Diabetes mellitus is a multifaceted disease state described by an elevated blood glucose level with reduced insulin levels, and has been observed to be frequently associated with insulin resistance, obesity, dyslipidaemia and high blood pressure(Reference Saltiel1). Increasing pandemic of non-insulin-dependent diabetes mellitus is anticipated to rise twofold from the current estimation of 15 million by 2025(Reference Zimmet, Alberti and Shaw2). Individual nutrigenomics, irregular/poor dietary choices and chronic stress are the major causes of metabolic disorders. Imbalance in the carbohydrate metabolism and the efforts of the physiological system to neutralise the changes leads to an overload of the endocrine system, leading to defects in lipid metabolism(Reference Shulman3). Available oral hypoglycaemic agents are devised to target various markers involved in non-insulin-dependent diabetes mellitus, but these agents have also been reported for several side effects(Reference Izumi and Tomohiro4). Currently, research into understanding the various phases of non-insulin-dependent diabetes mellitus has provided potential and specific targets for the management of non-insulin-dependent diabetes mellitus and related secondary disorders. Protein tyrosine phosphatase 1B (PTP1B) has emerged as a potential target for diabetes and obesity because of its central association in insulin signalling and adipogenesis(Reference Byon, Kusari and Kusari5). For a normal physiological condition, a fine balance is essential between the kinases such as insulin receptor tyrosine kinase, which are involved in downstream insulin signals, and the phosphatases such as PTP1B, which are required to shut down these signals(Reference Gum, Gaede and Koterski6). But the discovery of PTP1B inhibitors with selectivity, bioavailability and acceptable pharmacokinetic properties has proven to be extremely difficult(Reference Wiesmann, Barr and Kung7).
In the UK diet, salad foods such as Cichorium intybus are preferred in a higher ratio than vegetables such as onion, broccoli and green beans for the management of various chronic disorders(Reference Hertog, Hollman and Katan8). In our earlier study, we have reported the PTP1B inhibitory activity of methanolic extract of C. intybus (CME), and investigated its role in glucose transport and adipogenesis in 3T3-L1 adipocytes(Reference Muthusamy, Anand and Sangeetha9). In the present paper, we extend our analysis to investigate the active molecules present in C. intybus responsible for PTP1B inhibition. Maintaining the bioavailability of PTP1B inhibitors has been reported to be a difficult task for the reason that PTP require an inhibitor with more electronegative pharmacophores for their deactivation(Reference Zhang, Wang and Wu10). Hence, we have also examined the effect of CME on plasma biochemical parameters and carbohydrate metabolism markers of high-fat diet with low streptozotocin (HFD/STZ)-induced type 2 diabetic male Wistar albino rats. The present study also discusses important insights into the additive effects of caffeoyl derivatives present in C. intybus on PTP1B inhibition.
Materials and methods
Chemicals and reagents
Dulbecco's modified Eagle's medium (DMEM) and serum (fetal bovine serum) were obtained from GIBCO-BRL (Gaithersburg, MD, USA). 2-Deoxy-d-3[H]-glucose was obtained from Amersham Pharmacia Biotech (Little Chalfont, Bucks, UK). Insulin, 3-isobutyl-1-methylxanthine and dexamethasone were obtained from Sigma-Aldrich (St Louis, MO, USA). TRIzol reagent and murine leukemia virus reverse transcriptase, dNTP and Taq polymerase were obtained from GIBCO-BRL and New England Biolabs (Hitchin, UK), respectively. All antibodies were obtained from Calbiochem (Darmstadt, Germany). Rosiglitazone was a kind gift from Dr. Reddys Laboratories (Hyderabad, India). Recombinant human PTP1B was obtained from Calbiochem. Sephadex LH-2 was obtained from Pharmacia (Stockholm, Sweden). High-performance TLC stationary plates (Silica gel 6GF254) were obtained from Merck India (Darmstadt, Germany). Plasma glucose (PG), cholesterol (PC), TAG (PT) and insulin were measured using commercially available diagnostic kits (Accurex, Bangalore, India) in a semi-automatic biochemical analyser (Merck 200). All the chemicals and reagents used were of analytical grade. Leaves of C. intybus were collected from Trichy, Tamil Nadu, India. The collected material has been authenticated, and the vouchers are stored at the Tissue Culture and Drug Discovery Laboratory, Anna University, Chennai, India.
