REVIEW article

Front. Pharmacol., 23 December 2021

Sec. Ethnopharmacology

Volume 12 - 2021 | https://doi.org/10.3389/fphar.2021.809994

Approaches to Decrease Hyperglycemia by Targeting Impaired Hepatic Glucose Homeostasis Using Medicinal Plants

  • Laboratorio de Etnofarmacología, Departamento de Biología Celular, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico

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Abstract

Liver plays a pivotal role in maintaining blood glucose levels through complex processes which involve the disposal, storage, and endogenous production of this carbohydrate. Insulin is the hormone responsible for regulating hepatic glucose production and glucose storage as glycogen, thus abnormalities in its function lead to hyperglycemia in obese or diabetic patients because of higher production rates and lower capacity to store glucose. In this context, two different but complementary therapeutic approaches can be highlighted to avoid the hyperglycemia generated by the hepatic insulin resistance: 1) enhancing insulin function by inhibiting the protein tyrosine phosphatase 1B, one of the main enzymes that disrupt the insulin signal, and 2) direct regulation of key enzymes involved in hepatic glucose production and glycogen synthesis/breakdown. It is recognized that medicinal plants are a valuable source of molecules with special properties and a wide range of scaffolds that can improve hepatic glucose metabolism. Some molecules, especially phenolic compounds and terpenoids, exhibit a powerful inhibitory capacity on protein tyrosine phosphatase 1B and decrease the expression or activity of the key enzymes involved in the gluconeogenic pathway, such as phosphoenolpyruvate carboxykinase or glucose 6-phosphatase. This review shed light on the progress made in the past 7 years in medicinal plants capable of improving hepatic glucose homeostasis through the two proposed approaches. We suggest that Coreopsis tinctoria, Lithocarpus polystachyus, and Panax ginseng can be good candidates for developing herbal medicines or phytomedicines that target inhibition of hepatic glucose output as they can modulate the activity of PTP-1B, the expression of gluconeogenic enzymes, and the glycogen content.

Introduction

Diabetes mellitus (DM) is a chronic metabolic disease characterized by high blood sugar levels (hyperglycemia), caused by insulin malfunctioning, deficient insulin secretion, or both (Liu et al., 2019). Type 2 diabetes (T2D) is the most important type of DM due to its high worldwide prevalence (American Diabetes Association, 2021). It is characterized by insulin resistance, which is defined as a poor response of insulin-sensitive tissues to normal insulin concentration (Mlinar et al., 2007). The main cause of insulin resistance has been associated to an obesogenic environment in which large amounts of free fatty acids and adipokines are responsible for impairing insulin signaling by increasing serine phosphorylation that inhibits tyrosine phosphorylation of insulin receptor (IR) and insulin receptor substrates (IRSs) (DeFronzo et al., 2015). However, it has also been reported that protein tyrosine phosphatases (PTPs) could have a more important role since they are upregulated in insulin resistant states. Insulin action is negative regulated by PTPs, particularly the PTP-1B, because they promote the dephosphorylation of tyrosine residues of IR and IRSs (Saltiel and Kahn, 2001). When insulin signaling is impaired in liver by either insulin resistance or low insulin levels, the glucose storage and production is dysregulated, increasing the hepatic glucose output rates yielding hyperglycemia in diabetic patients.

Liver represents a crucial therapeutic target for treating hyperglycemia in T2D because hepatic glucose output is the pathophysiological abnormality that contributes the most to the hyperglycemic state in fasting and postprandial state as a consequence of hepatic insulin resistance (Sharabi et al., 2015). During the overnight fast (postabsorptive state), the liver of a normal person produces glucose at a rate of approximately 1.8–2 mg/kg. min. However, this rate increases around 0.5 mg/kg min in a patient with T2D, promoting a significant rise in the basal state of glucose production (Cersosimo et al., 2018). After food ingestion and the subsequent increase in insulin levels, the suppression of glucose production is slower in a diabetic patient, promoting an evident postprandial hyperglycemia due to the excess of glucose produced in addition to that from the exogenous source (Rizza, 2010).

