Chemical Structure, Hypoglycemic Activity, and Mechanism of Action of Selenium Polysaccharides.

Selenium polysaccharides (Se-polysaccharides) are one of important forms of organic Se, in which selenium (Se) and polysaccharides are joined by covalent bonds. In the present review, recent progress in chemical structure and hypoglycemic activity of Se-polysaccharides is summarized. In particular, the mechanism underlying hypoglycemic capacity of Se-polysaccharides is discussed, and the relationship between hypoglycemic activity and chemical structure is analyzed. Besides, strategies for further research into chemical structure and hypoglycemic activity of Se-polysaccharides are proposed. Hypoglycemic activity of Se-polysaccharides is closely related to their inhibitory effect on α-amylase and α-glucosidase, influence on insulin signal pathway especially IRS-PI3K-Akt signaling pathway, and protection capacity against oxidative stress.

Introduction

Selenium (Se) is a crucial trace element possessing distinctive beneficial effects on human health [1]. Se intake seems to have protective effects against influenza, acquired immunodeficiency syndrome (AIDS), and even coronavirus disease 2019 (COVID-19) [2, 3]. And Se deficiency or dyshomeostasis may lead to several epidemics such as Keshan disease, cardiovascular disease, asthma, male sterility, cancers, and diabetes mellitus [4, 5]. In nature, Se exists in two states: inorganic and organic forms. When compared with inorganic Se, organic Se frequently exhibits superior advantages such as lower toxicity, fewer side effects, and higher bioavailability [4]. Usually, Se intake must depend on Se supplements (e.g., selenocysteine), Se-containing foods, or Se-enriched foods (e.g., Se-enriched Chrysanthemum morifolium) [5]. Selenium polysaccharides (Se-polysaccharides), an important form of organic Se, are widely used as Se supplements [6]. Se-polysaccharides are actually a Se complex composed of Se and polysaccharides. It is known that polysaccharides display a broad range of bioactivities such as antihyperlipidemic, immune-regulatory, antioxidant, antitumor, and antiaging capacities [7, 8]. Currently, increasing studies demonstrated that Se-polysaccharides showed higher bioactivities than single polysaccharides or Se, especially in terms of hypoglycemic activity [9].

Type 2 diabetes mellitus (T2DM) is a complicated clinical syndrome with disorders of carbohydrate and lipid metabolisms usually accompanied by several complications [10]. Generally, insulin resistance (IR) is considered the fundamental pathogenesis of T2DM, which is mainly caused by impaired insulin signaling pathways and other multiple metabolic pathways such as lipid oxidation, protein synthesis and degradation, and hepatic gluconeogenesis [11]. When IR happens, response of peripheral tissues (e.g., liver, muscle and fat cells) to insulin stimulation most probably downregulates, which eventually results in metabolic disorder of blood glucose [12]. If human is exposed to the overnourished state generated by IR for a long time, insulin will not effectively inhibit liver gluconeogenesis and stimulate glucose intake of peripheral tissues while insulin-stimulated lipolysis remains intact [13]. Over the past 20 years, many papers that dealt with hypoglycemic capacities of Se-enriched vegetables, fruits, and medicinal plants have been published [13-16]. Our previous research revealed that aqueous and methanolic extracts from Se-enriched Chrysanthemum morifolium possessed stronger antioxidant capacities as well as inhibitory activities against α-amylase and α-glucosidase in comparison with traditional Chrysanthemum morifolium (non-Se-enriched Chrysanthemum morifolium). Furthermore, Se-polysaccharides isolated from Se-enriched Chrysanthemum morifolium markedly reduce postprandial blood glucose and remit the typical symptoms such as polydipsia and polyphagia in diabetic mice [15, 16]. It is of theoretical and applied significance to investigate chemical structure, hypoglycemic activity, and its mechanism of Se-polysaccharides and exploit novel phytopharmaceuticals or nutraceuticals based upon Se-polysaccharides for prevention and treatment of T2DM.

In this review, we shall provide an overview of recent progress in chemical structure and hypoglycemic activity of Se-polysaccharides. In particular, we shall discuss structure–activity relationship of Se-polysaccharides. Besides, the mechanism underlying hypoglycemic capacity of Se-polysaccharides will be analyzed. Comprehensive understanding of mechanism of action and structure–activity relationship of Se-polysaccharides may enable the discovery of novel nutraceuticals or pharmaceuticals targeting insulin signaling pathways, which is helpful to restore glucose homeostasis and ameliorate hyperglycemia. At last, we shall propose strategies to unveil the mechanism underlying hypoglycemic activity of Se-polysaccharides and to explore their clinical application to T2DM.

Techniques for Preparing Natural and Synthetic Se-Polysaccharides

Natural Se-Enriched Polysaccharides

Se-Polysaccharides from Plants

Plants are one of the main sources of natural Se-polysaccharides (Table 1), which frequently possess health benefits to human [6]. Usually, the formation of Se-polysaccharides in plants depends on concentration, transport, and anabolism of Se from soils to plants [17]. And transport of Se in plants is carried out via delivery systems for other elements [18], because there is no specific delivery systems for Se. El Mehdawi et al. [19] revealed that Se transport and accumulation in Stanleya pinnata is intimately linked with overexpression of sulfate transporters SULTR1 and SULTR2. Similarly, Zhang et al. [20] also indicated that overexpression of phosphorus transporter OsPT2 was involved in Se accumulation in rice. Unfortunately, absorption and transport of Se can be hampered by competitive ions such as sulfate and phosphate anions in soils [21]. Furthermore, Se forms in soils greatly affected absorption and transport of Se. Se in soils can be divided into the following forms: (1) soluble Se, (2) exchangeable and carbonate-bound Se, (3) iron (Fe)-manganese (Mn) oxide-bound Se, (4) organic matter-bound Se, and (5) the residual state [22]. Among them, only soluble Se and exchangeable Se are regarded as available Se in soils, which can be assimilated by plants [23]. In our laboratory, Se-enriched matcha has been manufactured based on a specific variety of Camellia sinensis cultivated in the famous selenium-enriched region, Ziyang County, Ankang City, Shaanxi Province of China (Chinese Patent No. ZL202021318642.3). In many case, available Se is less than 5% in soils, which partially contributed to low content of Se-polysaccharides in plants [21]. According to the WHO, about 1 billion people are suffering from Se malnutrition due to low Se level in soils, which leads to insufficiency of Se in crops [24]. In order to improve Se content in crops, some techniques were employed during their cultivation and production. On one hand, inorganic Se was artificially sprayed on aerial parts of crops (Fig. 1). On the other hand, Se-rich fertilizers were put on soils.

