Antidiabetic activity of Musa x paradisiaca extracts in streptozotocin-induced diabetic rats and chemical characterization by HPLC-DAD-MS

Antidiabetic activity of Musa x paradisiaca extracts in streptozotocin-induced diabetic rats and chemical characterization by HPLC-DAD-MS

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Journal Pre-proof Antidiabetic activity of Musa x paradisiaca extracts in streptozotocin-induced diabetic rats and chemical characterization by HPLC-DAD-MS R.O. Vilhena, I.D. Figueiredo, A.M. Baviera, D.B. Silva, B.M. Marson, J.A. Oliveira, R.G. Peccinini, I.K. Borges, R. Pontarolo PII:

S0378-8741(19)32117-8

DOI:

https://doi.org/10.1016/j.jep.2020.112666

Reference:

JEP 112666

To appear in:

Journal of Ethnopharmacology

Received Date: 27 May 2019 Revised Date:

9 January 2020

Accepted Date: 9 February 2020

Please cite this article as: Vilhena, R.O., Figueiredo, I.D., Baviera, A.M., Silva, D.B., Marson, B.M., Oliveira, J.A., Peccinini, R.G., Borges, I.K., Pontarolo, R., Antidiabetic activity of Musa x paradisiaca extracts in streptozotocin-induced diabetic rats and chemical characterization by HPLC-DAD-MS, Journal of Ethnopharmacology (2020), doi: https://doi.org/10.1016/j.jep.2020.112666. This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2020 Published by Elsevier B.V.

1 1

Graphical abstract

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Antidiabetic activity of Musa x paradisiaca extracts in streptozotocin-

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induced diabetic rats and chemical characterization by HPLC-DAD-MS

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Vilhena, R. O.1; Figueiredo, I. D.2; Baviera, A. M.2; Silva, D. B.3; Marson, B. M.1;

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Oliveira, J. A2; Peccinini, R. G.4; Borges, I. K.5; Pontarolo, R.1*

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1

Departamento de Farmácia, Universidade Federal do Paraná, Curitiba, PR, Brazil

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2

Departamento de Análises Clínicas, Universidade Estadual Paulista Júlio de Mesquita

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Filho, Araraquara, SP, Brazil

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Farmacêuticas, Alimentos e Nutrição, Universidade Federal do Mato Grosso do Sul,

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Campo Grande, MS, Brazil

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Paulista Júlio de Mesquita Filho, Araraquara, SP, Brazil

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PR, Brazil

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Laboratório de Produtos Naturais e Espectrometria de Massas, Faculdade de Ciências

Departamento de Princípios Ativos Naturais e Toxicologia, Universidade Estadual

Departamento de Ciências Patológicas, Universidade Estadual de Londrina, Londrina,

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*Corresponding author

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Address: Department of Pharmacy, Federal University of Paraná, 632 Lothário

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Meissner Avenue, 80210-170, Curitiba – PR, Brazil

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E-mail: [email protected] (RP)

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Declarations of interest: none

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Authors e-mail:

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Vilhena, R. O.: [email protected]

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Figueiredo, I. D.: [email protected]

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Baviera, A. M.: [email protected]

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Silva, D. B.: [email protected]

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Marson, B. M.: [email protected]

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Oliveira, J. A: [email protected]

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Peccinini, R. G.: [email protected]

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Borges, I. K.: [email protected]

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Pontarolo, R.: [email protected]

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ABSTRACT

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Ethnopharmacological relevance

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The Musa x paradisiaca L. inflorescence, known as banana blossom or banana heart, is

50

used in traditional medicine for the treatment of diabetes mellitus.

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Aim of the study

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The aim of the study was to investigate the antidiabetic activity of aqueous extracts and

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fractions prepared from the bracts and flowers of Musa x paradisiaca in streptozotocin

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(STZ)-induced diabetic rats and to chemically characterize the extracts.