Animals
Male Wistar albino rats (160–180 g) were procured from the Central Animal House, PSG college of Pharmacy, Coimbatore, India, and were acclimatised to laboratory conditions for a period of 1 week. Rats were housed in polypropylene cages (five to six rats/cage) under an ambient temperature of 23 ± 3°C and 40–65 % relative humidity, with 12–12 h light and dark cycle. They were maintained on a standard pellet diet and water ad libitum before the dietary manipulation. Guidelines of Guide for the Care and Use of Laboratory Animals (Institute of Laboratory Animal Resources, National Academic Press, 1996; NIH publication #85–23, revised 1996) were strictly followed throughout the study. Experimental protocol was approved by the Institutional Animal Ethical Committee, Anna University, Chennai, India (IAEC/CBT/Min. dt. 06.10.08/Protocol No. 7).
Cell culture of 3T3-L1 adipocytes
3T3-L1 preadipocytes (ATCC, Manassas, VA, USA; passage number 5 or lower) were cultured in DMEM with 1 % fetal bovine serum. 3T3-L1 preadipocytes grown in twenty-four-well plates were induced using the differentiation medium (combination of 3-isobutyl-1-methylxanthine, dexamethasone and insulin in DMEM with 1 % fetal bovine serum) to differentiate into adipocytes. After differentiation, the medium was replaced with insulin medium (DMEM with 1 % fetal bovine serum containing 1 mg/ml of insulin) for 2 d. The extent of differentiation was established by observing the multinuclei of cells.
Extraction, bioactivity-guided isolation and high-performance TLC studies
CME (5 gm) was prepared as described previously(Reference Muthusamy, Anand and Sangeetha9), and was subjected to solvent–solvent fractionation by dissolving in 60 % methanol. The soluble portion of CME in 60 % methanol was partitioned with hexane, chloroform and butanol. Based on the bioactivity, a butanol-soluble fraction (1 g) was selected and submitted to further purification by column chromatography on Sephadex LH-2 using a chloroform–methanol gradient mobile phase system (from ratio 10:9 to 50:50), which afforded five subfractions. Subfraction 4 gave 21·2 mg of yellow-coloured amorphous powder with significant 2-deoxy-d-3[H]-glucose uptake activity. The pure molecule was subjected to NMR and mass spectroscopic studies for structure elucidation. High-performance TLC was performed according to the method elaborated earlier(Reference Saravanababu, Sunil and Vasanthi11). The stock solution of CME (10 mg/ml) and chlorogenic acid (CGA) standard (1 mg/ml) was used for TLC identification/quantification of CME. The following chromatographic conditions were applied. Stationary phase, silica gel GF254; mobile phase, ethyl acetate–acetic acid–formic acid–water (100:11:11:25, by vol.); instrument, high-performance TLC instrument (Camag, Muttenz, Switzerland; version 1.3.4); applicator, Linomat V; scanner, Camag TLC scanner III; detection scanning wavelength, 330 nm. The limit of detection and limit of quantification were estimated using isolated pure CGA. For quantitative analysis, CME was chromatographed and scanned at 330 nm. The amount of CGA present in CME was calculated by comparing the absorption units of standard CGA.
Measurement of 2-deoxy-d-3[H]-glucose and adipogenesis inhibition assay
3T3-L1 adipocytes grown in twenty-four-well plates (BD Falcon, Rock Hill, SC, USA) were subjected to glucose uptake as reported(Reference Liu, Kim and Li12) with minor modifications. Differentiated adipocytes were subjected to serum starvation for 5 h followed by incubation of the plant extracts for 24 h. After incubation, cells were stimulated with insulin (100 nm) for 20 min followed by incubation for 20 min in Krebs Ringer phosphate solution containing 0·018 MBq/ml 2-deoxy-d-3[H]-glucose. All the assays were performed in duplicates for concordance, and compared with known positive control (rosiglitazone 50 μm). Results were expressed as percentage change in glucose uptake with respect to the solvent control. The effect of CME and CGA on 3T3-L1 preadipocyte differentiation was assessed by measuring the accumulation of TAG(Reference Ambati, Kim and Yang13). Preadipocytes were maintained in fresh DMEM every other day for the comparison of TAG accumulation. Photomicroscopic evaluation was carried out to qualitatively measure the TAG content using a commercially available kit (AdipoRed assay Reagent; Lonza Walkersville, Inc., Walkersville, MD, USA).
Protein tyrosine phosphatase 1B inhibition study
The PTP1B inhibition of CME and CGA (from 1 pg to 10 mg) was carried out using p-nitrophenyl phosphate as the substrate in a ninety-six-well format(Reference Wiesmann, Barr and Kung7). Sodium orthovanadate (100 mm) was used as a positive control. The rate of PTP1B-catalysed hydrolysis of 20 mm-p-nitrophenyl phosphate was measured by following the absorbance change at 405 nm.