Table 1

Chemical property and character of natural and synthetic Se-polysaccharides

Original source	Se-polysaccharides	Preparation method	Methods for Se detection	Se content (µg/g)	Monosaccharide composition	References
Oudemansiella radicata	SPS	Bio-transformation	FAAS	127.10	Rib, Man, Gal, Glu	[6]
	ESPS			93.10	Man, Gal, Glu
	ASPS			83.20	Rha, Fuc, Glu, Man, Gal
Momordica charantia	Se-MCPIIa-1	Vc/Na2SeO3	AFS	445	Man, Fuc, Ara, Rha, Gla, Gaa, Glu, Gal, Xyl	[7]
Green tea	CSe-TPS	NA-SS	AFS	2120	Rha, Ara, Gluc, Gal, Glu, Xyl, Man, Fru, Gaa	[8]
	ASe-TPS			1640	Rha, Ara, Gal, Glu, Xyl, Man, Fru, Gaa
Green tea	SeTPS-1	Bio-transformation	AFS	23.50	Glu, Gal	[54]
	SeTPS-2			13.47	Ara, Glu, Gal, Gaa
Tea	Se-TPS	Bio-transformation	AFS	1.987	Fuc, Rha, Ara, Gal, Glu, Man, Rib, Gla, Gaa	[50]
Pyracantha fortuneana	Se-PFPs	Bio-transformation	-	-	-	[9]
Murus alba	MFP3P-Se	NA-SS	AAS	452	Rha, Ara, Gal, Glu, Gaa	[12]
Enterobacter cloacae	Se-ECZ-EPS	Se0NPs	-	-	-	[26]
Hericium erinaceum	EPS	Bio-transformation	AAS	4890	Man, Glu, Gal	[27]
	IPS			4690	Glu, Gal, Man
Castanea mollissima	sCPA	NA-SS	ICP-OES	573.9	Glu	[29]
Pleurotus geesteranus	SPMP-2a	Bio-transformation	-	-	-	[31]
Artemisia sphaerocephala	SeASPMW	NA-SA	AAS	111 ~ 264	Ara, Xyl, Glu, Man, Gal	[32]
Glycyrrhiza uralensis	Se-GUP	NA-SS	ICP-OES	1339	-	[33]
Schisandra chinensis	SCPs	NA-SS	AFS	3810 ~ 10,350	-	[34]
Artemisia sphaerocephala	Se-ASP	SeOCl2 method	AFS	22,400	-	[35]
Garlic	GPSs	NA-SS	AFS	29,400	-	[39]
		GA-SA		26,300
		GA-SS		10,500
		SeOCl2 method		9200
Capparis spinosa	Se-CSPS	NA-SS	UV	2438 ~ 5547	-	[40]
Potentilla anserina	SePAP	NA-SA	HPLC	2690.1 ± 7.2	Glu, Man, Gal	[41]
Sweet potato	Se-SWP	NA-SS	AFS	12,740	Rha, Glu, Gal	[42]
Cordyceps sinensis	EPS-SeNPs	Se0NPs method	-	-	-	[45]
Undaria pinnatifida	Se-polysaccharides	Se0NPs method	-	-	-	[46]
Platycodon grandiflorum	PGP1	Bio-transformation	AFS	39.4	Glu, Gal, Man	[53]
Grifola frondosa	Se-GFP-22	Bio-transformation	AFS	8.37	Man, Glu, Gal	[55]
Catathelasma ventricosum	SemCVP-1Ss	NA-SS	ICP-MS	1180 ~ 1860	Glu, Gal, Fuc	[52]
Alfalfa	Se-RAPS-2	NA-SS	AFS	320	Rha, Xyl, Gaa, Man, Glu, Gal	[57]
Catathelasma ventricosum	SPC-2	Bio-transformation	AFS	41.77	Glu, Xyl, Man, Gal	[51]
Catathelasma ventricosum	CVPs-SeNPs	Se0NPs method	-	-	-	[58]
Cordyceps sinensis	ISPS	Bio-transformation	-	-	-	[59]
Cordyceps militaris	SeCPS-I	NA-SS	AFS	541.3	Man, Glu, Gal	[60]
	SeCPS-II			863.7
	SeCPS-II			623.3

NA-SS nitric acid-sodium selenite, SeNPs elementary Se with nanometer size, NA-SA nitric acid-selenous acid, GA-SS glacial acetic acid-sodium selenite, GA-SA glacial acetic acid-selenous acid, FAAS flame atomic absorption spectrometry, AFS atomic fluorescence spectrometer, AAS atomic absorption spectrometer, ICP-OES inductively coupled plasma-optical emission spectrometer, UV UV–Vis spectrophotometer, ICP-MS inductively coupled plasma mass spectrophotometer, HPLC high-performance liquid chromatography, Rha rhamnose, Ara arabinose, Gluc glucosamine, Glu glucose, Gal galactose, Xyl xylose, Man mannose, Fru fructose, Gaa galacturonic acid, Gla glucuronic acid, Fuc fucose, Rib ribose

Fig. 1

Bioactivities of natural and synthetic Se-polysaccharides

Se-Polysaccharides from Microorganisms

When microorganisms absorbed exogenetic Se oxyanions (e.g., SeO42− and SeO32−) or elementary Se (Se0), they manufactured Se-polysaccharides with Se and polysaccharides in cell walls [25]. Zhou et al. [26] successfully prepared microbial Se-polysaccharides by adding Na2SeO3 to the culture medium of Enterobacter cloacae. Malinowska et al. [27] obtained two kinds of Se-polysaccharides using Hericium erinaceus with Na2SeO3 and organoselenium (i.e., selenite triglycerides), respectively. Compared to Na2SeO3, organoselenium contributed to higher yield of Se-polysaccharides and lower toxic effects.

