Abstract

We evaluated and compared the antidiabetic potential and molecular mechanisms of 17 Cree plants’ ethanol extracts (EE) and hot water extracts (HWE) on glucose homeostasis in vitro and used metabolomics to seek links with the content of specific phytochemicals. Several EE of medical plants stimulated muscle glucose uptake and inhibited hepatic G6Pase activity. Some HWE partially or completely lost these antidiabetic activities in comparison to EE. Only R. groenlandicum retained similar potential between EE and HWE in both assays. In C2C12 muscle cells, EE of R. groenlandicum, A. incana and S. purpurea stimulated glucose uptake by activating AMP-activated protein kinase (AMPK) pathway and increasing glucose transporter type 4 (GLUT4) expression. In comparison to EE, HWE of R. groenlandicum exhibited similar activities; HWE of A. incana completely lost its effect on all parameters; interestingly, HWE of S. purpurea activated insulin pathway instead of AMPK pathway to increase glucose uptake. In the liver, for a subset of 5 plants, HWE and EE activated AMPK pathway whereas the EE and HWE of S. purpurea and K. angustifolia also activated insulin pathways. Quercetin-3-O-galactoside and quercetin 3-O-α-L-arabinopyranoside, were successfully identified by discriminant analysis as biomarkers of HWE plant extracts that stimulate glucose uptake in vitro. More importantly, the latter compound was not identified by previous bioassay-guided fractionation.

Highlights

  • Type 2 diabetes (T2D) is characterized by impaired insulin secretion and / or insulin sensitivity

  • Stimulation of glucose uptake in myotubes by different plant extracts Plant extracts were tested for enhancing glucose transport properties in an insulin-responsive and glucose transporter type 4 (GLUT4)-containing cell line, namely, C2C12 myoblasts [14,15]

  • The hot water extracts (HWE) of S. purpurea and R. tomentosum exhibited a decreased effectiveness compared to the stimulation of their ethanol extracts (EE)

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Summary

Introduction

Type 2 diabetes (T2D) is characterized by impaired insulin secretion and / or insulin sensitivity. The burden of T2D and the ensuing deleterious complications (cardiovascular, retinopathy and nephropathy) prompted the search for culturally adapted treatment options for these Indigenous populations. In order to identify such culturally adapted T2D complementary therapies, quantitative ethnobotanical studies have been performed by our team [2]. Results showed that several extracts strongly stimulated glucose uptake (GU) in C2C12 cells and inhibited Glucose-6-Phosphatase (G6Pase) activity in H4IIE cells [4,5,6,7]. The muscle is the main tissue regulating the postprandrial glucose, occurring principally through glucose transporter type 4 (GLUT4) [8]. In T2D, unsuppressed HGP has been linked to increased G6Pase activity [10]

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