Medicinal plants and natural products have shown to have numerous benefits on processes involved in glucose and lipid metabolism, leading to correct homeostasis imbalances that promote metabolic diseases such as T2D (Li J. et al., 2018; Xu L. et al., 2018; Saadeldeen et al., 2020). Unlike the classic “on-target” paradigm in pharmacology, namely a drug with a specific target, the polypharmacology approach, or the binding of a drug to more than one target, could be more effective against a disease as complex as T2D due to its multiple pathophysiological abnormalities (Reddy and Zhang, 2013). In this context, extract plants and phytochemicals isolated from medicinal plants exhibit multiple mechanisms of action on assorted metabolic targets that are involved in glucose homeostasis. Therefore, efforts have been made to describe all the beneficial effects on metabolism of these extracts and molecules in recent years.

The current review summarizes the medicinal plants reported from 2015 that can potentially decrease hyperglycemia resulting from imbalance in hepatic glucose metabolism by two different approaches: improving hepatic insulin resistance by inhibiting PTP-1B and decreasing hepatic glucose output by inhibiting rate-limiting enzymes involved in the storage and production of glucose.

Methodology

Two separate searches were performed based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) (Page et al., 2021) in the following databases: Scopus, Clarivate and PubMed (Figure 1). The first involved studies related to extracts or phytochemicals tested against the activity or expression of PTP-1B enzyme, while in the second, studies with extracts or phytochemicals with an effect on the glucose-producing pathways were sought. Only records related to the study of medicinal plants and their isolated compounds were considered.

FIGURE 1

Therapeutic Approaches to Reduce Hyperglycemia Resulting From Impaired Hepatic Glucose Homeostasis

Each insulin-sensitive tissue presents abnormal characteristics that contribute to hyperglycemia in an insulin-resistant state. The underlying mechanisms that give rise to insulin resistance converge on deficient insulin signalling that limits the activation of factors involved in energy metabolism. In obesity and T2D, insulin resistance has been linked mainly to defects in the signalling pathway of phosphatidylinositol 3-kinase and protein kinase B (PI3K/Akt), particularly to the Akt2 isoform (Cusi et al., 2000; Krook et al., 2000).

In normal conditions, the insulin secreted by pancreatic β cell binds to its receptor in the target cell, activating the tyrosine kinase activity, which promotes the receptor autophosphorylation and the subsequent phosphorylation of IRSs, mainly IRS-1 and IRS-2, in tyrosine residues. Afterwards, the enzyme P13K is recruited and activated by IRS to convert phosphatidylinositol 4,5-bisphosphate (PIP2) from the plasma membrane to phosphatidylinositol 3,4,5-triphosphate (PIP3), which facilitates the phosphorylation and activation of Akt at two important sites: by phosphoinositide-dependent kinase 1 (PDK1) at residue Thr308 of the catalytic domain, and by mammalian target rapamycin complex 2 (mTORC2) at residue Ser473 of the regulatory domain (Schultze et al., 2012). Specifically in liver, the activated Akt enzyme is responsible for phosphorylating different factors that are involved in the regulation of processes such as glycogen synthesis, gluconeogenesis, and glycogenolysis, which are activated or inhibited under different nutritional circumstances (Dimitriadis et al., 2021).

Due to hepatic insulin resistance, this hormone losses its ability to regulate glucose metabolism in liver, resulting in enhanced glucose output that contributes greatly to fasting and postprandial hyperglycemia, namely glycogen synthesis is reduced, and production of glucose is increased (Figure 2). Therefore, we proposed two approaches by which medicinal plants could ameliorated hyperglycemia through enhancing hepatic glucose metabolism: improving the function of insulin in the liver by inhibiting the enzyme PTP-1B and modulating the hepatic production/storage of glucose by regulating the enzymes involved in gluconeogenesis, glycogenolysis, and glycogenesis.

FIGURE 2

Inhibition of Protein Tyrosine Phosphatase 1B

The modification of proteins through phosphorylation and dephosphorylation of tyrosine residues represents one of the main mechanisms of cell signaling regulation (Alonso et al., 2016), which is carried out by two superfamilies of enzymes: protein tyrosine kinases (PTKs), and PTPs. In this regard, the classical PTP subfamily possess a domain of 240–250 amino acids characterized by a conserved site that exhibits a catalytic mechanism based on cysteine (Denu and Dixon, 1998). Specifically, the enzyme PTP-1B is a classic intracellular PTP widely distributed in mammalian tissues that is anchored on the cytoplasmic side of the endoplasmic reticulum membrane. Despite its localization, the PTP-1B enzyme can access its substrates located on the surface of the plasma membrane during endocytosis, biosynthesis, and by the movement of the endoplasmic reticulum towards the plasma membrane in specific regions (Bakke and Haj, 2015).

