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The Physiological Effects of Dandelion (Taraxacum Officinale) in Type 2 Diabetes

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doi: 10.1900/RDS.2016.13.113

Published online 2016 Aug 10

Fonyuy E. WirngoMax N. Lambert, and Per B. Jeppesen

Abstract

The tremendous rise in the economic burden of type 2 diabetes (T2D) has prompted a search for alternative and less expensive medicines. Dandelion offers a compelling profile of bioactive components with potential anti-diabetic properties. The Taraxacum genus from the Asteraceae family is found in the temperate zone of the Northern hemisphere. It is available in several areas around the world. In many countries, it is used as food and in some countries as therapeutics for the control and treatment of T2D. The anti-diabetic properties of dandelion are attributed to bioactive chemical components; these include chicoric acid, taraxasterol (TS), chlorogenic acid, and sesquiterpene lactones. Studies have outlined the useful pharmacological profile of dandelion for the treatment of an array of diseases, although little attention has been paid to the effects of its bioactive components on T2D to date. This review recapitulates previous work on dandelion and its potential for the treatment and prevention of T2D, highlighting its anti-diabetic properties, the structures of its chemical components, and their potential mechanisms of action in T2D. Although initial research appears promising, data on the cellular impact of dandelion are limited, necessitating further work on clonal β-cell lines (INS-1E), α-cell lines, and human skeletal cell lines for better identification of the active components that could be of use in the control and treatment of T2D. In fact, extensive in-vitroin-vivo, and clinical research is required to investigate further the pharmacological, physiological, and biochemical mechanisms underlying the effects of dandelion-derived compounds on T2D.

Keywords: type 2 diabetes, dandelion, dandelion, chicory acid, taraxasterol, sesquiterpene

Abbreviations: ADP – adenosine diphosphate; AFLD – alcoholic fatty liver disease; AMPK – adenosine monophosphate-activated protein kinase; ATP – adenosine triphosphate; cAMP – cyclic adenosine monophosphate; CGA – chlorogenic acid; CoA – coenzyme A; CRA – chicory acid; DAG – diacylglycerol; DBD – DNA-binding domain; DNA – deoxyribonucleic acid; DPPH – 2,2-diphenyl-1-picrylhydrazyl; Dw – dry weight; FOS – fructose oligosaccharide; G6P – glucose-6-phosphate; GDP – guanosine 5′-diphosphate; GLP-1 – glucagon-like peptide 1; GLUT2 – glucose transporter 2; GLUT4 – muscle glucose transporter protein 4; GPCR – G protein-coupled receptor; GTP – guanosine triphosphate; HNB – 2-hydroxy-5-nitrobenzenaledehyde; HPLC – high-pressure liquid chromatography; IC50 – half maximal inhibitory concentration; IDF – International Diabetes Federation; IDX-1 – islet duodenum homeobox 1; IL-1α – interleukin 1 alpha; INS-1E – rat insulinoma clonal beta-cell line; IR – insulin receptor; IRS-1 – insulin receptor substrate 1; Km – Michaelis constant; IP3 – inositol triphosphate; IRS-1 – insulin receptor substrate 1; LBD – ligand-binding domain; LC-DAD – liquid chromatography with (photo) diode array detection; LPS – lipopolysaccharide; MAPK – mitogen-activated protein kinase; NADH – nicotinamide adenine dinucleotide; NAFLD – non-alcoholic fatty liver disease; NF-κb – nuclear factor kappa B; NO – nitric oxide; PI3K – phosphatidylinositol 3 kinase; PKA – protein kinase A; PKC – protein kinase C; PPAR-γ – peroxisome proliferator-activated receptor gamma; ROS – reactive oxygen species; RxR – retinoid X receptor; SEL – sesquiterpene lactones; SUR1 – sulphonylurea receptor 1; T2D – type 2 diabetes; TAG – triacylglycerol; TNF-α – tumor necrosis factor; TO – Taraxacum officinale; TS – taraxasterol; UPLC-MS/MS – ultra-performance liquid chromatography – tandem mass spectrometry; UV/VIS – ultraviolet visible; WHO – World Health Organization

