Abstract

In type 2 diabetes (T2D), insufficient secretion of insulin from the pancreatic β-cells contributes to high blood glucose levels, associated with metabolic dysregulation. Interest in natural products to complement or replace existing antidiabetic medications has increased. In this study, we examined the effect of Astragalus membranaceus extract (ASME) and its compounds 1–9 on glucose-stimulated insulin secretion (GSIS) from pancreatic β-cells. ASME and compounds 1–9 isolated from A. membranaceus stimulated insulin secretion in INS-1 cells without inducing cytotoxicity. A further experiment showed that compounds 2, 3, and 5 enhanced the phosphorylation of total insulin receptor substrate-2 (IRS-2), phosphatidylinositol 3-kinase (PI3K), and Akt, and activated pancreatic and duodenal homeobox-1 (PDX-1) and peroxisome proliferator-activated receptor-γ (PPAR-γ), which are associated with β-cell function and insulin secretion. The data suggest that two isoflavonoids (2 and 3) and a nucleoside (compound 5), isolated from the roots of A. membranaceus, have the potential to improve insulin secretion in β-cells, representing the first step towards the development of potent antidiabetic drugs.

Highlights

  • Diabetes is characterized by high blood glucose levels and is a common health problem that affects 387 million people worldwide [1]

  • We report for the first time, to our knowledge, the potential to improve insulin secretion in the INS-1 rat insulin-secreting β-cell line using isoflavonoids isolated from A. membranaceus, evaluated as a treatment strategy for Type 2 diabetes (T2D)

  • This study demonstrated that two isoflavonoids and a nucleoside isolated from A. membranaceus result in the overexpression of insulin receptor substrate-2 (IRS-2), phosphatidylinositol 3-kinase (PI3K), Akt, pancreatic and duodenal homeobox-1 (PDX-1), and peroxisome proliferator-activated receptor-γ (PPAR-γ), which are associated with β-cell function and enhanced insulin secretion

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Summary

Introduction

Diabetes is characterized by high blood glucose levels (hyperglycemia) and is a common health problem that affects 387 million people worldwide [1] It is an important risk factor for eye, kidney, nerve, and cardiovascular damage [2]. Type 2 diabetes (T2D) accounts for approximately 90% of all diabetes cases, in which insulin resistance is the primary pathogenic condition. It results in the failure of insulin action in metabolic target tissues, such as muscle, liver, and adipose tissues, due to the insufficient secretion of insulin from the pancreatic β-cells located within the islets of Langerhans [3,4]. A study focused on preserving the secretory function and mass of the pancreatic β-cells is a strategic approach for the treatment of diabetes

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