Yanping Huang1, Tolulope Joshua Ashaolu2,3, Opeyemi Joshua Olatunji4. 1. Department of Human Anatomy, Histology and Embryology, Anhui Medical College, Hefei 230601, China. 2. Institute of Research and Development, Duy Tan University, Da Nang 550000, Vietnam. 3. Faculty of Environmental and Chemical Engineering, Duy Tan University, Da Nang 550000, Vietnam. 4. Traditional Thai Medical Research and Innovation Center, Faculty of Traditional Thai Medicine, Prince of Songkla University, Hat Yai 90110, Thailand.
Abstract
Diabetes mellitus (DM) is a lifelong devastating and debilitating disease with serious chronic complications. Okara is a byproduct generated from soymilk or tofu production and it has been reported to have antioxidant and lipid-lowering effects. However, the antidiabetic effects and pancreatic β-cells' secretory functions of micronized okara fiber (MOF) have not been reported. Therefore, this study explored the antidiabetic effects and modulatory potentials of MOF on pancreatic β-cells' secretory functions in a high fat/high sugar/streptozotocin rat model of diabetes mellitus. Fiber-rich okara was prepared by removing fat and proteins from freshly obtained okara, followed by micronization. Fiber-rich okara was prepared, micronized, and characterized for hydrophobicity, thermal stability, structure-function relationship, and antioxidant potentials. We then established a rat model of DM and MOF and two doses (100 and 400 mg kg-1) were administered to see its anti-DM effect. Four weeks of MOF supplementation significantly reduced blood glucose, increased serum insulin level, improved hepatorenal functions, glucose tolerance, and regenerated pancreatic β-cells in the treated DM rats. Furthermore, MOF significantly improved the pancreatic antioxidant defense system by significantly elevating glutathione peroxidase, catalase, and superoxide dismutase activities while depleting the malonaldehyde level in the pancreas of the treated diabetic rats. Our results indicated that MOF ameliorated DM by impeding hyperglycemia, hyperlipidemia, and oxidative stress and enhancing the secretory functions of the beta cells, suggesting that MOF might be used as a protective nutrient in DM.
Diabetes mellitus (DM) is a lifelong devastating and debilitating disease with serious chronic complications. Okara is a byproduct generated from soymilk or tofu production and it has been reported to have antioxidant and lipid-lowering effects. However, the antidiabetic effects and pancreatic β-cells' secretory functions of micronized okara fiber (MOF) have not been reported. Therefore, this study explored the antidiabetic effects and modulatory potentials of MOF on pancreatic β-cells' secretory functions in a high fat/high sugar/streptozotocin rat model of diabetes mellitus. Fiber-rich okara was prepared by removing fat and proteins from freshly obtained okara, followed by micronization. Fiber-rich okara was prepared, micronized, and characterized for hydrophobicity, thermal stability, structure-function relationship, and antioxidant potentials. We then established a rat model of DM and MOF and two doses (100 and 400 mg kg-1) were administered to see its anti-DM effect. Four weeks of MOF supplementation significantly reduced blood glucose, increased serum insulin level, improved hepatorenal functions, glucose tolerance, and regenerated pancreatic β-cells in the treated DM rats. Furthermore, MOF significantly improved the pancreatic antioxidant defense system by significantly elevating glutathione peroxidase, catalase, and superoxide dismutase activities while depleting the malonaldehyde level in the pancreas of the treated diabetic rats. Our results indicated that MOF ameliorated DM by impeding hyperglycemia, hyperlipidemia, and oxidative stress and enhancing the secretory functions of the beta cells, suggesting that MOF might be used as a protective nutrient in DM.
Diabetes mellitus (DM) has grown to become
one of the major public
health problems in the last 2 decades due to the sporadic surge in
the number of people living with the disease as well as the debilitating
and life-threatening complications that are associated with the disease.
DM is a lifelong incurable disease that arises due to the inability
of the body to produce or make use of the insulin it produces leading
to persistent hyperglycemia.[1,2] The International Diabetes
Federation (IDF) reported that 537 million people were diabetic in
2021, as compared to 463 million people reported in 2019 indicating
a 9.8% increase within 2 years.[3] Prolonged
and uncontrolled hyperglycemia causes devastating effects to various
organs in the body leading to chronic disorders such as diabetic nephropathy,
neuropathy, foot ulcers, and cardiovascular diseases.[4−6] Although there are quite a number of approved conventional drugs
in use for controlling diabetes, however, their effectiveness in slowing
down hyperglycemia-induced diabetic complications as well as the associated
side effects of these drugs have raised some concerns.[7] As such, there is an urgent need to explore potential novel
and safe treatment strategies for treating DM.In recent years,
researchers have devoted great importance to discover
alternative therapeutic avenues for preventing and treating diabetes
and diabetic complications. Rigorous attention has been directed to
find antidiabetic entities from nature. Several studies have suggested
the huge therapeutic potential embedded in agricultural-food waste,
which is produced in enormous quantities annually across the world.
