Next Article in Journal
The Anticancer Action of a Novel 1,2,4-Triazine Sulfonamide Derivative in Colon Cancer Cells
Next Article in Special Issue
The Potential of Sweetpotato as a Functional Food in Sub-Saharan Africa and Its Implications for Health: A Review
Previous Article in Journal
Adding Value in Production of Multifunctional Polylactide (PLA)–ZnO Nanocomposite Films through Alternative Manufacturing Methods
Previous Article in Special Issue
Post-Harvest Use of Ultraviolet Light (UV) and Light Emitting Diode (LED) to Enhance Bioactive Compounds in Refrigerated Tomatoes
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Molecules
Volume 26
Issue 7
10.3390/molecules26072044
molecules-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Solanum anguivi Lam. Fruits: Their Potential Effects on Type 2 Diabetes Mellitus

by
Aisha Musaazi Sebunya Nakitto
1,2,
John H. Muyonga
1,
Yusuf Byenkya Byaruhanga
1 and
Anika E. Wagner
2,*
1
Department of Food Technology and Nutrition, School of Food Technology Nutrition and Bioengineering, College of Agricultural and Environmental Sciences, Makerere University, P.O. Box 7062 Kampala, Uganda
2
Institute of Nutritional Sciences, Justus-Liebig University, Wilhelmstrasse 20, 35392 Giessen, Germany
*
Author to whom correspondence should be addressed.
Molecules 2021, 26(7), 2044; https://doi.org/10.3390/molecules26072044
Submission received: 27 February 2021 / Revised: 25 March 2021 / Accepted: 29 March 2021 / Published: 2 April 2021
(This article belongs to the Special Issue Contributions of Bioactive Compounds to Quality, Safety, and Bioactivity of Plant Foods)
Browse Figures
Versions Notes

Abstract

:
Type 2 diabetes mellitus (T2DM) is a complex metabolic disorder of glucose homeostasis associated with a status of insulin resistance, impaired insulin signaling, β-cell dysfunction, impaired glucose and lipid metabolism, sub-clinical inflammation, and increased oxidative stress. Consuming fruits and vegetables rich in phytochemicals with potential antidiabetic effects may prevent T2DM and/or support a conservative T2DM treatment while being safer and more affordable for people from low-income countries. Solanum anguivi Lam. fruits (SALF) have been suggested to exhibit antidiabetic properties, potentially due to the presence of various phytochemicals, including saponins, phenolics, alkaloids, ascorbic acid, and flavonoids. For the saponin fraction, antidiabetic effects have already been reported. However, it remains unclear whether this is also true for the other phytochemicals present in SALF. This review article covers information on glucose homeostasis, T2DM pathogenesis, and also the potential antidiabetic effects of phytochemicals present in SALF, including their potential mechanisms of action.

1. Introduction

Diabetes is a chronic metabolic disorder that is illustrated by either insufficient production or the lack of response to insulin, a key hormone in the regulation of the body’s metabolism [1]. The burden, due to diabetes is enormous, owing to its rapidly increasing global prevalence, the devastating damage it can do to many body organs, and the direct and indirect costs [2]. The estimated global prevalence of diabetes in people aged 20–79 years has risen from 6.4% (285 million) in 2010 to 9.3% (463 million) in 2019, and it is predicted to increase to 10.9% (700 million) by 2045 if there is insufficient action to address the pandemic [3]. Based on the World Bank income classification, high-income countries had the highest diabetes prevalence in 2019 at 10% (95.2 million), while low-income countries had the least at 4% (14.5 million) [3].
People suffer from different types of diabetes, including type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), gestational diabetes mellitus, monogenic diabetes, and secondary diabetes [4]. T2DM is the most common type of diabetes [4], and will, therefore, be the focus of this review article. The present review provides information on glucose homeostasis and how T2DM ensues (pathogenesis of T2DM). A few studies [5,6] suggest antidiabetic properties of Solanum anguivi Lam. Fruits (SALF), due to the presence of bioactive phytochemical compounds. Solanum anguivi Lam. is an ethnomedicinal plant belonging to the family Solanaceae and genus Solanum Lam [7]. It is native to Africa, probably occurring in all non-arid tropical African regions [8], and it has also been reported to be present in Asia and Australia [9]. It grows mostly in the wild, but sometimes, e.g., in Uganda and Ivory Coast, it is a semi-cultivated vegetable [8]. The plants are consumed as leafy and/or fruity vegetables [10]. However, only limited data regarding its antidiabetic effect is available, which will be summarized in this review, as well as the potential mechanisms of action for phytochemicals present in SALF that may lead to antidiabetic effects.

2. Glucose Homeostasis

The pancreas maintains blood glucose levels within a very narrow range of 4.0–6.5 mmol/L [11] mediated through the opposing and balanced actions of the hormones glucagon and insulin, referred to as glucose homeostasis [12]. Glucagon and insulin are synthesized from the pancreatic α- and β- cells of the islets of Langerhans, respectively [13]. The systemic glucose homeostasis is achieved by the coordinated functions of different organ systems, including the skeletal muscle, the liver, the endocrine pancreas, the adipose tissue (Figure 1) [14], and the hypothalamus is responsible for the neural regulation of these organ systems [15].

Insulin and Glucagon as Mediators of the Glucose Homeostasis

The main stimulus for the insulin release from the pancreatic β-cells is an elevated blood glucose level following the ingestion of glucose or a high-glycemic-index meal (≥65 on the glucose scale [17]) [18]. The circulating plasma glucose is taken up into the β-cells through the facilitative glucose transporter (GLUT) in an insulin-independent manner [19,20] (Figure 2). Once in the β-cell, glucose undergoes glycolysis and mitochondrial glucose oxidation, leading to an increased adenosine triphosphate (ATP)/adenosine diphosphate (ADP) ratio and the subsequent closure of ATP-sensitive potassium (K+) channels (KATP channels). This leads to the depolarization of the membrane, followed by the opening of voltage-dependent calcium (Ca2+) channels (VDCCs), resulting in the influx of Ca2+ and the eventual release of insulin [12,19,21,22]. Insulin binds to the α-subunit of the insulin receptor, which enables ATP to bind to the β-subunit of the insulin receptor, which in turn triggers the phosphorylation of the tyrosine kinase [23,24] (Figure 2). Several intracellular proteins are then phosphorylated on tyrosine residues, such as insulin receptor substrates (IRS) 1 and 2, leading to the activation of phosphatidylinositol-3-kinase (PI3-K) [25,26]. This subsequently increases the translocation of GLUT-4 molecules on the outer membrane of the insulin-responsive tissues [23,27], leading to an increased glucose uptake. Insulin-mediated signaling further lowers blood glucose by reducing hepatic glucose output (gluconeogenesis) by increasing the storage of glucose as glycogen in the liver (glycogenesis) and inhibiting the release of free fatty acids (FFAs) from adipose tissue (lipolysis) through promoting fat synthesis (lipogenesis) in the adipose tissue [28,29]. Moreover, the transcription factor peroxisome proliferator-activated receptor-γ (PPAR-γ) promotes glucose uptake through an increased insulin sensitivity of the muscle, and a lower level of circulating lipids through an up-regulated storage of triglycerides [30].
Glucagon plays an important role in maintaining glucose homeostasis by promoting the breakdown of glycogen to glucose (glycogenolysis) and gluconeogenesis, and inhibiting glycogenesis, thereby acting as a glucose-mobilizing hormone [31,32]. It is released from pancreatic α-cells, when blood glucose levels start to decrease [27]. Similar to insulin secretion, the release of glucagon is triggered by Ca2+ entry through VDCCs. During a hypoglycemic state, low levels of glucose are taken up by GLUT-1 into the cell membrane of α-cells, which subsequently induces glycolysis resulting in low levels of ATP [31,33], being followed by the closure of the KATP channels, and thus, reduced efflux of K+ (Figure 2). Consequently, VDCCs open, allowing an influx of Ca2+ which triggers the release of glycogen from the α-cells [31,33]. Glucagon binds to the glucagon receptor, leading to a sequence of events [34,35,36,37,38,39] that convert glycogen to glucose (Figure 2). In addition to the promotion of glycogenolysis, glucagon inhibits glycogenesis in the liver simultaneously [34].

3. Type 2 Diabetes Mellitus

T2DM usually occurs in adults, but is increasingly seen in children and adolescents [40]. In T2DM patients, the pancreas produces and releases insulin, but the cells become resistant so that the insulin is ineffective, a state that is referred to as insulin resistance [IR]. Thus, the provided insulin may be insufficient to compensate for IR over time, a state that is referred to as relative insulin deficiency (ID) [41]. Both IR and ID lead to high blood glucose levels. T2DM patients also exhibit an impaired regulation of glucagon secretion, which is reflected in high levels during fasting in response to an oral intake of glucose [31,42,43,44]. The underlying mechanisms of hyperglucagonemia are currently not clear, but it may result from the impaired suppressive effect of insulin on the α-cells, due to hypoinsulinemia and IR [31,45,46].

3.1. Pathogenesis of T2DM

T2DM is characterized by two fundamental defects: Impaired insulin action (IR) in skeletal muscle, liver, and impaired adipocyte and β-cell function (Figure 1). It is caused by a combination of genetic factors related to impaired insulin secretion and IR, by environmental factors, such as obesity, lack of exercise, and stress, as well as by aging, indicating that T2DM is a multifactorial disease [27,47]. Several mechanisms for T2DM pathogenesis have been proposed, as described below.

3.1.1. Oxidative Stress and T2DM

Oxidative stress is defined as the excess formation and/or insufficient removal of highly reactive molecules, that is, the reactive oxygen species (ROS) and reactive nitrogen species (RNS) [48]. The imbalance between the generation of ROS or RNS and the activity of the antioxidant defenses causes oxidative stress [49,50]. Mitochondria are integral to normal cellular function as they are responsible for energy production in eukaryotes, calcium homeostasis and also play a key role in the regulation of apoptosis [51,52]. Thus, alterations in mitochondrial function are often associated with T2DM, thus reflecting the centrality of energy homeostasis in β-cell physiology [53]. Clinical and experimental studies have shown that oxidative stress, through free radical generation, plays a major role in the onset of diabetes [54,55,56]. In high-sugar diets, mitochondria have more substrate available to generate ATP, due to the increased supply of glucose [57], resulting in an overproduction of their natural byproduct, ROS [15]. The increased ROS levels damage the infrastructure of the cell and induce mitochondrial stress [57] (Figure 1). The elevated ROS levels may also induce mitochondrial fission, which has been reported to cause mitochondrial dysfunction and IR in the skeletal muscle [58,59]. Hyperglycemia may also stimulate oxidative stress by the generation of ROS during the process of glycation, the non-enzymatic process through which glucose forms covalent adducts with plasma proteins, forming glycation end-products [60].

