02212;</sup>), hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) and hydroxyl radicals (<sup>&#x02212;</sup>OH). Under normal cellular conditions, ROS are primarily generated by mitochondrial respiratory metabolism and are then efficiently neutralized by cellular antioxidant defense mechanisms such as superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPx) (<xref ref-type="bibr" rid="b1-ijmm-33-01-0128">1</xref>&#x02013;<xref ref-type="bibr" rid="b3-ijmm-33-01-0128">3</xref>). However, the excessive generation of ROS during environmental stress results in significant oxidative damage to lipids, DNA and proteins (<xref ref-type="bibr" rid="b4-ijmm-33-01-0128">4</xref>). Such ROS-dependent damage can lead to dysfunction or cell death. Consequently, ROS have been implicated in the aging process, carcinogenesis, rheumatoid arthritis and inflammation (<xref ref-type="bibr" rid="b5-ijmm-33-01-0128">5</xref>). Excessive ROS are particularly deleterious in the pancreas, and their levels correlate with the loss of &#x003B2;-cell mass, islet destruction and dysfunction in diabetes (<xref ref-type="bibr" rid="b6-ijmm-33-01-0128">6</xref>).</p>
<p>Diabetes is a group of metabolic diseases in which a person has high blood sugar caused either by defective insulin production, insufficient insulin activity or both (<xref ref-type="bibr" rid="b7-ijmm-33-01-0128">7</xref>). Among the subtypes, type 1 diabetes is due to an absolute deficiency of insulin secretion resulting from the loss of &#x003B2;-cells upon autoimmune attack or oxidative stress (<xref ref-type="bibr" rid="b8-ijmm-33-01-0128">8</xref>). The major effects of insulin include the promotion of glucose uptake, the stimulation of glycogen synthesis in the liver and muscle, triglyceride formation and storage in adipocytes and an increase in protein synthesis (<xref ref-type="bibr" rid="b9-ijmm-33-01-0128">9</xref>,<xref ref-type="bibr" rid="b10-ijmm-33-01-0128">10</xref>). Insufficient insulin secretion and its downstream consequences thus lead to high blood sugar levels. Prolonged insulin dysfunction results in the progressive development of specific complications, including retinopathy with potential blindness, nephropathy that may lead to renal failure, neuropathy with risk of foot ulcers, limb amputation and cardiovascular disease (<xref ref-type="bibr" rid="b11-ijmm-33-01-0128">11</xref>). In modern medicine, there are no effective curative therapies for diabetes mellitus (<xref ref-type="bibr" rid="b12-ijmm-33-01-0128">12</xref>). In addition, current anti-diabetic therapies, such as insulin injection and hypoglycemic agents, usually have adverse side-effects and decreased efficacy over time (<xref ref-type="bibr" rid="b13-ijmm-33-01-0128">13</xref>,<xref ref-type="bibr" rid="b14-ijmm-33-01-0128">14</xref>). They can also be relatively ineffective against certain long-term diabetic complications and are associated with a high cost for patients and the health care industry (<xref ref-type="bibr" rid="b15-ijmm-33-01-0128">15</xref>,<xref ref-type="bibr" rid="b16-ijmm-33-01-0128">16</xref>). Therefore, the development of anti-diabetic natural products would be a promising solution for patients confronted with the negative side-effects of current anti-diabetic therapies (<xref ref-type="bibr" rid="b17-ijmm-33-01-0128">17</xref>).</p>
<p>In traditional medicine, several medicinal plants or their extracts are widely used in a number of countries for the treatment of disease. <italic>Morus alba</italic> (<italic>M. alba</italic>), the mulberry plant, belongs to this class of well-known natural medicinal species. <italic>M. alba</italic> belongs to the family Moraceae and the genus <italic>Morus</italic> and is a perennial, fast-growing woody plant that has a short proliferation period (<xref ref-type="bibr" rid="b18-ijmm-33-01-0128">18</xref>). Usually, 10&#x02013;16 species of the genus <italic>Morus</italic> are found in subtropical, warm and temperate regions of Asia, Africa and North America. The roots and leaves of <italic>M. alba</italic> are used in Chinese traditional medicine for their various health benefits and for treating ailments. In recent studies, the antioxidant activity of parts of the plant, such as the roots and leaves in different model systems have also been documented (<xref ref-type="bibr" rid="b19-ijmm-33-01-0128">19</xref>&#x02013;<xref ref-type="bibr" rid="b22-ijmm-33-01-0128">22</xref>). However, the potential effects of mulberry extracts, (the actual fruit of <italic>M. alba</italic>), in the treatment of diabetes are currently unclear.</p>
<p>To this end, in this study, we aimed to assess the effects of mulberry extracts on H<sub>2</sub>O<sub>2</sub>-induced oxidative injury in insulin-producing pancreatic MIN6N &#x003B2;-cells and to determine whether the extracts may be used in the treatment of type 1 diabetes.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Materials</title>
<p>Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM), fetal bovine serum (FBS), penicillin-streptomycin (PS) and trypsin-EDTA were purchased from Gibco (Grand Island, NY, USA). 2&#x02032;,7&#x02032;-Dichlorodihydrofluorescein diacetate (H<sub>2</sub>DCF-DA) was obtained from Molecular Probes (Carlsbad, CA, USA). 2,2-Diphenyl-1-picrylhydrazyl (DPPH), H<sub>2</sub>O<sub>2</sub> and Hoechst 33342 were purchased from Sigma Biochemical (St. Louis, MO, USA). All other chemicals were of analytical grade.</p></sec>
<sec>
<title>Preparation of fractionated extracts</title>
<p>An ethanol extract of the mulberry fruits (15 kg) was acquired by extraction with 70&#x00025; ethanol (36 liters) for 24 h at room temperature 3 times. The solvent was filtered and evaporated under a vacuum to afford 2,200 g crude ethanol extracts (yield, 14.6&#x00025;). The lyophilized crude ethanol extracts were successively fractionated with ethyl-acetate (EtOAc, MAE extract), n-butanol (BuOH, MAB extract) and water (H<sub>2</sub>O, MAH extract). Each fraction was evaporated <italic>in vacuo</italic>. The yields of the extracts and the fractions were as follows: 1.59&#x00025; (EtOAc fraction), 10.23&#x00025; (BuOH fraction) and 83.63&#x00025; (H<sub>2</sub>O fraction).</p></sec>
