Ficus deltoidea: A Potential Alternative Medicine for Diabetes Mellitus

Zainah Adam, Shafii Khamis, Amin Ismail, Muhajir Hamid, Zainah Adam, Shafii Khamis, Amin Ismail, Muhajir Hamid

Abstract

Ficus deltoidea from the Moraceae family has been scientifically proven to reduce hyperglycemia at different prandial states. In this study, we evaluate the mechanisms that underlie antihyperglycemic action of Ficus deltoidea. The results had shown that hot aqueous extract of Ficus deltoidea stimulated insulin secretion significantly with the highest magnitude of stimulation was 7.31-fold (P < 0.001). The insulin secretory actions of the hot aqueous extract involved K(+) (ATP) channel-dependent and K(+) (ATP)-channel-independent pathway. The extract also has the ability to induce the usage of intracellular Ca(2+) to trigger insulin release. The ethanolic and methanolic extracts enhanced basal and insulin-mediated glucose uptake into adipocytes cells. The extracts possess either insulin-mimetic or insulin-sensitizing property or combination of both properties during enhancing glucose uptake into such cells. Meanwhile, the hot aqueous and methanolic extracts augmented basal and insulin-stimulated adiponectin secretion from adipocytes cells. From this study, it is suggested that Ficus deltoidea has the potential to be developed as future oral antidiabetic agent.

Figures

Figure 1
Figure 1
Effect of F. deltoidea extracts and glibenclamide on insulin secretion activity from BRIN BD11 cells. Values are expressed as mean ± standard deviation (n = 4 to 8). **P < 0.01 and ***P < 0.01 compared with control.
Figure 2
Figure 2
The influence of insulin secretion modulators on the effect of 1000 μg/mL hot aqueous extract on insulin secretion from BRIN BD11 cells. Values are expressed as mean ± standard deviation (n = 4). ***P < 0.001 compared with incubation without hot aqueous extract in the respective treatment group. •••P < 0.001 compared with control treated with hot aqueous extract. ΨP < 0.05; ΨΨP < 0.01 compared with untreated control.

References

    1. Guo L, Tabrizchi R. Peroxisome proliferator-activated receptor gamma as a drug target in the pathogenesis of insulin resistance. Pharmacology & Therapeutics. 2006;111(1):145–173.
    1. Ahmad MS, Ahmed N. Antiglycation properties of aged garlic extract: possible role in prevention of diabetic complications. The Journal of Nutrition. 2006;136(3):796S–799S.
    1. Fowler MJ. Microvascular and macrovascular complications of diabetes. Clinical Diabetes. 2008;26(2):77–82.
    1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–1053.
    1. Kirchheiner J, Roots I, Goldammer M, Rosenkranz B, Brockmöller J. Effect of genetic polymorphisms in cytochrome P450 (CYP) 2C9 and CYP2C8 on the pharmacokinetics of oral antidiabetic drugs: clinical relevance. Clinical Pharmacokinetics. 2005;44(12):1209–1225.
    1. Wei M, Gaskill SP, Haffner SM, Stern MP. Effects of diabetes and level of glycemia on all-cause and cardiovascular mortality: the san antonio heart study. Diabetes Care. 1998;21(7):1167–1172.
    1. Campbell IW. Antidiabetic drugs present and future: will improving insulin resistance benefit cardiovascular risk in type 2 diabetes mellitus? Drugs. 2000;60(5):1017–1028.
    1. Chehade JM, Mooradian AD. A rational approach to drug therapy of type 2 diabetes mellitus. Drugs. 2000;60(1):95–113.
    1. Culy CR, Jarvis B. Repaglinide: a review of its therapeutic use in type 2 diabetes mellitus. Drugs. 2001;61(11):1625–1660.
    1. Watkins PB, Whitcomb RW. Hepatic dysfunction associated with troglitazone. The New England Journal of Medicine. 1998;338(13):916–917.
    1. Bell DSH. Current status of diabetes treatment. Southern Medical Journal. 2002;95(1):24–29.
    1. Puri D. The insulinotropic activity of a Nepalese medicinal plant biophytum sensitivum: preliminary experimental study. Journal of Ethnopharmacology. 2001;78(1):89–93.