3.1.2. Insulin Resistance

The predisposing factor and best indicator for the development of T2DM in the future is IR [57] (Figure 1). IR is classified into three categories, which are impaired insulin response in target tissues, diminished insulin secretion by β-cells, and insulin antagonists in the plasma [61]. IR is associated with an impaired insulin-dependent GLUT-4 translocation to the plasma membrane, which primarily arises from multifactorial defects in the normal engagement of the canonical insulin signaling cascade [14,25,62,63].
Obesity has been proposed as an underlying cause for the development of IR [64]. Chronic overfeeding leads to the elevated ability of adipose tissue to store the excess nutrients as triglycerides (possibly due to impaired insulin action), resulting in increased concentrations of circulating FFAs and abnormal redistribution of lipids to other organs, including the liver and skeletal muscle [64]. Elevated FFAs and intracellular lipids are linked to the onset of peripheral and hepatic IR [65,66]. This may result from the inhibition of insulin signaling by the FFAs and intracellular lipids, leading to a reduced insulin-stimulated muscle glucose transport, possibly due to a decrease in the translocation of the GLUT-4 [65,66]. Increased amounts of adipose tissue and visceral fat in obesity lead to ectopic fat accumulation in the liver, muscle, and pancreas, and thus, IR ensues [67].
Aberrant hepatic insulin action is hypothesized to primarily drive IR, given that higher circulating insulin levels are necessary to adequately control the blood glucose levels [68]. In patients with T2DM and obesity, insulin fails to appropriately regulate hepatic metabolism, leading to excess production of glucose despite accelerated rates of lipid synthesis, a condition commonly referred to as selective hepatic IR [69]. Hepatic IR is generally represented by the impaired suppression of hepatic glucose production, which is associated with an elevated hepatic triglyceride content, a known characteristic of non-alcoholic fatty liver disease (NAFLD) [70,71]. Other abnormalities associated with hepatic insulin resistance that may cause dysregulation of the glucose metabolism include the progression of simple steatosis (NAFLD) to fibrosis, and non-alcoholic steatohepatitis (NASH) [70,71].

3.1.3. Pancreatic β-Cell Dysfunction/Failure

Several mechanisms describing the pathogenesis of pancreatic β-cell dysfunction/failure have been reported. Hyperglycemia and high amounts of saturated fats in circulation from diets or lipolysis of body fat have been suggested to trigger β-cell dysfunction, as well as IR [72] (Figure 1). Chronic hyperglycemia and elevated FFAs lead to β-cell dysfunction through various mechanisms, including the generation of ROS, increased intracellular Ca2+, mitochondrial uncoupling, alterations in metabolic pathways, and the activation of endoplasmic reticulum stress [72,73]. Chronic exposure of β-cells to FFA is associated with impaired glucose-stimulated insulin secretion, a down-regulation of insulin gene expression resulting in reduced insulin synthesis, and ultimately causes apoptosis of the β-cells [73]. Chronic hyperglycemia causes an increased metabolic demand towards the β-cells, which undergo compensatory insulin hypersecretion to maintain normoglycemia [74]. This may lead to increased β-cell mass and function [73], consequently, to β-cell exhaustion and failure resulting in the development of T2DM [24,75,76]. Compensatory β-cell mass expansion may also be stimulated by increased FFAs consumption through increased production of glucagon-like peptide 1 (GLP-1) and its receptors as observed in dogs on a high-fat diet [77]. In addition to chronic hyperglycemia and elevated FFAs, obesity is a major risk factor for T2DM as it desensitizes glucose recipient organs to the action of insulin (obesity-induced IR), leading to increased insulin demand resulting in β-cell dysfunction [72].

4. Antioxidants and T2DM

Free radicals generated during biological oxidation reactions are reactive and simultaneously start the chain reaction, which may lead to damage or even to the death of cells [78]. An antioxidant is a substrate that prevents the oxidation of a molecule by neutralizing a free radical through the donation of an electron or by transferring a hydrogen atom, and thus, reducing its damaging potential [79]. Antioxidants are classified as either primary/chain-breaking/radical-trapping (slow-down/block autoxidation by competing with the propagation reactions) or secondary/preventive (interfere with the initiation process) [80,81,82]. The primary antioxidants (e.g., phenolic compounds, such as caffeic acid and tocopherol) rapidly react with peroxyl radicals preventing their reaction with oxidizable substrates and consequently the propagation of the autoxidation chain [80,82]. Secondary antioxidants (e.g., polyphenols, including flavonoids, such as quercetin [83]) may prevent the occurrence of Fenton-type chemistry by blocking redox-active metal ions in an oxidized form (e.g., Fe3+) through metal chelation [82,84].

Endogenous and Exogenous Antioxidants in Humans

The antioxidant defense grid in living systems consists of antioxidant molecules that act at different levels and are classified as the first-line, second-line, third-line, and fourth-line [79,85,86]. These are radical suppression or prevention, radical scavenging, radical-induced damage repair, and adaptation (utilization of the signals required for free radical production by reacting to prevent the formation or reaction of the radicals) [85], respectively. First-line antioxidants include superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), and glutathione reductase (GR) [85,87]. Second-line includes hydrophilic antioxidants (such as ascorbic acid, uric acid, phenolics), and glutathione and lipophilic antioxidants (such as vitamin E and ubiquinol) [85,88]. Third-line includes proteolytic enzymes, lipases, DNA repair enzymes, and transferases [79,85,86].
The human endogenous antioxidant defense against free radicals and oxidative stress includes enzymatic antioxidants, such as SOD, which catalyzes the dismutation of superoxide (O2−) radical into either ordinary molecular oxygen (O2) or H2O2, as well as CAT and GPx, which both remove H2O2 [87,89], and non-enzymatic antioxidants, such as lipoic acid, glutathione, L-arginine, and coenzyme Q10 [87,90]. However, these endogenous antioxidants may not be sufficient in some cases, such as chronic exposure to free radicals, due to smoking and consumption of high nutrient diets. Thus, exogenous (dietary) antioxidant consumption may help in the prevention of diseases associated with oxidative stress [91]. Sources of dietary antioxidants include herbs, spices, medicinal plants [92], fruits, and vegetables [93]. Due to the presence of antidiabetic phytochemicals [94], medicinal plants are used as antidiabetic remedies worldwide [95]. Fruits and vegetables are also considered protective, due to various phytochemicals that are mainly responsible for the plant’s color, smell, flavor, and bitterness [96], such as polyphenols, alkaloids, and saponins. Phytochemicals are defined as bioactive plant chemicals that may provide desirable health benefits that lower the risk of developing major chronic diseases [97], including T2DM. This may be achieved by reducing cholesterol absorption, by directly lowering fasting blood glucose levels, e.g., by inhibiting cortisol [98,99], and by stimulating the immune system under different conditions [100]. The antioxidant activity of foods correlates with the presence of phytochemicals [100]. Thus, in addition to the enzymatic antioxidants (CAT, SOD, GPx) in humans that scavenge free radicals, some phytochemicals also act as complementary antioxidants, due to their electrophilicity, ability to promote the gene expression of antioxidant enzymes, and to positively modulate the actions of antioxidant enzymes [101].

5. Solanum anguivi Lam. Fruit’s Antidiabetic Properties and Potential Mechanisms of Action

Various researchers [92,102,103,104,105] have reported the presence of phytochemicals in SALF, which include phenolics, flavonoids, saponins, alkaloids, coumarins, and vitamin C. The phenolics in SALF include gallic acid, chlorogenic acid, caffeic acid [92], phenolic acids [106], and tannins [102], as well as rutin and quercetin as representatives of the flavonoids [92]. Triterpenoid saponins [102] and steroidal saponins or glycosides, such as anguiviosides A to C [107], III, XI, XV, and XVI [108] have also been reported to be present in SALF. In addition, the steroidal glycoalkaloids solamargine, anguivine, and isoanguivine have been described to be present in the SALF [109,110]. There is controversy about whether Solanum indicum Linn. (S. indicum) is the same as Solanum anguivi Lam. (S. anguvi). S. indicum has been reported as a synonym for Solanum anguivi by some authors [111,112,113,114], while others have described them as different species [106,115,116]. Controversy also exists regarding the safety of S. indicum L. fruit (SILF). Several authors have reported that SILF is safe, and thus, may be consumed as a vegetable [9,113,114,117,118,119], while one author has reported that it is a poisonous berry [115]. Similar to SALF, SILF has been reported to contain steroidal saponins/glycosides (isoanguivine, protodioscin, solasonine, solamargine, and indiosides A–E), terpenoids, vitamin C, phenolics (gallic acid, catechin, chlorogenic acid, caffeic acid, epicatechin), flavonoids (rutin, quercetin, isoquercitrin), glycoalkaloids (solamargine, solasonine) and coumarins [120,121,122]. The similarities between the phytochemicals present in SALF and SILF may, therefore, indicate similarities in their antidiabetic properties.
Previous studies have shown that SALF extracts possess antioxidant abilities in vitro, such as radical scavenging capacity [92,105], reducing properties [Fe3+ to Fe2+], and iron-chelating abilities [92,123]. SALF extracts have also been reported to inhibit lipid peroxidation [92], which may be due to the presence of saponins as they have been reported to inhibit lipid peroxidation in diabetic rats through the restoration of SOD and CAT [104]. Blood-glucose-lowering effects have also been exhibited in diabetic rats having been administered SALF extracts [5,6]. The antidiabetic properties (antioxidant activities, inhibition of oxidative stress, and blood-glucose-lowering effect) of SALF may be attributed to the presence of various phytochemicals in SALF. However, only one class of phytochemicals present in SALF, that is, saponin, has been studied for its antidiabetic effects [5,104,124]. Since the antidiabetic properties of the other SALF phytochemicals (phenolics, flavonoids, and alkaloids) have not been documented, we discuss their potential antidiabetic effects and underlying mechanisms of action (summarized in Figure 3) in the context of other medicinal plants with similar phytochemical patterns.