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Materials and Methods

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Standard aqueous extracts of the flowers, bracts, and their fractions were prepared and

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their chemical composition was determined tentatively by high-performance liquid

58

chromatography coupled to diode-array detection and mass spectrometry (HPLC-DAD-

59

MS). Changes in fasting glycemia and oral glucose tolerance were evaluated in STZ-

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induced diabetic rats (n = 8) treated with aqueous extracts of Musa x paradisiaca (200

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mg/kg) for 20 days.

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Results

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Chemical analyses detected 21 compounds and 17 metabolites were identified, among

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which were glycosylated and acetylated phenylpropanoids of p-coumaric acid and caffeic

65

acid, as well as a glycosylated flavonol and anthocyanins. Following 15 days of treatment,

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the bract aqueous extracts and the methanolic fraction of the flower had significant

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effects on the glycemic profile after glucose load in diabetic rats as compared with the

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untreated diabetic group.

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Conclusions

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The results of the present study show the antidiabetic potential of extracts of the flowers

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and bracts of M. x paradisiaca.

4 72 73

Keywords: banana, hydroxycinnamic acid derivatives, HPLC-DAD-MS, anthocyanins,

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diabetes mellitus

75 76

Abbreviations

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HPLC-DAD-MS, high-performance liquid chromatography coupled to diode-array

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detection and mass spectrometry; AFE, aqueous flower extract; MFF, methanolic

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flower fraction; ABE, aqueous bract extract; MBF, methanolic bract fraction; AqE,

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aqueous extract; MeF, methanolic; N, normal group; D, untreated diabetic group;

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DAFE, diabetic group treated with aqueous flower extract; DMFF, diabetic group

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treated with methanolic flower fraction; DABE, diabetic group treated with aqueous

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bract extract; DMBF, diabetic group treated with methanolic bract fraction; Dp-CA,

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diabetic group treated with p-coumaric acid; DINS, diabetic group treated with insulin;

85

b.w., body weight.

86

5 87

1. Introduction

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Musa x paradisiaca L., commonly known as banana, is among the most important fruit

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crops in the world (Jawla et al., 2012). In 2015, global banana production reached a

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record growth rate of approximately 118 million tons (FAO, 2018). As a result of this

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large production, it is estimated that more than 100 million tons of waste are generated

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annually, which is mainly leaves, pseudostems, and inflorescences (IBGE, 2013).

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Although inflorescences are economically regarded as waste, the use of these parts in

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traditional medicine is common practice in many cultures. For example, inflorescence is

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used for the treatment of diabetes through consumption of cooked inflorescence or in

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the form of a decoction (Kumar et al., 2012). Additionally, a recent review showed the

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in vitro and in vivo antidiabetic potential of Musa ssp. flowers (Vilhena et al., 2015).

98

Other studies have shown that the flowers exhibit antihyperglycemic properties (Borah

99

and Das, 2017; Jawla et al., 2012; Nisha and Mini, 2013) and the capacity to inhibit

100

carbohydrate digestion (Abdurrazak et al., 2015; Arun et al., 2017; Marikkar et al.,

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2016) and improve glucose uptake (Arun et al., 2017; Bhaskar et al., 2011). However,

102

no studies have investigated the in vivo antidiabetic activity of bracts.

103

In this context, studies contributing to the verification of the ethnopharmacological use

104

of the inflorescence of banana, including the bracts, are of extreme importance for the

105

development and strengthening of complementary therapies for the treatment of

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diabetes mellitus. Therefore, the aim of the present study was to investigate the

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antidiabetic effects of aqueous extracts of the bracts and flowers of Musa x paradisiaca

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in streptozotocin (STZ)-induced diabetic rats followed by chemical characterization.

109 110

2. Materials and Methods

111

2.1. Chemicals and Reagents

6 112

Streptozotocin and p-coumaric acid standards (≥ 98%) were purchased from

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Sigma−Aldrich (St. Louis, MO, USA). Insulin was obtained from Lilly (Humulin® NPH

114

100 UI/mL, Indianapolis, USA). Isoflurane was purchased from Cristália (Isofurine®,

115

Itapira, SP, Brazil). Amberlite XAD-2 was obtained from Merck KGaA (Darmstadt,

116

Germany). Acetonitrile and methanol (HPLC grade) were obtained from Tedia

117

(Fairfield, CA, USA). Formic acid (98−100%; LC-MS grade) was purchased from

118

Sigma−Aldrich (St. Louis, MO, USA). Hydrochloric acid (36−38.0%) was purchased

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from Mallinckrodit (Edo. de Mexico, Mexico). Ultrapure water was obtained using a

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Milli-®purification system from Millipore (Milford, MA, USA).

