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      Smilax aristolochiifolia Root Extract and Its Compounds Chlorogenic Acid and Astilbin Inhibit the Activity of α-Amylase and α-Glucosidase Enzymes

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          Abstract

          Regulating activities of α-amylase and α-glucosidase through the use of specific inhibitors is a main strategy for controlling type 2 diabetes. Smilax aristolochiifolia root decoctions are traditionally used in Mexico as hypoglycemic and for weight loss, but the active principles and mechanisms underlying such putative metabolic effects are yet unknown. Here, we isolated the major bioactive compounds from a hydroethanolic extract of S. aristolochiifolia root by fast centrifugal partition chromatography and evaluated their effects against pancreatic α-amylase and yeast α-glucosidase. A chlorogenic acid-rich fraction (CAF) inhibited α-amylase activity with an IC 50 value of 59.28  μg/mL in an uncompetitive manner and α-glucosidase activity with an IC 50 value of 9.27  μg/mL in a noncompetitive mode. Also, an astilbin-rich fraction (ABF) inhibited α-glucosidase activity with an IC 50 value of 12.30  μg/mL, in a noncompetitive manner. CAF inhibition α-amylase was as active as acarbose while both CAF and ABF were 50-fold more potent inhibitors of α-glucosidase than acarbose. The molecular docking results of chlorogenic acid and astilbin with α-amylase and α-glucosidase enzymes correlated with the inhibition mechanisms suggested by enzymatic assays. Our results prove that S. aristolochiifolia roots contain chlorogenic acid and astilbin, which inhibit carbohydrates-hydrolyzing enzymes, suggesting a new mechanism for the hypoglycemic effect reported for this plant.

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          Plant-Based Dietary Patterns and Incidence of Type 2 Diabetes in US Men and Women: Results from Three Prospective Cohort Studies

          Background Plant-based diets have been recommended to reduce the risk of type 2 diabetes (T2D). However, not all plant foods are necessarily beneficial. We examined the association of an overall plant-based diet and hypothesized healthful and unhealthful versions of a plant-based diet with T2D incidence in three prospective cohort studies in the US. Methods and Findings We included 69,949 women from the Nurses’ Health Study (1984–2012), 90,239 women from the Nurses’ Health Study 2 (1991–2011), and 40,539 men from the Health Professionals Follow-Up Study (1986–2010), free of chronic diseases at baseline. Dietary data were collected every 2–4 y using a semi-quantitative food frequency questionnaire. Using these data, we created an overall plant-based diet index (PDI), where plant foods received positive scores, while animal foods (animal fats, dairy, eggs, fish/seafood, poultry/red meat, miscellaneous animal-based foods) received reverse scores. We also created a healthful plant-based diet index (hPDI), where healthy plant foods (whole grains, fruits, vegetables, nuts, legumes, vegetable oils, tea/coffee) received positive scores, while less healthy plant foods (fruit juices, sweetened beverages, refined grains, potatoes, sweets/desserts) and animal foods received reverse scores. Lastly, we created an unhealthful plant-based diet index (uPDI) by assigning positive scores to less healthy plant foods and reverse scores to healthy plant foods and animal foods. We documented 16,162 incident T2D cases during 4,102,369 person-years of follow-up. In pooled multivariable-adjusted analysis, both PDI and hPDI were inversely associated with T2D (PDI: hazard ratio [HR] for extreme deciles 0.51, 95% CI 0.47–0.55, p trend < 0.001; hPDI: HR for extreme deciles 0.55, 95% CI 0.51–0.59, p trend < 0.001). The association of T2D with PDI was considerably attenuated when we additionally adjusted for body mass index (BMI) categories (HR 0.80, 95% CI 0.74–0.87, p trend < 0.001), while that with hPDI remained largely unchanged (HR 0.66, 95% CI 0.61–0.72, p trend < 0.001). uPDI was positively associated with T2D even after BMI adjustment (HR for extreme deciles 1.16, 95% CI 1.08–1.25, p trend < 0.001). Limitations of the study include self-reported diet assessment, with the possibility of measurement error, and the potential for residual or unmeasured confounding given the observational nature of the study design. Conclusions Our study suggests that plant-based diets, especially when rich in high-quality plant foods, are associated with substantially lower risk of developing T2D. This supports current recommendations to shift to diets rich in healthy plant foods, with lower intake of less healthy plant and animal foods.
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            Polyphenols and Glycemic Control