<sec>
<title>Cell culture</title>
<p>Mouse insulin-producing MIN6N pancreatic &#x003B2;-cells were derived from a mouse pancreatic islet cell line. The MIN6N &#x003B2;-cells were provided by Professor H.Y. Kwon (College of Medicine, Hallym University, Chuncheon, Korea). The cells were cultured in DMEM (11 mM glucose; Gibco) supplemented with 10&#x00025; inactivated FBS and 1&#x00025; PS and maintained at 37&#x000B0;C in a humidified 5&#x00025; CO<sub>2</sub> incubator. The cells were cultured up to approximately 85&#x00025; confluence and harvested with 0.25&#x00025; trypsin-EDTA. The cells were harvested and subcultured for an additional 48 h in DMEM. The cells were maintained in these culture conditions for all the experiments.</p></sec>
<sec>
<title>DPPH radical scavenging activity</title>
<p>The effects of the fractionated extracts (MAB, MAE and MAH) on DPPH radicals was estimated according to the Blois method (<xref ref-type="bibr" rid="b1-ijmm-33-01-0128">1</xref>). MAB, MAE and MAH were dissolved in EtOH over a concentration range of 10 to 500 &#x003BC;g/ml. Each sample solution (400 &#x003BC;l each) was mixed with DPPH solution (600 &#x003BC;l) and incubated for 30 min. to allow reactions. The absorbance of the resulting solution was measured at 520 nm using an ELISA microplate reader (Model 550; Bio-Rad Laboratories, Inc., Hercules, CA, USA).</p></sec>
<sec>
<title>Measurement of cytotoxicity</title>
<p>The cytotoxic effects of the fractionated extracts in pancreatic MIN6N &#x003B2;-cells were evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, which is based on the reduction of a tetrazolium salt by mitochondrial dehydrogenase in viable cells (<xref ref-type="bibr" rid="b23-ijmm-33-01-0128">23</xref>). The MIN6N &#x003B2;-cells were seeded in 12-well plates and incubated for 24 h. The cells were then treated with the fractionated extracts and incubated for 20 h at 37&#x000B0;C; 500 &#x003BC;g/ml MTT working solution were then added to each well followed by incubation for 2.5 h at 37&#x000B0;C. The violet formazan crystal in each well was dissolved in isopropyl alcohol and the absorbance of each well was measured at 570 nm using an ELISA microplate reader (model 550; Bio-Rad Laboratories, Inc.).</p></sec>
<sec>
<title>Analysis of the protective effects of mulberry extracts</title>
<p>To investigate the protective effects of the fractionated extracts against H<sub>2</sub>O<sub>2</sub>-induced cell death, the cells were first incubated with DMEM containing 0.5&#x00025; FBS for 24 h. Following this, the indicated dose of the fractionated extract was added for 20 h, prior to treatment with 0.7 mM H<sub>2</sub>O<sub>2</sub> for 4 h. Cell viability was measured by MTT assay. In brief, 500 &#x003BC;g/ml MTT solution were added to each well followed by incubation for 2.5 h at 37&#x000B0;C. The absorbance of each well was then measured at 570 nm using an ELISA microplate reader (model 550; Bio-Rad Laboratories, Inc.).</p></sec>
<sec>
<title>Intracellular ROS scavenging activity and image analysis</title>
<p>To determine the effects of fractionated extracts on H<sub>2</sub>O<sub>2</sub>-induced intracellular ROS generation, the MIN6N &#x003B2;-cells were seeded in 12-well plates the day prior to treatment with the extracts. The &#x003B2;-cells were treated with various concentrations of fractionated extracts for 20 h, followed by the addition of 0.7 mM H<sub>2</sub>O<sub>2</sub> to each well. After 4 h of incubation, 5 &#x003BC;M H<sub>2</sub>DCF-DA solution in phosphate-buffered saline (PBS, pH 7.38) was added and the fluorescence was measured at excitation and emission wavelengths of 485 and 535 nm, respectively, using a microplate spectrofluorometer. For image analysis of the production of intracellular ROS, the MIN6N &#x003B2;-cells were seeded in cover slip-loaded 12-well plates, which were then treated with various concentrations of fractionated extracts for 20 h, followed by the addition of 0.7 mM H<sub>2</sub>O<sub>2</sub> to each well. After 4 h of incubation, H<sub>2</sub>DCF-DA solution was added to each well of the plate, which was incubated for 2 h at 37&#x000B0;C. Images of the stained cells were collected using a fluorescence microscope (Nikon, Tokyo, Japan).</p></sec>
<sec>
<title>Lipid peroxidation inhibitory activity</title>
<p>Lipid peroxidation was assayed using the thiobarbituric acid (TBA) reaction as previously described (<xref ref-type="bibr" rid="b24-ijmm-33-01-0128">24</xref>). In brief, the cells were seeded in 12-well plates and incubated for 24 h. Subsequently, the cells were treated with various concentrations of fractionated extracts for 20 h, followed by the addition of 0.7 mM H<sub>2</sub>O<sub>2</sub> to each well. After 4 h of incubation, the cells were washed with cold PBS, harvested with 0.25&#x00025; trypsin-EDTA and homogenized in cold 1.15&#x00025; potassium chloride (KCl). A 100-ml aliquot of homogenized cells was then mixed with 0.2 ml of 8.1&#x00025; sodium dodecyl sulfate, 1.5 ml of 20&#x00025; acetic acid (pH 3.6) and 1.5 ml of 0.8&#x00025; TBA. The solution was then heated to 95&#x000B0;C for 2 h. After cooling at room temperature, an BuOH/pyridine mixture (15:1, v/v) was added and the mixture was shaken for 5 min and then centrifuged at 1,000 &#x000D7; for 10 min. The supernatant was isolated and the absorbance was measured at 535 nm.</p></sec>
<sec>
<title>Image analysis of DNA fragmentation</title>
<p>The MIN6N &#x003B2;-cells were labeled using the cell-permeable, DNA-specific fluorescent dye, Hoechst 33342 as previously described (<xref ref-type="bibr" rid="b25-ijmm-33-01-0128">25</xref>). Cells with homogeneously stained nuclei were considered viable, whereas the presence of chromatin fragmentation was indicative of H<sub>2</sub>O<sub>2</sub>-induced apoptosis (<xref ref-type="bibr" rid="b26-ijmm-33-01-0128">26</xref>). The MIN6N &#x003B2;-cells were seeded in 12-well plates. Twenty-four hours later, the cells were treated with various concentrations of fractionated extracts for 20 h, followed by further incubation for 4 h prior to exposure to 0.7 mM H<sub>2</sub>O<sub>2</sub>. Hoechst 33342 working solution was then added to each well, followed by 15 min of incubation at room temperature. Images of the stained cells were collected using a fluorescence microscope (Nikon), in order to examine the degree of DNA fragmentation.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All measurements are from at least 3 independent experiments and the values are expressed as the means &#x000B1; SD. Statistical analysis was performed using the Student&#x02019;s t-test. A value of p&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>DPPH radical scavenging activity of fractionated extracts</title>