Since its first isolation from the human placenta in 1988 by Tonks et al., 1988 PTP-1B has become an attractive research object due to its direct link with the etiopathogenesis of insulin resistance. In addition to the processes promoted by the obesogenic inflammatory environment, such as the serine/threonine phosphorylation of IR and IRS, and their proteasomal degradation (Mlinar et al., 2007; Ahmed et al., 2021), the dephosphorylation of these components by PTP-1B has also been implied to the termination of the insulin signal (Ahmad et al., 1995; Kenner et al., 1996; Chen et al., 1997).

Experimental data obtained from various studies have shown that the PTP-1B enzyme is one of the main negative regulators of the insulin signaling pathway. For instance, studies performed in PTP-1B knock-out mice have been shown that the absence of this enzyme produces healthy organisms that exhibit enhanced insulin sensitivity, protection against the weight gain generated by high-fat diet, and increased hepatic phosphorylation of IR and IRS after an intraperitoneal insulin injection (Elchebly et al., 1999; Klaman et al., 2000). On the other hand, it has been reported an increased PTP-1B activity in hepatic cytosolic fractions isolated from streptozotocin (STZ)-hyperglycemic rats (Meyerovitch et al., 1989), while augmented hepatic microsomal enzyme activity, content of protein, and mRNA levels have only been observed after 2 weeks of insulin treatment in these insulinopenic organisms, suggesting that elevated insulin levels are necessary to modify PTP-1B content and activity, namely hyperinsulinemia caused by insulin resistance may lead to altered PTP-1B expression and activity (Ahmad and Goldstein, 1995). Additionally, it has also been shown that insulin rises hepatic microsomal PTP-1B activity in rat hepatoma cells (Hashimoto and Goldstein, 1992). Likewise, abnormal expression and activity of PTP-1B have been reported in skeletal muscle of insulin-resistant obese people (Ahmad et al., 1997), as well as in non-obese Goto-Kakizaki rats with spontaneously generated insulin resistance (Dadke et al., 2000), and in STZ-hyperglycemic rats fed with high-fat diet (Wu et al., 2005).

Based on the aforementioned, the PTP-1B inhibition represents a good therapeutic target for the treatment of insulin resistance-related diseases, such as DM2 (Zhang et al., 2006). Hence, an arsenal of molecules with inhibitory capacity of PTP-1B activity has been generated in recent years. The methodological approaches that have been applied are the rational design of synthetic phospho-(tyrosine)-mimetic molecules to be used as competitive inhibitors, considering the structural characteristics of the protein, and the search for molecules from natural sources (Sun et al., 2018). The latter is based on the statement that nature has a great variety of structures that present diverse pharmacological effects (Atanasov et al., 2021), so natural products can be used as a starting point for the creation of powerful inhibitors.

Table 1 summarizes all medicinal plants and their identified compounds that have proved to inhibit the activity or expression of PTP-1B since 2015. It was obtained a total of 125 medicinal plants used in various traditional medicine systems around the world, mainly represented in eastern folk, such as Chinese and Vietnamese. Morus alba L. (Moraceae), a plant used in the traditional Chinese system, has been the most evaluated for this purpose. In addition to direct PTP-1B activity inhibition and molecular docking studies, some extracts and compounds were assessed to improve glucose and lipid metabolism in vivo, such as lowering blood glucose levels, improved insulin resistance and glucose intolerance, and improved lipid profile. Furthermore, their effect on glucose uptake and phosphorylation of some components of insulin signaling, such as IR, IRS, and Akt, was evaluated in cell cultures under insulin-resistant conditions.