RT-PCR
RT-PCR was performed according to the method described previously(Reference Muthusamy, Anand and Sangeetha9). The RNA obtained from 3T3-L1 adipocytes after experimental incubation was converted to complementary DNA by reverse transcription, and subjected to PCR with specific primers for CCAAT/enhancer-binding protein, PPARγ, sterol-regulatory element-binding protein-1c and glyceraldehyde 3-phosphate dehydrogenase. PCR products were run on 1·5 % agarose gels, stained with ethidium bromide and photographed. To determine the efficacy, insulin and rosiglitazone were used at 100 nm and 50 μm doses, respectively, for all the markers.
Immunoprecipitation and immunoblotting
Whole-cell lysate(Reference Klip, Guma and Ramlal14) and tissue extracts(Reference Thirone, Carvalheira and Hirata15) were prepared as reported previously with minor modifications. Total protein (100 μg) isolated from the tissues of the experimental animals was mixed with a substrate-soluble buffer, and heated at 90–100°C for 10 min followed by 1 % SDS-polyacrylamide gel elution and electrophoretic transfer to a nitrocellulose membrane. For insulin receptor substrate (IRS-1), immunoprecipitation was performed before electrophoresis. For the purpose of blocking, the membrane was stored overnight in a blocking agent (5 % skimmed milk) at 4°C. The blot was washed with PBS Tween and then with PBS. Then, the membrane was incubated with the desired primary antibody (PTP1B, IR, IRS-1, phosphatidylinositol 3-kinase (PI3K), protein kinase B (Akt/PKB), glycogen synthase kinase (GSK)-3β, GLUT4 and β-actin) for 2 h. After washing, the membrane was incubated with alkaline phosphatase-conjugated secondary antibody in 1 % bovine serum albumin in PBS for 1 h at room temperature. Then, the blot was washed with PBS thrice, each 5 min, and the blot was developed with a chromogenic agent and photographed.
Development of high-fat diet-fed and streptozotocin-treated type 2 diabetic rats
Experimental animals were allocated to two dietary regimens, either normal pellet diet or HFD. After 3 weeks of HFD regimen, STZ (35 mg/kg, intra peritonial) was administered to the experimental animals(Reference Srinivasan, Viswanad and Asrat16). Blood sample was collected after 72 h through a sino-orbital puncture, and PG, PC and PT levels were measured. Experimental animals with PG ≥ 2500 mg/l and PC ≥ 2000 mg/l were used for the study. Experimental animals were divided into three groups as follows: group I – normoglycaemic (normal pellet diet) – received citrate buffer+vehicle (0·5 % carboxy methyl cellulose); group II – hyperglycaemic (HFD) – received STZ+vehicle (0·5 % carboxy methyl cellulose); group III – hyperglycaemic (HFD) – received STZ+CME (125 mg/kg, per os). From the dose range-finding study, 125 mg/kg body weight was found to be an optimal dose (based on the efficacy, body weight and behavioural parameters; data not shown). Treatment was scheduled for 14 d following induction of diabetes. PG, PC and PT were measured on days 0, 7 and 14 of the experiment according to the manufacturers protocol using a semi-automatic biochemical analyser (Merck 200). Plasma insulin was measured using an ELISA reader (Accurex Diagnostic kit) following the manufacturers instruction. On day 14, following blood collection, the experimental animals were euthanised to collect the tissues, and the tissues were stored at − 80°C until analysis.
Biochemical assay of glycogen content and enzyme activities
Liver and skeletal muscle glycogen content was estimated using a previously elaborated method(Reference Nicholas17). The rats were euthanised, and tissue samples were collected for the assessment of biochemical parameters. The following enzymes were evaluated as described previously glucose-6-phosphatase (G6P)(Reference Baginski, Foa and Zak18) and fructose-1,6-diphosphatase(Reference Gancedo and Gancedo19).
Statistical analysis
The data obtained from the in vitro studies are expressed as means with their standard errors. Mean difference between the groups was analysed by one-way ANOVA followed by Tukey's multiple comparison test (using SPSS version 11.0 software; SPSS, Cary, NC, USA). Statistical analysis was performed using GraphPad Prism, 4.03 (San Diego, CA, USA). Data are expressed as means with their standard errors. Unpaired Students t test was used for analysing the group mean difference in body weight and glucose, cholesterol and TAG parameters. One-way ANOVA followed by Dunnett's post hoc test was used for analysing other biochemical parameters. P < 0·05 was fixed as the statistical significance criterion.