    1. Bösenberg LH, Van Zyl DG. The mechanism of action of oral antidiabetic drugs: a review of recent literature. Journal of Endocrinology, Metabolism and Diabetes of South Africa. 2008;13(3):80–89.
    1. Patel MB, Mishra SH. Cell lines in diabetes research: a review. Pharmacognosy Review. 2008;2(4):188–205.
    1. Pajvani UB, Du X, Combs TP, et al. Structure-function studies of the adipocyte-secreted hormone Acrp30/adiponectin: implications for metabolic regulation and bioactivity. Journal of Biological Chemistry. 2003;278(11):9073–9085.
    1. Tzeng YM, Chen K, Rao YK, Lee MJ. Kaempferitrin activates the insulin signaling pathway and stimulates secretion of adiponectin in 3T3-L1 adipocytes. European Journal of Pharmacology. 2009;607(1–3):27–34.
    1. Berg AH, Combs TP, Du X, Brownlee M, Scherer PE. The adipocyte-secreted protein Acrp30 enhances hepatic insulin action. Nature Medicine. 2001;7(8):947–953.
    1. Kadowaki T, Yamauchi T, Kubota N, Hara K, Ueki K, Tobe K. Adiponectin and adiponectin receptors in insulin resistance, diabetes, and the metabolic syndrome. The Journal of Clinical Investigation. 2006;116(7):1784–1792.
    1. Yamauchi T, Kamon J, Waki H, et al. The fat-derived hormone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity. Nature Medicine. 2001;7(8):941–946.
    1. Fu Y, Luo N, Klein RL, Garvey WT. Adiponectin promotes adipocyte differentiation, insulin sensitivity, and lipid accumulation. The Journal of Lipid Research. 2005;46(7):1369–1379.
    1. Wiecek A, Adamczak M, Chudek J. Adiponectin—an adipokine with unique metabolic properties. Nephrology Dialysis Transplantation. 2007;22(4):981–988.
    1. Mat-Salleh K, Latif A. Tumbuhan Ubatan Malaysia. Pusat Pengurusan Penyelidikan, Universiti Kebangsaan Malaysia; 2002. Dikotiledon: subkelas hamamelidae. Ficus deltoidea jack; pp. 184–185.
    1. Sulaiman MR, Hussain MK, Zakaria ZA, et al. Evaluation of the antinociceptive activity of Ficus deltoidea aqueous extract. Fitoterapia. 2008;79(7-8):557–561.
    1. Adam Z, Hamid M, Ismail A, Khamis S. Effect of Ficus deltoidea extracts on hepatic basal and insulin-stimulated glucose uptake. Journal of Biological Sciences. 2009;9(2):9–16.
    1. Adam Z, Hamid M, Ismail A, Khamis S, Marsidi N. Antihyperglycemic and glucose tolerance activity of Ficus deltoidea ethanolic extract in diabetic rats. Malaysian Journal of Health Sciences. 2010;8(1):25–30.
    1. Adam Z, Ismail A, Khamis S, Mohd MMH, Hamid M. Antihyperglycemic activity of Ficus deltoidea ethanolic extract in normal rats. Sains Malaysiana. 2011;40(5):497–503.
    1. Adam Z, Hamid M, Ismail A, Khamis S. Antihyperglycemic property of Ficus deltoidea hot aqueous extract in STZ-induced diabetic rats. In: Proceedings of the 25th Scientific Meeting of the Malaysian Society of Pharmacology and Physiology; May 2011; Malaysia. University Putra Malaysia;
    1. Adam Z, Hamid M, Ismail A, Khamis S. Effect of Ficus deltoidea extracts on hepatic basal and insulin-stimulated glucose uptake. Journal of Biological Sciences. 2009;9(8):796–803.
    1. Adam Z, Khamis S, Ismail A, Hamid M. Inhibitory properties of Ficus deltoidea on α-glucosidase activity. Research Journal of Medicinal Plant. 2010;4(2):61–75.