1. Introduction

Societies in both developed and developing countries are engulfed by the metabolic disorder of type 2 diabetes (T2D). The world is facing a huge clinical and economic burden due to the enormous increase in diabetes incidence. It is estimated that approximately 382 million people in the world have T2D today, and by 2035, this number is expected to rise by more than 200 million if preventive measures are not established [1]. A WHO survey indicated that 70-80% of the world’s population is relying on non-conventional medicines, primarily because of a lack of availability of and economic barriers to conventional medicine. In the past, plant-derived therapeutics have been widely disregarded as a possible cost-effective means to treat diabetes; hence evidence-based documentation of efficacy is commonly unavailable. In spite of this deficit, it is well known that plant-derived therapeutics provide promising sources of alternative treatment measures, which can even lead to improved efficacy and reduced side effects in comparison to existing conventional medicines [2]. Therefore, there has been increasing interest in food, nutraceuticals, and medicinal products from plants and other natural sources that retain beneficial health properties in developed countries [3].

According to statistics from the International Diabetes Federation (IDF), 80% of people with T2D live in countries characterized by low and middle income. Even more alarmingly, it is estimated that 175 million people with diabetes still go undiagnosed [4]. In poorer regions, treatment of diabetes is very expensive, which makes medical treatment unattainable, resulting in poor healthcare and the use of alternative medicine [5]. Traditional medicine involving the use of bioactive plants has demonstrated potential to alleviate diabetic symptoms, enable recovery, and improve health [6]. Diabetes treatment has been attempted with different plants and poly-herbal formulations, with anti-diabetic activities originating from their bioactive components [7]. About 80% of people worldwide use traditional medicine, while approximately 75% of modern pharmaceuticals are derived from plants [8]. Medicinal plants include a wide variety of anti-diabetic components; frequently their discovery arises from ethnomedical knowledge [910].

The metabolic syndrome, characterized by obesity, hypertension, cardiovascular abnormalities, coronary artery disease, and dyslipidemias, is a core feature of T2D. This non-communicable disease is a metabolic disorder that involves alterations in carbohydrate, lipid, and protein metabolism, as well as pancreas function [711]. T2D is a chronic multifactorial disease, resulting from defects in insulin and glucagon secretion and action, which may cause a progressive increase in plasma glucose levels and a disruption of biological mechanisms in liver, endocrine pancreas, skeletal muscle, adipose tissue, central nervous system, and gut, causing the dysregulation of glucose homeostasis, which plays a key role in the development of T2D [12]. T2D is a common endocrine disorder leading to increased water and food consumption, lipid formation, hyperglycemia, and elevated insulin production, which reinforces existing insulin resistance and contributes to pancreatic failure [1315]. Insensitivity to insulin leads to dysregulation of muscles, fat, and liver cells due to inadequate transportation of glucose and abnormal storage of lipids [1617]. Eventually, chronic diabetes can cause blindness and renal failure, and is a major risk factor for cardiovascular diseases and stroke. In severe cases, it may result in lower limb amputations [13].

The aim of this review is to evaluate the properties of a promising herbal candidate, dandelion, and to explore its diverse biological activities relevant to T2D, with a particular focus on the most current literature regarding the effects of its bioactive components on insulin function and glucose homeostasis.

Dandelion – LIFE FORCE HEALTH CENTER

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553762/

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Ivermectin – Niacin Research

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A review on phytochemistry and medicinal properties of the genus Achillea

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  • Received 30 Apr 2011; Revised 2 July 2011; Accepted 2 July 2011

1Saeidnia S., *1Gohari AR., 1Mokhber-Dezfuli N, 2 Kiuchi F.
1 Medicinal Plants Research Center, Faculty of Pharmacy, Tehran University of Medical
Sciences, Tehran, Iran. 2 Faculty of Pharmacy, Keio University, 1-5-30 Shibakoen, Minato-ku,
Tokyo 105-8512, Japan.