121 122

2.2. Plant material

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Musa x paradisiaca inflorescence was collected after approximately 60 days of fruit

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development in Morretes, PR, Brazil (geographical coordinates 25º29'45,59 "S and

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48º48'40,25 "W, 10.93 m) and was identified by a botanist from the herbarium of

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Museu Botânico Municipal de Curitiba (MBM – 348145). The inflorescence was

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separated into flowers and bracts and dried in a drying cabinet for seven days at 30ºC.

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Following drying, the flowers and bracts were ground into separate powders using a

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cutting mill and were subsequently sieved (3 mm). The dried powder was stored in air-

130

tight containers until analysis.

131 132

2.3. Extraction procedure

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The dried flower and bract powders were extracted twice with water (1:10, w/v) via an

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ultrasound-assisted extraction process. The equipment was operated at a frequency of 40

135

kHz, a power of 100 W, a temperature of 25ºC, and a sonication time of 30 min. The

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liquid was filtered, and the total volume was lyophilized at -80°C and 100 mTorr for 48

7 137

h (Virtis Advantage Plus, SP Scientific, Warminster, England). The obtained flower

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(AFE) and bract (ABE) extracts were fractionated in amberlite resin and solubilized in

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water (8 g/100 mL), followed by adjustment of the pH to 2.0 using HCl. The extracts

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were mixed with 12 g amberlite XAD-2 resin (9 nm pore and 20−60 mesh particles) for

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1 h using a magnetic stirrer and then packed into a glass column (45 x 3.5 cm).

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Amberlite impregnated with crude extract was washed with 1 L water. The fraction

143

adsorbed on the column was eluted with 370 mL methanol and dried under reduced

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pressure in a Centrivap Sample Concentrator (Labconco, Kansas City, USA) at 40°C.

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The methanolic fractions of flower (MFF) and bract (MBF), in addition to AFE and

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ABE, were stored in at -40°C in air-tight and light-protected containers until analysis.

147

The extraction yields obtained were 15,2% (ABE), 18,1% (AFE), 3,2 % (MBF), and

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6,7% (MFF).

149 150

2.4. HPLC-DAD-MS analysis

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Extracts and methanolic fractions (AFE, ABE, MFF, and MBF; 1 mg/mL) were

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analyzed using a high-performance liquid chromatography (Prominence UFLC,

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Shimadzu, Kyoto, Japan) coupled to a diode-array detector (190–400 nm) and a mass

154

spectrometer with an electrospray ionization source (ESI) and the quadrupole-time-of-

155

flight (QTOF) (MicrOTOF-Q III, Bruker Daltonics, Billerica, USA) analyzers operating

156

in negative and positive ion modes. Nitrogen was used as gas of nebulization (4 Bar),

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dry (9.1 L/min at 200 ° C) and collision. The capillary voltage was set at 3,500 V, and

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the scan range was m/z 100-1300. The analysis was performed on a C-18 column

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(Kinetex, 150 mm × 2.1 mm id, 2.6 µm), with an oven temperature of 40°C. The mobile

160

phase was deionized water (A) and acetonitrile (B), both containing 0.1% formic acid

161

(v/v), under the following gradient profile: 0–2 min 3% B, 2–25 min 3–25% B, and 25–

8 162

40 min 25–80% B. The flow rate was 0.3 mL/min and the injection volume was 1 µL.

163

The extracts were prepared at 1 mg/mL using acetonitrile and water (6:4, v/v) and

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filtered on a 0.22 µm × 3.0 mm PTFE membrane (Millex®, Millipore).