Results
Bioactivity-guided isolation of active molecule and high-performance TLC quantification
CME was subjected to solvent–solvent fractionation, and the hydroalcohol-insoluble (0·64 g), hexane-soluble (0·2 g), chloroform-soluble (0·19 g), butanol-soluble (1·72 g) and hydroalcohol-soluble (2·05 g) fractions that were obtained were subjected to 2-deoxy-d-3[H]-glucose uptake studies (Fig. 1(a)). Based on the glucose uptake activity, butanol-soluble fraction was selected for column purification, which yielded CGA as an active molecule (Fig. 1(b)). The purity of CGA isolated from CME was confirmed by comparing the UV absorption spectra. Based on the spectral characterisation studies, the pure molecule was identified to be a CGA(Reference Pauli, Kuczkowiak and Nahrstedt20). Spectral characters of the isolated compound were found to be UV (MeOH) λmax 228, 257 and 330 nm, 1H NMR (CD3OD) δ 7·58 (1H, d, H-7), 7·07 (1H, d, Hz, H-2), 6·90 (1H, dd, H-6), 6·74 (1H, d, H-5), 6·3 (1H, d, H-8), 5·3 (1H, m, H-3′), 4·19 (1H, m, H-5′), 3·72 (1H, dd, H-4′), 2·15–2·25 (2H, m, H-6′), 2·00–2·10 (2H, m, H-2′). 13C-NMR (500 MHz, CD3OD) δ: 167·2 (C-9), 76·5 (C-8), 145·1 (C-7), 128·2 (C-6), 115·1 (C-5), 144·8 (C-4), 143·4 (C-3), 117·8 (C-2), 120·0 (C-1), 36·8 (C-6′), 69·8 (C-5′), 71·8 (C-4′), 70·2 (C-3′), 35·2 (C-2′), 74·6 (C-1′), 177·2 (C-carbonyl). Electronspray ionisation-MS (negative ion mode) m/z 353 [M − H]− . The chromatographic analysis of CME and isolated CGA was carried out at 330 nm, and they were photographed at long UV (Fig. 1(c)). In the present study, the limit of detection and limit of quantification for CGA were found to be 200 ng and 1 μg, respectively. The amount of CGA present in CME was found to be 1·2 % w/w (dry weight basis).
(a) 2-Deoxy-d-3[H]-glucose uptake activities of the fractions obtained from methanolic extract of Cichorium intybus (CME; HAIS, hydroalcohol insoluble; HS, hexane soluble; CS, chloroform soluble; BS, butanol soluble; HAS, hydroalchol soluble). Differentiated 3T3-L1 adipocytes were preincubated with described doses of fractions for 24 h. The cells were subjected to 15 min insulin stimulation (10 nm), and then 0·018 MBq/ml of 2-deoxy-d-3[H]-glucose was added for 20 min and the uptake was measured. The results are expressed as percentage change in glucose uptake with respect to the solvent control (dimethyl sulphoxide). Data are expressed as means with their standard errors, n 3. * Mean values were significantly when compared with the untreated control group (P < 0·05). (b) Structure of chlorogenic acid (CGA) compound isolated from C. intybus through bioactivity-guided fractionation and (c) high-performance TLC chromatograms of CME and CGA at 330 nm. (a) □, 10 ng/ml; 
, 100 ng/ml; (
), 1 μg/ml; ■, 10 μg/ml.
Effect of methanolic extract of Cichorium intybus and chlorogenic acid on 2-deoxy-d-3[H]-glucose uptake and insulin cell signalling
CME and CGA (from 1 pg to 10 μg) were analysed for radiolabelled glucose uptake efficiency. A dose-dependent increase (Fig. 2(a)) in glucose uptake was observed with both CME and CGA. Maximum uptake was observed for CME and CGA at concentrations of 10 and 10 ng/ml, respectively. The cell cytotoxicity of CGA was studied at various concentrations ranging from 1 pg to 10 μg, and it was found to be non-toxic (data not shown). The time-dependent effect of CME (100 ng/ml) and CGA (10 ng/ml) on IRβ, IRS-1, PI3K, Akt/PKB, GSK-3β and GLUT4 protein expressions was observed (Fig. 2(c)–(h)) from 24 h onwards and continued till 36 h treatment. No significant difference was observed in the expression of PTP1B upon treatment with CME and CGA (Fig. 2(b)).