Abstract

Achillea L. (Compositae or Asteraceae) is a widely distributed medicinal plant throughout the world and has been used since ancient time. Popular indications of the several species of this genus include treatment of wounds, bleedings, headache, inflammation, pains, spasmodic diseases, flatulence and dyspepsia. Phytochemical investigations of Achillea species have revealed that many components from this genus are highly bioactive. There are many reports on the mentioned folk and traditional effects. Although, the medicinal properties of Achillea plants are recognized worldwide, there are only one review article mainly about the structures of the phytochemical constituents of Achillea. The present paper reviews the medicinal properties of various species of Achillea, which have been examined on the basis of the scientific in vitro, in vivo or clinical evaluations. Various effects of these plants may be due to the presence of a broad range of secondary active metabolites such as flavonoids, phenolic acids, coumarins, terpenoids (monoterpenes, sesquiterpenes, diterpenes, triterpenes) and sterols which have been frequently reported from Achillea species.

Keywords: Achillea, Asteraceae, Bioactive compounds.

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INTRODUCTION

The genus Achillea L. belongs to Asteraceae (Compositae), the largest family of vascular plants. Asteraceaeous plants are distributed throughout the world and most common in the arid and semi-arid regions of subtropical and lower temperate latitudes. Achillea contains around 130 flowering and perennial species and occurs in Europe and temperate areas of Asia and a few grow in North America. These plants typically have hairy and aromatic leaves and flat clusters of small flowers on the top of the stem. Since these flowers have various colors, a number of species are popular garden plants (14). The basic chromosome number of this genus is X=9 and most of the species are diploid with great ecological ranges from desert to water-logged habitats (5).

The name of Achillea is referred to the Achilles in the literary Trojan War of the Iliad who used yarrow to treat the soldiers’ wounds (6). The majority of the Achillea species are as the medicinal plants which have therapeutic applications (4). There are few review papers on the different aspects of Achillea as a noteworthy and medicinal genus. Recently, Si and co-authors (7) published a review article mainly about the structures of phytochemical constituents and a brief section of biological properties of Achillea (7). Literature reviews show that there are many reports on pharmacological, immunological, biological and other therapeutic activities of these valuable herbs which are reviewed in this article.

Traditional usages 

Since Achillea genus is widespread all over the world, its species have been used by local people as folk or traditional herbal medicines. Bumadaran is a popular name for several species of Achillea in Persian language. They are reported as tonic, anti-inflammatory, anti-spasmodic, diaphoretic, diuretic and emmenagogic agents and have been used for treatment of hemorrhage, pneumonia, rheumatic pain and wounds healing in Persian traditional literature (89).

In Spanish-speaking New Mexico and southern Colorado, A. millefolium L. is called plumajillo, or “little feather”, because of the shape of the leaves. Native Americans and early settlers used yarrow for its astringent qualities that made it effective in wound healing and anti-bleeding (10).

Achillea species are the most important indigenous economic plants of Anatolia. Herbal teas prepared from some Achillea species are traditionally used for abdominal pain and flatulence in Turkey (11). Dioscorides also used Achillea for dysentery, whether associated with cholera or other causes, which killed as many soldiers as did steel and lead. In terms of Chinese medicine, Achillea can be said to have three main actions: clear Exterior Wind (diaphoretic), Tonify Deficiency (tonic) and clear Heart Phlegm (anti-hypertention) (12).

Many of these therapeutic usages have been confirmed by new experimental and clinical studies. The consumption of herbal teas from different species of Achillea, especially for treatment of the gastrointestinal tract, is common in folk medicine (13). However, there are still several unknown aspects of Achillea plants that need more attention.