165 166

2.5. Antidiabetic activity of M. x paradisiaca extracts

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2.5.1. Animals

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Male Wistar rats (Rattus norvegicus) weighing 140–160 g (6 weeks old) were

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maintained under environmentally controlled conditions, with a temperature of 23±1°C,

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a humidity of 55 ± 5%, and a 12 h light/dark cycle. Rats received water and normal lab

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chow diet (Presence, Paulínia, São Paulo, Brazil) ad libitum. The experiments were

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conducted during the light phase following approval of the experimental protocol by the

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Committee for Ethics in Animal Experimentation of the School of Pharmaceutical

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Sciences, UNESP, Araraquara (protocol number CEUA/FCF/CAr: 31/2017).

175 176

2.5.2. Induction of the experimental diabetes mellitus model

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Following four days of acclimation, experimental DM was induced by a single

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intravenous injection of STZ (40 mg/kg b.w.) dissolved in 0.01 M citrate buffer (pH

179

4.5) in 12 h-fasted rats. Normal rats received only citrate buffer. All animals were

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anesthetized with isoflurane for this procedure. Three days after STZ administration,

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rats with post-prandial glycemia values ≥ 350 g/dL were used in the experiments

182

(Furman, 2015). Plasma glucose levels were determined by the glucose oxidase method

183

(Trinder, 1969) using a commercial kit (Biotécnica, Varginha, MG, Brazil).

184 185

2.5.3. Experimental design

9 186

Diabetic animals were stratified into seven different experimental groups (8 rats/group)

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using matched glycemia and body weight values: diabetic rats treated with water (D); 4

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UI insulin (DINS); 200 mg/kg b.w. AFE (DAFE); 200 mg/kg b.w. ABE (DABE); 200

189

mg/kg b.w. MFF (DMFF); 200 mg/kg b.w. MBF (DMBF); and 20 mg/kg b.w. p-

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coumaric acid (Dp-CA). Additionally, a group of normal rats (n = 8) treated orally with

191

vehicle (water) were used as a control. The treatments, except for DINS, were

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performed by gavage twice a day, with a half-dose (0.5 mL) at 08:00 h and 17:00 h, for

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a total of 20 days. Extract and methanolic fraction doses were solubilized in water,

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whereas p-coumaric acid was suspended in carboxymethyl cellulose (1%, w/v) due to

195

its poor water solubility. DINS rats received subcutaneous injections of insulin twice

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daily (2 UI/rat per injection).

197 198

2.5.4. Oral glucose tolerance test (OGTT)

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Following 15 days of treatment, an OGTT was performed in 12 h-fasted rats. A glucose

200

solution (2 g/kg b.w.) was administered orally, and blood samples were collected from

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the tip of the tail before (t = 0) and 15, 30, 60, 90, and 120 min after glucose loading.

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Results are expressed as mg/dL, and the area under the curve (AUC, g/dL/120 min) was

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calculated (GraphPad Prism® 6.0 Software, GraphPad, La Jolla, USA).

204 205

2.5.6. Statistical analysis

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Differences between groups were analyzed with one-way ANOVA followed by a

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Student−Newman−Keuls test (p < 0.05) (GraphPad Prism® 6.0 Software, GraphPad, La

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Jolla, USA).

209 210

3. Results and Discussion

10 211 212

3.1. Identification of the constituents by HPLC-DAD-MS

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The constituents of M. x paradisiaca extracts and fractions were identified based on

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UV, MS, and MS/MS data as compared with data described in the literature (Abdallah

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et al., 1994; Abid et al., 2017; Shirota et al., 1997; Zhang et al., 2015). The

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chromatograms of AFE, ABE, MFF, and MBF are shown in Fig. 1. Seventeen

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compounds were identified from the extracts (Table 1).

218

219 220

Fig. 1. Total ion chromatograms (negative ion mode) of aqueous bract extract (A);

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methanolic bract fraction (B); aqueous flower extract (C); and methanolic flower

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fraction (D) of M. x paradisiaca. The fractions were obtained by clean-up procedures

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using Amberlite XAD2. The identification of chromatographic peaks is described in

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Table 1 and all the chromatograms are in the same intensity range.