5.1. Saponins

The total saponin content of SALF has been stated as 1.3 mg/100 g dry weight (DW) and the triterpenoid content as 0.3 mg/100 g DW [102]; however, no reference standard (n.r.s) was used for both analyses. Other authors have also reported the presence of saponins in SALF, however, not the total saponin content [103,125]. Saponins extracted from SALF have been stated to exhibit antioxidative properties in vitro, such as scavenging radicals, reducing [Fe3+ to Fe2+], and iron-chelating abilities [104]. Furthermore, SALF saponins have been reported to exhibit antidiabetic properties in diabetic rats, including the reduction of blood glucose levels [5], and the inhibition of oxidative stress [5,104,124], which may both be due to their ability to restore the endogenous antioxidant levels (i.e., SOD and CAT levels) [5,104,124], as well as their antioxidative activities [104]. The antidiabetic effect of SALF saponins may also be referred to as their antihyperlipidemic properties and their ability to cause weight loss in diabetic rats [5]. SALF saponins have also been reported to restore the plasma lipid profile in these rats, being reflected in lower levels of total cholesterol (TC), triglycerides (TG), and low-density lipoprotein (LDL), and increased levels of high-density lipoprotein (HDL) [5]. Relative ID and IR may negatively affect the lipid profile as insulin plays a critical role in lipid homeostasis [126]. In T2DM patients, elevated plasma levels of TG and lipoprotein lipase (LPL), as well as decreased HDL levels, have been found, the latter being associated with defective LPL catabolism of TG-rich lipoproteins [127]. Similar to diabetic rats, being exposed to SALF saponins [5], an improvement of glucose homeostasis in the absence of weight gain has been suggested to result in lowered TG and increased HDL levels [127]. In contrast, other authors have suggested that hyperglycemia may not cause dyslipidemia, but rather abnormalities in insulin action, and hence, a hypoglycemic effect may not improve the lipid profile per se [128,129].
Another possible mechanism through which saponins from SALF may result in hypoglycemia may be through the regeneration of islets of Langerhans as suggested for Solanum nigrum (S. nigrum) after being administered to diabetic rats [130]. Triterpenoid saponins in SALF may also cause hypoglycemic and hypolipidemic effects by activating GLUT4 through improved IRS-1/PI3K/AKT regulation, and activated adenosine monophosphate-activated kinase/acetyl-CoA carboxylase (AMPK/ACC) signaling, respectively, as shown in diabetic mice by Stauntonia chinensis triterpenoids [131]. Additionally, SALF triterpenoid saponins may lower plasma glucose levels by improving insulin secretion as a result of the improved modulation of VDCCs, and thus, increasing glycogenesis, and β-cell rejuvenation, as reported for Primula denticulate [132] and Momordica cymbalaria Fenzl [133] triterpenoids.

5.2. Phenolics and Flavonoids

The total phenolic content (TPC) for SALF has been reported as 17.1 mg gallic acid equivalent (GAE)/g dry weight (DW) [92], 1.52 mg/100 mg DW (1.52%) (n.r.s) [102], and from unripe to very ripe stage, 9.6 to 5.5 mg/g DW (n.r.s) [103] and 11.6 to 4.5 mg/g GAE DW [134], respectively. The total flavonoid content (TFC) of SALF has been documented as 9.5 mg QE/g DW [92], 0.5 mg/100 mg DW (0.5%) (n.r.s) [102] and 141.3 to 455.0 mg QE/100 g DW from unripe to very ripe stage, respectively [134]. Elekofehinti et al. [92] described the contents for the SALF phenolic compounds gallic acid, chlorogenic acid, caffeic acid, rutin, and quercetin as 17.5, 21.9, 16.6, 14.7, and 7.4 mg/g, respectively. Stommel et al. [106] reported the contents (µmol/100 g DW) of SALF chlorogenic acid isomers (1117–6232), isochlorogenic acid isomers (70–226), hydroxycinnamic acid amide conjugates (14–286), caffeic acid derivatives (45–155), and acetylated chlorogenic acid isomers (316–1148). The tannin content of SALF has been documented as 0.17 mg/100 mg (n.r.s) [102] and 0.19 to 0.09 mg tannic acid equivalent/100 g DW, from unripe to ripe stage, respectively [134]. Extracts from SILF and Solanum melongena (S. melongena) have been stated to exhibit antidiabetic properties through inhibiting α-amylase and α-glucosidase enzymes, which was attributed to the present phenolics [120,135]. The TPC and TFC of SILF were reported as 3.8 mg GAE/g DW and 1.7 mg quercetin equivalent (QE)/g DW, respectively [120], while the TPC and TFC for S. melongena were only reported for the skin and pulp separately. Glucose is a product from the hydrolysis of starch [136], which is catalyzed by the enzymes α-amylase found in saliva and pancreatic juices, and α-glucosidase found in the epithelium of the small intestine [137]. Hence, α-amylase and α-glucosidase inhibitors slow the digestion of starch in the small intestine, which decreases the amount of glucose entering the bloodstream leading to an improved insulin response [138]. Previous studies reported the hypoglycemic effects of SILF [139] and S. melongena [140], and these may have been mediated through inhibiting the α-amylase and α-glucosidase, due to the presence of phenolic compounds. The TPC in SALF (mg GAE/g DW) is substantially higher than in SILF [120], suggesting inhibiting properties of SALF regarding α-amylase and α-glucosidase activity, which may be mediated by tannins as similar effects have been reported for tannin-containing Terminalia chebula Retz [141].
Phenolics present in SILF, S. nigrum, S. melongena, have been reported to possess antioxidant effects [120,135,140,142], which may also be true for SALF phenolics. Thus, in addition to saponins, the antioxidative effect of SALF extracts may be induced by the synergistic action of saponins and phenolics. Polyphenols, such as gallic acid, may also be responsible for SALF’s antidiabetic effects. They may also be mediated through both a reduction of plasma glucose levels and oxidative stress damage, by restoring antioxidant enzymes, inhibiting α-amylase and α-glucosidase, as well as by maintaining a healthy lipid profile as already shown in diabetic rats for Hibiscus sabdariffa gallic acid [143]. Furthermore, SALF gallic acid may increase the expression of GLUT-4 and insulin sensitivity proteins, such as PPAR-γ, through the activation of AKT as demonstrated for Emblica officinalis derived gallic acid in diabetic mice [144], consequently leading to increased cellular glucose uptake. Recent studies [145,146] have shown that polyphenols increase GLP-1, suggesting them to be used together with GLP-1 agonists for the treatment of T2DM [147,148]. GLP-1, an incretin hormone produced from proglucagon in the intestine and brain [31,147,149], stimulates insulin release, the proliferation and neogenesis of pancreatic β-cells, and inhibits glucagon release, food intake, and gastric emptying [149,150,151]. Potentially SALF may stimulate GLP-1 secretion through its polyphenols, such as caffeic and chlorogenic acid [145,152,153].
Flavonoids from SALF may also possess antidiabetic effects. The hypoglycemic effect and the regeneration of islets of Langerhans in diabetic rats administered with extracts of S. nigrum were referred to flavonoids in the extract [130], whose TFC has been reported as 3.61 mg QE/g DW [154]. This could also apply to SALF flavonoids, which potentially exhibit antioxidant properties, protect against oxidative damage and restore pancreatic cells, which result in decreased levels of glucose in the blood. SALF quercetin may increase glucose uptake in skeletal muscles by stimulating the insulin-independent AMPK pathway, which has been demonstrated by quercetin-containing Vaccinium vitis-idaea in vitro [155].

5.3. Alkaloids

Alkaloids have also been reported to possess antidiabetic properties [156]. Although SALF has been shown to possess alkaloids (0.05 mg/100 mg DW or 0.05% [102]), there is very limited literature on the antidiabetic effects of alkaloids from Solanum fruits. However, SALF alkaloids may lower blood glucose levels as shown for Aerva lanata alkaloids in diabetic rats [157]. This may be through inhibiting α-amylase and α-glucosidase activities as suggested for S. melongena alkaloids [158]. SALF alkaloids may also lower blood glucose levels by inducing glucose uptake through inhibition of protein tyrosine phosphatase-1B (PTP-1B) (a major negative regulator for insulin receptor signaling [159]) as demonstrated in C2C12 skeletal muscle cells by alkaloids from Veratrum nigrum [160] and Catharanthus roseus [161], and in β-TC6 pancreatic cells by alkaloids from Catharanthus roseus [161]. Additionally, SALF alkaloids may also alleviate H2O2-induced oxidative damage in β-cells as shown by alkaloids from Catharanthus roseus in diabetic rats, due to its radical scavenging capacity [161].

6. Conclusions

Some studies have documented antidiabetic effects of SALF. For one group of phytochemicals present in SALF, the saponins, the antidiabetic effect, and the underlying mechanism have been documented. As SALF also contains other phytochemicals, such as phenolics, flavonoids, and alkaloids, its antidiabetic effect may also refer to these compounds, which have been shown to decrease blood glucose levels through, e.g., an up-regulation of GLUT-4 and PPARγ, restoration of enzymatic antioxidants and β-cell regeneration in other settings. However, to unravel the precise underlying mechanisms of the potential antidiabetic effects of SALF, further studies are essentially needed. They would provide information on whether the SALF antidiabetic properties may be due to a potential synergistic action of saponins, and other phytochemicals present, or refer to the saponin fraction only. Consequently, the results may also provide valuable information on the potential use of SALF in T2DM management.

Funding

This research was funded by the German Academic Exchange Service (DAAD) In-Country/In-Region Scholarship Programme Uganda (57376096).