<p>To determine the radical scavenging activity of the fractionated extracts, we measured scavenged DPPH radicals in the presence or absence of fractionated extracts (MAB, MAE and MAH). As shown <xref rid="f1-ijmm-33-01-0128" ref-type="fig">Fig. 1</xref>, the extracts scavenged the DPPH radicals in a dose-dependent manner, with a 400 &#x003BC;g/ml dose of each extract inducing a reduction in DPPH radicals between 59 and 67&#x00025;. MAE exhibited the most potent DPPH radical scavenger activity, inducing reductions of 51, 67 and 69&#x00025; at concentrations of 100, 400 and 500 &#x003BC;g/ml, respectively. These results suggest that fractionated mulberry fruit extracts have good antioxidant properties.</p></sec>
<sec>
<title>Cytotoxicity of fractionated extracts of mulberry in pancreatic &#x003B2;-cells</title>
<p>To determine the range of doses over which fractionated extracts of mulberry were non-toxic, MIN6N &#x003B2;-cell viability was measured by MTT assay (<xref rid="f2-ijmm-33-01-0128" ref-type="fig">Fig. 2</xref>). Cell viability was &gt;90&#x00025; in the presence of all extracts, up to a concentration of 200 &#x003BC;g/ml and in the case of MAE, viability was still above this value (92&#x00025;) at a 400 &#x003BC;g/ml dose.</p></sec>
<sec>
<title>Cytotoxicity of H<sub>2</sub>O<sub>2</sub> in the MIN6N &#x003B2;-cells</title>
<p>To measure the cytotoxicity of H<sub>2</sub>O<sub>2</sub>, we treated the cells with various doses of H<sub>2</sub>O<sub>2</sub> for 4 h. As shown in <xref rid="f3-ijmm-33-01-0128" ref-type="fig">Fig. 3A</xref>, the concentrations of H<sub>2</sub>O<sub>2</sub> at &#x02265;0.7 mM markedly reduced cell viability, with cell death reaching approximately 57&#x00025; at 0.7 mM H<sub>2</sub>O<sub>2</sub>. This dose of H<sub>2</sub>O<sub>2</sub> also induced cell death in a time-dependent manner (<xref rid="f3-ijmm-33-01-0128" ref-type="fig">Fig. 3B</xref>). We thus selected 0.7 mM H<sub>2</sub>O<sub>2</sub> and an exposure time of 4 h for the subsequent experiments.</p></sec>
<sec>
<title>Protective effects of fractionated mulberry extracts in MIN6N &#x003B2;-cells</title>
<p>The protective effects of MAB, MAE and MAH in the H<sub>2</sub>O<sub>2</sub>-treated MIN6N &#x003B2;-cells were measured by MTT assay. The cells were pre-treated with various concentrations of MAB, MAE and MAH for 20 h, followed by treatment with H<sub>2</sub>O<sub>2</sub> for 4 h. In these experiments, cell viability decreased to approximately 55&#x00025; following treatment with H<sub>2</sub>O<sub>2</sub> in the controls. Pre-treatment with 100 &#x003BC;g/ml MAB, MAE and MAH restored cell viability to 62, 75 and 63&#x00025; of the control (<xref rid="f4-ijmm-33-01-0128" ref-type="fig">Fig. 4</xref>), respectively. MAE was particularly effective in preventing H<sub>2</sub>O<sub>2</sub>-induced cell death. Thus, we conclude that all 3 extracts are capable of preventing cell death induced by oxidative stress.</p></sec>
<sec>
<title>Intracellular ROS scavenging activity of fractionated mulberry extracts</title>
<p>Intracellular ROS levels in the H<sub>2</sub>O<sub>2</sub>-treated MIN6N &#x003B2;-cells were determined using the ROS-sensitive fluorescent probe, H<sub>2</sub>DCF-DA, which is cleaved by intracellular esterases into its non-fluorescent form, DCFH. This form, which is no longer membrane permeable, can be further oxidized by H<sub>2</sub>O<sub>2</sub> to its fluorescent form, DCF (<xref ref-type="bibr" rid="b27-ijmm-33-01-0128">27</xref>). MAB, MAE and MAH were able to scavenge intracellular ROS in a dose-dependent manner. Consistent with its protective effects on cell viability, MAE was a much more effective suppressor of intracellular ROS compared with the other fractions. The ROS scavenging activity increased up to approximately 34&#x00025; with 100 &#x003BC;g/ml MAE compared with the cells treated only with H<sub>2</sub>O<sub>2</sub> (<xref rid="f5-ijmm-33-01-0128" ref-type="fig">Fig. 5A</xref>).</p>
<p>In the fluorescent microscopic images, the fluorescence intensity of the H<sub>2</sub>DCF-DA stain was enhanced in the H<sub>2</sub>O<sub>2</sub>-treated MIN6N &#x003B2;-cells. As a result, the fractionated mulberry extracts reduced the green fluorescence intensity, compared with the cells treated only with H<sub>2</sub>O<sub>2</sub>, indicating a reduction in ROS generation. Among the fractionated extracts, MAB and MAE markedly decreased the intracellular fluorescence intensity at 100 &#x003BC;g/ml (<xref rid="f5-ijmm-33-01-0128" ref-type="fig">Fig. 5B</xref>). These data suggest that MAB and MAE possessed greater ROS scavenging activity than MAH.</p></sec>
<sec>
<title>Inhibitory effect of fractionated mulberry extracts on lipid peroxidation in MIN6N &#x003B2;-cells</title>
<p>Based on the above results, we hypothesized that the antioxidant properties of the extracts would reduce ROS-induced cellular damage, such as lipid peroxidation and DNA fragmentation.</p>
<p>The inhibitory effect of the fractionated extracts on lipid peroxidation in H<sub>2</sub>O<sub>2</sub>-treated MIN6N &#x003B2;-cells was determined by measuring TBA reactive substances (TBARS), lipid peroxidation products, as previously described (<xref ref-type="bibr" rid="b28-ijmm-33-01-0128">28</xref>). As shown in <xref rid="f6-ijmm-33-01-0128" ref-type="fig">Fig. 6</xref>, the cells exposed to H<sub>2</sub>O<sub>2</sub> showed an increase in lipid peroxidation as indicated by the generation of TBARS, whereas, the fractionated extracts inhibited lipid peroxidation. The inhibitory effect of 100 &#x003BC;g/ml MAB, MAE and MAH was 22, 29 and 22&#x00025;, respectively compared with the cells treated only with H<sub>2</sub>O<sub>2</sub>. These results indicate that the ability of the fractionated extracts to block on H<sub>2</sub>O<sub>2</sub>-induced TBARS formation may be due to their intracellular ROS scavenging activity.</p></sec>