(a) Dose–response analysis of methanolic extract of Cichorium intybus (CME, –▲–) and chlorogenic acid (CGA, –■–) in 2-deoxy-d-3[H]-glucose uptake activity. After experimental incubation of CME and CGA with differentiated 3T3-L1 adipocytes, the cells were subjected to 15 min insulin stimulation (10 nm). After buffer washing, 2-deoxy-d-3[H]-glucose (0·018 MBq/ml) was added to the cells for 20 min, and the uptake was measured. Data are expressed as means with their standard errors, n 3. * Mean values were significantly different when compared with the untreated control group (P < 0·05). (b)–(g) Western blot analysis of insulin signalling markers insulin receptor β (IRβ), insulin receptor substrate (IRS-1), phosphatidylinositol 3-kinase (PI3K), protein kinase B (PKB/Akt), glycogen synthase kinase (GSK-3β) and GLUT4 using whole-cell lysate of CME- and CGA-treated 3T3-L1 adipocytes at different time points from 12 to 36 h. (h) Protein expressions were normalised by β-actin.
Effect of methanolic extract of Cichorium intybus and chlorogenic acid on adipogenesis
To evaluate the adipogenesis inhibitory potential of CME and CGA, co-treatment of CME (100 ng/ml) and CGA (10 ng/ml) with the differentiation medium was performed. The changes in lipid accumulation were calculated (Fig. 3(a)) and photomicrographed at 10 × magnification (Fig. 3(b)–(e)). Time-course RT-PCR analysis revealed the suppressive effect of CME and CGA on mRNA expression of key adipogenic genes CCAAT/enhancer-binding protein, PPARγ and sterol-regulatory element-binding protein-1c (Fig. 3(f)–(h)), and the effect was observed from 18 h onwards and continued till 24 h treatment. The levels of adipogenic genes were expressed after normalising with GAPDH (Fig. 3(i)).
Effect of methanolic extract of Cichorium intybus (CME, ) and chlorogenic acid (CGA, ■) on adipogenesis. (a) CME and CGA suppress lipid accumulation in maturing preadipocytes during incubation for a whole spectrum of differentiation periods. Preadipocytes were separately maintained using a protocol as indicated. Data that are shown reflect the means with their standard errors of triplicates of two determinations. * Mean values were significantly different when compared with the preadipocyte group (P < 0·05). Cellular TAG was stained with the AdipoRed® reagent, and the fluorescent lipid droplets (white dots) were photomicrographed at 10 × magnification. (b) Control; (c) differentiation induced; (d) differentiation medium+CME (100 ng/ml); (e) differentiation medium+CGA (100 ng/ml). (f)–(h) RT-PCR analysis of adipogenic genes CCAAT/enhancer-binding protein (C/EBPα, 224 bp), PPARg (155 bp) and sterol-regulatory element-binding protein (SREBP-1c, 222 bp) at different time points (624 h) in CME- and CGA-treated 3T3-L1 adipocytes. (i) mRNA of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) in the same sample was used as a loading reference.
Protein tyrosine phosphatase 1B inhibition study
As demonstrated in Fig. 4, CME and CGA showed a dose-dependent inhibition of PTP1B enzyme activity. The IC50 of CME and CGA was found to be 21·2 ng and 3·12 μg, respectively.
Effect of methanolic extract of Cichorium intybus (CME, –♦–) and chlorogenic acid (CGA, –■–) on inhibition of protein tyrosine phosphatase 1B (PTP1B) enzyme. CME and CGA showed a dose-dependent inhibition of PTP1B enzyme with the IC50 of 21·2 ng (–♦–) and 3·82 mg (–■–), respectively.
Effect of methanolic extract of Cichorium intybus on body weight and feed intake
There was a significant decrease in body weight in the vehicle-treated hyperglycaemic group than in the normoglycaemic group during the experimental period (Fig. 5(a)). Surprisingly, the CME-treated group also showed a significant decrease in body weight on days 7 and 14 (P < 0·05 and P < 0·01, respectively) than the vehicle-treated normoglycaemic group. A similar observation was made in the food intake behaviour of the experimental animals (Fig. 5(b)). Dietary intake of the CME-treated group was decreased significantly (P < 0·05) than that of the normoglycaemic group.
Effect of methanolic extract of Cichorium intybus (CME, 125 mg/kg body weight) on (a) body weight and (b) feed intake behaviour of experimental rats. Values are expressed as means with their standard errors, n 6. Mean values were significantly different from those when compared with the normoglycaemic group (–■–): †P = 0·05, ††P = 0·01. –□–, Hyperglycaemic group; 
, hyperglycaemic+CME group.