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Rodrigues, R. A Comprehensive Review: The Use of Animal Models in Diabetes Research. J. Anal. Pharm. Res. 2016, 3, 1–5. [Google Scholar] [CrossRef]
  2. WHO. Global Status Report on Noncommunicable Diseases; WHO: Geneva, Switzerland, 2010. [Google Scholar]
  3. IDF. IDF Diabetes Atlas, 9th ed.; Karuranga, S., Malanda, B., Saeedi, P., Salpea, P., Eds.; IDF: Brussels, Belgium, 2019. [Google Scholar]
  4. IDF. IDF Diabetes Atlas, 6th ed.; Guariguata, L., Nolan, T., Beagley, J., Linnenkamp, U., Jacqmain, O., Eds.; IDF: Brussels, Belgium, 2013. [Google Scholar]
  5. Elekofehinti, O.O.; Kamdem, J.P.; Kade, I.J.; Rocha, J.B.T.; Adanlawo, I.G. Hypoglycemic, Antiperoxidative and Antihyperlipidemic Effects of Saponins from Solanum Anguivi Lam. Fruits in Alloxan-Induced Diabetic Rats. S. Afr. J. Bot. 2013, 88, 56–61. [Google Scholar] [CrossRef] [Green Version]
  6. Seble, S.E. Evaluation of Hypoglycemic Activity of Selected Medicinal Plants from Central Uganda in Alloxan Induced Diabetic Rats. Master’s Thesis, Makerere University, Kampala, Uganda, 2011. [Google Scholar]
  7. United States Department of Agriculture. Plants Profile for Solanum anguivi. Available online: https://plants.usda.gov/core/profile?symbol=SOAN8 (accessed on 25 March 2020).
  8. Bukenya, Z.R. Studies in the Taxonomy of the Genus Solanum in Uganda. Ph.D. Thesis, Makerere University, Kampala, Uganda, 1993. [Google Scholar]
  9. Jayanthy, A.; Maurya, A.; Verma, S.C.; Srivastava, A.; Shankar, M.B.; Sharma, R.K. A Brief Review on Pharmacognosy, Phytochemistry and Therapeutic Potential of Solanum Indium L. Used in Indian Systems of Medicine. Asian J. Res. Chem. 2016, 9, 127–132. [Google Scholar] [CrossRef]
  10. Denton, O.A.; Nwangburuka, C.C. Heritability, Genetic Advance and Character Association in Six Yield Related Characters of Solanum Anguivi. Asian J. Agric. Res. 2011, 5, 201–207. [Google Scholar] [CrossRef] [Green Version]
  11. Hindmarsh, P.C.; Geertsma, K. Glucose and Cortisol. In Congenital Adrenal Hyperplasia, 1st ed.; Bennett, T., Ed.; Elsevier: London, UK, 2017; pp. 219–230. [Google Scholar] [CrossRef]
  12. Röder, P.V.; Wu, B.; Liu, Y.; Han, W. Pancreatic Regulation of Glucose Homeostasis. Exp. Mol. Med. 2016, 48, 1–19. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  13. Da Silva Xavier, G. The Cells of the Islets of Langerhans. J. Clin. Med. 2018, 7, 54. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  14. Henriksen, E.J. Dysregulation of Glycogen Synthase Kinase-3 in Skeletal Muscle and the Etiology of Insulin Resistance and Type 2 Diabetes. Curr. Diabetes Rev. 2010, 6, 285–293. [Google Scholar] [CrossRef]
  15. Henriksen, E.J.; Diamond-Stanic, M.K.; Marchionne, E.M. Oxidative Stress and the Etiology of Insulin Resistance and Type 2 Diabetes. Free Radic. Biol. Med. 2011, 51, 993–999. [Google Scholar] [CrossRef] [Green Version]
  16. Ludwig, D.S. The Glycemic Index: Physiological Mechanisms Relating to Obesity, Diabetes, and Cardiovascular Disease. J. Am. Med. Assoc. 2002, 287, 2414–2423. [Google Scholar] [CrossRef]
  17. Sacks, F.M.; Carey, V.J.; Anderson, C.A.M.; Miller, E.R., III; Copeland, T.; Charleston, J.; Harshfield, B.J.; Laranjo, N.; McCarron, P.; Swain, J.; et al. Effects of High vs Low Glycemic Index of Dietary Carbohydrate on Cardiovascular Disease Risk Factors and Insulin Sensitivity the OmniCarb Randomized Clinical Trial. JAMA 2014, 312, 2531–2541. [Google Scholar] [CrossRef]
  18. Tripathy, D.; Chavez, A.O. Defects in Insulin Secretion and Action in the Pathogenesis of Type 2 Diabetes Mellitus. Curr. Diab. Rep. 2010, 10, 184–191. [Google Scholar] [CrossRef]
  19. Chen, Y.; Cruzat, V.F.; Newsholme, P. β-Cell Metabolism, Insulin Production and Secretion: Metabolic Failure Resulting in Diabetes. In Molecular Nutrition and Diabetes: A Volume in the Molecular Nutrition Series, 1st ed.; Mauricio, D., Ed.; Elsevier Inc.: London, UK, 2016; pp. 29–40. [Google Scholar] [CrossRef]
  20. Rorsman, P.; Braun, M. Regulation of Insulin Secretion in Human Pancreatic Islets. Annu. Rev. Physiol. 2013, 75, 155–179. [Google Scholar] [CrossRef]
  21. Newsholme, P.; Krause, M. Nutritional Regulation of Insulin Secretion: Implications for Diabetes. Clin. Biochem. Rev. 2012, 33, 35–47. [Google Scholar]
  22. Henquin, J.C. Triggering and Amplifying Pathways of Regulation of Insulin Secretion by Glucose. Diabetes 2000, 49, 1751–1760. [Google Scholar] [CrossRef] [Green Version]
  23. Wilcox, G. Insulin and Insulin Resistance. Clin. Biochem. Rev. 2005, 26, 1–14. [Google Scholar]
  24. Newsholme, P.; Haber, E.P.; Hirabara, S.M.; Rebelato, E.L.O.; Procopio, J.; Morgan, D.; Oliveira-Emilio, H.C.; Carpinelli, A.R.; Curi, R.; Newsholme, C.P. Diabetes Associated Cell Stress and Dysfunction: Role of Mitochondrial and Non-Mitochondrial ROS Production and Activity. J. Physiol. 2007, 583, 9–24. [Google Scholar] [CrossRef]
  25. Henriksen, E.J. Role of Oxidative Stress in the Pathogenesis of Insulin Resistance and Type 2 Diabetes. In Bioactive Food as Dietary Interventions for Diabetes, 1st ed.; Watson, R.R., Preedy, V.R., Eds.; Elsevier Inc.: San Diego, CA, USA, 2013; pp. 1–15. [Google Scholar] [CrossRef]
  26. Tremblay, F.; Lavigne, C.; Jacques, H.; Marette, A. Defective Insulin-Induced GLUT4 Translocation in Skeletal Muscle of High Fat-Fed Rats Is Associated with Alterations in Both Akt/Protein Kinase B and Atypical Protein Kinase C (ζ/λ) Activities. Diabetes 2001, 50, 1901–1910. [Google Scholar] [CrossRef] [Green Version]
  27. Ghosh, S.; Collier, A. Diabetes, 2nd ed.; Pickup, J., Ed.; Churchill Livingstone, Elsevier: London, UK, 2012. [Google Scholar]
  28. Munir, K.M.; Chandrasekaran, S.; Gao, F.; Quon, M.J. Mechanisms for Food Polyphenols to Ameliorate Insulin Resistance and Endothelial Dysfunction: Therapeutic Implications for Diabetes and Its Cardiovascular Complications. Am. J. Physiol. Metab. 2013, 305, E679–E686. [Google Scholar] [CrossRef] [Green Version]
  29. Klover, P.J.; Mooney, R.A. Hepatocytes: Critical for Glucose Homeostasis. Int. J. Biochem. Cell Biol. 2004, 36, 753–758. [Google Scholar] [CrossRef]
  30. Ferré, P. The Biology of Peroxisome Proliferator-Activated Receptors: Relationship with Lipid Metabolism and Insulin Sensitivity. Diabetes 2004, 53, S43–S50. [Google Scholar] [CrossRef] [Green Version]
  31. Rix, I.; Nexøe-Larsen, C.; Bergmann, N.C.; Lund, A.; Knop, F.K. Glucagon Physiology. Available online: https://www.ncbi.nlm.nih.gov/books/NBK279127/ (accessed on 1 February 2021).
  32. Hædersdal, S.; Lund, A.; Knop, F.K.; Vilsbøll, T. The Role of Glucagon in the Pathophysiology and Treatment of Type 2 Diabetes. Mayo Clin. Proc. 2018, 93, 217–239. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  33. Müller, T.D.; Finan, B.; Clemmensen, C.; Di Marchi, R.D.; Tschöp, M.H. The New Biology and Pharmacology of Glucagon. Physiol. Rev. 2017, 97, 721–766. [Google Scholar] [CrossRef] [PubMed]
  34. Venugopal, S.K.; Sankar, P.; Jialal, I. Physiology, Glucagon. Available online: http://www.ncbi.nlm.nih.gov/pubmed/30725767 (accessed on 1 February 2021).
  35. Jiang, G.; Zhang, B.B. Glucagon and Regulation of Glucose Metabolism. Am. J. Physiol. Endocrinol. Metab. 2003, 284, E671–E678. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  36. Berg, J.M.; Tymoczko, J.L.; Stryer, L. Glycogen Metabolism. In Biochemistry, 5th ed.; W.H. Freeman: New York, NY, USA, 2002; pp. 864–896. [Google Scholar]
  37. Grigorenko, B.; Polyakov, I.; Nemukhin, A. Mechanisms of ATP to CAMP Conversion Catalyzed by the Mammalian Adenylyl Cyclase: A Role of Magnesium Coordination Shells and Proton Wires. J. Phys. Chem. B 2020, 124, 451–460. [Google Scholar] [CrossRef] [PubMed]
  38. Christophe, J. Glucagon Receptors: From Genetic Structure and Expression to Effector Coupling and Biological Responses. BBA Rev. Biomembr. 1995, 1241, 45–57. [Google Scholar] [CrossRef]
  39. Adeva-Andany, M.M.; Pérez-Felpete, N.; Fernández-Fernández, C.; Donapetry-García, C.; Pazos-García, C. Liver Glucose Metabolism in Humans. Biosci. Rep. 2016, 36, 416. [Google Scholar] [CrossRef] [Green Version]
  40. Temneanu, O.R.; Trandafir, L.M.; Purcarea, M.R. Type 2 Diabetes Mellitus in Children and Adolescents: A Relatively New Clinical Problem within Pediatric Practice. J. Med. Life 2016, 9, 235–239. [Google Scholar]
  41. Association American Diabetes. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2009, 32, S62–S67. [Google Scholar] [CrossRef] [Green Version]
  42. Knop, F.K.; Vilsbøll, T.; Madsbad, S.; Holst, J.J.; Krarup, T. Inappropriate Suppression of Glucagon during OGTT but Not during Isoglycaemic i.v. Glucose Infusion Contributes to the Reduced Incretin Effect in Type 2 Diabetes Mellitus. Diabetologia 2007, 50, 797–805. [Google Scholar] [CrossRef]
  43. Reaven, G.M.; Chen, Y.D.I.; Golay, A.; Swislocki, A.L.M.; Jaspan, J.B. Documentation of Hyperglucagonemia throughout the Day in Nonobese and Obese Patients with Noninsulin-Dependent Diabetes Mellitus. J. Clin. Endocrinol. Metab. 1987, 64, 106–110. [Google Scholar] [CrossRef]
  44. Lund, A.; Bagger, J.I.; Christensen, M.; Grøndahl, M.; Van Hall, G.; Holst, J.J.; Vilsbøll, T.; Knop, F.K. Higher Endogenous Glucose Production during OGTT vs Isoglycemic Intravenous Glucose Infusion. J. Clin. Endocrinol. Metab. 2016, 101, 4377–4384. [Google Scholar] [CrossRef]
  45. Hamaguchi, T.; Fukushima, H.; Uehara, M.; Wada, S.; Shirotani, T.; Kishikawa, H.; Ichinose, K.; Yamaguchi, K.; Shichiri, M. Abnormal Glucagon Response to Arginine and Its Normalization in Obese Hyperinsulinaemic Patients with Glucose Intolerance: Importance of Insulin Action on Pancreatic Alpha Cells. Diabetologia 1991, 34, 801–806. [Google Scholar] [CrossRef] [Green Version]
  46. Dunning, B.E.; Gerich, J.E. The Role of α-Cell Dysregulation in Fasting and Postprandial Hyperglycemia in Type 2 Diabetes and Therapeutic Implications. Endocr. Rev. 2007, 28, 253–283. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  47. Kaku, K. Pathophysiology of Type 2 Diabetes and Its Treatment Policy. J. Jpn. Med. Assoc. 2010, 53, 41–46. [Google Scholar]
  48. Johansen, J.S.; Harris, A.K.; Rychly, D.J.; Ergul, A. Oxidative Stress and the Use of Antioxidants in Diabetes: Linking Basic Science to Clinical Pratice. Cardiovasc. Diabetol. 2005, 4, 1–11. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  49. Škrovánková, S.; Mišurcová, L.; Machů, L. Antioxidant Activity and Protecting Health Effects of Common Medicinal Plants. Adv. Food Nutr. Res. 2012, 67, 75–139. [Google Scholar] [CrossRef]