            Growing evidence from animal studies supports the anti-diabetic properties of some dietary polyphenols, suggesting that dietary polyphenols could be one dietary therapy for the prevention and management of Type 2 diabetes. This review aims to address the potential mechanisms of action of dietary polyphenols in the regulation of glucose homeostasis and insulin sensitivity based on in vitro and in vivo studies, and to provide a comprehensive overview of the anti-diabetic effects of commonly consumed dietary polyphenols including polyphenol-rich mixed diets, tea and coffee, chocolate and cocoa, cinnamon, grape, pomegranate, red wine, berries and olive oil, with a focus on human clinical trials. Dietary polyphenols may inhibit α-amylase and α-glucosidase, inhibit glucose absorption in the intestine by sodium-dependent glucose transporter 1 (SGLT1), stimulate insulin secretion and reduce hepatic glucose output. Polyphenols may also enhance insulin-dependent glucose uptake, activate 5′ adenosine monophosphate-activated protein kinase (AMPK), modify the microbiome and have anti-inflammatory effects. However, human epidemiological and intervention studies have shown inconsistent results. Further intervention studies are essential to clarify the conflicting findings and confirm or refute the anti-diabetic effects of dietary polyphenols.
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              Mexican plants with hypoglycaemic effect used in the treatment of diabetes.

              Diabetes mellitus is a syndrome which affects more and more people in all countries over the world. In México, it is commonly treated with herbal extracts. Such treatment may be of considerable benefit especially during the early stages of the illness. In this review, we discuss species commonly used in México in the treatment of diabetes. A total of 306 species have records of a popular use in the treatment of this syndrome in México. Seven of these species--Cecropia obtusifolia Bertol. (Cecropiaceae), Equisetum myriochaetum Schlecht & Cham (Equisetaceae), Acosmium panamense (Benth.) Yacolev (Fabaceae), Cucurbita ficifolia Bouché (Cucurbitaceae), Agarista mexicana (Hemsl.) Judd. (Ericaeae), Brickellia veronicaefolia (Kunth) A. Gray (Asteraceae), Parmentiera aculeata (Kunth) Seem. (Bignoniaceae)--are discussed in greater detail, highlighting our current knowledge about these botanicals, but also the enormous gaps in our knowledge, most notably as it relates to the species' toxicology, the pharmacokinetics of its active constituents and their metabolism.
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                Author and article information

                Contributors
                Journal
                Evid Based Complement Alternat Med
                Evid Based Complement Alternat Med
                ECAM
                Evidence-based Complementary and Alternative Medicine : eCAM
                Hindawi
                1741-427X
                1741-4288
                2018
                25 June 2018
                : 2018
                : 6247306
                Affiliations
                1División de Desarrollo Biotecnológico, Centro Universitario de la Ciénega-Universidad de Guadalajara, 47820 Ocotlán, Mexico
                2Tecnológico de Monterrey, Centro de Biotecnología-FEMSA, 64849 Monterrey, Mexico
                3Cátedra CONACYT, IPICYT/Consorcio de Investigación, Innovación y Desarrollo para las Zonas Áridas, 78216 San Luis Potosí, Mexico
                4Departamento de Investigación y Posgrado en Alimentos, Universidad de Sonora, 83000 Hermosillo, Mexico
                5División de Biología Molecular, Instituto Potosino de Investigación Científica y Tecnológica (IPICYT), 78216 San Luis Potosí, Mexico
                6Unidad de Tecnología Alimentaria, Centro de Investigación y Asistencia en Tecnología y Diseño del Estado de Jalisco, 44270 Guadalajara, Mexico
                Author notes

                Academic Editor: Michał Tomczyk

                Author information
                http://orcid.org/0000-0003-1056-7126
                http://orcid.org/0000-0001-6906-4561
                http://orcid.org/0000-0003-3337-5872
                Article
                10.1155/2018/6247306
                6036819
                035698c0-2699-4db2-b648-b5bb608a2b37
                Copyright © 2018 Viridiana Candelaria Pérez-Nájera et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 February 2018
                : 12 April 2018
                : 23 April 2018
                Funding
                Funded by: FOMIT-CONACYT
                Award ID: 194010
                Funded by: NutriOmics Research Chair from Tecnológico de Monterrey
                Funded by: Consejo Nacional de Ciencia y Tecnología
                Award ID: 268829
                Categories
                Research Article

                Complementary & Alternative medicine
                Complementary & Alternative medicine

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