Alcoholic Stem Extract of Coscinium fenestratum Regulates Carbohydrate Metabolism and Improves Antioxidant Status in Streptozotocin–Nicotinamide Induced Diabetic Rats

Alcoholic extract of the stems of Coscinium fenestratum, a medicinal plant indigenous to India and Sri Lanka used in ayurveda and siddha medicine for treating diabetes, was studied for its carbohydrate metabolism effect and antioxidant status in streptozotocin–nicotinamide induced type 2 diabetic rats. Oral administration of C. fenestratum stem extract in graded doses caused a significant increase in enzymatic antioxidants such as catalase, superoxide dismutase, glutathione synthetase, peroxidase, and glutathione peroxidase and in the nonenzymatic antioxidants ascorbic acid, ceruloplasmin and tocopherol. Effects of alcoholic extract on glycolytic enzymes such as glucose-6-phosphate dehydrogenase, lactate dehydrogenase and hexokinase showed a significant increase in their levels, whereas a significant decrease was observed in the levels of gluconeogenic enzyme, glucose-6-phosphatase and alanine aminotransferase in treated diabetic rats. Serum creatinine and urea levels also declined significantly. This investigation demonstrates significant antidiabetic activity of C. fenestratum.


Preparation of Alcoholic Stem Extract
Approximately 160 g of the stem powder was placed in a soxhlet extractor and extracted with ethanol for 72 h. The solvent was recovered by distillation in vacuo, and the residue (yield 18 g), stored in the desiccator, was used for subsequent experiments (12,13).

Induction of Experimental Diabetes
An rat model of type 2 diabetes mellitus (non-insulin dependent diabetes mellitus, NIDDM) was induced (14) in overnight-fasted rats by a single intraperitoneal injection of 60 mg kg Ϫ1 streptozotocin 15 min after the intraperitoneal administration of 120 mg kg Ϫ1 nicotinamide. Hyperglycemia was confirmed by elevated blood glucose levels determined at 72 h and then on day 7 after injection. Only rats confirmed to have permanent NIDDM were used for the antidiabetic study (15).

Experimental Design
Rats were divided into four groups (n ϭ 6): normal rats administered with 2% gum acacia solution, diabetic rats administered with 2% gum acacia solution, diabetic rats administered with C. fenestratum alcoholic extract 250 mg kg Ϫ1 and diabetic rats administered with C. fenestratum alcoholic extract 500 mg kg Ϫ1 , respectively, for 12 days orally (16).

Blood Sample
At the end of day 12, blood samples were collected under light ether anesthesia retro-orbitally from the inner canthus of the eye using capillary tubes (Micro Hematocrit Capillaries, Mucaps). Blood was collected in fresh vials containing anticoagulant, and serum was separated in a centrifuge at 2000 r.p.m. for 2 min.

Collection of Organs
Rats were euthanized using an overdose of intraperitoneal anesthesia, and tissue samples collected for assessing the following parameters.

Estimation of Enzymes in Carbohydrate Metabolism
The following parameters were evaluated.

Hexokinase (EC 2.7.1.1)
The hexokinase assay is based on the reduction of NAD ϩ through a coupled reaction with glucose-6-phosphate dehydrogenase. The excised liver tissue homogenate was prepared in saline. To 0.1 ml of homogenate were added 2.28 ml of Tris (200 mmol l Ϫ1 )-MgCl 2 buffer (20 mol l Ϫ1 ), pH 8, 0.5 ml of 0.67 M glucose, 0.1 ml of 16 mM ATP, 0.1 ml of 6.8 mM NAD and 0.01 ml of 300 U ml Ϫ1 glucose-6-phospate dehydrogenase. The solution was mixed thoroughly, and the absorbance was measured at 340 nm (17).
The measure of glucose-6-phosphate dehydrogenase activity is the rate of increase in absorbance. Addition of maleimide inhibits oxidation of reaction products by 6-phospho gluconolactone. Liver tissue was excised and rinsed with saline solution and the homogenate prepared in saline solution. To 0.02 ml of homogenate were added 0.6 ml of distilled water, 0.1 ml of 3.8 mmol l Ϫ1 NADP, 0.1 ml of 0.5 mol l Ϫ1 Tris buffer (pH 7.5), 0.1 ml of 0.63 mol l Ϫ1 MgCl 2 and 0.1 ml of 33 mol l Ϫ1 glucose-6-phosphate. Then ~0.5 mg of maleimide was added, with gentle mixing to dissolve the maleimide. The absorbance was measured at 339 nm. One unit of enzyme

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Effect of alcoholic extract of C. fenestratum in diabetic rats activity is defined as that quantity which catalyses the reduction of 1 M of NADP per minute (18).  (19).