Extraction of Natural Se-Polysaccharides

Currently, separation and purification methods of Se-polysaccharide are similar to conventional polysaccharides (non-Se-polysaccharides). And water decoction and ethanol precipitation method is the most common technique for extracting Se-polysaccharides from biological matrix. The method usually exhibited the following advantages: (1) low solvent consumption, (2) low cost, and (3) operating simplicity [28, 29]. Ultrasonic extraction was also used to isolate Se-polysaccharides from Se-enriched Lyophyllum decastes. However, too long ultrasonication time probably caused degradation of Se-polysaccharides. One possible reason is that acoustic cavitation produced by ultrasound may rupture the surface of polysaccharides. Another reason is that ultrasound may produce free radicals, which probably damage the structure of polysaccharides [30].

Artificially Synthetic Se-Polysaccharides

Since abundance of Se in plants and other organisms is usually low, Se intake from natural crops or foods cannot satisfy people’s physical needs in many cases, which is called “hidden hunger of Se.” Concerns about Se-polysaccharides deficiency in natural organisms and hidden hunger of Se in human populations have fostered investigations into artificial synthesis of Se-polysaccharides [31]. Presently, artificial synthesis of Se-polysaccharides with evident health benefits has attracted more attention (Table 1). Polysaccharides are macromolecules with a vast array of chemical groups such as hydroxyl, aldehyde, ketone, and amino groups, some of which can be replaced by selenide reagent and then form Se-polysaccharides.

In general, there are three common ways of chemically synthesizing Se-polysaccharides. The first method is selenylation modification of polysaccharides with selenide reagents [32]. Elementary Se, sodium selenite, and selenous acid are usually employed as selenide reagents modifying chemical structure of target polysaccharides. And dominant systems of selenylation modification include nitric acid-sodium selenite (NA-SS), nitric acid-selenous acid (NA-SA), glacial acetic acid-sodium selenite (GA-SS), and glacial acetic acid-selenous acid (GA-SA) [14]. Wang et al. [32] achieved a series of Se-polysaccharides with Se content of 168–1703 μg/g using polysaccharides extracted from Artemisia sphaerocephala as the substrate (precursor) and BaCl2 as the catalyst by NA-SA system. And they found that Ba2+ notably improves selenylation efficiency of polysaccharides. By the similar system, Lian et al. [33] also synthesized Se-polysaccharides with Se content of 1339 μg/g based on Glycyrrhiza uralensis polysaccharides, which exhibited significant antioxidant activities in vivo and in vitro. Likewise, NA-SS system was applied to preparation of Se-enriched Schisandra chinensis polysaccharides [34]. The second method is selenylation modification of polysaccharides with selenium oxychloride (SeOCl2). SeOCl2, one of active acylation agents, has strong capacity to conjugate with hydroxyl groups of polysaccharides [35]. Chemically synthetic Se-polysaccharides with hypoglycemic activity were achieved based upon Artemisia sphaerocephala polysaccharides using SeOCl2 method [35]. Most recently, selenized glucose with in vivo antioxidant activity was synthesized, which might be used as an alternative precursor for de novo synthesis of Se-polysaccharides [36-38].

In general, Se yield in end-products of Se-polysaccharides is considered a crucial parameter of selenylation modification [39]. As regards the first method (selenite method), Se yields by NA-SA system (0.91–0.11%) and GA-SA system (0.73–0.50%) are higher than that of the second method (SeOCl2 method) (0.33–0.04%) in many cases. Moreover, its operation is simpler than the second method [39], although it is more time-consuming. For instance, selenylation of glucan from Castanea mollissima fruits with Se content of 574 μg/g was performed using NA-SS system at 65 °C for 10 h [29]. Likely, selenylation of polysaccharides from Capparis spinosa with Se content of 2438–5545 μg/g was conducted using HA-SS system at 65 °C for 10 h [40]. It is noticeable that long heating duration may cause degradation of polysaccharides in presence of HNO3. As regards the second method (SeOCl2 method), toxic gas is usually released in the reaction process [39]. Reaction time of Se-enriched Artemisia sphaerocephala polysaccharides obtained by SeOCl2 method (5 h) was remarkably lower than that by NA-NS system (16 h) [32, 35]. To shorten reaction time of selenylation, microwave technique was employed to assist selenite method and SeOCl2 method [41, 42]. It only took 2 h to prepare Se-enriched Potentilla anserina polysaccharides with high Se yield of 2687.24 μg/g by NA-SA system with assistance of microwave irradiation [41]. Similarly, Se-enriched Ipomoea batatas polysaccharides with Se content of 12.74 mg/g were synthesized at 100 °C for 0.5–0.8 h by NA-SA system [42]. Microwave is a kind of electromagnetic wave with high frequency, which can be converted into thermal energy and rapidly heat the reactants when passed through the reactive medium [43]. Microwave exhibited remarkable ability to shorten reaction time and increase Se content during Se-polysaccharide synthesis.

Interestingly, Se nanoparticles (elementary Se with nanometer size, Se0NPs) were used to artificially synthesize Se-polysaccharides [44]. For example, Xiao et al. [45] successfully prepared well-dispersed nano-Se-polysaccharides (CVPs-Se0NPs) using Lignosus rhinocerotis polysaccharides as surface modifier of Se0NPs and ascorbic acid as reducing agent of sodium selenite, respectively. Chen et al. [46] also obtained Se-polysaccharides by adding Undaria pinnatifida polysaccharides into the reaction system of selenite and ascorbic acid. Acute toxicity tests indicated that LD50 (median lethal dose) of Se0NPs (15.70 mg/kg) was significantly lower than that of H2SeO3 (113.00 mg/kg) [47]. Estevez et al. [48] found that toxicity to HepG2 cell considerably varied among different Se forms (Se(IV), Se(VI), and Se0NPs), and Se0NPs only caused slight toxicity to HepG2 cells when compared to Se(IV) and Se(VI).