11

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Table 1. Compounds identified from the aqueous extracts and methanolic fractions of the bracts and flowers of M. x paradisiaca by

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HPLC-DAD-MS

1 2

RT (min) 1.1 1.2

3

9.6

di-O-hexosyl coumaric acid

4

10.7

UI di-O-acetyl di-O-hexosyl coumaric acid O-hexosyl-deoxihexosyl quercetin UI

Peak

Compound Quinic acid Hexose

5

17.8

6

18.1

7

18.4

8

19.6

9

20.0

10

21.5

11

21.9

12

22.9

13

24.2

14

25.1

15

25.3

16

26.1

Nonanedioic acid O-deoxyhexosyl-hexosyl cyanidin tri-O-acetyl di-O-hexosyl coumaric acid tri-O-acetyl di-O-hexosyl coumaric acid tri-O-acetyl di-O-hexosyl coumaric acid tetra-O-acetyl di-O-hexosyl caffeic acid tetra-O-acetyl di-O-hexosyl coumaric acid O-deoxyhexosyl-hexosyl Oacetyl cyanidin UI

17

26.4

tetra-O-acetyl di-O-hexosyl

UV (nm) 299, 312 285 299, 313 260, 352 299, 325 274, 520 299, 313 299, 313 299, 313 299, 325 299, 313 265, 517 276, 313 299,

Bract

Flower

MF

Ident. levela

MS (+ / -) (m/z)

MS/MS (m/z)

C7H12O6 C6H12O6 C21H28O13

1 4 3

191.0568 (-) 179.0566 (-) 487.1488 (-)

163

C12H13NO3 C25H32O15

4 3

218.0832 (-) 571.1695 (-)

216, 188, 162 487, 341, 307, 163, 145

C27H30O16

3

609.1482 (-)

300, 271, 255, 179

X

C17H16O10

4

379.0697 (-)

185

X

C9H16O4 C27H31O15+

4 3

187.0989 (-) 595.1673 (+)

287

C27H34O16

3

613.1803 (-)

C27H34O16

3

C27H34O16

3

C29H36O18

3

C29H36O17

3

C29H33O16+

3

C31H34O17 C29H36O17

MeF

AqE

MeF

X

X X X

X

X

X X

X X

X X

X X

X X

383, 341, 307, 163, 145

X

X

X

613.1803 (-)

383, 341, 307, 163, 145

X

X

X

613.1794 (-)

341, 323, 163, 145

X

X

X

383, 179, 163

X

425, 383, 341, 163, 145

X

637.1770 (+)

329

X

X

4

679.1861 (+)

391, 373

X

X

3

655.1906 (-)

383, 341, 163, 145

X

671.1856 (-) 655.1872 (-)

AqE X X

X

X X

X X

X

X

X

12

coumaric acid 312 3 655.1911 (-) 383, 341, 323, 163, 145 X tetra-O-acetyl di-O-hexosyl 299, C29H36O17 coumaric acid 313 27.5 tetra-O-acetyl di-O-hexosyl O299, C30H38O18 3 685.2023 (-) 193, 175, 160 X X 19 methyl caffeic acid 325 30.0 penta-O-acetyl di-O-hexosyl 299, C31H38O18 3 697.2022 (-) 425, 383, 163, 145 X X 20 coumaric acid 313 30.9 UI C18H34O5 4 329.2351 (-) 229, 211, 183, 171 21 Note: +: positive ion mode; -: negative ion mode; UI: unidentified; MF: molecular formula: RT: retention time; UV: ultraviolet; AqE aqueous extract; MeF: methanolic; X: presence of identified compound. aIdentification level of compounds using Metabolomics Standards as reported by Schymanski et al., 2014. All MFs were determined from the accurate mass considering a mass error and mSigma lower than 8 ppm and 30, respectively. 18

227 228 229 230

26.9

13

231

Chromatographic peaks 3, 5, 10−12, 14, 17−18, and 20 revealed absorption bands in the

232

ultraviolet spectra, with wavelengths near 299 and 310 nm, which is compatible with

233

the coumaric acid moiety (Zhang et al., 2015). All these compounds revealed fragment

234

ions at m/z 163, which is in accordance with a neutral loss of coumaric acid molecule. It

235

is yielded from the loss of two hexoses (324 u - compound 3) or two hexoses together

236

with acetyl groups, such as two (408 u - compound 5), three (450 u - compounds

237

10−12), four (508 u-compounds 14, 17−18), or five (534 u-compound 20) acetyl groups.