  50. Beier, J.I.; Arteel, G.E. Ethanol-Induced Hepatotoxicity. In Comprehensive Toxicology, 2nd ed.; McQueen, C.A., Ed.; Elsevier Inc.: Amsterdam, The Netherlands, 2010; pp. 421–435. [Google Scholar] [CrossRef]
  51. Duchen, M.R. Mitochondria and Calcium: From Cell Signalling to Cell Death. J. Physiol. 2000, 529, 57–68. [Google Scholar] [CrossRef]
  52. Osellame, L.D.; Blacker, T.S.; Duchen, M.R. Cellular and Molecular Mechanisms of Mitochondrial Function. Best Pract. Res. Clin. Endocrinol. Metab. 2012, 26, 711–723. [Google Scholar] [CrossRef] [Green Version]
  53. Silva, J.P.; Köhler, M.; Graff, C.; Oldfors, A.; Magnuson, M.A.; Berggren, P.O.; Larsson, N.G. Impaired Insulin Secretion and β-Cell Loss in Tissue-Specific Knockout Mice with Mitochondrial Diabetes. Nat. Genet. 2000, 26, 336–340. [Google Scholar] [CrossRef] [PubMed]
  54. Asmat, U.; Abad, K.; Ismail, K. Diabetes Mellitus and Oxidative Stress—A Concise Review. Saudi Pharm. J. 2016, 24, 547–553. [Google Scholar] [CrossRef] [Green Version]
  55. Maritim, A.C.; Sanders, R.A.; Watkins, J.B. Diabetes, Oxidative Stress, and Antioxidants: A Review. J. Biochem. Mol. Toxicol. 2003, 17, 24–38. [Google Scholar] [CrossRef]
  56. Okoduwa, S.I.R.; Umar, I.A.; Ibrahim, S.; Bello, F. Relationship of Oxidative Stress with Type 2 Diabetes and Hypertension. J. Diabetol. 2013, 1, 1–11. [Google Scholar]
  57. Hurrle, S.; Hsu, W.H. The Etiology of Oxidative Stress in Insulin Resistance. Biomed. J. 2017, 40, 257–262. [Google Scholar] [CrossRef]
  58. Jheng, H.-F.; Tsai, P.-J.; Guo, S.-M.; Kuo, L.-H.; Chang, C.-S.; Su, I.-J.; Chang, C.-R.; Tsai, Y.-S. Mitochondrial Fission Contributes to Mitochondrial Dysfunction and Insulin Resistance in Skeletal Muscle. Mol. Cell. Biol. 2012, 32, 309–319. [Google Scholar] [CrossRef] [Green Version]
  59. Boucher, J.; Kleinridders, A.; Ronald Kahn, C. Insulin Receptor Signaling in Normal and Insulin-Resistant States. Cold Spring Harb. Perspect. Biol. 2014, 6, 1–23. [Google Scholar] [CrossRef] [Green Version]
  60. Kennedy, A.L.; Lyons, T.J. Glycation, Oxidation, and Lipoxidation in the Development of Diabetic Complications. Metabolism 1997, 46, 14–21. [Google Scholar] [CrossRef]
  61. Pearson, T.; Wattis, J.A.D.; King, J.R.; MacDonald, I.A.; Mazzatti, D.J. The Effects of Insulin Resistance on Individual Tissues: An Application of a Mathematical Model of Metabolism in Humans. Bull. Math. Biol. 2016, 78, 1189–1217. [Google Scholar] [CrossRef] [Green Version]
  62. Czech, M.P. Insulin Action and Resistance in Obesity and Type 2 Diabetes. Nat. Med. 2017, 23, 804–814. [Google Scholar] [CrossRef]
  63. Henriksen, E.J. Invited Review: Effects of Acute Exercise and Exercise Training on Insulin Resistance. J. Appl. Physiol. 2002, 93, 788–796. [Google Scholar] [CrossRef] [Green Version]
  64. Vicente Dragano, N.R.; Marques, A.y.C. Native Fruits, Anthocyanins in Nutraceuticals, and the Insulin Receptor/Insulin Receptor Substrate-1/Akt/Forkhead Box Protein Pathway. In Molecular Nutrition and Diabetes: A Volume in the Molecular Nutrition Series, 1st ed.; Mauricio, D., Ed.; Elsevier Inc.: London, UK, 2016; pp. 131–145. [Google Scholar] [CrossRef]
  65. Boden, G.; Shulman, G.I. Free Fatty Acids in Obesity and Type 2 Diabetes: Defining Their Role in the Development of Insulin Resistance and β-Cell Dysfunction. Eur. J. Clin. Investig. 2002, 32, 14–23. [Google Scholar] [CrossRef]
  66. Bergman, R.N.; Mittelman, S.D. Central Role of the Adipocyte in Insulin Resistance. J. Basic Clin. Physiol. Pharmacol. 1998, 9, 205–222. [Google Scholar] [CrossRef] [PubMed]
  67. Falk Petersen, K.; Shulman, G.I. Etiology of Insulin Resistance. Am. J. Med. 2006, 119, 10–16. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  68. Santoleri, D.; Titchenell, P.M. Resolving the Paradox of Hepatic Insulin Resistance. CMGH 2019, 7, 447–456. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  69. Brown, M.S.; Goldstein, J.L. Selective versus Total Insulin Resistance: A Pathogenic Paradox. Cell Metab. 2008, 7, 95–96. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  70. Petersen, M.C.; Vatner, D.F.; Shulman, G.I. Regulation of Hepatic Glucose Metabolism in Health and Disease. Nat. Rev. Endocrinol. 2017, 13, 572–587. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  71. Roden, M. Mechanisms of Disease: Hepatic Steatosis in Type 2 Diabetes—Pathogenesis and Clinical Relevance. Nat. Clin. Pract. Endocrinol. Metab. 2006, 2, 335–348. [Google Scholar] [CrossRef]
  72. Cerf, M.E. Beta Cell Dysfunction and Insulin Resistance. Front. Endocrinol. 2013, 4, 1–12. [Google Scholar] [CrossRef] [Green Version]
  73. Chang-Chen, K.J.; Mullur, R.; Bernal-Mizrachi, E. β-Cell Failure as a Complication of Diabetes. Rev. Endocr. Metab. Disord. 2008, 9, 329–343. [Google Scholar] [CrossRef] [Green Version]
  74. Prentki, M.; Nolan, C.J. Islet β Cell Failure in Type 2 Diabetes. J. Clin. Invest. 2006, 116, 1802–1812. [Google Scholar] [CrossRef] [Green Version]
  75. Kasuga, M. Review Series Introduction Insulin Resistance and Pancreatic b Cell Failure. J. Clin. Investig. 2010, 116, 1756–1760. [Google Scholar] [CrossRef]
  76. Sivitz, W.I.; Yorek, M.A. Mitochondrial Dysfunction in Diabetes: From Molecular Mechanisms to Functional Significance and Therapeutic Opportunities. Antioxid. Redox Signal. 2010, 12, 537–577. [Google Scholar] [CrossRef] [Green Version]
  77. Van Citters, G.W.; Kabir, M.; Kim, S.P.; Mittelman, S.D.; Dea, M.K.; Brubaker, P.L.; Bergman, R.N. Elevated Glucagon-like Peptide-1-(7-36)-Amide, but Not Glucose, Associated with Hyperinsulinemic Compensation for Fat Feeding. J. Clin. Endocrinol. Metab. 2002, 87, 5191–5198. [Google Scholar] [CrossRef]
  78. Rao, V.R. Antioxidant Agents. In Advances in Structure and Activity Relationship of Coumarin Derivatives, 1st ed.; Penta, S., Ed.; Elsevier Inc.: London, UK, 2016; pp. 137–150. [Google Scholar] [CrossRef]
  79. Lobo, V.; Patil, A.; Phatak, A.; Chandra, N. Free Radicals, Antioxidants and Functional Foods: Impact on Human Health. Pharmacogn. Rev. 2010, 4, 118–126. [Google Scholar] [CrossRef] [Green Version]
  80. Valgimigli, L.; Pratt, D.A. Antioxidants in Chemistry and Biology. In Encyclopedia of Radicals in Chemistry, Biology and Materials; Chatgilialoglu, C., Studer, A., Eds.; John Wiley & Sons, Ltd.: Chichester, UK, 2012; pp. 1623–1677. [Google Scholar] [CrossRef]
  81. Ingold, K.U.; Pratt, D.A. Advances in Radical-Trapping Antioxidant Chemistry in the 21st Century: A Kinetics and Mechanisms Perspective. Chem. Rev. 2014, 114, 9022–9046. [Google Scholar] [CrossRef] [Green Version]
  82. Hermund, D.B. Antioxidant Properties of Seaweed-Derived Substances. In Bioactive Seaweeds for Food Applications: Natural Ingredients for Healthy Diets, 1st ed.; Qin, Y., Ed.; Academic Press: London, UK, 2018; pp. 201–221. [Google Scholar] [CrossRef]
  83. Jomova, K.; Baros, S.; Valko, M. Redox Active Metal-Induced Oxidative Stress in Biological Systems. Transit. Met. Chem. 2012, 37, 127–134. [Google Scholar] [CrossRef]
  84. Amorati, R.; Valgimigli, L. Advantages and Limitations of Common Testing Methods for Antioxidants. Free Radic. Res. 2015, 49, 633–649. [Google Scholar] [CrossRef]
  85. Ighodaro, O.M.; Akinloye, O.A. First Line Defence Antioxidants-Superoxide Dismutase (SOD), Catalase (CAT) and Glutathione Peroxidase (GPX): Their Fundamental Role in the Entire Antioxidant Defence Grid. Alex. J. Med. 2018, 54, 287–293. [Google Scholar] [CrossRef] [Green Version]
  86. Willcox, J.K.; Ash, S.L.; Catignani, G.L. Antioxidants and Prevention of Chronic Disease. Crit. Rev. Food Sci. Nutr. 2004, 44, 275–295. [Google Scholar] [CrossRef]
  87. Pham-Huy, L.A.; He, H.; Pham-Huy, C. Free Radicals, Antioxidants in Disease and Health. Int. J. Biomed. Sci. 2008, 4, 89–96. [Google Scholar]
  88. Dal, S.; Sigrist, S. The Protective Effect of Antioxidants Consumption on Diabetes and Vascular Complications. Diseases 2016, 4, 1–54. [Google Scholar] [CrossRef] [Green Version]
  89. Asakura, H.; Kitahora, T. Antioxidants and Polyphenols in Inflammatory Bowel Disease: Ulcerative Colitis and Crohn Disease. In Polyphenols: Prevention and Treatment of Human Disease, 2nd ed.; Watson, R.R., Preedy, V.R., Zibadi, S., Eds.; Academic Press: London, UK, 2018; pp. 279–292. [Google Scholar] [CrossRef]
  90. Pizzino, G.; Irrera, N.; Cucinotta, M.; Pallio, G.; Mannino, F.; Arcoraci, V.; Squadrito, F.; Altavilla, D.; Bitto, A. Oxidative Stress: Harms and Benefits for Human Health. Oxid. Med. Cell. Longev. 2017, 2017, 1–13. [Google Scholar] [CrossRef]
  91. Kurutas, E.B. The Importance of Antioxidants Which Play the Role in Cellular Response against Oxidative/Nitrosative Stress: Current State. Nutr. J. 2016, 15, 1–22. [Google Scholar] [CrossRef] [Green Version]
  92. Elekofehinti, O.O.; Kamdem, J.P.; Bolingon, A.A.; Athayde, M.L.; Lopes, S.L.; Waczuk, E.P.; Kade, I.J.; Adanlawo, I.G.; Rocha, J.B.T. African Eggplant (Solanum Anguivi Lam.) Fruit with Bioactive Polyphenolic Compounds Exerts In Vitro Antioxidant Properties and Inhibits Ca2+-Induced Mitochondrial Swelling. Asian Pac. J. Trop. Biomed. 2013, 3, 757–766. [Google Scholar] [CrossRef] [Green Version]
  93. Wilson, D.W.; Nash, P.; Singh, H.; Griffiths, K.; Singh, R.; De Meester, F.; Horiuchi, R.; Takahashi, T. The Role of Food Antioxidants, Benefits of Functional Foods, and Influence of Feeding Habits on the Health of the Older Person: An Overview. Antioxidants 2017, 6, 81. [Google Scholar] [CrossRef] [Green Version]
  94. Jung, M.; Park, M.; Lee, H.; Kang, Y.-H.; Kang, E.; Kim, S. Antidiabetic Agents from Medicinal Plants. Curr. Med. Chem. 2006, 13, 1203–1218. [Google Scholar] [CrossRef] [Green Version]
  95. Patel, D.K.; Prasad, S.K.; Kumar, R.; Hemalatha, S. An Overview on Antidiabetic Medicinal Plants Having Insulin Mimetic Property. Asian Pac. J. Trop. Biomed. 2012, 2, 320–330. [Google Scholar] [CrossRef] [Green Version]
  96. Miglio, C.; Chiavaro, E.; Visconti, A.; Fogliano, V.; Pellegrini, N. Effects of Different Cooking Methods on Nutritional and Physicochemical Characteristics of Selected Vegetables. J. Agric. Food Chem. 2008, 56, 139–147. [Google Scholar] [CrossRef] [PubMed]