<sec>
<title>Effect of fractionated mulberry extracts on DNA fragmentation in MIN6N &#x003B2;-cells</title>
<p>In order to confirm the DNA fragmentation induced by H<sub>2</sub>O<sub>2</sub> in MIN6N &#x003B2;-cells, we stained their DNA with Hoechst 33342. The microscopic images in presented <xref rid="f7-ijmm-33-01-0128" ref-type="fig">Fig. 7</xref> illustrate that treatment the of the cells with H<sub>2</sub>O<sub>2</sub> induced DNA fragmentation, a characteristic feature of apoptosis. However, pre-treatment with 100 &#x003BC;g/ml of each fractionated extract decreased the level of DNA fragmentation when compared with the cells treated with H<sub>2</sub>O<sub>2</sub> alone. These results confirmed that MAB, MAE and MAH inhibited oxidative stress-induced DNA fragmentation in MIN6N &#x003B2;-cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>ROS production contributes to metabolic disorders that accompany diabetes (<xref ref-type="bibr" rid="b29-ijmm-33-01-0128">29</xref>). Although the body has many natural defense systems to guard against the deleterious effects of ROS, a combination of aging and lifestyle choices can exacerbate their effects. Therefore, preventing the formation of ROS or scavenging intracellular ROS may be a useful treatment for several metabolic disorders.</p>
<p>In this regard, there is an increasing demand for alternative, safe and low-cost materials/substances with antioxidant properties isolated from natural sources. Some medicinal plants, including <italic>Vaccinium</italic> spp. and <italic>Rubus coreanus</italic>, both produce red pigments that are composed of anthocyanin derivatives and polyphenols, which are compounds with antioxidant activity (<xref ref-type="bibr" rid="b30-ijmm-33-01-0128">30</xref>&#x02013;<xref ref-type="bibr" rid="b34-ijmm-33-01-0128">34</xref>).</p>
<p>Although <italic>M. alba</italic> is mainly used as a food supply to raise silkworms, its leaves and branches have been used in medicine to treat fever, liver injury and diabetes (<xref ref-type="bibr" rid="b35-ijmm-33-01-0128">35</xref>&#x02013;<xref ref-type="bibr" rid="b38-ijmm-33-01-0128">38</xref>). However, the plant also produces compounds with potential antioxidant properties, and in this study, to our knowledge, we demonstrate for the first time that this can be exploited for protection against oxidative stress-induced death of pancreatic cells.</p>
<p>Specifically, we demonstrated that fractionated mulberry extracts (MAB, MAE and MAH) decreased intracellular DPPH radicals in H<sub>2</sub>O<sub>2</sub>-treated MIN6N &#x003B2;-cells and that treament with all these extracts effectively attenuated H<sub>2</sub>O<sub>2</sub>-induced &#x003B2;-cell death. The extracts also reduced H<sub>2</sub>O<sub>2</sub>-induced intracellular ROS and blocked H<sub>2</sub>O<sub>2</sub>-induced cell death by inhibiting lipid peroxidation and DNA fragmentation.</p>
<p>In conclusion, we demonstrate that mulberry extracts protect pancreatic &#x003B2;-cells against oxidate stress induced by H<sub>2</sub>O<sub>2</sub> by limiting ROS production, which suggests that such extracts may prove useful in the treatment of diabetes. Finally, we suggest that additional studies are required to further define the mechanisms by which mulberry extracts attenuate oxidative stress and exert anti-diabetic effects in pancreatic &#x003B2;-cells.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the High Value-added Food Technology Development Program, Ministry of Agriculture, Food and Rural Affairs, Republic of Korea.</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijmm-33-01-0128"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Blois</surname><given-names>MS</given-names></name></person-group><article-title>Free Radicals in Biological Systems</article-title><source>Science</source><volume>132</volume><fpage>306</fpage><lpage>307</lpage><year>1960</year></element-citation></ref>
<ref id="b2-ijmm-33-01-0128"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Diplock</surname><given-names>AT</given-names></name><name><surname>Charleux</surname><given-names>JL</given-names></name><name><surname>Crozier-Willi</surname><given-names>G</given-names></name><etal/></person-group><article-title>Functional food science and defence against reactive oxidative species</article-title><source>Br J Nutr</source><volume>80</volume><issue>Suppl 1</issue><fpage>S77</fpage><lpage>S112</lpage><year>1998</year></element-citation></ref>
<ref id="b3-ijmm-33-01-0128"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dalton</surname><given-names>TP</given-names></name><name><surname>Shertzer</surname><given-names>HG</given-names></name><name><surname>Puga</surname><given-names>A</given-names></name></person-group><article-title>Regulation of gene expression by reactive oxygen</article-title><source>Annu Rev Pharmacol Toxicol</source><volume>39</volume><fpage>67</fpage><lpage>101</lpage><year>1999</year></element-citation></ref>
<ref id="b4-ijmm-33-01-0128"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Blumberg</surname><given-names>J</given-names></name></person-group><article-title>Use of biomarkers of oxidative stress in research studies</article-title><source>J Nutr</source><volume>134</volume><fpage>3188S</fpage><lpage>3189S</lpage><year>2004</year></element-citation></ref>
<ref id="b5-ijmm-33-01-0128"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lizard</surname><given-names>G</given-names></name><name><surname>Fournel</surname><given-names>S</given-names></name><name><surname>Genestier</surname><given-names>L</given-names></name><etal/></person-group><article-title>Kinetics of plasma membrane and mitochondrial alterations in cells undergoing apoptosis</article-title><source>Cytometry</source><volume>21</volume><fpage>275</fpage><lpage>283</lpage><year>1995</year></element-citation></ref>