Structural Characterization of Se‑Polysaccharides

Methods for Structure Identification of Se-Polysaccharides

It is already well established that function of biological macromolecules (e.g., polysaccharides) is closely related to their chemical structure [29]. Consequently, it is necessary to thoroughly analyzed chemical structure of Se-polysaccharides by various methods and to reveal their structure–activity relationship. In general, commonly used methods for structural identification of Se-polysaccharides mainly include chemical methods and instrumental ones. As regards chemical methods, carbohydrates and proteins are frequently quantified by phenol-H2SO4 method and Bradford method, respectively [39]. In our laboratory, a sensitive, precise, and accurate phenol-H2SO4 method has been developed for determination of polysaccharides in edible medicinal plants [28]. Partial acid hydrolysis, periodate oxidation-Smith degradation and methylation are usually employed to ascertain the position of glycosidic linkages and to analyze the number of branch of polysaccharides [49]. As regards instrument method, molecular weight of Se-polysaccharides is determined by high-performance gel permeation chromatography system, membrane osmometer, and vapor pressure osmometer [50]. Gas chromatography (GC), high-performance liquid chromatography, and mass spectrometry are usually used to identify monosaccharides in Se-polysaccharides [42]. Circular dichroism spectroscopy (CD) is used to characterize secondary structure of Se-polysaccharides. Ultraviolet spectrophotometry (UV), Fourier transform infrared spectroscopy (FT-IR), and nuclear magnetic resonance (NMR) are applied to identification of chemical groups and configurations of glycosidic linkages. Scanning electron microscope (SEM), transmission electron microscope, and atomic force microscope (AFM) are used to observe micromorphology of Se-polysaccharides [51]. In general, Se in Se-polysaccharides is quantified using atomic fluorescence spectrophotometry (AFS), inductively coupled plasma optical emission spectrometer (ICP-OES), and inductively coupled plasma mass spectrometry (ICP-MS) [52]. In our laboratory, a hydride generation atomic fluorescence spectrometric method was developed for quantitative analysis of selenium in plants, which has proved to be an accurate, precise, sensitive, and safe analytical technique [1].

Structure of Natural Se-Polysaccharides

In Se-polysaccharides, Se and polysaccharides are joined by covalent bonds (Fig. 1). Structural analysis of polysaccharides backbone is performed with respect to monosaccharide composition, conformation of glycosidic linkages, binding sites of Se, higher-order structure, as well as micromorphology. GC analysis showed that Se-polysaccharides with Se content of 39.40 μg/g from Se-enriched Platycodon grandiflorum are composed of d-glucose, d-galactose, and d-mannose at molar ratio of 7.1:1.1:0.6 [53]. Sun et al. [31] found that Se-polysaccharides from Se-enriched Pleurotus geesteranus with a molecular weight of 3.32 × 104 Da belonged to acidic polysaccharides with α-D-glucopyranoside bond, and there was a characteristic peak ascribing to Se–O–C stretching vibrations in their infrared spectrum. Structure of two Se-polysaccharides (SeTPS-1 and SeTPS-2) isolated from Se-enriched tea was characterized by GC, FT-IR, Congo red test, and NRM [54]. It was found that SeTPS-1 was composed of glucose and galactose while SeTPS-2 was composed of arabinose, glucose, galactose, and galacturonic acid. Se was attached to polysaccharides backbone in the form of Se = O and O–Se–O, and two Se-polysaccharides were random coil conformations instead of triple-helix structures [54]. Se-enriched heteropolysaccharides with molecular weight of 4.13 × 106 Da were extracted from Se-enriched Grifola frondosa [55]. NRM analysis revealed that there is a backbone chain of 1,4-α-linked-d-Glcp units and trace amounts of branches of 1,3,6-α-linked-d-Manp and 1,4,6-β-linked-d-Galp. SEM and AFM images illustrated that irregular fiber net structure existed in Se-polysaccharides, which was similar to results of Congo red analysis [55].

Structure of Synthetic Se-Polysaccharides

As an alternative to natural Se-polysaccharides, synthetic Se-polysaccharides exerted hypoglycemia activity in some cases [52]. When native polysaccharides were chemically modified using selenide reagents (e.g., selenite, selenate, and elementary Se), the main conformation of polysaccharides remained nearly unchanged. In synthetic Se-polysaccharides derived from chitosan, selenite groups were attached to C2 site of amino group and C6 site of hydroxyl group at polysaccharide chain while the main conformation of polysaccharides remained intact [56]. Congo red test implied that synthetic Se-polysaccharides based on Catathelasma ventricosum mycelial polysaccharides have a triple-helical structure [52]. Raman spectroscopy analysis suggested that Se was attached to polysaccharides backbone in the form of Se = O and C–O–Se in synthetic Se-polysaccharides derived from Artemisia sphaerocephala using NA-SA system [32]. Micromorphology of synthetic Se-polysaccharides based upon Medicago sativa roots polysaccharides by NA-SS system was observed using SEM. And they existed in a loose flaky structure, which was different from non-Se-polysaccharides with dense stripped structure [57].

Hyperglycemic Activity and Its Mechanism of Se-Polysaccharides

Mitigating Activity of Se-Polysaccharides Against Diabetes Mellitus

T2DM is a chronic disease accompanied with metabolic syndrome and endocrine system disorder. Most recently, increasing incidence of T2DM has seriously threatened to human health. Some reports indicated that Se-polysaccharides possessed remarkable mitigating activity against T2DM with low adverse effects and economic costs (Table 2). In other words, the fact that some Se-polysaccharides could alleviate T2DM provided a rational basis for their medicinal and nutritional uses in future [13, 32]. For instance, Se derivatives of polysaccharides from Ipomoea batatas exhibited mitigating effect on STZ-induced T2DM mice [42]. They could effectively increase body weight, protect organs (kidney, heart, liver, and pancreas) and decrease blood glucose level as well as increase insulin level. In particular, they were not found have lethal effect on mice when they were used as feeds for 30 days [42]. Se-polysaccharides from Catathelasma ventricosum could significantly protect the liver, kidney, and pancreas of STZ-induced T2DM mice, as well as enhance insulin secretion and glycogen synthesis [51].