238

Compound 5 exhibited an ion at m/z 571.1695 [M-H]-, indicating a molecular formula

239

of C25H32O15, and also showed a fragment ion at m/z 487 produced from the loss of two

240

acetyl groups (42 + 42 = 84 u), confirming the acetyl substituents. Thus, it was possible

241

to identify the compounds as di-O-hexosyl coumaric acid (3), di-O-acetyl di-O-hexosyl

242

coumaric acid (5), tri-O-acetyl di-O-hexosyl coumaric acid), tetra-O-acetyl di-O-

243

hexosyl coumaric acid (14, 17-18), and penta-O-acetyl di-O-hexosyl coumaric acid

244

(20). These spectral data are compatible with those described in the literature (Zhang et

245

al., 2015).

246

Peaks 13 and 19 exhibited two absorption bands at wavelengths of 299 and 325 nm in

247

the UV spectra, suggesting the presence of a caffeic acid unit. These compounds

248

revealed fragment ions at m/z 179 and 193, confirming the presence of caffeic and O-

249

methyl caffeic acids, respectively. From comparison with previously published data,

250

substances 13 and 19 were identified as tetra-O-acetyl di-O-hexosyl caffeic acid (13)

251

(Abdallah et al., 1994) and tetra-O-acetyl di-O-hexosyl O-methyl caffeic acid (19)

252

(Shirota et al., 1997).

253

A glycosylated flavonol, O-hexosyl-deoxyhexosyl quercetin (6), and quinic acid (1),

254

hexose (2), and nonanedioic acid (8) were also identified in the samples. In addition,

14

255

peaks 9 and 15 showed UV spectra typical of anthocyanins (λmax ≈ 270 and 515 nm) and

256

protonated ions (m/z 595.1673 and 637.1770), indicating a molecular formula of

257

C27H31O15+ and C29H33O16+, respectively. They showed losses of 308 u, suggesting O-

258

deoxyhexosyl-hexosyl substituents, and yielded fragment ions m/z 287 (C15H11O6+) and

259

329 (C17H13O7+), which confirmed the aglycones cyanidin and O-acetyl cyanidin (Abid

260

et al., 2017). Thus, compounds 9 and 15 were identified as O-deoxyhexosyl-hexosyl

261

cyanidin and O-deoxyhexosyl-hexosyl O-acetyl cyanidin.

262 263

3.1. Antidiabetic activity of M. x paradisiaca extracts

264

3.1.1. Glucose tolerance following treatment of diabetic rats with M. x paradisiaca

265

extracts

266

STZ administration destroys β-cells, leading to the development of metabolic

267

disturbances due to severe insulin deficiency in a profile similar to the changes observed

268

in type 1 diabetes mellitus (Lenzen, 2008). Therefore, an abnormality in the glycemic

269

profile of diabetic animals is expected. On day 15 of treatment, the OGTT was

270

performed to evaluate the effects of the aqueous extracts, methanolic fractions, and p-

271

coumaric acid on fasting glycemia and glucose tolerance in diabetic rats. The OGTT

272

results for the control and diabetic-treated groups are shown in Fig. 2.

15

273 274

Fig. 2. Oral glucose tolerance in normal and STZ-induced diabetic rats treated with the

275

extracts and fractions of M. x paradisiaca. (A) Glycemia levels before (t = 0) and after

276

glucose load in rats treated for 20 days; (B) area under the curve (AUC) of the oral

277

glucose tolerance test; and (C) fasting glycemia of the control and treated groups. The

278

values are expressed as the mean ± SD, n = 8 per group. Differences between groups

279

were analyzed with one-way ANOVA followed by a Student−Newman−Keuls test.