<ref id="b6-ijmm-33-01-0128"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>JH</given-names></name><name><surname>Lee</surname><given-names>JS</given-names></name><name><surname>Kim</surname><given-names>YR</given-names></name><etal/></person-group><article-title>Hispidin isolated from <italic>Phellinus linteus</italic> protects against hydrogen peroxide-induced oxidative stress in pancreatic MIN6N &#x003B2;-cells</article-title><source>J Med Food</source><volume>14</volume><fpage>1431</fpage><lpage>1438</lpage><year>2011</year></element-citation></ref>
<ref id="b7-ijmm-33-01-0128"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maritim</surname><given-names>AC</given-names></name><name><surname>Sanders</surname><given-names>RA</given-names></name><name><surname>Watkins</surname><given-names>JB</given-names><suffix>III</suffix></name></person-group><article-title>Diabetes, oxidative stress, and antioxidants: a review</article-title><source>J Biochem Mol Toxicol</source><volume>17</volume><fpage>24</fpage><lpage>38</lpage><year>2003</year></element-citation></ref>
<ref id="b8-ijmm-33-01-0128"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhong</surname><given-names>J</given-names></name><name><surname>Rao</surname><given-names>X</given-names></name><name><surname>Xu</surname><given-names>JF</given-names></name><name><surname>Yang</surname><given-names>P</given-names></name><name><surname>Wang</surname><given-names>CY</given-names></name></person-group><article-title>The role of endoplasmic reticulum stress in autoimmune-mediated beta-cell destruction in type 1 diabetes</article-title><source>Exp Diabetes Res</source><volume>2012</volume><fpage>238980</fpage><year>2012</year></element-citation></ref>
<ref id="b9-ijmm-33-01-0128"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bach</surname><given-names>JF</given-names></name></person-group><article-title>Insulin-dependent diabetes mellitus as an autoimmune disease</article-title><source>Endocr Rev</source><volume>15</volume><fpage>516</fpage><lpage>542</lpage><year>1994</year></element-citation></ref>
<ref id="b10-ijmm-33-01-0128"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsuoka</surname><given-names>T</given-names></name><name><surname>Kajimoto</surname><given-names>Y</given-names></name><name><surname>Watada</surname><given-names>H</given-names></name><etal/></person-group><article-title>Glycation-dependent, reactive oxygen species-mediated suppression of the insulin gene promoter activity in HIT cells</article-title><source>J Clin Invest</source><volume>99</volume><fpage>144</fpage><lpage>150</lpage><year>1997</year></element-citation></ref>
<ref id="b11-ijmm-33-01-0128"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Allen</surname><given-names>DA</given-names></name><name><surname>Yaqoob</surname><given-names>MM</given-names></name><name><surname>Harwood</surname><given-names>SM</given-names></name></person-group><article-title>Mechanisms of high glucose-induced apoptosis and its relationship to diabetic complications</article-title><source>J Nutr Biochem</source><volume>16</volume><fpage>705</fpage><lpage>713</lpage><year>2005</year></element-citation></ref>
<ref id="b12-ijmm-33-01-0128"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Davis</surname><given-names>KL</given-names></name><name><surname>Tangirala</surname><given-names>M</given-names></name><name><surname>Meyers</surname><given-names>JL</given-names></name><name><surname>Wei</surname><given-names>W</given-names></name></person-group><article-title>Real-world comparative outcomes of US type 2 diabetes patients initiating analog basal insulin therapy</article-title><source>Curr Med Res Opin</source><volume>9</volume><fpage>1083</fpage><lpage>1091</lpage><year>2013</year></element-citation></ref>
<ref id="b13-ijmm-33-01-0128"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rolo</surname><given-names>AP</given-names></name><name><surname>Palmeira</surname><given-names>CM</given-names></name></person-group><article-title>Diabetes and mitochondrial function: role of hyperglycemia and oxidative stress</article-title><source>Toxicol Appl Pharmacol</source><volume>212</volume><fpage>167</fpage><lpage>178</lpage><year>2006</year></element-citation></ref>
<ref id="b14-ijmm-33-01-0128"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Giugliano</surname><given-names>D</given-names></name><name><surname>Ceriello</surname><given-names>A</given-names></name><name><surname>Paolisso</surname><given-names>G</given-names></name></person-group><article-title>Oxidative stress and diabetic vascular complications</article-title><source>Diabetes Care</source><volume>19</volume><fpage>257</fpage><lpage>267</lpage><year>1996</year></element-citation></ref>
<ref id="b15-ijmm-33-01-0128"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Samyshkin</surname><given-names>Y</given-names></name><name><surname>Guillermin</surname><given-names>AL</given-names></name><name><surname>Best</surname><given-names>JH</given-names></name><name><surname>Brunell</surname><given-names>SC</given-names></name><name><surname>Lloyd</surname><given-names>A</given-names></name></person-group><article-title>Long-term cost-utility analysis of exenatide once weekly versus insulin glargine for the treatment of type 2 diabetes patients in the US</article-title><source>J Med Econ</source><volume>15</volume><issue>Suppl 2</issue><fpage>S6</fpage><lpage>S13</lpage><year>2012</year></element-citation></ref>
<ref id="b16-ijmm-33-01-0128"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koster</surname><given-names>I</given-names></name><name><surname>Schubert</surname><given-names>I</given-names></name><name><surname>Huppertz</surname><given-names>E</given-names></name></person-group><article-title>Follow up of the CoDiM-Study: Cost of diabetes mellitus 2000&#x02013;2009</article-title><source>Dtsch Med Wochenschr</source><volume>137</volume><fpage>1013</fpage><lpage>1016</lpage><year>2012</year><comment>(In German)</comment></element-citation></ref>
<ref id="b17-ijmm-33-01-0128"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Riblett</surname><given-names>B</given-names></name></person-group><article-title>Diabetes mellitus: the undiscussed side effect: sexual dysfunction</article-title><source>RN (For Managers)</source><volume>46</volume><fpage>40</fpage><lpage>41</lpage><year>1983</year></element-citation></ref>