Particularly, agricultural-food wastes are inexpensive sources of
bioactive constituents including polyphenols, fibers, phenolic compounds,
polysaccharides, and carbohydrates, which have been proven to show
various pharmacological effects such as antioxidant, anti-inflammatory,
antidiabetic, and antimicrobial properties.[8,9] Okara
is a byproduct generated from soymilk or tofu production and it is
rich in proteins that are similar to soy protein isolate and insoluble
polysaccharides such as cellulose, hemicellulose, and lignin.[10] In fact, dried okara consists of 55% fiber,
21% proteins, 13–14% fats and oils, 1.5% ash, and about 10%
moisture.[11] The use of okara is rapidly
translating from serving as animal feeds to the formulation of food
products with health values. Okara rich dietary fiber has been confirmed
to possess antioxidant, hypolipidemic, and hypoglycemic effects.[12,13] To utilize the functional compounds in okara, pre-treatment is required.[14] Processing and structural modification of okara
for improved biological activities, nutritional benefits, and overall
valorization have included high-pressure homogenization and ultrasonication,[15] thermal and hydrothermal processing,[16] solid-state fermentation,[17] high energy wet media milling,[18] enzymatic processing,[19] and steam explosion.[20] Previous studies have reported the antihyperlipidemic
effects of micronized okara fiber (MOF) in mice.[21] However, no information is available on the micronization
of okara for hypoglycemic or antidiabetic potentials, yet the knowledge
of particle size plays an important role in determining okara properties
and applications, as found in tofu’s fortification with okara
particles within the micrometer range.[19] Therefore, the aim of this study was to explore the antidiabetic
effects and modulatory potentials of MOF on pancreatic β-cells’
secretory functions in high fat/high sugar and streptozotocin rat
model of DM. Fiber-rich okara was prepared by removing fat and proteins
from freshly obtained okara, followed by micronization. The MOF particles
were investigated for antidiabetic effects.
Materials and Methods
Okara
Specimen
Okara derived from soymilk production
was obtained from a local factory and was immediately dried to avoid
spoilage. The fat and protein contents were determined to be 10–12%
and 12% (nitrogen content (N) × 6.25) by the Kjeldahl method,[22] respectively.
Preparation and Micronization
of Okara Fiber
Dried
okara was powdered with a high-speed rotary grinder and defatted using
petroleum ether at 45 °C in a Soxhlet extractor for 8 h. The
method of Ashaolu and Zhao[22] was followed
for protein removal. The defatted okara was dispersed in deionized
water using a 1:8 w/v ratio. The mixture was homogenized and stirred
at 80 °C for 30 min at a pH of 4.5 and thereafter centrifuged
at 4000×g for 15 min. The supernatant was removed,
while the residue was dried and defined as okara fiber (OF). Determination
of insoluble protein content in the OF yielded insignificant amounts
(less than 1%) using the Kjeldahl method. OF was micronized with lLaser
light scattering Mastersizer 3000 (Malvern Instruments Ltd., Worcestershire,
UK) using ultrapure water as the disperse medium and a circulation
pump operating at 3000 rpm. The micronized OF was defined as MOF.
Fourier Transform Infrared Spectroscopy
Fourier transform
infrared spectroscopy (FT-IR) analysis was carried out with a Spectrum
100 FT-IR detector (PerkinElmer, USA) using a potassium bromide (KBr)
disc consisting of 3.3% finely ground samples made in an agate mortar.
Thirty-two spectra scans were taken per sample from 400 to 4000 cm–1 at a resolution of 4 cm–1.
Hydrophobicity
Measurement
The hydrophobicity of MOF
and OF (control) was measured using a contact angle apparatus goniometer
(JC2000D, China). Each sample (0.2 g) was pressed into a standard
tablet under 30 MPa by a pressure machine. Water droplet (10 μL)
was released onto the tablet surface, and the contact angle was computed
using the drop image recorded after 5s according to the Laplace–Young
equation. The contact angle was defined as the angle between the baseline
and the tangent to the drop boundary.[23]
Thermogravimetric Analysis
Thermograms of MOF and OF
were obtained using a thermogravimetric analyzer (TA, USA). The analysis
was carried out under the protection of nitrogen using 8 mg of each
sample. The temperatures of the samples were increased from 35 to
600 °C at a heating rate of 10 °C/min. The weight loss of
each sample was measured as a function of temperature.
Antioxidant
Capacity of MOF
The antioxidant potentials
of MOF were investigated by ferric reduction antioxidant power (FRAP),
2,2′-azinobis (3-ethylbenzothiazoline-6-sulfonic acid) diammonium
salt (ABTS), and 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging
assays following previously reported protocols.[24−27] Briefly, for the FRAP assay,
stock solutions were prepared using 300 mM acetate buffer (3.1 g C2H3NaO2·3H2O and 16 mL
C2H4O2), pH 3.6, 10 mM TPTZ (2,4,6-tripyridyl-s-triazine) solution in 40 mM HCl, and 20 mM FeCl3·6H2O solution. A mixture consisting of 25 mL of
acetate buffer, 2.5 mL of TPTZ solution, and 2.5 mL of FeCl3·6H2O solution was freshly prepared as the working
solution, which was warmed at 37 °C before use. MOF and OF solutions
were allowed to react with the FRAP solution (1:20 v/v) for 30 min
in the dark. The absorbance of the colored product [ferrous tripyridyltriazine
complex] was taken at 593 nm with a spectrophotometer.For the
ABTS assay, the stock solutions of 7.4 mM ABTS•+ and 2.6 mM potassium persulfate were freshly prepared. The two stock
solutions were mixed in equal quantities and allowed to react for
12 h at room temperature in the dark. This working solution was diluted
by mixing 1 mL of ABTS•+ solution with 60 mL of
methanol to obtain an absorbance of 1.1 ± 0.02 units at 734 nm.