280

Asterisks denote the significant differences from the D group (*p < 0.05, **p < 0.01);

281

the pound signs denote the significant differences from the N group (#p < 0.05).

282

Note: N, normal group; D, untreated diabetic group; DAFE, diabetic group treated with aqueous flower

283

extract (200 mg/kg/day); DMFF, diabetic group treated with methanolic flower fraction (200 mg/kg/day);

284

DABE, diabetic group treated with aqueous bract extract (200 mg/kg/day); DMBF, diabetic group treated

285

with methanolic bract fraction (200 mg/kg/day); Dp-CA, diabetic group treated with p-coumaric acid (20

286

mg/kg/day); and DINS, diabetic group treated with insulin (4 UI/rat/day).

287 288

For the D group, increased values of fasting glycemia, in addition to glucose intolerance

289

after oral load, were observed, indicating impairments in the control of carbohydrate

16

290

metabolism in STZ-induced diabetic rats, likely due to an insulin-deficient state. On the

291

other hand, in comparison with the D group, all groups of diabetic rats treated with

292

extracts or fractions of M. x paradisiaca had decreases in fasting glycemia, not

293

significantly different from the DINS group (Fig. 2C).

294

Observing the post glucose load profiles (Fig. 2A), there was a reduction in glucose

295

intolerance in the groups of diabetic rats that received aqueous extracts of flower and

296

bract, methanolic flower fraction, and insulin (DAFE, DABE, DMFF, and DINS

297

groups). Moreover, the glycemia levels in the DABE and DMFF groups returned to

298

values close to those in the DINS group at the last evaluation time after oral glucose

299

overload (120 min).

300

Comparison of the AUCs of the different groups (Fig. 2B) shows that MFF, ABE, and

301

insulin treatment in diabetic rats promoted statistically significant alterations in the post

302

glucose load profile in relation to the D group, indicating that these treatments improved

303

the glucose tolerance in animals with DM. Considering that the effects in the DABE and

304

DMFF groups were not statistically different from each other, ABE presents an

305

advantage over MFF due to the ease of obtaining an aqueous extract. Although the

306

glycemic profile in the DAFE group was not significantly different as compared with

307

the D group, it is important to note that the profile up to 60 min following the glucose

308

load is very similar to that in the DINS, DMFF, and DABE groups, indicating the

309

potential of this extract.

310

Considering the relationship between the results of the antidiabetic properties of the M.

311

x paradisiaca preparations and the chemical composition of the bract extracts, it can be

312

inferred that the antidiabetic potential of this part of the inflorescence could be

313

attributed to a possible synergistic action of the total components of the extract, since

17

314

ABE promoted improvements in the post glucose load profile and fasting glycemia to a

315

greater extent than MBF. Although the procedure to obtain MBF was used to get rid of

316

the most of the sugars, some of the potent bioactive metabolites might also be eluted

317

with water from the amberlite XAD-2 column, which could explain the lower activity.

318

The effect of rutin, a flavonol glycoside, on glycemia levels has been evaluated in in

319

vitro and in vivo studies. The antihyperglycemic activity of rutin in animal models of

320

acute and chronic hyperglycemia induced by alloxan and improvements in the glycemic

321

profile of normoglycemic mice submitted to OGTT are examples of the antidiabetic

322

potential attributed to doses of 30 mg/kg of this compound (Calzada et al., 2017). In

323

addition, rutin, quercetin, and isoquercetin have shown in vitro inhibitory activity

324

against α-glycosidase (Jo et al., 2009; Sohretoglu et al., 2018). Therefore, the presence

325

of flavonol glycosides in the bract extracts may have contributed to the observed results.