<ref id="b18-ijmm-33-01-0128"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname><given-names>G</given-names></name><name><surname>Lou</surname><given-names>C</given-names></name></person-group><article-title>Isolation of an 1-aminocyclopropane-1-carboxylate oxidase gene from mulberry (<italic>Morus alba</italic> L.) and analysis of the function of this gene in plant development and stresses response</article-title><source>J Plant Physiol</source><volume>165</volume><fpage>1204</fpage><lpage>1213</lpage><year>2008</year></element-citation></ref>
<ref id="b19-ijmm-33-01-0128"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>GN</given-names></name><name><surname>Kwon</surname><given-names>YI</given-names></name><name><surname>Jang</surname><given-names>HD</given-names></name></person-group><article-title>Mulberry leaf extract reduces postprandial hyperglycemia with few side effects by inhibiting a-glucosidase in normal rats</article-title><source>J Med Food</source><volume>14</volume><fpage>712</fpage><lpage>717</lpage><year>2011</year></element-citation></ref>
<ref id="b20-ijmm-33-01-0128"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kwon</surname><given-names>HJ</given-names></name><name><surname>Chung</surname><given-names>JY</given-names></name><name><surname>Kim</surname><given-names>JY</given-names></name><name><surname>Kwon</surname><given-names>O</given-names></name></person-group><article-title>Comparison of 1-deoxynojirimycin and aqueous mulberry leaf extract with emphasis on postprandial hypoglycemic effects: in vivo and in vitro studies</article-title><source>J Agric Food Chem</source><volume>59</volume><fpage>3014</fpage><lpage>3019</lpage><year>2011</year></element-citation></ref>
<ref id="b21-ijmm-33-01-0128"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>ZP</given-names></name><name><surname>Cheng</surname><given-names>KW</given-names></name><name><surname>Zhu</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>XC</given-names></name><name><surname>Lin</surname><given-names>ZX</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name></person-group><article-title>Tyrosinase inhibitory constituents from the roots of <italic>Morus nigra</italic>: a structure-activity relationship study</article-title><source>J Agric Food Chem</source><volume>58</volume><fpage>5368</fpage><lpage>5373</lpage><year>2010</year></element-citation></ref>
<ref id="b22-ijmm-33-01-0128"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>YS</given-names></name><name><surname>Lee</surname><given-names>MJ</given-names></name><name><surname>Han</surname><given-names>W</given-names></name><name><surname>Heo</surname><given-names>SI</given-names></name><name><surname>Sohn</surname><given-names>SI</given-names></name><name><surname>Wang</surname><given-names>MH</given-names></name></person-group><article-title>Antioxidant effects and hepatoprotective activity of 2,5-dihydroxy-4,3&#x02032;-di(beta-d-glucopyranosyloxy)-trans-stilbene from <italic>Morus bombycis</italic> Koidzumi roots on CCl4-induced liver damage</article-title><source>Free Radic Res</source><volume>40</volume><fpage>986</fpage><lpage>992</lpage><year>2006</year></element-citation></ref>
<ref id="b23-ijmm-33-01-0128"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jang</surname><given-names>JS</given-names></name><name><surname>Lee</surname><given-names>JS</given-names></name><name><surname>Lee</surname><given-names>JH</given-names></name><etal/></person-group><article-title>Hispidin produced from <italic>Phellinus linteus</italic> protects pancreatic beta-cells from damage by hydrogen peroxide</article-title><source>Arch Pharm Res</source><volume>33</volume><fpage>853</fpage><lpage>861</lpage><year>2010</year></element-citation></ref>
<ref id="b24-ijmm-33-01-0128"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ohkawa</surname><given-names>H</given-names></name><name><surname>Ohishi</surname><given-names>N</given-names></name><name><surname>Yagi</surname><given-names>K</given-names></name></person-group><article-title>Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction</article-title><source>Anal Biochem</source><volume>95</volume><fpage>351</fpage><lpage>358</lpage><year>1979</year></element-citation></ref>
<ref id="b25-ijmm-33-01-0128"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Kim</surname><given-names>JS</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><etal/></person-group><article-title>KIOM-4 protects against oxidative stress-induced mitochondrial damage in pancreatic &#x003B2;-cells via its antioxidant effects</article-title><source>Evid Based Complement Alternat Med</source><volume>2011</volume><fpage>978682</fpage><year>2011</year></element-citation></ref>
<ref id="b26-ijmm-33-01-0128"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gschwind</surname><given-names>M</given-names></name><name><surname>Huber</surname><given-names>G</given-names></name></person-group><article-title>Apoptotic cell death induced by beta-amyloid 1&#x02013;42 peptide is cell type dependent</article-title><source>J Neurochem</source><volume>65</volume><fpage>292</fpage><lpage>300</lpage><year>1995</year></element-citation></ref>
<ref id="b27-ijmm-33-01-0128"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ortega-Camarillo</surname><given-names>C</given-names></name><name><surname>Guzman-Grenfell</surname><given-names>AM</given-names></name><name><surname>Garcia-Macedo</surname><given-names>R</given-names></name><etal/></person-group><article-title>Hyperglycemia induces apoptosis and p53 mobilization to mitochondria in RINm5F cells</article-title><source>Mol Cell Biochem</source><volume>281</volume><fpage>163</fpage><lpage>171</lpage><year>2006</year></element-citation></ref>
<ref id="b28-ijmm-33-01-0128"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Evans</surname><given-names>JL</given-names></name><name><surname>Goldfine</surname><given-names>ID</given-names></name><name><surname>Maddux</surname><given-names>BA</given-names></name><name><surname>Grodsky</surname><given-names>GM</given-names></name></person-group><article-title>Are oxidative stress-activated signaling pathways mediators of insulin resistance and beta-cell dysfunction?</article-title><source>Diabetes</source><volume>52</volume><fpage>1</fpage><lpage>8</lpage><year>2003</year></element-citation></ref>