  97. Liu, R.H. Potential Synergy of Phytochemicals in Cancer Prevention: Mechanism of Action. J. Nutr. 2004, 134, 3479S–3485S. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  98. McAnuff, M.A.; Harding, W.W.; Omoruyi, F.O.; Jacobs, H.; Morrison, E.Y.; Asemota, H.N. Hypoglycemic Effects of Steroidal Sapogenins Isolated from Jamaican Bitter Yam, Dioscorea Polygonoides. Food Chem. Toxicol. 2005, 43, 1667–1672. [Google Scholar] [CrossRef] [PubMed]
  99. Jones, P.J.H.; Ntanios, F.Y.; Raeini-Sarjaz, M.; Vanstone, C.A. Cholesterol-Lowering Efficacy of a Sitostanol-Containing Phytosterol Mixture with a Prudent Diet in Hyperlipidemic Men. Am. J. Clin. Nutr. 1999, 69, 1144–1150. [Google Scholar] [CrossRef] [Green Version]
  100. Sun, J.; Chu, Y.-F.; Wu, X.; Liu, R.H. Antioxidant and Antiproliferative Activities of Common Fruits. J. Agric. Food Chem. 2002, 50, 7449–7454. [Google Scholar] [CrossRef]
  101. Malireddy, S.; Kotha, S.R.; Secor, J.D.; Gurney, T.O.; Abbott, J.L.; Maulik, G.; Maddipati, K.R.; Parinandi, N.L. Phytochemical Antioxidants Modulate Mammalian Cellular Epigenome: Implications in Health and Disease. Antioxid. Redox Signal. 2012, 17, 327–339. [Google Scholar] [CrossRef] [Green Version]
  102. Oyeyemi, S.D.; Ayeni, M.J.; Adebiyi, A.O.; Ademiluyi, B.O.; Tedela, P.O.; Osuji, I.B. Nutritional Quality and Phytochemical Studies of Solanum Anguivi (Lam.) Fruits. J. Nat. Sci. Res. 2015, 5, 99–105. Available online: https://www.iiste.org/Journals/index.php/JNSR/article/view/20175/20834 (accessed on 19 May 2019).
  103. Ghislaine, D.C.; Nestor, K.K.; Louis, B.K.; Jean, N.G.; Lucien, K.P. Influence of Maturity Stage on Nutritional and Therapeutic Potentialities of Solanum Anguivi Lam Berries (Gnagnan) Cultivated in Côte d’Ivoire. Int. J. Nutr. Food Sci. 2014, 3, 1–5. [Google Scholar] [CrossRef]
  104. Elekofehinti, O.O.; Kamdem, J.P.; Kade, I.J.; Adanlawo, I.G.; Rocha, J.B.T. Saponins from Solanum Anguivi Lam. Fruit Exhibit in Vitro and in Vivo Antioxidant Activities in Alloxan-Induced Oxidative Stress. Asian J. Pharm. Clin. Res. 2013, 6, 249–254. [Google Scholar]
  105. Andabati, B.; Muyonga, J. Phenolic Content and Antioxidant Activity of Selected Ugandan Traditional Medicinal Foods. Afr. J. Food Sci. 2014, 8, 427–434. [Google Scholar] [CrossRef]
  106. Stommel, J.R.; Whitaker, B.D. Phenolic Acid Content and Composition of Eggplant Fruit in a Germplasm Core Subset. J. Am. Soc. Hortic. Sci. 2003, 128, 704–710. [Google Scholar] [CrossRef]
  107. Zhu, X.-H.; Ikeda, T.; Nohara, T. Studies on the Constituents of Solanaceous Plants. (46). Steroidal Glycosides from the Fruits of Solanum Anguivi. Chem. Pharm. Bull. 2000, 48, 568–570. [Google Scholar] [CrossRef] [Green Version]
  108. Honbu, T.; Ikeda, T.; Zhu, X.H.; Yoshihara, O.; Okawa, M.; Nafady, A.M.; Nohara, T. New Steroidal Glycosides from the Fruits of Solanum Anguivi. J. Nat. Prod. 2002, 65, 1918–1920. [Google Scholar] [CrossRef]
  109. Ripperger, H.; Himmelreich, U. Anguivine and Isoanguivine Steroid Alkaloid Glycosides from Solanum Anguivi. Phytochemistry 1994, 37, 1725–1727. [Google Scholar] [CrossRef]
  110. Yang, R.Y.; Ojiewo, C. African Nightshades and African Eggplants: Taxonomy, Crop Management, Utilization, and Phytonutrients. In African Natural Plant Products Volume II: Discoveries and Challenges in Chemistry, Health, and Nutrition, 1st ed.; ACS Symposium Series; Juliani, H.R., Simon, J.E., Ho, C.-T., Eds.; ACS: Wahington, DC, USA, 2013; pp. 137–165. [Google Scholar] [CrossRef]
  111. Bukenya-Ziraba, R. Solanum anguivi Lam. Available online: https://www.prota4u.org/database/protav8.asp?g=pe&p=Solanum+anguivi+Lam (accessed on 15 February 2021).
  112. Burkill, H.M. The useful plants of west tropical Africa. Available online: https://plants.jstor.org/compilation/Solanum.anguivi (accessed on 15 February 2021).
  113. Bahgat, A.; Abdel-Aziz, H.; Raafat, M.; Mahdy, A.; El-Khatib, A.S.; Ismail, A.; Khayyal, M.T. Solanum Indicum Ssp. Distichum Extract Is Effective against L-NAME-Induced Hypertension in Rats. Fundam. Clin. Pharmacol. 2008, 22, 693–699. [Google Scholar] [CrossRef] [PubMed]
  114. D’Arcy, W.G. Solanaceae of Madagascar: Form and Geography. Ann. Mo. Bot. Gard. 1992, 79, 29–45. [Google Scholar] [CrossRef]
  115. Kaunda, J.S.; Zhang, Y.J. The Genus Solanum: An Ethnopharmacological, Phytochemical and Biological Properties Review. Nat. Prod. Bioprospect. 2019, 9, 77–137. [Google Scholar] [CrossRef] [Green Version]
  116. Waller, G.R.; Yamasaki, K. Saponins Used in Traditional and Modern Medicine: Advances in Experimental Medicine and Biology, 1st ed.; Waller, G.R., Yamasaki, K., Eds.; Springer Science: New York, NY, USA, 1996; Volume 404. [Google Scholar] [CrossRef] [Green Version]
  117. N’Dri, D.; Calani, L.; Mazzeo, T.; Scazzina, F.; Rinaldi, M.; Rio, D.; Pellegrini, N.; Brighenti, F. Effects of Different Maturity Stages on Antioxidant Content of Ivorian Gnagnan (Solanum Indicum L.) Berries. Molecules 2010, 15, 7125–7138. [Google Scholar] [CrossRef] [PubMed]
  118. Epoh, N.J.; Dongmo, O.L.M.; Tadjoua, H.T.; Tchouanguep, F.M.; Telefo, P.B. Evaluation of Acute and Sub-Acute Toxicity of the Aqueous Extract from the Fruit of Solanum Indicum Linn. (Solanaceae) in Rats. Eur. J. Med. Plants 2019, 30, 1–16. [Google Scholar] [CrossRef] [Green Version]
  119. Abdel-Aziz, H.; Fawzy, N.; Ismail, A.I.; El-Askary, H. Toxicological Studies on a Standardized Extract of Solanum Indicum Ssp. Distichum. Food Chem Toxicol. 2011, 49, 903–909. [Google Scholar] [CrossRef] [PubMed]
  120. Nwanna, E.E.; Ibukun, E.O.; Oboh, G.; Ademosun, A.O.; Boligon, A.A.; Athayde, M. HPLC-DAD Analysis and in-Vitro Property of Polyphenols Extracts from (Solanum aethiopium) Fruits on α-Amylase, α-Glucosidase and Angiotensin-1-Converting Enzyme Activities. Int. J. Biomed. Sci. 2014, 10, 272–281. [Google Scholar]
  121. Sharma, V.; Hem, K.; Seth, A.; Maurya, S.K. Solanum Indicum Linn.: An Ethnopharmacological, Phytochemical and Pharmacological Review. Curr. Res. J. Pharm. Allied Sci. 2017, 1, 1–9. [Google Scholar]
  122. Yahara, S.; Nakamura, T.; Someya, Y.; Matsumoto, T.; Yamashita, T.; Nohara, T. Steroidal Glycosides, Indiosides A-E, from Solanum Indicum. Phytochemistry 1996, 43, 1319–1323. [Google Scholar] [CrossRef]
  123. Elekofehinti, O.O.; Kade, I.J. Aqueous Extract of Solanum Anguivi Lam. Fruits (African Egg Plant) Inhibit Fe2+ and SNP Induced Lipid Peroxidation in Rat’s Brain—In Vitro. Pharm. Lett. 2012, 4, 1352–1359. [Google Scholar]
  124. Elekofehinti, O.O.; Adanlawo, I.G.; Fakoya, A.; Saliu, J.A.; Sodehinde, S.A. Effects of Saponin from Solanum Anguivi Lam Fruit on Heart and Kidney Superoxide Dismutase, Catalase and Malondialdehyde in Rat. Curr. Res. J. Biol. Sci. 2012, 4, 530–533. [Google Scholar]
  125. Karthika, P.; Poongodi Vijayakumar, T. Physico-Chemical Properties, Total Antioxidant Activity and in Vitro Antibacterial Activity of Solanum Anguivi L. and Emblica Officinalis Fruit Extracts. Int. J. Recent Sci. Res. 2017, 8, 18434–18441. [Google Scholar]
  126. Vergès, B. Pathophysiology of Diabetic Dyslipidaemia: Where Are We? Diabetologia 2015, 58, 886–899. [Google Scholar] [CrossRef] [Green Version]
  127. Bassali, R.; Hoffman, W.H.; Chen, H.; Tuck-Muller, C.M. Hyperlipidemia, Insulin-Dependent Diabetes Mellitus, and Rapidly Progressive Diabetic Retinopathy and Nephropathy in Prader-Willi Syndrome with Del(15) (Q11.2q13). Am. J. Med. Genet. 1997, 71, 267–270. [Google Scholar] [CrossRef]
  128. Goldberg, I.J. Diabetic Dyslipidemia: Causes and Consequences. J. Clin. Endocrinol. Metab. 2001, 86, 965–971. [Google Scholar] [CrossRef]
  129. Haffner, S.M.; Mykkänen, L.; Festa, A.; Burke, J.P.; Stern, M.P. Insulin-Resistant Prediabetic Subjects Have More Atherogenic Risk Factors than Insulin-Sensitive Prediabetic Subjects: Implications for Preventing Coronary Heart Disease during the Prediabetic State. Circulation 2000, 101, 975–980. [Google Scholar] [CrossRef] [Green Version]
  130. Umamageswari, M.S.; Karthikeyan, T.M.; Maniyar, Y.A. Antidiabetic Activity of Aqueous Extract of Solanum Nigrum Linn Berries in Alloxan Induced Diabetic Wistar Albino Rats. J. Clin. Diagn. Res. 2017, 11, FC16–FC19. [Google Scholar] [CrossRef]
  131. Xu, J.; Wang, S.; Feng, T.; Chen, Y.; Yang, G. Hypoglycemic and Hypolipidemic Effects of Total Saponins from Stauntonia Chinensis in Diabetic Db/Db Mice. J. Cell. Mol. Med. 2018, 22, 6026–6038. [Google Scholar] [CrossRef] [Green Version]
  132. Singh, S.; Farswan, M.; Ali, S.; Afzal, M.; Al-Abbasi, F.A.; Kazmi, I.; Anwar, F. Antidiabetic Potential of Triterpenoid Saponin Isolated from Primula Denticulate. Pharm. Biol. 2014, 52, 750–755. [Google Scholar] [CrossRef]
  133. Konri, R.B.; Samaddar, S.; Ramaiah, C.T. Antidiabetic Activity of a Triterpenoid Saponin Isolated from Momordica Cymbalaria Fenzl. Indian J. Exp. Biol. 2014, 52, 46–52. [Google Scholar]
  134. Abbe, C.Y.; Aboa, N.; Ahi, P.A.; Dan, G.C. Antioxidant Content in Solanum Anguivi Lam Berries as Affected by Cooking at Different Stages of Ripening. Asian Food Sci. J. 2019, 13, 1–10. [Google Scholar] [CrossRef]
  135. Kwon, Y.I.; Apostolidis, E.; Shetty, K. In Vitro Studies of Eggplant (Solanum melongena) Phenolics as Inhibitors of Key Enzymes Relevant for Type 2 Diabetes and Hypertension. Bioresour. Technol. 2008, 99, 2981–2988. [Google Scholar] [CrossRef] [PubMed]
  136. Mikawlrawng, K. Aspergillus in Biomedical Research. In New and Future Developments in Microbial Biotechnology and Bioengineering: Aspergillus System Properties and Applications, 1st ed.; Gupta, V.A., Ed.; Elsevier Inc.: London, UK, 2016; pp. 229–242. [Google Scholar] [CrossRef]
  137. Bharti, S.K.; Krishnan, S.; Kumar, A.; Kumar, A. Antidiabetic Phytoconstituents and Their Mode of Action on Metabolic Pathways. Ther. Adv. Endocrinol. Metab. 2018, 9, 81–100. [Google Scholar] [CrossRef]
  138. Sieniawska, E. Activities of Tannins-From In Vitro Studies to Clinical Trials. Nat. Prod. Commun. 2015, 10, 1877–1884. [Google Scholar]
  139. Borgohain, R.; Pathak, P.; Mohan, R. Anti-Diabetic and Reno-Protective Effect of The Ethanolic Extract of Solanum Indicum in Alloxan-Induced Diabetic Rats. J. Evol. Med. Dent. Sci. 2016, 5, 7294–7297. [Google Scholar] [CrossRef]
  140. Nwanna, E. Inhibitory Effects of Methanolic Extracts of Two Eggplant Species from South-Western Nigeria on Starch Hydrolysing Enzymes Linked to Type-2 Diabetes. Afr. J. Pharm. Pharmacol. 2013, 7, 1575–1584. [Google Scholar] [CrossRef] [Green Version]
  141. Lee, D.Y.; Kim, H.W.; Yang, H.; Sung, S.H. Hydrolyzable Tannins from the Fruits of Terminalia Chebula Retz and Their α-Glucosidase Inhibitory Activities. Phytochemistry 2017, 137, 109–116. [Google Scholar] [CrossRef] [PubMed]