Phytochemical constituents 

Phytochemical investigations of Achillea species have revealed that many components from this genus are highly bioactive. The first anti-spasmodic flavonoids, cynaroside I and cosmosiin II (Scheme 1) were isolated from A. millefolium L. (14), and the first natural proazulene, achillicin III (Scheme 2) was identified from the genus Achillea (15). Literature search shows that the, flavonoids, terpenoids, lignans, amino acid derivatives, fatty acids and alkamides such as p-hydroxyphenethylamide IV (Scheme 2) have been identified in Achillea species. The main constituents of the most species have been previously reviewed (7). Therefore, in this article some other minor or rare compounds and especially their medicinal or industrial usages which have been less described are reviewed. Among them,alkamides, the lipophilic and nitrogen containing compounds, are responsible for insecticide, anti-inflammation and some immunological activities of Achillea and Echinacea plants (16). The genus Achillea comprises flavored species which produce intense essential oils. The volatile oils of Achillea contain monoterpenes as the most representative metabolites. However, there are reports on high levels of sesquiterpenes compared with monoterpenes (1718). There are several pharmacological actions which have been mostly attributed to the presence of azulenogenous sesquiterpene lactones in the essential oil of Achillea. Results of studies have indicated that tetraploid species are accumulating proazulenes such as achillicin III (Scheme 2) (19).Except for the essential oil constituents, yarrow (A. tenuifolia Lam.) seeds consist of the high oil content which is rich in linoleic acid, an essential polyunsaturated fatty acid. This makes yarrow seed as a potential source of edible oil for human consumption (20). Recently, A. millefolium has been introduced as a new source of natural dye for wool dyeing due to the presence of the flavonoids, luteolin V and apigenin VI (Scheme 1). A. millefolium was found to have good agronomic potential as a natural dye in Iran (21). In the plant kingdom, hydroxycinnamoyl conjugates of quinic acid represent common end metabolites of the shikimate-phenylpropanoid pathway, and feruloylcaffeoylquinic acid derivates VII have been isolated only from two species of genus Achillea so far (22). From the aerial parts of Achillea species, proline VIII, stachydrine IX, betonicine X, betaine XI and choline XII have been isolated as the major nitrogen containing compounds (Scheme 2) (2324). Betaines, containing the permanent positive charge on the quaternary ammonium moiety, belong to an important class of naturally occurring compounds that function as compatible solutes or osmoprotectants (25). These compounds have shown immunosuppressive activity in the experimental animals (2627).

DARU-19-173

Reference:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232110/

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Yerba Mate (Ilex paraguariensis) Beverage: Nutraceutical Ingredient or Conveyor for the Intake of Medicinal Plants? Evidence from Paraguayan Folk Medicine

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Monika Kujawska

Abstract

The use of medicinal plants mixed with yerba mate (Ilex paraguariensis) has been poorly studied in the ethnopharmacological literature so far. The Paraguayan Mestizo people have the longest tradition of using the yerba mate beverage, apart from the indigenous Guarani people. This study analyses the role of yerba mate and medicinal plants in the treatment of illnesses within Paraguayan folk medicine. The research was conducted among 100 Paraguayan migrants living in Misiones, Argentina, in 2014 and 2015. Yerba mate is not considered to be a medicinal plant by its own virtues but is culturally a very important type of medicinal plant intake. Ninety-seven species are employed in hot and cold versions of the yerba mate beverage. The most important species are as follows: Allophylus edulis (highest number of citations), Aristolochia triangularis (highest relative importance value), and Achyrocline flaccida and Achyrocline tomentosa (highest score by Index of Agreement on Species). The plants are used in the treatment of 18 medicinal categories, which include illnesses traditionally treated with plants: digestive system, humoral medicine, and relatively new health conditions such as diabetes, hypertension, and high levels of cholesterol. Newly incorporated medicinal plants, such as Moringa oleifera, are ingested predominantly or exclusively with the mate beverage.