<ref id="b29-ijmm-33-01-0128"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Kim</surname><given-names>JS</given-names></name><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Kim</surname><given-names>KC</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Protective mechanism of KIOM-4 in streptozotocin-induced pancreatic &#x003B2;-cells damage is involved in the inhibition of endoplasmic reticulum stress</article-title><source>Evid Based Complement Alternat Med</source><volume>2011</volume><fpage>231938</fpage><year>2011</year></element-citation></ref>
<ref id="b30-ijmm-33-01-0128"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Patel</surname><given-names>KD</given-names></name><name><surname>Scarano</surname><given-names>FJ</given-names></name><name><surname>Kondo</surname><given-names>M</given-names></name><name><surname>Hurta</surname><given-names>RA</given-names></name><name><surname>Neto</surname><given-names>CC</given-names></name></person-group><article-title>Proanthocyanidin-rich extracts from cranberry fruit (<italic>Vaccinium macrocarpon Ait.</italic>) selectively inhibit the growth of human pathogenic fungi <italic>Candida</italic> spp and <italic>Cryptococcus neoformans</italic></article-title><source>J Agric Food Chem</source><volume>59</volume><fpage>12864</fpage><lpage>12873</lpage><year>2011</year></element-citation></ref>
<ref id="b31-ijmm-33-01-0128"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>TG</given-names></name><name><surname>Kang</surname><given-names>SY</given-names></name><name><surname>Jung</surname><given-names>KK</given-names></name><etal/></person-group><article-title>Antiviral activities of extracts isolated from <italic>Terminalis chebula</italic> Retz., <italic>Sanguisorba officinalis</italic> L, <italic>Rubus coreanus</italic> Miq and <italic>Rheum palmatum</italic> L against hepatitis B virus</article-title><source>Phytother Res</source><volume>15</volume><fpage>718</fpage><lpage>720</lpage><year>2001</year></element-citation></ref>
<ref id="b32-ijmm-33-01-0128"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ku</surname><given-names>CS</given-names></name><name><surname>Mun</surname><given-names>SP</given-names></name></person-group><article-title>Antioxidant activities of ethanol extracts from seeds in fresh Bokbunja (<italic>Rubus coreanus Miq.</italic>) and wine processing waste</article-title><source>Bioresour Technol</source><volume>99</volume><fpage>4503</fpage><lpage>4509</lpage><year>2008</year></element-citation></ref>
<ref id="b33-ijmm-33-01-0128"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>HM</given-names></name><name><surname>Oh</surname><given-names>SM</given-names></name><name><surname>Lim</surname><given-names>SS</given-names></name><name><surname>Shin</surname><given-names>HK</given-names></name><name><surname>Oh</surname><given-names>YS</given-names></name><name><surname>Kim</surname><given-names>JK</given-names></name></person-group><article-title>Antiinflammatory activities of <italic>Rubus coreanus</italic> depend on the degree of fruit ripening</article-title><source>Phytother Res</source><volume>22</volume><fpage>102</fpage><lpage>107</lpage><year>2008</year></element-citation></ref>
<ref id="b34-ijmm-33-01-0128"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Im</surname><given-names>SE</given-names></name><name><surname>Nam</surname><given-names>TG</given-names></name><name><surname>Lee</surname><given-names>H</given-names></name><etal/></person-group><article-title>Anthocyanins in the ripe fruits of <italic>Rubus coreanus</italic> Miquel and their protective effect on neuronal PC-12 cells</article-title><source>Food Chem</source><volume>139</volume><fpage>604</fpage><lpage>610</lpage><year>2013</year></element-citation></ref>
<ref id="b35-ijmm-33-01-0128"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>JD</given-names></name></person-group><article-title>Study of the etiology of low-fever among female silk-weaving workers: extrinsic allergic alveolitis due to mulberry silk dust exposure</article-title><source>Zhonghua Yu Fang Yi Xue Za Zhi</source><volume>19</volume><fpage>354</fpage><lpage>357</lpage><year>1985</year><comment>(In Chinese)</comment></element-citation></ref>
<ref id="b36-ijmm-33-01-0128"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>TP</given-names></name><name><surname>Lee</surname><given-names>HJ</given-names></name><name><surname>Ou</surname><given-names>TT</given-names></name><name><surname>Chang</surname><given-names>YJ</given-names></name><name><surname>Wang</surname><given-names>CJ</given-names></name></person-group><article-title>Mulberry leaf polyphenol extract induced apoptosis involving regulation of adenosine monophosphate-activated protein kinase/fatty acid synthase in a p53-negative hepatocellular carcinoma cell</article-title><source>J Agric Food Chem</source><month>Jun</month><day>26</day><year>2012</year><comment>(Epub ahead of print)</comment></element-citation></ref>
<ref id="b37-ijmm-33-01-0128"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kaewkaen</surname><given-names>P</given-names></name><name><surname>Tong-Un</surname><given-names>T</given-names></name><name><surname>Wattanathorn</surname><given-names>J</given-names></name><name><surname>Muchimapura</surname><given-names>S</given-names></name><name><surname>Kaewrueng</surname><given-names>W</given-names></name><name><surname>Wongcharoenwanakit</surname><given-names>S</given-names></name></person-group><article-title>Mulberry fruit extract protects against memory impairment and hippocampal damage in animal model of vascular dementia</article-title><source>Evid Based Complement Alternat Med</source><volume>2012</volume><fpage>263520</fpage><year>2012</year></element-citation></ref>