MOF and OF solutions were allowed to react with the ABTS•+ solution (1:20 v/v), respectively, for 2 h in the dark and the absorbance
was measured at 734 nm.For the DPPH assay, the stock solution
was prepared by dissolving
24 mg of DPPH in 100 mL of methanol and then stored at 20 °C
until further use. To make the working solution, a 10 mL stock solution
was mixed with 45 mL of methanol to obtain an absorbance of 1.1 ±
0.02 units at 515 nm. MOF and OF solutions were allowed to react with
the DPPH solution (1:20 v/v), respectively for 24 h in the dark, followed
by absorbance readings at 515 nm. All assays were performed in triplicates,
and the results were expressed in μmoles of Trolox equivalent
(TE)/g of solids using calibration curves of Trolox.
Animals
Healthy 7 weeks old male Wistar rats weighing
170 ± 20 g were used for the study. The rats were housed in clean
stainless-steel cages in an animal house facility under controlled
conditions (temperature: 22 ± 2 °C, light/dark cycle: 12:12
h and relative humidity: 55 ± 10%). The rats were acclimatized
for 1 week prior to the experiment and were allowed unrestricted access
to a standard rodent diet and water. The handling, care, and animal
use were in accordance with the specification of the National Institute
of Health Guide to the Care and Use of Laboratory Animals, while approval
was obtained from the Institutional Ethics Committee of Anhui Medical
College (approval number: Anhuiyxgdzkxx-2020-09018).
Induction of
Insulin Resistance and Type 2 Diabetes in Experimental
Animals
The rats were divided into two groups of diet regimens.
Six rats in the first group were fed with a normal rodent diet and
normal water, while 24 rats in the second group were fed with high-fat
diet (HFD), in addition to 30% fructose solution as their drinking
water for 4 weeks.[28,29] Upon completion of the dietary
manipulation, the rats fed with HFD were fasted overnight and a single
intraperitoneal injection of freshly prepared streptozotocin (STZ;
40 mg/kg) in 0.1 M cold citrate buffer (pH 4.5) was administered to
the rats. The rats in the normal diet group were also administered
with the same volume of cold citrate buffer. After 72 h, rats with
fasting blood glucose (FBG) level ≥13.9 mmol/L were considered
diabetic and included in further experiments.
Experimental Protocol
Diabetic rats were randomly divided
into four groups (n = 6) as follows: diabetic control
group (group 2); diabetic rats administered with 100 mg/kg body weight
of MOF (group 3); diabetic rats administered with 400 mg/kg body weight
of MOF (group 4); and diabetic rats administered with 250 mg/kg body
weight of metformin (group 5). The non-diabetic rats fed with normal
diet were designated as normal control (group 1). MOF was dissolved
in 5% tween 80 and administered to the rats by oral gavage for 28
days. The choice of the dose of MOF was based on our preliminary investigation
as well as previous reports.[30] The body
weight of the rats was measured on day 0 before the commencement of
treatment and on day 28 after the last treatment. The food and water
consumption was measured daily, while the initial and final FBG levels
were determined before and after the final treatment using a glucometer
(Roche Diagnostics, Germany).
Fasting Blood Glucose and
Intraperitoneal Glucose Tolerance
Test
Before the commencement of treatment, the rats were
fasted overnight and FBG levels were determined from the blood obtained
from the tail vein using an Accu-Chek guide glucometer. Likewise,
the FBG levels of rats were determined after 28 days of administration.
After the last day of treatment, the IPGTT was performed in 12 h fasted
rats by administering 2 g/kg of glucose solution intraperitoneally,
and their blood glucose levels were measured using blood collected
from the tail vein at 0, 30, 60, 90, and 120 min.
Sacrifice
and Biochemical Estimations
After the treatment,
the rats were anesthetized and blood samples were withdrawn by cardiac
puncture. The blood samples were centrifuged and the sera collected
were used for various biochemical analyses. The serum levels of alanine
aminotransferase (ALT), aspartate aminotransferase (AST), total cholesterol
(TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C),
low-density lipoprotein cholesterol (LDL-C), glycated haemoglobin
(HbA1c), serum creatinine (SCr), albumin, blood urea nitrogen (BUN),
and insulin were determined using an automatic biochemical analyzer
(Dirui CS 600B auto chemistry analyzer, Japan) and assay kits obtained
from Nanjing Jiancheng Bioengineering Institute (China). Homeostatic
model assessment index (HOMA-IR) was calculated using the formula
stated below
Histopathological Studies
After
animal sacrifice, the
pancreas tissues were quickly excised, washed with normal saline to
remove any residual blood, and a small portion of the tissues were
fixed in 10% neutral buffered formalin solution. The fixed samples
were processed by dehydrating in graded series of alcohol, embedded
in paraffin and sectioned into 5 μm thickness. The tissue sections
were further stained with hematoxylin and eosin and examined under
a light microscope (Olympus DP73, Japan).
Assessment of Oxidative
Stress Biomarkers in the Pancreatic
Tissue Homogenate
Another portion of the excised pancreatic
tissues was homogenized in phosphate buffer and centrifuged at 3000
rmp for 15 min at 4 °C. The supernatant obtained was used for
the evaluation of pancreatic catalase (CAT), superoxide dismutase
(SOD), glutathione peroxidase (GPx), and lipid peroxidation product
malonaldehyde (MDA) content using assay kits from Nanjing Jiancheng
Bioengineering Institute (Nanjing, China) according to the manufacturer’s
instructions.[4]
Data Analysis
Data were expressed as mean ± SD
(n = 6) and statistical differences at p < 0.05 among the groups were analyzed by one-way ANOVA, followed
by Bonferronís multiple comparison tests using GraphPad Prism
5.0 software (GraphPad Software, San Diego, California, USA).