1. Introduction

Yerba mate (Ilex paraguariensis A.St.-Hil., Aquifoliaceae) is a native tree growing in the subtropics of South America, present in Southern Brazil, Northeastern Argentina, Eastern Paraguay, and Uruguay [1]. The yerba mate beverage has been consumed traditionally by Guarani indigenous people since before the conquest of South America by the Spaniards [2]. The commercial potential of this plant was discovered by the Jesuits, who brought wild growing yerba mate into cultivation. Pedro de Montenegro, a Jesuit monk, in his Materia Medica Misionera described the use of the most important species for the Guarani people, in which yerba mate appeared on the top of the list [3]. The Guarani name for yerba mate is ka’a which means “a plant” or “a herb”; hence yerba mate has been considered by this group as the plant par excellence [3]. Yerba mate was also known as Jesuit tea or Paraguayan tea and shipped as such to Europe [2]. With the expulsion of the Jesuits in 1768, the plantations went wild. By this time, the yerba mate beverage was already popular among Mestizo people (of Spanish and Guarani origin). Since the end of the 19th century, it also became a daily beverage for the European migrants who partly colonized Southern Brazil, Northeastern Argentina, and, to a lesser extent, Eastern Paraguay [4]. Nowadays yerba mate is consumed at the rate of more than one litre per day by millions of people in the above-mentioned countries [45]. It plays a very special social role and constitutes a very important form of caffeine intake [245]. Its popularity is also increasing outside South America due to its pharmacological properties, proven to be beneficial to health [467]. It is also a very important drink in Syria and Lebanon due to Syro-Lebanese migration to Argentina in the second half of the 19th century. Many migrants who returned to the Levant in the 1920s took the habit of drinking mate with them [89].

Over the last 20 years there has been an increase in studies of the pharmacologic properties of Ilex paraguariensis, which have been reviewed [46710]. Numerous active compounds have been identified in yerba mate. Phenolic compounds predominate caffeoyl derivatives (caffeic acid, chlorogenic acid) [1112], xanthines (caffeine and theobromine), which are a class of purine alkaloids found in many other plants such as tea and coffee, flavonoids (quercetin, kaempferol, and rutin), and tannins [7]. Numerous triterpenoid saponins have also been identified, including those derived from ursolic acids known as metasaponins [47]. Saponins are responsible for the distinct flavour of yerba mate extracts [7]. Yerba mate also contains minerals (P, Fe, and Ca) and vitamins (C, B1, and B2) [13].

Research on extracts and isolated compounds from yerba mate has provided a number of pharmacological applications. Studies have demonstrated that yerba mate leaves have antioxidant [11], antiobesity [1415], antidiabetic, digestive improvement and cardiovascular properties [1617], and chemopreventative ones (preventing cellular damage that may cause chronic diseases) [18]. The consumption of yerba mate infusion reduces LDL-cholesterol in parallel with an increase in HDL-cholesterol, as observed in studies on humans [19]. Yerba mate extract also reduces acute lung inflammation, as observed in the animal model [4]. Antimicrobial activity of Ilex paraguariensis has been recently studied as well [20].

Some ethnobotanical studies from the south cone of South America report medicinal uses of yerba mate beverage [2122]. Few ethnobotanical and ethnopharmacological studies mention that various medicinal plants are consumed together with the yerba mate beverage by Mestizo and European migrants living in Argentina and Paraguay [2326]. However, very little is known about how medicinal plants are combined with yerba mate beverage by local people. Additionally, medicinal plant use by Paraguayan Mestizo people is poorly documented in the English-language scientific literature, with very few exceptions [232630]. The documentation of medicinal plants and analysis of traditional knowledge related to the yerba mate beverage by Paraguayan Mestizo people is of paramount importance for two reasons: (1) apart from indigenous Guarani peoples, they have the longest tradition of using yerba mate and mixing it with medicinal plants; (2) The Paraguayan people are described in the literature as knowledgeable about medicinal plants [3031]. Nearly 80% of the population of Paraguay consume medicinal plants on a daily basis [30]. However, the relationship between traditional uses and pharmaceutical properties is poorly studied.

The objectives of this contribution were to (1) document and analyse the role of yerba mate in prophylaxis and treatment by Paraguayan Mestizo people; (2) evaluate the role of medicinal plants in yerba mate beverages, and (3) describe the scope of illnesses treated with yerba mate beverage and medicinal plants. Additionally, two questions guided my research and analysis: (1) Does any pattern exist showing that particular illnesses are treated with a hot version of yerba mate beverage and others with a cold one? (2) How receptive is this traditional mode of plant administration to new health challenges and new medicinal plants, previously unknown to the Paraguayan people?

ECAM2018-6849317

Reference:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872613/

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