Effect of methanolic extract of Cichorium intybus on plasma blood glucose, plasma cholesterol, plasma TAG and plasma insulin levels
Dietary manipulation plus low dose of STZ significantly (P < 0·01) elevated PG, PC, PT and plasma insulin levels in the experimental animals. The normal pellet diet-fed rats appeared normal throughout the experimental period. Table 1 shows the effect of CME on PG, PC, PT and plasma insulin levels. The biochemical levels were found to be significantly (P < 0·01) high in hyperglycaemic group than in the normoglycaemic group on day 0. Oral administration of CME significantly decreased PG, cholesterol and TAG levels measured on days 7 and 14 (P < 0·05 and 0·01, respectively). But interestingly, CME-treated group showed a non-significant increase in insulin levels during the experimental period.
(Mean values with their standard errors, n 6)
Mean values were significantly different with those when compared with the hyperglycaemic group: *P = 0·05, **P = 0·01.
Mean values were significantly different with those when compared with the normoglycaemic group: †P = 0·05, ††P = 0·01.
Effect of methanolic extract of Cichorium intybus on the expression of protein tyrosine phosphatase 1B and other insulin signalling markers in the muscles of experimental animals
There was a significant increase in PTP1B expression in skeletal muscles of the hyperglycaemic rats than in those of the normoglycaemic rats, and a moderate restoration was recorded upon treatment with CME (Fig. 6(a)). Insulin downstream signalling markers such as IR, PI3K, PKB, GSK-3β and GLUT4 were also significantly reinstated in the CME-treated rats (Fig. 6(b)–(f)). The protein expressions were normalised with β-actin (Fig. 6(g)).
(a)–(f) Effect of methanolic extract of Cichorium intybus (CME) administration (125 mg/kg body weight) on protein tyrosine phosphatase 1B (PTP1B), insulin receptor (IRβ), phosphatidylinositol 3-kinase (PI3K), protein kinase B (PKB/Akt), glycogen synthase kinase (GSK-3β) and GLUT4 expressions in rat skeletal muscle, respectively. (g) Protein expressions were normalised by β-actin. N, normoglycaemic; H, hyperglycaemic; CME, CME treated.
Effect of methanolic extract of Cichorium intybus on hepatic and skeletal muscle glycogen content
After 14 d of treatment, the experimental animals were euthanised, and hepatic and skeletal muscle glycogen content was determined. Significant decrease in hepatic (F(3,20) = 40·35, P < 0·01) and skeletal muscle (F(3,20) = 17·83, P < 0·01) glycogen content was observed in the vehicle-treated hyperglycaemic rats than in the normoglycaemic rats. Administration of CME for 14 d increased glycogen content in liver (P < 0·01) and skeletal muscle (P < 0·05) when compared with the hyperglycaemic rats (Fig. 7(a) and (b)).
Effect of methanolic extract of Cichorium intybus (CME) treatment on (a) hepatic and (b) skeletal muscle glycogen content. Values are expressed as means with their standard errors, n 6. Mean values were significantly different from those when compared with the hyperglycaemic group (
): *P = 0·05 **P = 0·01. Mean values were significantly different from those when compared with the normoglycaemic group (□): ††P = 0·05. , Hyperglycaemic+CME group.
Effect of methanolic extract of Cichorium intybus on key enzymes involved in carbohydrate metabolism
Effect of CME on hepatic G6P and fructose-1,6-diphosphatase enzymes in the hyperglycaemic rats is shown in Fig. 8(a) and (b). Induction of type 2 diabetes significantly increased the hepatic G6P (F(3,20) = 5·86, P < 0·01) and fructose-1,6-diphosphatase (F(3,20) = 10·83, P < 0·01) activities in rats. Administration of CME for 14 d decreased G6P and fructose-1,6-diphosphatase activities.
Effect of methanolic extract of Cichorium intybus (CME) on (a) hepatic glucose-6-phosphatase (G6P) and (b) F16BP enzyme levels in diabetic rats. Value are expressed as means with their standard errors, n 6. Mean values were significantly different from those when compared with the hyperglycaemic group (): *P = 0·01. Mean values were significantly different from those when compared with the normoglycaemic group (□): ††P = 0·05. , Hyperglycaemic+CME group.