Table 2

Hypoglycemic and antioxidant activities of Se-polysaccharides

Se-polysaccharides	Bioactivities		Se bond	Wavenumber of Se bond (cm−1)	References
	In vitro	In vivo
SPS	-	Antioxidant activity (SOD↑, CAT↑, GSH-Px↑, ROS↓ and MDA↓)	-	-	[6]
ESPS
ASPS
Se-MCPIIa-1	-	Antioxidant activity (SOD↑, CAT↑, GSH-Px↑, MDA↓ and TG↓)	C–O–Se Se = O	930.98 830.70	[7]
CSe-TPS	-	Inhibitory activity against α-glucosidase	O–Se–O Se–O–C	1080 611	[8]
ASe-TPS	-	Inhibitory activity against α-glucosidase	Se–H	669
MFP3P-Se	Antioxidant activity (free radical-scavenging capacity)	-	Se–O–C O–Se–O	627 1028	[12]
EPS	Antioxidant activity (scavenging effect on DPPH radical; reducing power; and inhibition of lipid peroxidation)	-	-	-	[27]
IPS
sCPA	-	-	Se–O–C	636	[29]
SPMP-2a	-	Antioxidant activity (SOD↑, CAT↑ and ROS↓; and protecting HaCaT cells from H2O2-induced oxidative damage)	Se–O–C	665	[31]
ASP	Antioxidant activity (scavenging effects on DPPH, superoxide anion and hydroxyl radicals)	-	Se = O C–O–Se	990 665	[32]
Se-GUP	Antioxidant activity (scavenging effects on superoxide anion, DPPH, hydroxyl radicals; and reducing power)	Antioxidant activity (GSH-Px↑, SOD↑ and MDA↓)	O–Se–O	956.32	[33]
SCPs	Antioxidant activity (scavenging effects on DPPH, ABTS and hydroxyl radicals)	Antioxidant activity (SOD↑, CAT↑ and MDA↓)	O–Se–O Se–O–C	1023.53 669.11	[34]
Se-ASP	-	-	Se = O C–O–Se	1064.09 844.36	[35]
GPSs	-	-	Se = O C–O–Se	850–900 600–700	[39]
SePAP	Antioxidant activity (scavenging effects on DPPH, superoxide anion and hydroxyl radicals; and reducing power)	-	Se–O–C	628	[41]
Se-SWP	Antioxidant activity (scavenging effects on DPPH and ABTS radicals; and reducing power)	Hypoglycemic activity (protecting organs in T2DM mice, insulin secretion↑, glycogen synthesis↑, and blood glucose↓)	Se = O C–O–Se	781 916	[42]
EPS-SeNPs	Antioxidant activity (scavenging effects on superoxide anion and ABTS radicals)	-	-	-	[45]
PGP1	Antioxidant activity (reduced ROS generation)	Antioxidant activity (SOD↑ and MDA↓)	-	-	[53]
SeTPS-1	Antioxidant activity (scavenging effects on ABTS and hydroxyl radicals; and reducing power)	-	Se = O C–O–Se	763 1025	[54]
SeTPS-2
Se-GFP-22	Antioxidant activity (scavenging effect on DPPH radical)	-	Se–O–C Se = O O–Se–O	667.9 759.9 1024.5	[55]
SemCVP-1S	-	Hypoglycemic activity (body weight↑, activity of antioxidant enzymes↑, blood glucose↓, and MDA↓)	-	-	[52]
Se-RAPS-2	Antioxidant activity (scavenging effects on DPPH and ABTS radicals)	-	Se = O C–O–Se	840 925	[57]
SPC-2	-	Hypoglycemic activity (body weight↑, blood glucose↓, activity of antioxidant enzymes↑ and MDA↓; and alleviating damage of liver, kidney and pancreas)	-	-	[51]
CVPs-SeNPs	-	Hypoglycemic activity (body weight↑, blood glucose↓, TC↓, TG↓, LDL-C↓, HDL-C↑, activity of antioxidant enzymes↑, and MDA↓)	-	-	[58]
ISPS	Antioxidant activity (scavenging effects on superoxide anion and hydroxyl radicals; and reducing power)	Antioxidant activity (GSH-Px↑, SOD↑ and MDA↓)	-	-	[59]
SeCPS-I	-	-	C–O–Se Se = O	848.08 932.07	[60]
SeCPS-II				850.63 931.77
SeCPS-II				844.72 932.24

Se-polysaccharides in Table 2 are the same as those in Table 1

enzyme activity or content of other biochemical indicator increased, enzyme activity or content of other biochemical indicator decreased, SOD superoxide dismutase, CAT catalase, GSH-Px glutathione peroxidase, MDA maleic dialdehyde, ROS reactive oxygen species, TC total cholesterol, TG triglyceride, LDL-C low-density lipoprotein cholesterol, HDL-C high-density lipoprotein cholesterol, DPPH 2,2-diphenyl-1-picrylhydrazyl, ABTS 2,2′-azino-bis (3-ethyl-benzothiazoline-6-sulfonic acid) diammonium salt

Numerous studies suggested that hypoglycemic activity was intimately associated with antioxidant activity, especially free radical–scavenging capacity and activating effects on antioxidant enzymes such as superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) [58]. It is known that SOD plays a protective role in body against oxidative stress especially lipid peroxidation caused by reactive oxygen species (ROS), and GSH-Px mainly reduces H2O2 to H2O to attenuate its oxidative damage. Se-polysaccharides from Cordyceps sinensis could improve SOD and GSH-Px activities in vivo [59]. Se-polysaccharides from Cordyceps militaris could scavenge 1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals, superoxide radicals, and hydroxyl radicals [60]. Likewise, Se-polysaccharides based on Catathelasma ventricosum polysaccharides prepared by Se0NPs method could decrease blood glucose, total cholesterol, triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) and MDA content and improve body weight, high-density lipoprotein cholesterol (HDL-C) level, and activities of antioxidant enzymes such as SOD, catalase (CAT), and GSH-Px in STZ-induced T2DM mice [58].