TABLE 1

Medicinal plant (scientific name [Family]/Traditional medicine system or places where it is used)Part/ExtractIsolated compoundsExperiment/OutcomeReferences
Acmella paniculata (Wall. ex DC.) R.K.Jansen [Asteraceae]/IndonesianAerial parts/EtOHN-isobutyl-2E-decenamideIn vitro: PTP-1B enzyme assay/IC50 = 24 µMAbdjul et al. (2018)
Agrimonia pilosa Ledeb. [Rosaceae]/ChineseAerial parts/EtOHApigenin-7-O-b-D-glucuronide-6″-methyl ester Quercetin-3-O-b-D-glycoside Kaempferol Kaempferol-3-O-a-l-rhamnoside b-sitosterol Ursolic acid Tormentic acid Methyl 2-hydroxyl tricosanoate Palmitic acidIn vitro: PTP-1B enzyme assay/IC50 = 14.35, 27.73, 42.93, 12.16, 49.78, 3.47, 0.5, 36.39, 0.1 µMNa et al. (2016)
Apigenin 7-O-b-D-glucuronide Ellagic acid AgritanninIn vitro: PTP-1B enzyme assay/IC50 = 7.14, 7.73, 17.03 µMNguyen et al. (2017)
Akebia quinata (Thunb. ex Houtt.) Decne. [Lardizabalaceae]/ChineseStems/MeOHCyrtophyllones B Uncinatone 3-O-α-l-arabinopyranosyl olean-12-en-28-oic acid 3-O-[β-d-glucopyranosyl (1–4)-α-l-arabinopyranosyl)]olean-12-en-28-oic acid 2α,3α,23-trihydroxyoleane-12-en-28-oic acidIn vitro: PTP-1B enzyme assay/IC50 = 6.77, 5.41, 4.08, 21.8, 7.78 µMAn et al. (2016)
Allium cepa L. [Amaryllidaceae]Outer skins/MeOHCepadial B, C Cepabifla A–C Cepadial DIn vitro: PTP-1B enzyme assay/IC50 = 22.55, 22.33, 17.01, 24.07, 14.29, 1.68 µMVu et al. (2020)
Allophylus cominia (L.) Sw. [Sapindaceae]/CubanLeaves/MeOHPheophytin A, BIn vitro: PTP-1B enzyme assay/Activity inhibition by 65 and 57% at 30 μg/ml In vitro: cell culture (L6 myotubes)/↑insulin-dependent glucose uptake (pheophytin extract) In vitro: cell culture (3T3-L1)/↓lipid accumulation on the differentiation phase, ↓lipid droplets (phaeophytin extract)Semaan et al., 2017, 2018
Angelica decursiva (Miq.) Franch. & Sav. [Apiaceae]/KoreanWhole plant/MeOHcis-3′-Acetyl-4′-angeloylkhellactone IsorutarineIn vitro: PTP-1B enzyme assay/IC50 = 86.95, 80.09 µMYousof Ali et al. (2015)
Anoectochilus chapaensis Gagnep. [Orchidaceae]/ChineseWhole plant/EtOHFriedelin Sorghumol Epifriedelanol Friedelane 2a,3b-dihydroxyolean-12- en-23, 28, 30-trioic acid Quercetin Isorhamnetin Isorhamnetin-3-O-b-D-glucoside Isorhamnetin-3-O-b-d-rutinosideIn vitro: PTP-1B enzyme assay/IC50 = 6.21, 3.5, 3.75, 4.6, 2.65, 5.63, 1.75, 1.16, 1.2 µMCai et al. (2015)
Artocarpus nanchuanensis S.S.Chang S.C.Tan & Z.Y.Liu [Moraceae]/ChineseStems/EtOHHypargystilbene B, D, EIn vitro: PTP-1B enzyme assay/IC50 = 3.23, 37.31, 2.53 nMZhang et al. (2015)
Artocarpus styracifolius Pierre [Moraceae]/ChineseRoots/EtOH(±)-Styrastilbene A Styrastilbene B (±)-Styrastilbene CIn vitro: PTP-1B enzyme assay/IC50 = 4.52, 2.4, 8.23 µMLi et al. (2019b)
Astragalus mongholicus Bunge [Fabaceae]/ChineseRoot/AqueousAstragaloside IVIn vitro: PTP-1B enzyme assay/IC50 = 10.34 µM In vitro: cell culture (insulin-resistant HepG2)/↑glucose consumption, ↓PTP-1B, ↑pIR, ↑pIRS1 protein levelsZhou et al. (2021)