    1. Mosmann T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. Journal of Immunological Methods. 1983;65(1-2):55–63.
    1. Carmichael J, DeGraff WG, Gazdar AF. Evaluation of a tetrazolium-based semiautomated colorimetric assay: assessment of chemosensitivity testing. Cancer Research. 1987;47(4):936–942.
    1. McClenaghan NH, Barnett CR, Ah-Sing E, et al. Characterization of a novel glucose-responsive insulin-secreting cell line, BRIN-BD11, produced by electrofusion. Diabetes. 1996;45(8):1132–1140.
    1. Gray AM, Flatt PR. Insulin-releasing and insulin-like activity of agaricus campestris (mushroom) Journal of Endocrinology. 1998;157(2):259–266.
    1. Hannan J, Marenah L, Ali L, Rokeya B, Flatt PR, Abdel-Wahab YHA. Ocimum sanctum leaf extracts stimulate insulin secretion from perfused pancreas, isolated islets and clonal pancreatic β-cells. Journal of Endocrinology. 2006;189(1):127–136.
    1. Liu F, Kim J, Li Y, Liu X, Li J, Chen X. An extract of Lagerstroemia speciosa L. has insulin-like glucose uptake-stimulatory and adipocyte differentiation-inhibitory activities in 3T3-L1 cells. Journal of Nutrition. 2001;131(9):2242–2247.
    1. Roffey BW, Atwal AS, Johns T, Kubow S. Water extracts from momordica charantia increase glucose uptake and adiponectin secretion in 3T3-L1 adipose cells. Journal of Ethnopharmacology. 2007;112(1):77–84.
    1. Hii CS, Howell SL. Effects of flavonoids on insulin secretion and 45Ca2+ handling in rat islets of langerhans. Journal of Endocrinology. 1985;107(1):1–8.
    1. Pinent M, Blay M, Bladé MC, Salvadó MJ, Arola L, Ardévol A. Grape seed-derived procyanidins have an antihyperglycemic effect in streptozotocin-induced diabetic rats and insulinomimetic activity in insulin-sensitive cell lines. Endocrinology. 2004;145(11):4985–4990.
    1. Gray AM, Flatt PR. Antihyperglycemic actions of eucalyptus globulus (eucalyptus) are associated with pancreatic and extra-pancreatic effects in mice. The Journal of Nutrition. 1998;128(12):2319–2323.
    1. Zunoliza A, Khalid S, Zhari I, et al. Evaluation of extracts of leaf of three Ficus deltoidea varieties for antioxidant activities and secondary metabolites. Pharmacognosy Research. 2009;1(4):216–223.
    1. Elmore E, Siddiqui S, Desai N, Moyer MP, Steele VE, Redpath JL. The human epithelial cell cytotoxicity assay for determining tissue specific toxicity: method modifications. Methods in Cell Science. 2003;24(4):145–153.
    1. Sato Y, Henquin JC. The K+−ATP channel-independent pathway of regulation of insulin secretion by glucose: in search of the underlying mechanism. Diabetes. 1998;47(11):1713–1721.
    1. Gembal M, Gilon P, Henquin JC. Evidence that glucose can control insulin release independently from its action on ATP-sensitive K+ channels in mouse B cells. The Journal of Clinical Investigation. 1992;89(4):1288–1295.
    1. Saltiel AR, Pessin JE. Insulin signaling pathways in time and space. Trends in Cell Biology. 2002;12(2):65–71.
    1. Leney SE, Tavaré JM. The molecular basis of insulin-stimulated glucose uptake: signalling, trafficking and potential drug targets. Journal of Endocrinology. 2009;203(1):1–18.
    1. Ducluzeau PH, Fletcher LM, Vidal H, Laville M, Tavaré JM. Molecular mechanisms of insulin-stimulated glucose uptake in adipocytes. Diabetes & Metabolism. 2002;28(2):85–92.
    1. Liu YJ, Cheng H, Drought H, MacDonald MJ, Sharp GWG, Straub SG. Activation of the KATP channel-independent signaling pathway by the nonhydrolyzable analog of leucine, BCH. American Journal of Physiology—Endocrinology and Metabolism. 2003;285(2):E380–E389.