<ref id="b38-ijmm-33-01-0128"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kaneto</surname><given-names>H</given-names></name><name><surname>Fujii</surname><given-names>J</given-names></name><name><surname>Myint</surname><given-names>T</given-names></name><etal/></person-group><article-title>Reducing sugars trigger oxidative modification and apoptosis in pancreatic beta-cells by provoking oxidative stress through the glycation reaction</article-title><source>Biochem J</source><volume>320</volume><fpage>855</fpage><lpage>863</lpage><year>1996</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijmm-33-01-0128" position="float">
<label>Figure 1</label>
<caption>
<p>2,2-Diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity of fractionated extracts. The amount of DPPH radicals was determined spectrophotometrically at 520 nm following incubation with the extracts over a range of concentrations (0&#x02013;500 &#x003BC;g/ml). Data represent the means &#x000B1; SE of 3 independent experiments. <sup>&#x0002A;</sup>p&lt;0.05, significant difference compared with the non-treated group, as shown by the Student&#x02019;s t-test. MAB, ethyl-acetate extract; MAB, n-butanol extract; MAH, water extract.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g00.gif"/></fig>
<fig id="f2-ijmm-33-01-0128" position="float">
<label>Figure 2</label>
<caption>
<p>Cell viability of mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells) treated with various concentrations of fractionated extracts. To determine the maximum non-toxic concentration of the fractionated extracts, confluent cells were treated with various concentrations (10&#x02013;500 &#x003BC;g/ml) of extracts for 24 h. Cell viability was determined by MTT assay. Data represent the means &#x000B1; SE of 3 independent experiments. <sup>&#x0002A;</sup>p&lt;0.05, significant difference compared with the control, as shown by the Student&#x02019;s t-test. MAB, ethyl-acetate extract; MAB, n-butanol extract; MAH, water extract.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g01.gif"/></fig>
<fig id="f3-ijmm-33-01-0128" position="float">
<label>Figure 3</label>
<caption>
<p>Cell viability of mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells) exposed to H<sub>2</sub>O<sub>2</sub>. The determination of the cytotoxicity of H<sub>2</sub>O<sub>2</sub> was examined following (A) exposure to various concentration of H<sub>2</sub>O<sub>2</sub> for 4 h or (B) exposure to a fixed 0.7 mM dose of H<sub>2</sub>O<sub>2</sub> for different periods of time. The viability of the cells damaged by H<sub>2</sub>O<sub>2</sub> was determined by MTT assay. Data represent the means &#x000B1; SE of 3 independent experiments. <sup>&#x0002A;</sup>p&lt;0.05, significant difference compared with the control, as shown by the Student&#x02019;s t-test.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g02.gif"/></fig>
<fig id="f4-ijmm-33-01-0128" position="float">
<label>Figure 4</label>
<caption>
<p>Protective effects of fractionated extracts against oxidative stress-damaged mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells). MIN6N &#x003B2;-cells were treated with various concentrations of fractionated extracts (10&#x02013;400 &#x003BC;g/ml) for 20 h and 0.7 mM H<sub>2</sub>O<sub>2</sub> was then added for 4 h. Cell viability was determined by MTT assay. Data represent the means &#x000B1; SE of 3 independent experiments. <sup>&#x0002A;</sup>p&lt;0.05, significant difference compared with the H<sub>2</sub>O<sub>2</sub>-treated group, as shown by the Student&#x02019;s t-test. MAB, ethyl-acetate extract; MAB, n-butanol extract; MAH, water extract.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g03.gif"/></fig>
<fig id="f5-ijmm-33-01-0128" position="float">
<label>Figure 5</label>
<caption>
<p>Intracellular reactive oxygen species (ROS) scavenging activity of fractionated extracts in oxidative stress-damaged mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells). MIN6N &#x003B2;-cells were treated with various concentrations of fractionated extracts (10&#x02013;400 &#x003BC;g/ml) for 20 h and 0.7 mM H<sub>2</sub>O<sub>2</sub> was added for 4 h. (A) The intracellular ROS scavenging activity was measured by the DCF-DA method. Data represent the means &#x000B1; SE of 3 independent experiments. <sup>&#x0002A;</sup>p&lt;0.05, significant difference compared with the H<sub>2</sub>O<sub>2</sub>-treated group, as shown by the Student&#x02019;s t-test. (B) Representative fluorescence images illustrate the increase in green fluorescence intensity of DCF produced by ROS in the H<sub>2</sub>O<sub>2</sub>-treated cells as compared with the control or samples co-treated with fractionated extracts. Magnification, &#x000D7;400. MAB, ethyl-acetate extract; MAB, n-butanol extract; MAH, water extract.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g04.gif"/></fig>
<fig id="f6-ijmm-33-01-0128" position="float">
<label>Figure 6</label>
<caption>
<p>Inhibitory activity of fractionated extracts on lipid peroxidation in oxidative stress-damaged mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells). Confluent cells were incubated with various concentrations (10&#x02013;400 &#x003BC;g/ml) of fractionated extracts for 20 h prior to exposure 0.7 mM H<sub>2</sub>O<sub>2</sub> for 4 h. Lipid peroxidation was assayed by measuring the amount of TBARS formation. Data represent the means&#x000B1; SE of 3 independent experiments. <sup>&#x0002A;</sup>p&lt;0.05, significant difference compared with the H<sub>2</sub>O<sub>2</sub>-treated group, as shown by the Student&#x02019;s t-test. MAB, ethyl-acetate extract; MAB, n-butanol extract; MAH, water extract.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g05.gif"/></fig>
<fig id="f7-ijmm-33-01-0128" position="float">
<label>Figure 7</label>
<caption>
<p>Fluorescence assay of Hoechst 33342 staining. Mouse insulin-producing pancreatic &#x003B2;-cells (MIN6N cells) were pre-incubated with fractionated extracts for 20 h and then 0.7 mM H<sub>2</sub>O<sub>2</sub> was added to the culture medium for 4 h, except for the control group. MIN6N &#x003B2;-cells were stained with Hoechst 33342 staining solution and visualized using a fluorescence microscope. Magnification, &#x000D7;400.</p></caption>
<graphic xlink:href="IJMM-33-01-0128-g06.gif"/></fig></floats-group></article>