Advantages of Se-Polysaccharides over Other Cures Against Diabetes Mellitus

With the worldwide epidemic of T2DM, urgent measures should be taken to decrease its morbidity and mortality. Currently, a myriad of chemically synthesized drugs have been widely used to cure or intervene T2DM [61]. Among them, insulin sensitizer (e.g., thiazolidinediones and biguanides), insulin release promoters (e.g., sulfonylureas), and α-glucosidase inhibitors (e.g., acarbose and voglibose) were the commonly used oral hypoglycemic agents in clinic [61]. In general, thiazolidinediones (e.g., pioglitazone and rosiglitazone) and biguanides (e.g., metformin) could enhance the sensitivity of insulin receptors in peripheral target tissues, such as the muscle, fat, and liver tissue, ameliorate insulin resistance, inhibit hepatic glucose production, and attenuate hepatic steatosis that involves AMP-activated protein kinase activation [61]. α-glucosidase is a key enzyme in carbohydrates digestion and glycoproteins biosynthesis. α-glucosidase inhibitors could decrease the release of glucose in the bloodstream by interfering with intestinal α-glucosidase activity [62]. That is to say, they might delay carbohydrates digestion and decrease blood glucose. Oral administration of sulfonylureas (e.g., glibenclamide) can provoke secretion of insulin by stimulating pancreatic β cells using blocking ATP-sensitive K+ channels. However, sulfonylureas potentiate insulin secretion not in glucose-dependent manner, which sometimes cause episodes of hypoglycemia. Besides, a requirement for sulfonylureas to achieve hypoglycemic activity is 30% living β cells with normal metabolic function in diabetic patients, which limits its usefulness in some cases [63]. Unfortunately, there are a number of liabilities and risks inherent in some of the abovementioned chemically synthesized drugs. In general, adverse effects of those drugs included hypoglycemia and gastrointestinal symptoms such as nausea, diarrhea, and vomiting [61]. Additionally, some of hypoglycemic drugs might cause plasma lactic acidosis and osteoporosis [63].

Exogenous insulin and related analogs, commonly used biosynthetic drugs for type 1 and 2 diabetes mellitus, mainly include rapid acting insulin, short acting insulin, intermediate acting insulin, and long acting insulin [64]. Insulin and related analogs possess superior advantages such as flexibility of duration of action. However, they could not simulate rhythmical secretion of endogenous insulin [65]. And their efficacy was greatly affected by the site of injection in many cases. In particular, they failed to decrease high postprandial blood glucose when were injected at unsuitable sites [65]. Therefore, subcutaneous injection of exogenous insulin and related analogs has to obey the guidance of clinicians [51].

Hypoglycemic activity of Se-polysaccharides was confirmed by diabetic animal models induced by STZ, alloxan, or high-fructose diets [13]. Se-polysaccharides are deemed to the “next-generation Se-supplement” due to their merits: (1) Se-polysaccharides exert hypoglycemic activity and antioxidant capacity especially activating effect on antioxidant enzymes; (2) Se-polysaccharides have low toxicity and few side effects; (3) Se-polysaccharides did not cause hypoglycemia [13]; and (4) Se-polysaccharides were not found have lethal effect on experimental animals [42]. Hence, Se-polysaccharides showed great potential for becoming nutraceuticals and pharmaceuticals with relatively high hypoglycemia activity and safety.

Mechanisms Underlying Hypoglycemic Activity of Se-Polysaccharides

Inhibitory Effect of Se-Polysaccharides on α-Amylase and α-Glucosidase

Diabetes mellitus is a complicated syndrome with carbohydrate metabolism disorders. α-amylase and α-glucosidase are two key enzymes in the digestion of carbohydrates, and they could catalyze hydrolysis of starch into glucose. Among them, α-amylase is mainly distributed in saliva while α-glucosidase is distributed in brush edge of small intestinal epithelial cells [66, 67]. If their activities were inhibited, fasting blood glucose (FBG) might reduce significantly. Consequently, inhibiting activities of α-amylase and α-glucosidase have possibility for being novel strategy to eliminate hyperglycemia by modulating endogenous glucose production. Currently, some hypoglycemic medicines targeting for α-glucosidase have been applied to the treatment of T2DM [67]. Natural Se-polysaccharides from Se-enriched Cyclocarya paliurus exhibited distinctly inhibitory activities against α-glucosidase in a dose-dependent manner [68]. Liu et al. [69] isolated two kinds of Se-polysaccharides from Catathelasma ventricosum growing in artificial medium containing 50 ~ 350 μg/mL Na2SeO3, both of which showed inhibitory activities against α-amylase and α-glucosidase. In our laboratory, comparison of hypoglycemic activity was performed between Se-polysaccharides extracted from Se-enriched Chrysanthemum morifolium and non-Se-polysaccharides from traditional Chrysanthemum morifolium. And Se-polysaccharides not only inhibit α-amylase and α-glucosidase, but also decrease blood glucose level in STZ-induced diabetic mice in a dose-dependent manner [15, 16].

In general, α-amylase contains three domains, namely domain A, domain B, and domain C. Among them, domain A is a central (α/β)8 TIM-barrel structure consisting of symmetric α-helices and β-strands, and domain B is a small protruding loop structure. Domain A is located at the N-terminal end of enzyme protein, while domains B and C are located at C-terminus. Moreover, domain A is the catalytic site of enzyme, domain B is thought to play a role in the substrate specificity, and domain C is correlated with protein stabilization, protein folding and substrate binding [70]. Se-polysaccharides might be competitive inhibitors of α-amylases. Unfortunately, there are few reports on hypoglycemic activity of Se-polysaccharides in diabetic animals by inhibiting α-amylase and/or α-glucosidase. And structural base for inhibition of α-amylase and α-glucosidase by Se-polysaccharides is still unclear.