Bidens pilosa L. [Asteraceae]/ChineseWhole plant/Aqueous In combination with Euonymus alatus (Thunb.) Siebold [Celastraceae] winged branchlet Coptis chinensis Franch. [Ranunculaceae] rhizome Cornus officinalis Siebold & Zucc. [Cornaceae] fruit Ligustrum lucidum W.T.Aiton [Oleaceae] fruit Scrophularia ningpoensis Hemsl. [Scrophulariaceae] rootFull extractIn vivo: hypertensive rats fed with HFD (2020 mg/kg b.w.)/prevention of increased body weight, ↓triglycerides, ↓LDL, ↓insulin resistance, ↑glucose tolerance, ↓ PTP-1B expression in adipose tissueZhu et al. (2018)
Bistorta officinalis Delarbre [Polygonaceae]/ChineseRhizome/EtOAcFull extractIn vitro: PTP-1B enzyme assay/IC50 = 17.43 μg/mlZhao et al. (2019b)
Boehmeria nivea (L.) Gaudich. [Urticaceae]/ChineseRoot/EtOAcFull extract Hederagenin Pomolic acidIn vitro: PTP-1B enzyme assay/IC50 = 20.19 μg/ml, 9.53, 4.89 µMZhao et al. (2019b)
Camellia crapnelliana Tutcher [Theaceae]/ChineseTwigs and leaves/MeOHCamellianol B, C, E–G A1- barrigenol 22-O-angeloyl-A1-barrigenol Camelliagenin A 16-O-acetylcamelliagenin A 3β,11α,13β-trihydroxyolean-12-one α-amyrin Lupeol 3β,20-dihydroxylupaneIn vitro: PTP-1B enzyme assay/IC50 = 4.87, 7.4, 20.03, 14.36, 11.08, 16.79, 2.56, 8.93, 10.16, 1.34, 19.26, 3.68, 12.44 µMXiong et al. (2017)
Cassia fistula L. [Fabaceae]/VietnameseLeaves/EtOAcFull extractIn vitro: PTP-1B enzyme assay/IC50 = 24.1 μg/mlTrinh et al. (2017a)
Catharanthus roseus (L.) G.Don [Apocynaceae]/Malaysia, India, China, South Africa, and MexicoLeaves/DCMVindogentianineIn vitro: PTP-1B enzyme assay/IC50 = 15.28 μg/ml In vitro: cell culture (β-TC6, C2C12)/↑glucose uptakeTiong et al. (2015)
Cedrus deodara (Roxb. ex D.Don) G.Don [Pinaceae]/AryuvedaNeedles/Essential oilCaryophyllene oxideIn vitro: PTP-1B enzyme assay/IC50 = 31.32 µMWang et al. (2017a)
Centella asiatica (L.) Urb. [Apiaceae]/JamuAerial parts/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 13.2 μg/mlSaifudin et al. (2016b)
Chaenomeles japonica (Thunb.) Lindl. ex Spach [Rosaceae]/Japanese and ChineseFruits/acetonePolyphenolic extractIn vitro: cell culture (HepG2)/↓PTP-1B mRNA expression level, ↓PEPCK mRNA expression level, ↑GLUT4 mRNA expression level, ↑IRS-2 mRNA expression level, ↑pAMPK, ↑glycogen synthesis, ↓glucose productionZakłos-Szyda and Pawlik, (2018)
Cinnamomum osmophloeum Kaneh. [Lauraceae]/TaiwanTwigs and leaves/acetoneFull extract n-hexane soluble fraction ethyl acetate soluble fraction n-butanol soluble fraction water soluble fractionIn vitro: PTP-1B enzyme assay/IC50 = 1.9, 3.2, 2, 1.7, 1.9 μg/mlLin et al. (2016)
Cipadessa baccifera (Roth) Miq. [Meliaceae]/ChineseLeaves/EtOHCipacinoid AIn vitro: PTP-1B enzyme assay/IC50 = 16.7 µMYu et al. (2016a)
Clausena sanki (Perr.) Molino [Rutaceae]/ChineseFruits/EtOHClausenanisines A–C, E, F Euchrestifoline Dihydromupamine Clauraila B Kurryame Clausenaline F 3-formyl-1-hydroxycarbazole Clausine Z, I Clauszoline N, MIn vitro: PTP-1B enzyme assay/IC50 = 0.58, 0.87, 28.79, 27.96, 2.47, 1.28, 15.26, 23.89, 27.93, 28.42, 4.36, 5.39, 3.96, 24.43, 26.37 µMLiu et al. (2021)