Discussion
PTP1B has been reported to play the role of a central switch in controlling insulin signalling and adipogenesis(Reference Ukkola and Santaniemi21). In our earlier study, the biological role of C. intybus crude extract in PTP1B inhibition was ascertained in adipocytes(Reference Muthusamy, Anand and Sangeetha9). 3T3-L1 adipocyte cell culture model of adipogenesis has been reported to be a reliable model to study lipid metabolism and insulin cell signalling in vitro (Reference Rajala and Scherer22). Green & Kehinde(Reference Green and Kehinde23) have reported that a major limitation of the 3T3-L1 model is the loss of the differentiation ability of the preadipocytes with variation in cell copy number when passaged extensively.
Taking this into consideration, 3T3-L1 adipocytes with low passage number ( < 5) were used in the present study. As an extension, the present study was intended to evaluate the key molecule (s) present in C. intybus which could be responsible for PTP1B inhibition and in vivo efficacy. The key molecule responsible for the PTP1B inhibitory effect of CME was identified to be CGA. Interestingly, although the dose–response analysis of 2-deoxy-d-3[H]-glucose uptake and insulin signalling markers revealed that CGA acts through a mechanism that is similar to that through which CME acts, the activity of CME was better than that of the active molecule (CGA) obtained through bioactivity-guided purification. Usually, therapeutic superiority of a crude extract over a single isolated molecule would be caused by additive effects of the other molecules present in the extract(Reference Wagner24). Li et al. (Reference Li, Motwani and Tong25) have also observed a similar dominance in the anti-cancer activity of Chinese traditional herb Coptis chinensis with its active molecule berberine. One of the major problems in regularising diet is the identification of key molecules responsible for its activity, because most of the dietary plants function additively or synergistically(Reference Davis26). Even in the present study, no significant improvement in the glucose uptake, adipogenesis and PTP1B inhibitory activities was observed during the enrichment of CME.
Cinnamic acid and caffeic acid, the precursors of all caffeoyl derivatives(Reference Innocenti, Gallori and Giaccherini27), have been well studied for glucose uptake(Reference Jung, Lee and Park28) and PTP1B inhibitory activities(Reference Lakshmi, Sujatha and Anand29). C. intybus contains very low quantities(Reference Molgaard and Ravn30) of cinnamic acid and caffeic acid that eliminate the possibility of their influence on the net activity of CME. Chicoric acid a dicaffeoyl ester from C. intybus is present in substantial amounts(Reference Innocenti, Gallori and Giaccherini27) (4·5–6·5 %, w/w), but it has been reported for moderate ( < 20 % uptake) glucose-transporting activity(Reference Tousch, Lajoix and Hosy31). Therefore, we hypothesise that CGA would be the most active molecule among all the caffeic acid derivatives present in C. intybus exhibiting glucose uptake activity, whereas the association of other caffeoyl derivatives such as cinnamic acid, caffeic acid and chicoric acid would be adding to the net biological activity of CME. Hence, CGA was selected as a chemical and biological marker for the standardisation of the C. intybus extract. Rationalising the therapeutic efficacy of a medicinal plant with its most active constituent has been considered to be a reasonable approach for investigating herbal preparations(Reference Winslow and Kroll32). To standardise CME, a simple and robust quantitative high-performance TLC method was also developed. High-performance TLC studies revealed that CME contains 1·219 % w/w of CGA, which is comparable with earlier reports(Reference Davis26).
PTP1B has been reported to be a key modulator of downstream markers of insulin signal transduction such as IR, IRS, PI3K and PKB(Reference Ukkola and Santaniemi21). Insulin-stimulated GLUT4 translocation and the fate of glucose in translating into glycogen are mainly mediated through PI3K(Reference Kenner, Anyanwu and Olefsky33). Significant increase in IR, IRS, PI3K and PKB expressions along with a subsequent decrease in GSK-3β expression evidently substantiates PTP1B inhibition-mediated glucose-transporting mechanism of CME and CGA. Rondinone et al. (Reference Rondinone, Trevillyan and Clampit34) observed a decrease in adipogenesis with a downregulation of all adipogenic genes in animals ablated with PTP1B, and postulated the pivotal role of PTP1B in the development of obesity. The quantitative adipogenesis analysis and photomicrographs of cells incubated with CME and CGA clearly revealed the variation in lipid droplet formations. The present results on CCAAT/enhancer-binding protein α, PPARγ and sterol-regulatory element-binding protein-1c expressions coincide with our earlier findings, and corroborate the PTP1B inhibitory mechanism of CME and CGA.