Results
Physicochemical
Properties of MOF
The average diameter
of the MOF particle size is presented in Table . MOF is 88 μm in size, much smaller
than its native OF (580 μm). The water contact angle or hydrophobicity
measurement literally provides useful information on the wetting behavior
of a solid particle (in this case, MOF) by a liquid (in this case,
water). Water droplet contact angles for hydrophilic and highly hydrophilic
particles are below 90 and 50°, respectively, while the angles
for hydrophobic and highly hydrophobic particles are larger than 90
and 130°, respectively. As observed in Table , MOF improved its hydrophilicity (95.0°)
and solubility when compared to its native form, OF (105.0°).
Table 1
Particle Size, Contact Angle, and
Antioxidant Activity of MOFa
particle
size (μm)
hydrophobicity (θ)
antioxidant activity
ABTS (μmol
TE/g solid)
FRAP
(μmol TE/g solid)
DPPH (μmol TE/g solid)
OF
580
105.0°
42.3 ± 1.1
8.2 ± 0.4
2.1 ± 0.2
MOF
88
95.0°
52.2
± 1.21*
7.2
± 0.44
2.4 ±
0.24
Antioxidant activity data are presented
as means (n = 3) ± standard deviation. Values
with significant different at p < 0.05 within
the same column are represented with *. TE = Trolox equivalents. Antioxidant
capacity were determined by the DPPH· assay (DPPH),
the ABTS•+ assay (ABTS) and ferric reducing antioxidant
power (FRAP). MOF = micronized okara fiber.
Antioxidant activity data are presented
as means (n = 3) ± standard deviation. Values
with significant different at p < 0.05 within
the same column are represented with *. TE = Trolox equivalents. Antioxidant
capacity were determined by the DPPH· assay (DPPH),
the ABTS•+ assay (ABTS) and ferric reducing antioxidant
power (FRAP). MOF = micronized okara fiber.MOF was also thermally stable as shown in Figure . Thermal decomposition
of MOF (Figure B)
started from 68.29
to 326.96 °C. The first endothermic peak indicated the removal
of water from MOF, while the second/third endothermic peaks might
imply that the particles contained some matter, which were undergoing
further decomposition of the polysaccharides into flammable gases
such as carbon monoxide and carbon dioxide. General observations showed
no major differences between MOF and OF stability (both had high decomposing
temperatures) and therefore implied strong molecularity and high stability.
Figure 1
Thermograms
of (A) OF and (B) MOF and (C) FT-IR spectra of MOF
and OF. OF = okara fiber; MOF = micronized okara fiber.
Thermograms
of (A) OF and (B) MOF and (C) FT-IR spectra of MOF
and OF. OF = okara fiber; MOF = micronized okara fiber.FT-IR analysis (Figure C) indicated that the spectra of MOF and OF were absorbed
at 1015, 1650, 2925, and 3424 cm–1 regions, respectively.
In comparison with the control (OF) and based on consistency, increasing
minor shifts in peaks of MOF could be related to the impact of downsizing/milling,
which also affected the covalent interactions of hydrogen bonds.
Antioxidant Properties of MOF
Moreover, different and
high-molecular-weight profiles observed in OF and MOF could have contributed
to their antioxidant activity, as represented in Table . They both showed high ABTS,
FRAP, and DPPH scavenging capacities (42.3 ± 1.1, 52.2 ±
1.21; 8.2 ± 0.4, 7.2 ± 0.44; and 2.1 ± 0.2, 2.4 ±
0.24 μmol TE/g solid, respectively), with MOF demonstrating
much better potential in the ABTS•+ and DPPH scavenging
activities (52.2 ± 1.21 and 2.4 ± 0.24 μmol TE/g solid,
respectively). It was also observed that both had higher ABTS+ radical scavenging values than FRAP. Usually, the reducing
power is denoted by the reaction of electron donors or antioxidant
compounds with free radicals.
Effects of MOF on Body
Weight, Food, and Water Consumption in
Diabetic Rats
As shown in Figure A, the initial body weight of the normal
control, non-treated diabetic rats and MOF-treated diabetic rats showed
no significant differences. In contrast, there was a drastic reduction
in the final body weight of the untreated diabetic rats compared to
the normal control. Interestingly, the diabetic rats administered
with either 100 or 400 mg/kg of MOF showed significant body weight
gain when compared to non-treated diabetic rats. Likewise, the food
and water consumption of the non-treated diabetic rats were substantially
increased compared to the normal control rats (Figure B,C). Nonetheless, the food and water consumption
of diabetic rats treated with either 100 or 400 mg/kg MOF were significantly
decreased compared to the non-treated diabetic rats (Figure B,C).
Figure 2
Effect of MOF and metformin
on (A) body weight, (B) food, (C) water
consumption, (D) FBG, (E) intraperitoneal glucose tolerance test,
(F) insulin, (G) HOMA-IR, and (H) HbA1c in each experimental group.
Data are expressed as the mean ± SD (n = 6).
*p < 0.05 vs normal control and **p < 0.05 vs diabetic control. NC = normal control rats; DC = diabetic
control rats; MOF100 = diabetic rats treated with 100 mg/kg MOF; MOF400
= diabetic rats treated with 400 mg/kg MOF; and MET250 = diabetic
rats treated with 250 mg/kg metformin hydrochloride.
Effect of MOF and metformin
on (A) body weight, (B) food, (C) water
consumption, (D) FBG, (E) intraperitoneal glucose tolerance test,
(F) insulin, (G) HOMA-IR, and (H) HbA1c in each experimental group.