  142. Hameed, A.; Akhtar, N. Comparative Chemical Investigation and Evaluation of Antioxidant and Tyrosinase Inhibitory Effects of Withania Somnifera (L.) Dunal and Solanum nigrum (L.) Berries. Acta Pharm. 2018, 68, 47–60. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  143. Alegbe, E.O.; Teralı, K.; Olofinsan, K.A.; Surgun, S.; Ogbaga, C.C.; Ajiboye, T.O. Antidiabetic Activity-guided Isolation of Gallic and Protocatechuic Acids from Hibiscus sabdariffa Calyxes. J. Food Biochem. 2019, 43, e12927. [Google Scholar] [CrossRef]
  144. Variya, B.C.; Bakrania, A.K.; Patel, S.S. Antidiabetic Potential of Gallic Acid from Emblica Officinalis: Improved Glucose Transporters and Insulin Sensitivity through PPAR-γ and Akt Signaling. Phytomedicine 2020, 73, 152906. [Google Scholar] [CrossRef]
  145. Wang, Y.; Alkhalidy, H.; Liu, D. The Emerging Role of Polyphenols in the Management of Type 2 Diabetes. Molecules 2021, 26, 703. [Google Scholar] [CrossRef]
  146. Domínguez Avila, J.; Rodrigo García, J.; González Aguilar, G.; de la Rosa, L. The Antidiabetic Mechanisms of Polyphenols Related to Increased Glucagon-Like Peptide-1 (GLP1) and Insulin Signaling. Molecules 2017, 22, 903. [Google Scholar] [CrossRef] [Green Version]
  147. Kim, K.S.; Jang, H.J. Medicinal Plants qua Glucagon-like Peptide-1 Secretagogue via Intestinal Nutrient Sensors. Evid. Based Complement. Altern. Med. 2015, 2015, 171742. [Google Scholar] [CrossRef] [Green Version]
  148. Collins, L.; Costello, R.A. Glucagon-like Peptide-1 Receptor Agonists. Available online: http://www.ncbi.nlm.nih.gov/pubmed/31855395 (accessed on 18 March 2021).
  149. Jin, T. Mechanisms Underlying Proglucagon Gene Expression. J. Endocrinol. 2008, 198, 17–28. [Google Scholar] [CrossRef]
  150. Brubaker, P.L.; Drucker, D.J. Minireview: Glucagon-like Peptides Regulate Cell Proliferation and Apoptosis in the Pancreas, Gut, and Central Nervous System. Endocrinology 2004, 145, 2653–2659. [Google Scholar] [CrossRef] [Green Version]
  151. Lerche, S.; Brock, B.; Rungby, J.; Bøtker, H.E.; Møller, N.; Rodell, A.; Bibby, B.M.; Holst, J.J.; Schmitz, O.; Gjedde, A. Glucagon-like Peptide-1 Inhibits Blood-Brain Glucose Transfer in Humans. Diabetes 2008, 57, 325–331. [Google Scholar] [CrossRef] [Green Version]
  152. Montoya, G.A.; Bakuradze, T.; Eirich, M.; Erk, T.; Baum, M.; Habermeyer, M.; Eisenbrand, G.; Richling, E. Modulation of 3′,5′-Cyclic AMP Homeostasis in Human Platelets by Coffee and Individual Coffee Constituents. Br. J. Nutr. 2014, 112, 1427–1437. [Google Scholar] [CrossRef] [Green Version]
  153. Jokura, H.; Watanabe, I.; Umeda, M.; Hase, T.; Shimotoyodome, A. Coffee Polyphenol Consumption Improves Postprandial Hyperglycemia Associated with Impaired Vascular Endothelial Function in Healthy Male Adults. Nutr. Res. 2015, 35, 873–881. [Google Scholar] [CrossRef]
  154. Veerapagu, M.; Jeya, K.R.; Sankaranarayanan, A.; Rathika, A. In Vitro Antioxidant Properties of Methanolic Extract of Solanum nigrum L. Fruit. Pharma Innov. J. 2018, 7, 371–374. [Google Scholar]
  155. Eid, H.M.; Martineau, L.C.; Saleem, A.; Muhammad, A.; Vallerand, D.; Benhaddou-Andaloussi, A.; Nistor, L.; Afshar, A.; Arnason, J.T.; Haddad, P.S. Stimulation of AMP-Activated Protein Kinase and Enhancement of Basal Glucose Uptake in Muscle Cells by Quercetin and Quercetin Glycosides, Active Principles of the Antidiabetic Medicinal Plant Vaccinium Vitis-Idaea. Mol. Nutr. Food Res. 2010, 54, 991–1003. [Google Scholar] [CrossRef]
  156. Al-Ashaal, H.A.A.; Farghaly, A.A.; Abdel-Samee, N.S. Antidiabetic Efficacy of Solanum Torvum Extract and Glycoalkaloids against Diabetes Induced Mutation in Experimental Animals. J. Pharm. Sci. 2018, 10, 1323–1331. [Google Scholar]
  157. Agrawal, R.; Sethiya, N.K.; Mishra, S.H. Antidiabetic Activity of Alkaloids of Aerva Lanata Roots on Streptozotocin-Nicotinamide Induced Type-II Diabetes in Rats. Pharm. Biol. 2013, 51, 635–642. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  158. Asano, N.; Kato, A.; Matsui, K.; Watson, A.A.; Nash, R.J.; Molyneux, R.J.; Hackett, L.; Topping, J.; Winchester, B. The Effects of Calystegines Isolated from Edible Fruits and Vegetables on Mammalian Liver Glycosidases. Glycobiology 1997, 7, 1085–1088. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  159. Kwon, O.; Eck, P.; Chen, S.; Corpe, C.P.; Lee, J.-H.; Kruhlak, M.; Levine, M. Inhibition of the Intestinal Glucose Transporter GLUT2 by Flavonoids. FASEB J. 2007, 21, 366–377. [Google Scholar] [CrossRef] [Green Version]
  160. Kang, C.H.; Han, J.H.; Oh, J.; Kulkarni, R.; Zhou, W.; Ferreira, D.; Jang, T.S.; Myung, C.S.; Na, M.K. Steroidal Alkaloids from Veratrum Nigrum Enhance Glucose Uptake in Skeletal Muscle Cells. J. Nat. Prod. 2015, 78, 803–810. [Google Scholar] [CrossRef]
  161. Tiong, S.H.; Looi, C.Y.; Hazni, H.; Arya, A.; Paydar, M.; Wong, W.F.; Cheah, S.C.; Mustafa, M.R.; Awang, K. Antidiabetic and Antioxidant Properties of Alkaloids from Catharanthus roseus (L.) G. Don. Molecules 2013, 18, 9770–9784. [Google Scholar] [CrossRef] [Green Version]
Molecules 26 02044 g001 550
Figure 1. Normal glucose homeostasis and the pathogenesis of type 2 diabetes mellitus. This was modified, according to Ludwig [16]. The green arrows show normal glucose homeostasis, while the red arrows show the pathogenesis of type 2 diabetes mellitus. The black upward arrows represent an increase, while the downward ones represent inhibition. High plasma glucose may result from a high glycemic meal, or it may be during chronic hyperglycemia, leading to increased insulin production or chronic hyperinsulinemia, respectively. The events that follow are shown by the green and red arrows, respectively. The figure was drawn via https://app.diagrams.net/, and the pancreas, liver, and muscle pictures were obtained from www.freepik.com.
Figure 1. Normal glucose homeostasis and the pathogenesis of type 2 diabetes mellitus. This was modified, according to Ludwig [16]. The green arrows show normal glucose homeostasis, while the red arrows show the pathogenesis of type 2 diabetes mellitus. The black upward arrows represent an increase, while the downward ones represent inhibition. High plasma glucose may result from a high glycemic meal, or it may be during chronic hyperglycemia, leading to increased insulin production or chronic hyperinsulinemia, respectively. The events that follow are shown by the green and red arrows, respectively. The figure was drawn via https://app.diagrams.net/, and the pancreas, liver, and muscle pictures were obtained from www.freepik.com.
Molecules 26 02044 g001
Molecules 26 02044 g002 550
Figure 2. Insulin and glucagon secretion mechanisms. (A) = insulin release during high glucose concentration, (B) = insulin-dependent glucose uptake, (I) = glucagon release during low glucose concentration, (II) conversion of glucagon to glucose. GLUT = glucose transporter, VDDC = voltage-dependent calcium channel, ATP = adenosine triphosphate, TK= tyrosine kinase, IRS = insulin receptor substrate, PI3-K = phosphatidylinositol-3-kinase, cAMP = cyclic adenosine monophosphate, PKA = protein kinase A, G-1-P = glucose-1-phosphate, PGM = Phosphoglucomutase, G-6-P = glucose-6-phosphate, G-6-Pase = glucose-6-phosphatase, PLC = phospholipase C and IP3 = inositol 1,4,5-triphosphate. The events are shown by numbered steps using arrows: Red = entry, blue = resulting to, orange = exocytosis; while black upward arrow = increased content. The green arrows were used for labelling.
Figure 2. Insulin and glucagon secretion mechanisms. (A) = insulin release during high glucose concentration, (B) = insulin-dependent glucose uptake, (I) = glucagon release during low glucose concentration, (II) conversion of glucagon to glucose. GLUT = glucose transporter, VDDC = voltage-dependent calcium channel, ATP = adenosine triphosphate, TK= tyrosine kinase, IRS = insulin receptor substrate, PI3-K = phosphatidylinositol-3-kinase, cAMP = cyclic adenosine monophosphate, PKA = protein kinase A, G-1-P = glucose-1-phosphate, PGM = Phosphoglucomutase, G-6-P = glucose-6-phosphate, G-6-Pase = glucose-6-phosphatase, PLC = phospholipase C and IP3 = inositol 1,4,5-triphosphate. The events are shown by numbered steps using arrows: Red = entry, blue = resulting to, orange = exocytosis; while black upward arrow = increased content. The green arrows were used for labelling.
Molecules 26 02044 g002
Molecules 26 02044 g003 550
Figure 3. Potential mechanisms of action by Solanum anguivi Lam. Fruit phytochemicals in their antidiabetic effects. PPAR = peroxisome proliferator-activated receptors, GLUT = glucose transporter, IRS = insulin receptor substrate, AMPK = adenosine monophosphate-activated kinase, ACC = acetyl-CoA carboxylase, PI3-K = phosphatidylinositol-3-kinase, VDCCs = voltage-dependent calcium channels, GLP = glucagon-like peptide, PTP-1B = protein tyrosine phosphatase-1B, CAT = catalase, SOD = superoxide dismutase, GSH = glutathione, A.O = antioxidant, upward black arrows = increased, downward black arrows = inhibition of, blue arrows = mechanisms of action resulting in reduced plasma glucose levels, stripped blue line = relationship between hypoglycemia and hypolipidemia. The figure was drawn via https://app.diagrams.net/, and the pancreas, liver, muscle, and intestine pictures were obtained from www.freepik.com.
Figure 3. Potential mechanisms of action by Solanum anguivi Lam. Fruit phytochemicals in their antidiabetic effects. PPAR = peroxisome proliferator-activated receptors, GLUT = glucose transporter, IRS = insulin receptor substrate, AMPK = adenosine monophosphate-activated kinase, ACC = acetyl-CoA carboxylase, PI3-K = phosphatidylinositol-3-kinase, VDCCs = voltage-dependent calcium channels, GLP = glucagon-like peptide, PTP-1B = protein tyrosine phosphatase-1B, CAT = catalase, SOD = superoxide dismutase, GSH = glutathione, A.O = antioxidant, upward black arrows = increased, downward black arrows = inhibition of, blue arrows = mechanisms of action resulting in reduced plasma glucose levels, stripped blue line = relationship between hypoglycemia and hypolipidemia. The figure was drawn via https://app.diagrams.net/, and the pancreas, liver, muscle, and intestine pictures were obtained from www.freepik.com.
Molecules 26 02044 g003
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Share and Cite