One of the major hindrances in developing PTP1B inhibitors has been the identification of a small molecule with bioavailability. To address this, we analysed the in vivo efficacy of CME in diabetic rats. HFD in combination with a low-dose STZ (35 mg/kg body weight)-induced diabetes model has been reported to show similar metabolic features of insulin resistance(Reference Proietto, Filippis and Nakhla35), and has been used for the evaluation of PTP1B inhibitors(Reference Wu, Ou-Yang and Wu36). Pushparaj et al. (Reference Pushparaj, Low and Manikandan37) have identified the intestinal glucose absorption-decreasing property of inulin isolated from C. intybus. But no reports were available regarding the evaluation of C. intybus in insulin-resistant animal model. Additionally, the clustal analysis of the homology of PTP1B between rats and human was observed to be more than 8 % (www.ebi.ac.uk/clustal – data not shown). Hence, we adapted the HFD- and low-dose STZ-induced rat model to evaluate the in vivo efficacy of CME.
In the experimental conditions, a significant decrease in body weight was observed upon treatment with CME in diabetic rats. A similar observation was reported earlier for vanadium salts, which are known inhibitors of PTP1B(Reference Meyerovitch, Shechter and Amir38). Additionally, a consistent decrease in food intake was also noticed in the CME-treated rats. PTP1B controls energy metabolism and appetite by modulating leptin levels both peripherally and centrally. PTP1B inhibitors with a capability to cross the blood–brain barrier are expected to control body weight and appetite(Reference Morrison39). The ability of CGA to cross blood–brain barrier has been well documented(Reference Lapchak40). Additionally, the log P values of other molecules such as cinnamic acid and caffeic acid fall at an optimal log P range ( < 1·5) to cross the blood–brain barrier(Reference Summerfield, Read and Begley41). Hence, the observation can be correlated with PTP1B inhibitory efficacy of CGA and other caffeoyl derivatives present in CME. Administration of CME produced potent anti-diabetic activity in the HFD/STZ rats as evidenced by decreased PG, PC and PT levels, which can be corroborated to its efficacy in PTP1B inhibition. A non-significant increase in insulin levels with CME treatment can be rationalised by the hepatic G6P inhibition-mediated insulinotropic effect of caffeoyl derivatives(Reference Tousch, Lajoix and Hosy31).
Furthermore, to confirm the PTP1B inhibition-mediated mechanism of CME in influencing insulin signalling markers, the protein expressions in the skeletal muscle of HFD/STZ-treated type 2 diabetic rats were analysed. The function of PTP1B is tissue specific, and its role in skeletal muscles and adipocytes has been well elucidated(Reference Goldstein42). Hence, skeletal muscle was used in the present study. Up-regulation of IR, PI3K, PKB and GLUT4 and suppression of GSK-3β with CME treatment that were observed through immunoblotting demonstrate the PTP1B-mediated insulinomimetic action of CME.
Inhibition of negative regulators of insulin signalling cascade such as PTP1B has been reported to direct the energy utilisation towards glycogen storage(Reference Byon, Kusari and Kusari5). Lochhead et al. (Reference Lochhead, Coghlan and Rice43) postulated the link between activation of PI3K and PKB and a decrease in the transcriptions of gluconeogenic enzymes such as G6P and F16BP. In the present study, increase in skeletal muscle glycogen content by CME clearly shows that it acts through the modulation of PTP1B, PI3K and GSK-3β. Since liver glycogen levels have also been regulated by hepatic G6P enzyme, the current observation can also be reasoned to be due to the G6P inhibitory effects of caffeoyl derivatives (CGA and cichoric acid) present in C. intybus (Reference Tousch, Lajoix and Hosy31). Biostability is one of the major limitations of the PTP1B inhibitor drug development. Since cinnamic acid and caffeic acid are the major metabolites of CGA(Reference Moridani, Scobie and Jamshidzadeh44), we hypothesise that the metabolic process may not alter the activity of CGA.
Currently, nutrigenomics and dietary intervention studies with new targets involved in energy homoeostasis are gaining attention for the management of metabolic disorders. The clinical significance of PTP1B has been well documented by evidencing its association in inhibiting insulin signal transduction. The present study has revealed the ability of commonly eaten salad leaves C. intybus in normalising glucose metabolism without altering lipid metabolism through the PTP1B inhibitory mechanism.
Acknowledgements
B. S. L. and V. S. M. conceptualised and designed the study, and wrote the manuscript. C. S. and M. R. helped in the in vivo experiments. R. B. R. and S. S. helped in the bioactivity-guided fractionation studies. V. S. M., C. S. and S. A. collated all statistical information. All authors read and approved the findings of the study. There is no conflict of interest. V. S. M. is a CSIR – Research Associate and is highly grateful to the Council of Scientific and Industrial Research, Government of India, for the financial assistance.