Data are expressed as the mean ± SD (n = 6).
*p < 0.05 vs normal control and **p < 0.05 vs diabetic control. NC = normal control rats; DC = diabetic
control rats; MOF100 = diabetic rats treated with 100 mg/kg MOF; MOF400
= diabetic rats treated with 400 mg/kg MOF; and MET250 = diabetic
rats treated with 250 mg/kg metformin hydrochloride.
Effects of MOF on the FBG and IPGTT in Diabetic Rats
Figure D showed the
effect of MOF on the FBG level of rats after 28 days of treatment.
The initial and final FBG levels of the non-treated diabetic rats
were significantly increased compared to the normal control group.
In the MOF-treated groups, the initial FBG levels were not significantly
different from the non-treated diabetic group. Whereas after 28 days
of treatment, the final FBG levels of diabetic rats treated with either
100 or 400 mg/kg MOF were markedly suppressed compared to the non-treated
diabetic control group (Figure D). Moreover, the results from the IPGTT indicated that diabetic
rats showed significantly increased blood glucose levels at 0, 0.5,
1, 1.5, and 2 h after the administration of glucose when compared
to the normal control group. Contrastingly, the administration of
MOF markedly reduced blood glucose levels after glucose loading compared
with rats in the non-treated diabetic group (Figure E). Effects of MOF on insulin and HOMA-IR
in diabetic rats.The diabetic rats showed a significant decrease
in serum insulin levels (Figure F), as well as a marked increase in HOMA-IR (Figure G) compared to that
of normal control rats. Furthermore, HOMA-IR was significantly elevated
from 4 to 13.7% in the non-treated diabetic group (Figure G) Conversely, the diabetic
rats treated with 100 and 400 mg/kg of MOF showed significantly increased
serum insulin levels, while HOMA-IR values were remarkably reduced
compared to the untreated diabetic rats (Figure F,G). In addition, MOF at 100 and 400 mg/kg
markedly decreased HbA1c in comparison to the DC group (Figure H).
Effects of MOF on Serum
Biomarkers of Hepatorenal Function in
Diabetic Rats
As shown in Figure , significant elevation in SCr, BUN, ALT,
and AST was observed in the non-treated diabetic rats compared to
normal control, whereas MOF (100 and 400 mg/kg) induced significant
reduction in these parameters compared to non-treated diabetic control
(Figure A–D).
Figure 3
Effect
of MOF and metformin on (A) serum creatinine, (B) blood
urea nitrogen, (C) ALT, (D) AST, (E) TC, (F) TGs, (G) LDL-C, and (H)
high-density lipoprotein in each experimental group. Data are expressed
as the mean ± SD (n = 6). *p < 0.05 vs normal control and **p < 0.05 vs
diabetic control. NC = normal control rats; DC = diabetic control
rats; MOF100 = diabetic rats treated with 100 mg/kg MOF; MOF400 =
diabetic rats treated with 400 mg/kg MOF; and MET250 = diabetic rats
treated with 250 mg/kg metformin hydrochloride.
Effect
of MOF and metformin on (A) serum creatinine, (B) blood
urea nitrogen, (C) ALT, (D) AST, (E) TC, (F) TGs, (G) LDL-C, and (H)
high-density lipoprotein in each experimental group. Data are expressed
as the mean ± SD (n = 6). *p < 0.05 vs normal control and **p < 0.05 vs
diabetic control. NC = normal control rats; DC = diabetic control
rats; MOF100 = diabetic rats treated with 100 mg/kg MOF; MOF400 =
diabetic rats treated with 400 mg/kg MOF; and MET250 = diabetic rats
treated with 250 mg/kg metformin hydrochloride.Effects of MOF on serum lipid profile in diabetic rats.The
effect of MOF on serum lipid profiles is presented in Figure E–H. Diabetic
rats displayed significantly increased TC, TG, and LDL-C levels compared
to normal control rats. In addition, HDL-C was also observed to be
significantly reduced in the non-treated diabetic rats. However, oral
administration of MOF to diabetic rats prominently reduced the level
of TC, TG, and LDL-C while concomitantly increasing the HDL-C level
in a dose-dependent manner compared to the untreated diabetic rats
(Figure E–H).
Effects of MOF on the Histology of the Pancreas in Diabetic
Rats
The photomicrographs showing the effects of MOF on the
histology of the pancreas are depicted in Figure . The histopathological sections of the normal
control pancreas revealed normal and healthy architecture of the pancreas
with large and distinct islets of Langerhans (Figure A), whereas the non-treated diabetic rats
showed a significant reduction in the mass of the islets of Langerhans
(Figure B). These
changes were obviously attenuated to a varying extent by MOF (100
and 400 mg/kg) treatment with an increase in the size of the islets
of Langerhans (Figure C–E).
Figure 4
Photomicrographs of H&E-stained pancreas sections
of normal
control, MOF-treated, and metformin hydrochloride-treated diabetic
rats. NC = normal control rats; DC = diabetic control rats; MOF100
= diabetic rats treated with 100 mg/kg MOF; MOF400 = diabetic rats
treated with 400 mg/kg MOF; and MET250 = diabetic rats treated with
250 mg/kg metformin hydrochloride. Red box: beta cells. Magnification
× 200.