MDPI and ACS Style

Nakitto, A.M.S.; Muyonga, J.H.; Byaruhanga, Y.B.; Wagner, A.E. Solanum anguivi Lam. Fruits: Their Potential Effects on Type 2 Diabetes Mellitus. Molecules 2021, 26, 2044. https://doi.org/10.3390/molecules26072044

AMA Style

Nakitto AMS, Muyonga JH, Byaruhanga YB, Wagner AE. Solanum anguivi Lam. Fruits: Their Potential Effects on Type 2 Diabetes Mellitus. Molecules. 2021; 26(7):2044. https://doi.org/10.3390/molecules26072044

Chicago/Turabian Style

Nakitto, Aisha Musaazi Sebunya, John H. Muyonga, Yusuf Byenkya Byaruhanga, and Anika E. Wagner. 2021. "Solanum anguivi Lam. Fruits: Their Potential Effects on Type 2 Diabetes Mellitus" Molecules 26, no. 7: 2044. https://doi.org/10.3390/molecules26072044

APA Style

Nakitto, A. M. S., Muyonga, J. H., Byaruhanga, Y. B., & Wagner, A. E. (2021). Solanum anguivi Lam. Fruits: Their Potential Effects on Type 2 Diabetes Mellitus. Molecules, 26(7), 2044. https://doi.org/10.3390/molecules26072044

Article Metrics

Back to TopTop