    1. Straub SG, Sharp GW. Glucose-stimulated signaling pathways in biphasic insulin secretion. Diabetes/Metabolism Research and Reviews. 2002;18(6):451–463.
    1. Sabino KCC, Gayer CRM, Vaz LCA, Santos LRL, Felzenszwalb I, Coelho MGP. In vitro and in vivo toxicological study of the Pterodon pubescens seed oil. Toxicology Letters. 1999;108(1):27–35.
    1. McClenaghan NH, Flatt PR, Bailey CJ. Insulin-releasing action of the novel antidiabetic agent BTS 67 582. British Journal of Pharmacology. 1998;123(3):400–404.
    1. Gray AM, Abdel-Wahab YH, Flatt PR. The traditional plant treatment, Sambucus nigra(elder), exhibits insulin-like and insulin-releasing actions in vitro . The Journal of Nutrition. 2000;130(1):15–20.
    1. Evans JL, Rushakoff RJ. Oral pharmacological agents for type 2 diabetes: sulfonylureas, meglitinides, metformin, thiazolidinediones, α-glucosidase inhibitors, and emerging approaches. .
    1. Chehade JM, Mooradian AD. A rational approach to drug therapy of type 2 diabetes mellitus. Drugs. 2000;60(1):95–113.
    1. Mariot P, Gilon P, Nenquin M, Henquin JC. Tolbutamide and diazoxide influence insulin secretion by changing the concentration but not the action of cytoplasmic Ca2+ in β-cells. Diabetes. 1998;47(3):365–373.
    1. Kecskemeti V, Bagi Z, Pacher P, Posa I, Kocsis E, Koltai MZ. New trends in the development of oral antidiabetic drugs. Current Medicinal Chemistry. 2002;9(1):53–71.
    1. Siegel EG, Wollheim CB, Kikuchi M. Dependency of cyclic AMP-induced insulin release on intra- and extracellular calcium in rat islets of langerhans. The Journal of Clinical Investigation. 1980;65(2):233–241.
    1. Hannan JM, Marenah L, Ali L, Rokeya B, Flatt PR, Abdel-Wahab YH. Insulin secretory actions of extracts of asparagus racemosus root in perfused pancreas, isolated islets and clonal pancreatic β-cells. Journal of Endocrinology. 2007;192(1):159–168.
    1. Yajima H, Komatsu M, Schermerhorn T, et al. cAMP enhances insulin secretion by an action on the ATP-sensitive K+ channel-independent pathway of glucose signaling in rat pancreatic islets. Diabetes. 1999;48(5):1006–1012.
    1. Hoa NK, Norberg A, Sillard R, et al. The possible mechanisms by which phanoside stimulates insulin secretion from rat islets. Journal of Endocrinology. 2007;192(2):389–394.
    1. Mathews JN, Flatt PR, Abdel-Wahab YH. Asparagus adscendens (Shweta musali) stimulates insulin secretion, insulin action and inhibits starch digestion. British Journal of Nutrition. 2006;95(3):576–581.
    1. Lebrun P, Antoine MH, Ouedraogo R, et al. Verapamil, a phenylalkylamine Ca2+ channel blocker, inhibits ATP- sensitive K+ channels in insulin-secreting cells from rats. Diabetologia. 1997;40(12):1403–1410.
    1. Vajna R, Klöckner U, Pereverzev A, et al. Functional coupling between “R-type” Ca2+ channels and insulin secretion in the insulinoma cell line INS-1. European Journal of Biochemistry. 2001;268(4):1066–1075.
    1. Satin LS, Tavalin SJ, Kinard TA, Teague J. Contribution of L- and non-L-type calcium channels to voltage-gated calcium current and glucose-dependent insulin secretion in HIT-T15 cells. Endocrinology. 1995;136(10):4589–4601.