Photomicrographs of H&E-stained pancreas sections
of normal
control, MOF-treated, and metformin hydrochloride-treated diabetic
rats. NC = normal control rats; DC = diabetic control rats; MOF100
= diabetic rats treated with 100 mg/kg MOF; MOF400 = diabetic rats
treated with 400 mg/kg MOF; and MET250 = diabetic rats treated with
250 mg/kg metformin hydrochloride. Red box: beta cells. Magnification
× 200.
Effects of MOF on Pancreatic
Oxidative Stress Markers in Diabetic
Rats
As depicted in Figure A–D, the diabetic control rats showed significant
declines in pancreatic antioxidant enzyme activities including SOD,
CAT, and GPx, with an associated increase in the MDA level compared
to the normal control. Interestingly, the oral administration of MOF
(100 and 400 mg/kg) to diabetic rats significantly restored the activities
of pancreatic SOD, CAT, and GPx, while pancreatic MDA content was
markedly reduced compared to non-treated diabetic rats (Figure A–D).
Figure 5
Effect of MOF and metformin
on pancreas oxidative stress markers
(A) SOD, (B) catalase, (C) GPx, and (D) MDA in each experimental group.
Data are expressed as the mean ± SD (n = 6).
*p < 0.05 vs normal control and **p < 0.05 vs diabetic control. NC = normal control rats; DC = diabetic
control rats; MOF100 = diabetic rats treated with 100 mg/kg MOF; MOF400
= diabetic rats treated with 400 mg/kg MOF; and MET250 = diabetic
rats treated with 250 mg/kg metformin hydrochloride.
Effect of MOF and metformin
on pancreas oxidative stress markers
(A) SOD, (B) catalase, (C) GPx, and (D) MDA in each experimental group.
Data are expressed as the mean ± SD (n = 6).
*p < 0.05 vs normal control and **p < 0.05 vs diabetic control. NC = normal control rats; DC = diabetic
control rats; MOF100 = diabetic rats treated with 100 mg/kg MOF; MOF400
= diabetic rats treated with 400 mg/kg MOF; and MET250 = diabetic
rats treated with 250 mg/kg metformin hydrochloride.
Discussion
Diabetes is a chronic metabolic disorder
having hyperglycemia and
hyperlipidemia as the major hallmark which arises due to abnormalities
in insulin metabolism. Regarding the epidemiology of the disease,
low- and middle-income countries are greatly lagging behind in terms
of management of the disease as well as the fatality ratio due to
lack or insufficient basic and necessary healthcare and socio-economic
requirements needed for the management of the disease.[2] With the increase in the yearly incidence of the disease
as well as the International Diabetes Federation projection of 645
million diabetic patients by 2045, the discovery of new, cost-effective,
and safer antidiabetic therapies has become a necessity.[4] The present study demonstrated that the administration
of MOF could effectively attenuate hyperglycemia, dyslipidemia, hepatorenal
dysfunction, and oxidative stress in HFD/STZ-induced diabetic rats.First, an overview of the characterized MOF is hereby documented.
The particle size changed when okara fiber was micronized. The reduction
in the particle size as a result of the mechanical process could be
ascribed to the breakage of well-ordered crystalline regions and amorphous
domains of OF cellulose content.[31] In other
studies where a laser particle size analyzer was used to obtain nano-sized
particulates from starch and chitosan, 245 and 308 nm were obtained,
respectively.[32,33] This was not without many difficulties
as the grinding beads mechanical friction, machine type, and the studied
product type affected the particle size that could be attained. Indeed,
it took Ullah et al. 6 h to reduce the particle size of okara insoluble
dietary fiber from 66.7 μm to 544.3 nm.[18]For the wettability study, the water contact angles positively
correlated with the MOF particle size, as down-sizing OF made the
particles to possess a slightly improved hydrophilic characteristic
from 105.0° down to 95.0°. This value indicated an interference
with the composition of MOF due to micronization, which then exposed
the hydrophilic groups.[34] Furthermore,
the results indicated that there were no major differences between
MOF and OF thermal stability, as both samples had high decomposing
temperatures, and therefore implies strong molecularity and high stability.