Glucose-6-Phosphatase (EC 3.1.3.9)
Glucose-6-phosphatase catalyzes the conversion of glucose-6phosphate to glucose. The liver was homogenized in ice-cold sucrose (250 mM) solution. To 0.1 ml of sucrose/EDTA buffer were added 0.1 ml of glucose-6-phosphate (100 mM), 0.1 ml of imidazole buffer (100 mM, pH 6.5) and 0.1 ml of homogenate, with thorough mixing. The tubes were incubated at 37 ЊC for 15 min. The enzymatic activity was terminated by the addition of 2 ml of TCA/ascorbate (10%/2%, w/v), and the solution was centrifuged at 3000 r.p.m. for 10 min. To 1 ml of clear supernatant were added 0.5 ml of ammonium molybdate (1%, w/v) and 1 ml of sodium citrate (2%, w/v). The absorbance was measured at 700 nm. The enzyme activity was expressed as unit per gram per minute in tissue (20).

Alanine Amino Transferase (EC 2.6.1.2)
Alanine amino transferase (ALT) catalyzes the transamination of L-alanine to 2-oxo glutarate, forming a glutamate and a pyruvate. The pyruvate formed is reduced to lactate by lactate dehydrogenase with simultaneous oxidation of reduced NADH to NAD. The change in absorbance with time as a result of the conversion of NADH to NAD is directly proportional to the ALT activity. The kidney homogenate was prepared in liver homogenate. To 0.2 ml homogenate were added 2.3 ml L-alanine (610 mmol) in Tris buffer (0.10 mol l Ϫ1 , pH 7.15), 0.1 ml of NADH (4.2 mmol l Ϫ1 ), 0.1 ml of pyridoxal 6 phosphate (3.4 mmol l Ϫ1 ) and 0.1 ml of lactate dehydrogenase 72 000 U l Ϫ1 . The reaction was initiated by the addition of 0.2 ml of 2-oxo glutarate solution. The absorbance was measured at 339 nm (21).

Urea and Creatinine
Serum urea level was determined using a Urease enzyme kit modified Berthlot method (Agappe Diagnostics, Thane, India). The creatinine level in serum was estimated using the alkaline picrate-modified Jaffe's method with a creatinine kit (Agappe Diagnostics).

Statistical Analysis
Data were statistically evaluated using one-way ANOVA, followed by a post hoc Scheffe's test using the SPSS computer software, version 7.5. The values were considered significant when P Ͻ 0.05. Alc.Ext (500mg/kg)   Alcoholic extract of C. fenestratum significantly increases glucose-6-phosphate dehydrogenase levels in diabetic rats. Each value represents mean Ϯ SE, n ϭ 6; a, statistical significance versus control (P Ͻ 0.05); b, statistical significance versus normal (P Ͻ 0.05); U, mol conversion of NAD to NADH per minute.

Carbohydrate Metabolism
The activities of different key enzymes (hexokinase, glucose-6-phosphate dehydrogenase and lactate dehydrogenase) are represented in Figs 1, 2 and 3. Diabetic animals treated with 500 mg kg Ϫ1 of the alcoholic extract of C. fenestratum showed better enzyme activity than those treated with the lower (250 mg kg Ϫ1 ) dose of the alcoholic extract. The significant increase in the levels of hexokinase, a key glycolytic enzyme known to decrease in the diabetic state (31), may be due to the direct stimulation of glycolysis in tissues with increased glucose removal from the blood. The significant reversal of diabetes induced decreased levels of glucose-6-phosphate dehydrogenase and lactate dehydrogenase may be attributed to an increase in glucose utilization through the pentose phosphate pathway (32), interfering with the mitochondrial respiratory chain and promoting the peripheral glucose utilization by enhancing anaerobic glycolysis (33). Treated groups exhibited a significant decrease in the levels of glucose-6-phosphatase (Fig. 4) and alanine amino transferase (Fig. 5). Glucose-6-phosphatase, a key enzyme in gluconeogenesis, plays an important role in glucose homeostasis in the liver and kidney (34). The decreased levels observed in treated diabetic animals may be because of the suppression of hepatic gluconeogenesis and glucose output from liver. The elevation in alanine amino transferase in liver and kidney observed in streptozotocin induced diabetic rats corroborates earlier findings (35,36) which attribute the increased gluconeogenesis and ketogenesis observed in diabetes to the high activity of transaminases. In our study, supplementation with the alcoholic extract decreased the enhanced transaminase activity significantly. Serum urea (Fig. 6) and creatinine levels (Fig. 7) were also decreased significantly compared with the diabetic control.