    1. Liu B, Asare-Anane H, Al-Romaiyan A, et al. Characterisation of the insulinotropic activity of an aqueous extract of Gymnema sylvestre in mouse β-cells and human islets of langerhans. Cellular Physiology and Biochemistry. 2009;23(1–3):125–132.
    1. Efendic S, Efanov AM, Berggren PO, Zaitsev SV. Two generations of insulinotropic imidazoline compounds. Diabetes. 2002;51(supplement 3):S448–S454.
    1. Kang Y, Kim HY. Glucose uptake-stimulatory activity of Amomi Semen in 3T3-L1 adipocytes. Journal of Ethnopharmacology. 2004;92(1):103–105.
    1. Martineau LC, Couture A, Spoor D, et al. Anti-diabetic properties of the Canadian lowbush blueberry Vaccinium angustifolium ait. Phytomedicine. 2006;13(9-10):612–623.
    1. Konrad D, Bilan PJ, Nawaz Z, et al. Need for GLUT4 activation to reach maximum effect of insulin-mediated glucose uptake in brown adipocytes isolated from GLUT4myc-expressing mice. Diabetes. 2002;51(9):2719–2726.
    1. Sakurai K, Kawazuma M, Adachi T, et al. Bisphenol A affects glucose transport in mouse 3T3-F442A adipocytes. British Journal of Pharmacology. 2004;141(2):209–214.
    1. Ko BS, Choi SB, Park SK, Jang JS, Kim YE, Park S. Insulin sensitizing and insulinotropic action of berberine from Cortidis Rhizoma . Biological & Pharmaceutical Bulletin. 2005;28(8):1431–1437.
    1. Benhaddou-Andaloussi A, Martineau LC, Spoor D, et al. Antidiabetic activity of Nigella sativa seed extract in cultured pancreatic β-cells, skeletal muscle cells, and adipocytes. Pharmaceutical Biology. 2008;46(1-2):96–104.
    1. Jung SH, Seol HJ, Jeon SJ, Son KH, Lee JR. Insulin-sensitizing activities of tanshinones, diterpene compounds of the root of Salvia miltiorrhiza bunge. Phytomedicine. 2009;16(4):327–335.
    1. Jung SH, Ha YJ, Shim EK, et al. Insulin-mimetic and insulin-sensitizing activities of a pentacyclic triterpenoid insulin receptor activator. Biochemical Journal. 2007;403(2):243–250.
    1. Nugent C, Prins JB, Whitehead JP, et al. Potentiation of glucose uptake in 3T3-L1 adipocytes by PPARγ agonists is maintained in cells expressing a PPARγ dominant-negative mutant: evidence for selectivity in the downstream responses to PPARγ activation. Molecular Endocrinology. 2001;15(10):1729–1738.
    1. Scherer PE, Williams S, Fogliano M, Baldini G, Lodish HF. A novel serum protein similar to C1q, produced exclusively in adipocytes. The Journal of Biological Chemistry. 1995;270(45):26746–26749.
    1. Motoshima H, Wu X, Sinha MK, et al. Differential regulation of adiponectin secretion from cultured human omental and subcutaneous adipocytes: effects of insulin and rosiglitazone. Journal of Clinical Endocrinology & Metabolism. 2002;87(12):5662–5667.
    1. Bogan JS, Lodish HF. Two compartments for insulin-stimulated exocytosis in 3T3-L1 adipocytes defined by endogenous ACRP30 and GLUT4. The Journal of Cell Biology. 1999;146(3):609–620.
    1. Lee MJ, Rao YK, Chen K, Lee YC, Tzeng YM. Effect of flavonol glycosides from Cinnamomum osmophloeum leaves on adiponectin secretion and phosphorylation of insulin receptor-β in 3T3-L1 adipocytes. Journal of Ethnopharmacology. 2009;126(1):79–85.
    1. Maeda N, Takahashi M, Funahashi T, et al. PPARγ ligands increase expression and plasma concentrations of adiponectin, an adipose-derived protein. Diabetes. 2001;50(9):2094–2099.
    1. Stefan N, Stumvoll M. Adiponectin-its role in metabolism and beyond. Hormone and Metabolic Research. 2002;34(9):469–474.

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