326

Anthocyanins, compounds present in the bracts of Musa spp. (Kitdamrongsont, 2018),

327

appear to play a role in the prevention or reversal of pathogenic processes related to

328

type 2 DM by inhibiting body weight gain, preventing the production of free radicals

329

and lipid peroxidation, regulating the inflammatory response, reducing the glucose and

330

lipids levels in the blood, and improving insulin resistance (Guo and Ling, 2015). Thus,

331

these compounds may also be related to the effects obtained by treatment with bract

332

extracts.

333

Additionally, the presence of glycosylated and acetylated phenylpropanoid derivatives

334

could also be related to the antidiabetic activity of the extracts. Studies have shown that

335

acetylated derivates of p-coumaric acid glycosides have platelet antiaggregant activity

336

(Yoshikawa et al., 2002) and moderate aldose reductase inhibitory activity (Fujimoto et

337

al., 2014). For compounds belonging to this group, α-glycosidase inhibitory activity,

18

338

such as lapatoside D (Fan et al., 2010), and β-glycosidase inhibitory activity, such as

339

vanicoside A and B isolated from the root of Polygonum sachalinense were also

340

observed (Kawai et al., 2006). In these studies, in addition to the glycosylated and

341

acetylated compounds, p-coumaric and ferulic acids were also evaluated; however, they

342

did not show any activity. Thus, the authors suggested that the complete structure of the

343

compounds is related to the action, not just hydroxycinnamic acids. Additionally, poorly

344

bonded compounds, such as ester bonding, have been reported to be hydrolyzed in the

345

gut prior to absorption (Lafay et al., 2007). Thus, the present study also evaluated the

346

activity of p-coumaric acid alone for the purpose of comparing the phenylpropanoyl

347

portion of the compounds identified in the extracts. Similarly, p-coumaric acid

348

administered alone showed no activity in diabetic animals in the present study (Fig. 2).

349 350

4. Conclusion

351

The results of the present study show the antidiabetic potential of the flower and bract

352

extracts and fractions of M. x paradisiaca. To the best of our knowledge, this is the first

353

time that the antidiabetic effect of bracts has been evaluated in STZ-induced diabetic

354

rats. All diabetic rats treated with the extracts and fractions of M. x paradisiaca had

355

decreased fasting glycemia as compared with the untreated diabetic group. ABE

356

treatment was highlighted as presenting improvements in the post glucose load profile

357

in diabetic rats as compared with the untreated group. These findings provide novel

358

evidence for traditional antidiabetic use of M. x paradisiaca inflorescence and potential

359

for the application of these extracts in the development of novel antidiabetic medicines.

360 361

Conflicts of interest

19

362

The authors have no conflicts of interest.

363 364

Acknowledgments

365

The authors acknowledge the Brazilian agencies CAPES and CNPq for fellowships and

366

the biochemistry and clinical enzymology laboratory of UNESP-Araraquara for help

367

with in vivo experiments. The authors would also like to thank FUNDECT (Fundação

368

de Apoio ao Desenvolvimento do Ensino, Ciência e Tecnologia do estado de Mato

369

Grosso do Sul).

370 371

Author’s contributions

372

ROV contributed to the collection and identification of plant samples, running of the

373

herbarium, performing laboratory work, analysis of the data, and drafting of the paper.

374

IDF contributed to the design of in vivo experiments, performing laboratory work, and

375

analysis of the data. AMB designed the in vivo experiments, analyzed the data, critically

376

read the manuscript, and contributed to reagents/materials. DBS performed the LC-

377

DAD-MS analyses and identified the potential bioactive compounds, contributed to

378

reagents/materials, and critically read the manuscript. BMM contributed to the

379

collection and identification of plant samples, running of the herbarium, performing

380

laboratory work, and analysis of the data. JO contributed to in vivo experiments,

381

performing laboratory work, and analysis of the data. RGP contributed to the laboratory

382

support

383

reagents/materials. IKB contributed to the critical reading of the manuscript. RP

384

designed the study, supervised the laboratory work, contributed to reagents/materials,

of

in

vivo

experiments,

critical

reading

of

the

manuscript,

and

20

385

and critically read the manuscript. All authors read the final manuscript and approved

386

the submission.

387 388

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