Enzymatic Antioxidants
Antioxidants are of two types: enzymatic and nonenzymatic antioxidants. Catalase, superoxide dismutase, peroxidase, glutathione synthetase and glutathione peroxidase are examples

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Effect of alcoholic extract of C. fenestratum in diabetic rats    of enzymatic antioxidants. Superoxide dismutase and catalase are considered primary enzymes since they are involved in the direct elimination of reactive oxygen species (37). Superoxide dismutase is an important defense enzyme which catalyzes the dismutation of superoxide radicals (38), and catalase is a hemoprotein which catalyzes the reduction of hydrogen peroxides and protects tissues from highly reactive hydroxyl radicals (39). The reduced activity of superoxide dismutase and catalase in the liver and kidney observed during diabetes may result in deleterious effects as a result of the accumulation of superoxide anion radicals and hydrogen peroxide (40). Glutathione synthetase, the most important biomolecule protecting against chemical induced toxicity, participates in the elimination of reactive intermediates by reduction of hydroperoxide in the presence of glutathione peroxidase (41,42). The decreased level of glutathione synthetase observed in the diabetic animals represents increased utilization resulting from oxidative stress (43). Glutathione peroxidase, a seleniumcontaining enzyme present in significant concentrations, detoxifies H 2 O 2 to H 2 O through the oxidation of reduced glutathione (44). Depression of glutathione peroxidase activity, observed in diabetic liver and kidney, has been shown to be an important adaptive response to increased peroxidative stress (45). The activity of enzymatic antioxidants [catalase, glutathione peroxidase, glutathione synthetase, peroxidase and superoxide dismutase (Figs 8-12)] increased significantly in extract-treated animals (P Ͻ 0.05).

Nonenzymatic Antioxidants
Tocopherol, ceruloplasmin and ascorbic acid are nonenzymatic antioxidants. Whereas ␣-tocopherol reduces lipid       hydroperoxides generated during the process of peroxidation and protects cell structures against damage (46), the powerful nonenzymatic antioxidant ceruloplasmin inhibits lipid peroxidation by binding to copper (47). Vitamin C or ascorbic acid is an excellent hydrophilic antioxidant in plasma and disappears faster than other antioxidants on exposure to reactive oxygen species (48). The decreased level of ascorbic acid in diabetic rats may be due either to increased utilization as an antioxidant defense against increased reactive oxygen species or to a decrease in glutathione level, since glutathione is required for the recycling of ascorbic acid (49,50). The effect of treatment with C. fenestratum on the nonenzymatic antioxidants tocopherol, ceruloplasmin and ascorbic acid is presented in Figs 13,14 and 15. In our investigations, the levels of both enzymatic and nonenzymatic antioxidants, which declined in the diabetic animals, were significantly restored on treatment with the alcoholic extract. The overexpression of these antioxidant parameters in diabetic rats treated with C. fenestratum implies that this potential oxidant defense is reactivated by the active principles of C. fenestratum, with an increase in the capacity for detoxification through enhanced scavenging of oxy radicals.
The tetrahydro protoberberine analogue of berberine has been reported to inhibit lipid peroxidation and to scavenge hydroxyl free radicals (51). Preliminary phytochemical screening of C. fenestratum showed the presence of phenolic compounds (11), which have been reported to have antioxidant activity (52). Hence in our study the antioxidant activity of C. fenestratum may be due to the presence of berberine and phenolic compounds.
The present investigation draws out a sequential metabolic correlation between increased glycolysis and decreased gluconeogenesis stimulated by C. fenestratum, which may have been the biochemical mechanism through which glucose homeostasis was regulated. The enhanced effect and the protective action on cellular antioxidant defense of C. fenestratum suggest protection against oxidative damage in streptozotocin-nicotinamide induced diabetes.

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Effect of alcoholic extract of C. fenestratum in diabetic rats   Alcoholic extract of C. fenestratum significantly increases ceruloplasmin levels in diabetic rats. Each value represents mean Ϯ SE, n ϭ 6; a, statistical significance versus control (P Ͻ 0.05); b, statistical significance versus normal (P Ͻ 0.05).   Alcoholic extract of C. fenestratum significantly increases superoxide dismutase levels in diabetic rats. Each value represents mean Ϯ SE, n ϭ 6; a, statistical significance versus control (P Ͻ 0.05); b, statistical significance versus normal (P Ͻ 0.05); U, mol inhibition of Nitro blue tetrazolium chloride reduction per minute.