Influence of Se-Polysaccharides on Insulin Signal Pathway

It is known that abnormality of IRS-PI3K-Akt (insulin receptor substrate-phosphoinositide 3-kinase-protein kinase B) signaling pathway is one of main reasons for the episode of insulin resistance [71]. Se-polysaccharides have the potential for improving insulin sensitivity and ameliorating hyperglycemia, which is deemed to be highly correlated with insulin signaling pathway [12]. Indeed, function of insulin is mainly mediated by IRS-PI3K-Akt and MAPK (mitogen-activated protein kinases) insulin signaling pathways [72]. Firstly, insulin receptor is activated when it exclusively combined with insulin. And then, tyrosine kinase in the activated insulin receptor further phosphorylates insulin receptor substrates (InsR). The phosphorylated InsR will bind to p85 subunits of downstream signaling PI3K and recruit its p110 catalytic subunit to plasma membrane, which leads to the activated PI3K [73]. The high-affinity interaction between p85 subunits and InsR is realized by Src homology 2 (SH2) domain of p85 subunits and phosphorylated tyrosine sequences of InsR [74]. Secondly, activated PI3K will subsequently phosphorylate its main substrate phosphatidylinositol-4,5-bisphosphate (PIP2) and generate the second messenger phosphatidylinositol 3,4,5-trisphosphate (PIP3) (Fig. 2). PIP3 is recruited to bind to the pleckstrin homology (PH) domain at the amino-terminal end of downstream Akt, which subsequently changes spatial configuration of Akt and activates 3-phosphoinositide dependent protein kinase l (PDK1) [72]. Thirdly, activated PDK1 phosphorylates Thr308 site on catalytic domain of Akt and activated PDK2 (3-phosphoinositide-dependent protein kinase 2) phosphorylates Thr473 site of Akt, which result in activation of Akt at plasma membrane [74]. Finally, activated Akt transmits insulin signal to downstream substrates such as glucose transporter 4 (Glut-4) and glycogen synthase kinase-3β (GSK-3β), which directly regulate blood sugar levels [73].

Fig. 2

Possible drug targets of Se-polysaccharides on insulin signaling pathway. Insulin receptor substrates (InsR), phosphatidylinositol-4,5-bisphosphate (PIP2), phosphatidylinositol 3,4,5-trisphosphate (PIP3), phosphoinositide 3-kinase (PI3K), Src homology 2 (SH2), protein kinase B (AKt), 3-phosphoinositide-dependent kinase 1(PDK1), 3-phosphoinositide dependent kinase 2 (PDK2), glucose transporter 4 (Glut-4), glycogen synthase kinase-3β (GSK-3β), possible drug targets of Se-polysaccharides (PDT)

At IRS-PI3K-Akt signaling pathway, PI3K belongs to a family of lipid kinases catalyzing inositol and phosphatidylinositol. Meanwhile, PI3K possesses phospholipid kinase and serine/threonine protein kinase activities. It is a heterodimer consisting of regulatory subunit p85 and catalytic subunit p110 [75]. Although several factors are able to activate PI3K, its role in insulin signaling pathway is only mediated by insulin. Usually, activated PI3K stimulates catabolism of glucose, anabolism of glycogen, and protein [76]. Akt, a serine/threonine protein kinase, includes PH domain at amino-terminal end, catalytic and regulatory domains at carboxyl-terminal tail. Two phosphorylation sites, Thr308 and Ser473, are respectively located in catalytic domain and regulatory domain serving as target sites of Akt. The activated Akt is responsible for moderating activity of downstream substrate proteins [75]. GSK-3β has a potential for inactivating glycogen synthase (GS); thereby, it has a negative regulatory effect on insulin signal pathway [77]. Glut-4, a carrier protein embedded in the cell, can be phosphorylated by activated Akt. When insulin signal transmits to the cell via insulin signal pathway, intracellular vesicles containing activated Glut-4 are transferred to the surface of cell membrane, which accelerates the absorption of extracellular glucose (Fig. 2). This mechanism is contributed to abnormity of glucose uptake resulted from disorder of Glut-4 function [76].

Se-polysaccharides possess significant hypoglycemic effect, which mainly attributed to their specific molecular targets for IRS-PI3K-Akt signaling pathway [12]. Ample evidence showed that polysaccharides from Ophiopogon japonicus effectively ameliorated hyperglycemia and insulin resistance of T2DM mice by upregulating important substrate proteins of insulin signal pathway such as p85 subunit of PI3K, Akt, insulin receptor, InsR, Glut-4, and downregulating GSK-3β [77]. Influence of Se-polysaccharides from Morus alba fruits on high-dose glucose-induced RIN-m5f pancreatic β cells in rat was investigated [12]. And the results indicated that Se-polysaccharides increased glucose consumption by promoting insulin secretion, which was associated with the upregulation of expressions of insulin receptor, InsR and Glut-4 [12]. Based on the abovementioned results, we hypothesize that there are at least three drug targets of Se-polysaccharides on insulin signaling pathway (Fig. 2). Firstly, Se-polysaccharides have the potential for upregulating PI3K expression. Secondly, Se-polysaccharides may upregulate Akt protein in IRS-PI3K-Akt signaling pathway. Put another way, Se-polysaccharides may lead to Akt activation followed by Glut-4 phosphorylation. Thirdly, Se-polysaccharides may inhibit GSK-3β activity and then promote GS activity and then accelerate glycogen synthesis in T2DM mice.

Protective Effect of Se-Polysaccharides Against Oxidative Stress

Oxidative stress is defined cytologically as a state of imbalance between ROS (e.g., superoxide anion and hydroxyl radicals) and antioxidant defense system (e.g., SOD, CAT, and GSH-Px). Numerous studies revealed that T2DM is strongly linked to an increase in oxidative stress, as supported by ROS-induced damage such as abnormity of insulin signaling, lipid peroxidation, and reduction of antioxidants [58, 78]. Indeed, ROS can activate c-Jun amino-terminal kinase (JNK) in MAPK insulin signaling pathways, and activated JNK may trigger phosphorylation of insulin receptor substrate 1 (InsR-1) [79]. Furthermore, JNK-mediated IRS-1 phosphorylation may exert a dysregulation of some proteins such as PI3K and Glut4, which results in abnormity of blood glucose [80]. The interventions to attenuate oxidative stress may inhibit JNK activity and then decrease blood glucose level and even alleviate insulin resistance. Se-polysaccharides from Ipomoea batatas could remarkably reduce blood glucose level in mice by scavenging free radicals to suppress oxidative stress, which probably attributed to inhibitory activity of JNK [42].