Thus, MOF intermolecular and intramolecular hydrogen and electrostatic
bonds became broken as the temperature increased, leading to a drastic
reduction in the hydrophobic interaction.[22] This phenomenon interestingly relates to the particle size and spectra
of MOF obtained, which then affects the overall antioxidative capacity
of the sample.FT-IR involves the use of infrared light to scan
test samples,
identify molecular chemical bonds, detect functional groups, and/or
characterize covalent bonds. The samples (OF and MOF) exhibited similar
spectral profiles but with varying intensities, indicating that OF
milling resulted in different degrees of structural changes, yet with
similar functional groups. Sharp and broad bands in the regions of
611, 896, 1370–1450, 1050–1140, 1641, 1745, 2926, and
3330–3500 cm–1 were observed for the samples,
which are associated with O–H stretching of hydrogen attached
to a hydroxyl group and C–H group stretching in methylene group
of polysaccharides, typical of cellulose and hemicellulose structures.[18,35] The weak absorption peaks around 611 cm–1 might
possibly be due to the mixed vibration of β-C–H, which
were the typical absorption peaks of sugars.[36,37] The bands around 1641 cm–1, were also considered
as peaks produced by conjugated carbonyl groups with double bonds.[38] The bands around 1745 cm–1 are the C=O stretching vibrations, including carboxylic acid
or its ester.[39] Furthermore, the peak observed
in the region of 1420–1430 cm–1 was due to
−CH2 stretching in cellulose, 1370–1371 cm–1 represents C–H bending, and the peak at 896
cm–1 with increased sharpness is associated with
β-glycosidic linkage in cellulose,[18] the same sharpness that connotes widened exposed surface in the
fiber samples.[38] The prominent broad absorption
band at 1140 cm–1 could be attributed to the C–O
group stretching of C–O–C aliphatic ether and acid functional
group in aromatic CO–C, which indicate the decomposition of
okara fiber into oligosaccharides.[18]The minor shifts of intensities in some MOF peaks could be attributed
to the splitting of intermolecular hydrogen bonds of cellulose and
hemicellulose by redistributing to new structural features of the
considered amorphous and soluble polysaccharides.[18,40] Moreover, when compared with the control (OF), minor shifts in MOF
peaks could be related to the impact of downsizing, which might have
exposed the hydrogen and carbon moieties to manifest reorientation
and conformational changes that would also affect MOF thermal stability
and hydrophilic and antioxidative properties. In all, the summary
of the FT-IR analysis may be attributed to the cleavage of hydrogen
bonds between cellulose and hemicellulose due to downsizing and strong
disruptive forces generated in the process that could have led to
the breakdown of some chemical bonds in the OF chains.[41] Nevertheless, the micronization process had
no significant effect on the chemical structure and functional groups
of OF.The analyzed MOF showed free-radical scavenging activities
equivalent
to that of Trolox (52.2 μmol for ABTS, 2.4 μmol for DPPH
and 7.2 μmol for FRAP, Table ). An overall improvement in the antioxidant capacity
of MOF could be attributed to increased amounts of total flavonoid
contents remaining in okara fiber after its micronization. Previous
studies that utilize micronization of agro-based products in antioxidant
capacity have indicated that micronization potentiates antioxidant
capacity as well as flavonoid contents.[42,43] Radical scavenging
activity is of immense importance to the healthcare sector. Biologically,
chronic exposure to reactive oxygen radicals has been linked to various
diseases including diabetes, multiple sclerosis, arthritis, and ulcerative
colitis. Nitric oxide toxicity increases exponentially when it reacts
with superoxide radicals to form the highly reactive peroxynitrite
anion (ONOO−).[44]Moreover,
MOF had higher ABTS•+ radical scavenging
values than FRAP, which is not unusual because reducing power is denoted
by the reaction of electron donors or antioxidant compounds with free
radicals. In addition, the OH– groups of MOF could have contributed
to its reducing activity. The low values of DPPH free radical scavenging
activity exhibited by MOF might be due to the inability of hydrophobic
radicals to attack the MOF macromolecules in the solution.[45]STZ is a toxic DNA alkylating agent obtained
from Streptomyces achromogenes and
it initiates beta cells
apoptosis by stimulating oxidative stress via excessive generation
of reactive oxygen species (ROS), resulting in alteration in insulin
biosynthesis.[46] On the other hand, a high
fat/high sugar diet has been expensively used to induce experimental
models of insulin resistance, a condition that predisposes to type
2 DM. As such the combination of HFD and low dose STZ has been widely
accepted and used to induce experimental type 2 diabetes because it
can reproduce the pathogenesis of human type 2 diabetes in animal
models.[29] Insulin resistance caused by
HFD makes the pancreatic β-cells easily susceptible to the diabetogenic
effect of STZ at low doses.[47,48]In this study,
rats that were intraperitoneally administered with
STZ (35 mg/kg) after 4 weeks of high fat/high sugar diet displayed
a marked reduction in body weight, high food and water intakes as
well as a drastic increase in blood glucose levels. Insufficient insulin
levels experienced in DM hinder the transport of glucose from the
blood into the cells as an energy source, leading to the burning of
fats and muscle as an energy source for the body cells. This ultimately
leads to body weight loss, increased hunger (polyphagia), and thirst
(polydipsia) in diabetes.[49,50] Interestingly, we observed
that treatment with 100 and 400 mg/kg MOF for 28 days after DM induction
displayed a significant glucose-lowering effect. MOF dose dependently
reduced FBG levels, which was almost comparable to the FBG of the
normal control animals. Additionally, a concomitant increase in the
serum insulin levels were also observed in the MOF-treated groups
compared to the diabetic control group. These results demonstrated
the antihyperglycemic properties of MOF and its impact on the pancreas
in relation to insulin secretion, which obviously justifies the marked
reduction in blood glucose level after treatment and also in line
with previous studies.[51−53] Histopathological screening of pancreas tissues of
the diabetic rats and treated diabetic rats supported these biochemical
findings and revealed the pancreatic and insulin-secreting effects
of MOF. Accumulating research reports have demonstrated that one of
the proposed antidiabetic mechanisms of natural products is the alleviation
and restoration of pancreatic function.[54,55] Because the