A great number of reports indicated that diabetes mellitus were closely linked to lipid peroxidation as the level of lipid peroxidation in erythrocytes was positively correlated with blood glucose concentrations in diabetic patients [81]. If excessive ROS was not scavenged from cellular environment in time, they might cause peroxidation of polyunsaturated fatty acids. Lipid peroxidation is considered a marker of oxidative damage in T2DM, which would destroy structure, fluidity, and function of cell membrane. Additionally, products of lipid peroxides like MDA may react with some macromolecules (e.g., nucleic acids, lipids, and proteins) and subsequently produce lipofuscins, which are harmful to diabetic patients [82]. Synthetic Se-polysaccharides based on Catathelasma ventricosum could improve activity of antioxidant enzymes such as SOD, CAT, and GSH-Px and reduce MDA in the liver and kidney of STZ-induced diabetic mice [58]. Among antioxidant enzymes, GSH-Px contains Se, whereas SOD does not contain Se, which is a metalloenzyme comprising Cu/Zn-SOD, Fe-SOD, Mn-SOD, and Ni-SOD. Reasons for activating effects of Se-polysaccharides on SOD remain obscure. Much work still need to focus more on effects of Se-polysaccharides on oxidative stress especially lipid peroxidation to clarify the relationship between antioxidant capacity and hypoglycemic activity of Se-polysaccharides, even if Se-polysaccharides can be employed as potential pharmacological interventions and treatment options to prevent or reverse oxidative stress caused by ROS.

Structure–Activity Relationship of Se-Polysaccharides

Although a huge amount of papers dealt with single biological activity or chemical structure of Se-polysaccharides were published, there are few reports on structure–activity relationship of Se-polysaccharides. It is of theoretical and applied significance to unveil structure–activity relationship of Se-polysaccharides.

Se Content and Hypoglycemic Activity

In many cases, Se content in Se-polysaccharides is thought to be positively related to hypoglycemic activity of Se-polysaccharides. Yuan et al. [42] confirmed that increasing Se content contributed to higher hypoglycemic activity of synthetic Se-polysaccharides. However, an interesting phenomenon is that synthetic Se-polysaccharides based on Artemisia sphaerocephala polysaccharides with Se content of 1703 μg/g did not present superior reducing power when compared to Se-polysaccharides based on Glycyrrhiza uralensis polysaccharides with Se content of 1339 μg/g [32, 33]. Hypoglycemic activity of Se-polysaccharides synthesized via selenite method was not found be positively correlation with their Se content, but the mechanism was still unknown [39]. Thus, whether increasing Se content always augments hypoglycemic activity of Se-polysaccharides still needs further investigation.

Triple-Helical Structure and Hypoglycemic Activity

Usually, triple-helical structure plays crucial role in hypoglycemic activity of Se-polysaccharides. Liu et al. [52] revealed that hypoglycemic activity of Se-polysaccharides with triple-helical structure was higher than Se-polysaccharides without triple-helical structure. It is noteworthy that triple-helical structure is intimately linked to Se content. Both too high and too low Se contents hampered the formation of triple-helical structure, which led to poor hypoglycemic activity [52].

Molecular Weight and Hypoglycemic Activity

Gao et al. [57] found that synthetic Se-polysaccharides with a low molecular weight (11.00 kDa) exhibited superior antioxidant activity than native non-Se-polysaccharides with high molecular weight (15.80 kDa). Unfortunately, there is still a lack of direct evidence for the relationship between molecular weight and hypoglycemic activity of Se-polysaccharides.

Some recent studies have revealed the potential impact of micromorphology of Se-polysaccharides on their bioactivities [55]. Monosaccharide composition of Se-polysaccharides derived from Grifola frondosa polysaccharides (non-Se-polysaccharides) was the same as that of non-Se-polysaccharides, while there were significance differences in micromorphology. In marked contrast to non-Se-polysaccharides with branched and entangled chains, Se-polysaccharides were in the shape of irregular fiber with branches of various sizes. Notably, free radical-scavenging ability of Se-polysaccharides was higher than that of non-Se-polysaccharides [55]. More work is needed in this area to clarify effects of micromorphology of Se-polysaccharides on their hypoglycemic activity.

Conclusions and Perspectives

Natural and artificial forms of Se-polysaccharides frequently exhibit hypoglycemic activity. Presently, numerous researches into chemical structure and hypoglycemic activity of Se-polysaccharides have been carried out, but there are still several challenges in the area. Firstly, future studies should focus more on toxicology of synthetic Se-polysaccharides with high Se content. In most cases, Se content of chemically synthesized Se-polysaccharides is hundreds of times higher than that of natural Se-polysaccharides obtained by bio-transformation. However, potential toxicity of synthetic Se-polysaccharides with high Se content is unknown. Of particular concern is that there is a blurred boundary between the safe dose of synthetic Se-polysaccharides and Se poisoning. For excessive Se intake is associated with skin lesions and nervous system disorder, classical ADME (absorption, distribution, metabolism, and excretion) studies as well as molecular toxicology of synthetic Se-polysaccharides should be conducted. Taking into account the safety of natural Se-polysaccharides, strategies to improve bio-transformation efficiency of natural Se-polysaccharides should be proposed. Secondly, increasing evidence indicated that hypoglycemic activity of Se-polysaccharides is most probably related to IRS-PI3K-Akt signaling pathway. Nevertheless, drug targets and mechanism of action of Se-polysaccharides on insulin signaling pathway are still unclear. Genomics, transcriptomics, proteomics, and metabolomics methodologies should be used to unveil the mechanism underlying hypoglycemic activity of Se-polysaccharides. Thirdly, there are some reports on effects of Se-polysaccharides on diabetes-related enzymes such as α-amylase and α-glucosidase. However, the structural base of the inhibition of diabetes-related enzymes by Se-polysaccharides still keeps obscure. Fourthly, hypoglycemic activity of Se-polysaccharides is closely related to their chemical structure. Thus, elucidation of structure–activity relationship of Se-polysaccharides is helpful to exploration and utilization of Se-polysaccharides. It is proposed that future research should focus on trying to identify the relationship between hypoglycemic activity and chemical structure of Se-polysaccharides.