mechanism of HFD/STZ-induced diabetes has been linked to ROS and oxidative
damage of the pancreatic beta-cell, it is envisaged that the antioxidative
capabilities of MOF might have restored the integrity and capacity
of the β-cell to produce insulin which is needed for stabilizing
blood glucose levels.In this study, marked increase in the
serum concentrations of AST
and ALT was observed in the untreated diabetic rats, which is characteristic
of gross hepatic damage, corroborating previous studies by Makinde
et al. and Olatunji et al.[1,56] Furthermore, hyperglycemia-induced
kidney dysfunction was vivid in this study as indicated by significant
increases in serum levels of creatinine and blood urea nitrogen of
the diabetic rats, which agrees with previous investigations.[57] The liver and kidney are two vital organs that
are critically affected by diabetes. Previous studies have implicated
insulin deficiency in hepatic injury due to the initiation of gluconeogenesis,
leading to increased levels of serum markers of hepatic injury including
AST, ALP, and ALT.[58] In addition, the liver
plays an undisputable role in insulin clearance, glucose regulation,
and lipid and carbohydrate metabolism. These hepatic functions are
however grossly impeded in diabetes.[59,60] The administration
of MOF alleviated and suppressed the increased level of markers of
hepatorenal dysfunction, suggesting that MOF has protective effects
against hyperglycemia-induced hepatorenal damage.Several studies
have reported abnormalities in lipid metabolism
in diabetes, which is symbolized by increased levels of TGs, TC, LDL-C,
and free fatty acids, as well as reduced level of HDL-C. These anomalies
increase the predisposition to coronary heart diseases and aggravate
several other complications of diabetes.[61] Increased concentration of LDL-C can accumulate on the blood vessel
walls, leading to the development of atherosclerotic plaque. On the
other hand, several literature have highlighted the prominent role
of the “good cholesterol” (HDL-C). It enhances the absorption
and effluxion of TG and TC to the liver for further breakdown and
elimination from the body.[62,63] Furthermore, insulin
deficiency impedes the activation of lipoprotein lipase, an enzyme
that facilitates the hydrolysis of TGs, as such the impairment in
the activation of this enzyme increases the level of TG in the blood,
leading to hypertriglyceridemia.[64,65] In this study,
the serum concentrations of TG, TC, and LDL-C were markedly increased
in the non-treated diabetic group compared to the normal control,
corroborating previous literature.[66,67] On the contrary,
treatment with MOF doses for 28 days resulted in significant decreases
in serum TG, TC, and LDL-C. Our results are consistent with an earlier
study that indicated that micronized okara ameliorated lipid dysfunction
in BALB/c mice.[21]Several bodies
of evidence have suggested that hyperglycemia-induced
oxidative stress instigated by excessive generation of reactive oxygen
species is a major contributor to the onset and progression of diabetic
complications. Increased oxidative stress is one of the major prevailing
factors in DM which ultimately leads to several other factors including
inflammation and dyslipidemia[68,69] Sustained high glucose
level leads to ROS overproduction via the enhancement of mitochondrial
oxygen consumption and mitochondrial dysfunction. The increased generation
of ROS ultimately reduces the capacity of endogenous antioxidant enzymes,
resulting in oxidative stress, β-cell dysfunctions, and insulin
resistance.[70] In particular, pancreatic
tissues are highly susceptible to oxidative stress due to their inability
to effectively mobilize innate antioxidant enzymes.[69] Increasing evidence suggests that hyperglycemia-induced
ROS accumulation impairs β-cell function due to the inadequate
levels of β-cells antioxidant enzymes, notably, SOD, CAT, and
GPx.[71,72] In addition, the exposure of β-cells
to oxidative stress impedes insulin secretion through various mechanisms
including opening ATP-sensitive K+ channels and suppressing calcium
influx.[70] MDA, a byproduct of lipid peroxidation
is frequently used as an indicator of oxidative stress, and it is
remarkably elevated in various organs in diabetes. Antioxidant enzymes
protect against the deleterious effects of oxidative stress and ROS
by converting them into non-reactive oxygen molecules and water, whereas
antioxidant enzymes including SOD, CAT, and GSH-Px antagonize the
impact of ROS and oxidative stress in organs and tissues. SOD acts
by reducing superoxide to hydrogen peroxide by spontaneous dismutation,
while catalase and GPx catalyze the conversion of hydrogen peroxide
to water.[73,74] As such, oxidative stress parameters were
assessed in the pancreas of untreated and treated diabetic rats in
this study. Consistent with several other earlier reports, DM significantly
increased pancreas MDA levels with a corresponding reduction in the
activities of CAT, SOD, and GSH-Px in comparison to normal rats. The
ROS accrued as a result of HFD-/STZ-induced hyperglycemia might have
overwhelmed the antioxidant homeostasis in the pancreas leading to
the results obtained. Our results agree with previous studies indicating
the oxidative reduction in the activities of antioxidant defense enzymes
in the pancreas of diabetic models,[39,75,76] whereas the alterations observed in the antioxidant
parameters were significantly and concentration-dependently abrogated
by MOF in the treated diabetic rats. MOF reinforced the activities
of CAT, SOD and GSH-Px, while lipid peroxidation was reduced as expressed
by the abated MDA concentration in the pancreas tissues.
Conclusions
This study provided pieces of evidence on the hypoglycemic, antihyperlipidemic,
and antioxidant activity of MOF, as evidenced by its ability to improve
pancreatic β-cell function and stimulate insulin secretion,
leading to a decrease in the blood glucose level. Furthermore, it
was revealed that MOF ameliorated oxidative pancreatic damage by increasing
the activities of SOD, CAT, and GPx while reducing the MDA level.
Moreover, the changes in the serum concentration of hepatorenal function
enzymes as well as lipid profiles were ameliorated in the MOF-treated
diabetic rats. MOF at a dose of 400 mg/kg was the most potent. Overall,
this study further strengthens the idea that food and agricultural
wastes contain bioactive metabolites with antidiabetic and antioxidant
properties and it also lays the groundwork for future research into
unravelling the mechanism of action of the antidiabetic effects of
MOF.
Authors: N H Cho; J E Shaw; S Karuranga; Y Huang; J D da Rocha Fernandes; A W Ohlrogge; B Malanda Journal: Diabetes Res Clin Pract Date: 2018-02-26 Impact factor: 5.602