Coptis chinensis Franch. [Ranunculaceae]/ChineseRhizome/MeOHBerberine Epiberberine Magnoflorine CoptisineIn vitro: PTP-1B enzyme assay/IC50 = 16.43, 21.19, 28.14, 51.04 µMChoi et al. (2015)
Coreopsis tinctoria Nutt. [Asteraceae]/North American and ChineseCapitula/EtOHButin Taxifolin 7,3′,4′-trihydroxyflavone Quercetagitin-7-O-b-D-glucosideIn vitro: PTP-1B enzyme assay/IC50 = 20.92, 7.73, 27.93, 24.5 µMBegmatov et al. (2020)
Cymbopogon nardus (L.) Rendle [Poaceae]/JamuLeaves/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 10.63 μg/mlSaifudin et al. (2016b)
Dioscorea bulbifera L. [Dioscoreaceae]/ChineseRhizome/EtOAcFull extract 9,10-Dihydro-2,4,6,7-phenanthrenetetrol [1,1'-Biphenanthren]-2,2',3,3',6,6',7,7'-octaol Cassigarol DIn vitro: PTP-1B enzyme assay/IC50 = 32.21 μg/ml, 23.79, 3.36, 13.16 µMZhao et al. (2019b)
Dracaena cochinchinensis (Lour.) S.C.Chen [Asparagaceae]/ChineseRed resin/MeOHBiflavocochin B, F, GIn vitro: PTP-1B enzyme assay/IC50 = inhibition of 75.8, 66.7, 74.9% at 10 µMLang et al. (2020)
Duranta erecta L. [Verbenaceae]/AryuvedaWhole plant/EtOHFull extractIn silico: Network pharmacology/phytoconstituents targeting PTP-1B In silico: molecular docking/PTP-1B binding energy: 8.9 kcal/mol (durantanin I) In vivo: diabetic rats (100, 200, and 400 mg/kg b.w.)/chronic hypoglycemic effect, ↓HbA1c, ↑glucose tolerance, ↓G6Pase and FBPase activity, ↑hexokinase activity, ↓triglycerides, LDL, VLDL, and total cholesterol, ↑HDL, ↑hepatic glycogen content, ↑glucose uptake in isolated rat hemidiaphragmKhanal and Patil, (2020)
Elaeocarpus grandiflorus Sm. [Elaeocarpaceae]/JamuFruits/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 6.9 μg/mlSaifudin et al. (2016b)
Elephantopus scaber L. [Asteraceae]/JamuAerial parts/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 2.64 μg/mlSaifudin et al. (2016b)
Eleutherococcus senticosus (Rupr. & Maxim.) Maxim. [Araliaceae]/ChineseStems/MeOH(7S,8R)-3-hy- droxyl-4-methoxyl-balanophonin (7S,8R)-5-methoxyl-balanophonin Balanophonin Curcasinlignan A–CIn vitro: PTP-1B enzyme assay/IC50 = 15.2, 12.6, 16.1, 17.1, 31, 29.4 µMLi et al. (2017)
Epimedium koreanum Nakai [Berberidaceae]/ChineseAerial parts/MeOHIcaritin Icariside IIIn vitro: PTP-1B enzyme assay/IC50 = 11.59, 9.94 µMKim et al. (2017a)
Eremophila bignoniiflora (Benth.) F. Muell. [Scrophulariaceae]/AustralianLeaves/EtOAc7-hydroxy-6-methyl-4-oxo-2-(3-(5-oxo-2,5- dihydrofuran-3-yl)propyl)hept-5-en-1-yl (E)-3-(3,4-dihydroxyphenyl) acrylate Galangin 3-methyl etherIn vitro: PTP-1B enzyme assay/IC50 = 52.4, 41.4 µMZhao et al. (2019a)
Eremophila lucida Chinnock [Scrophulariaceae]Leaves/EtOAc5-hydroxyviscida-3,14-dien-20-oic acidIn vitro: PTP-1B enzyme assay/IC50 = 42 µMTahtah et al. (2016)
Eremophila oppositifolia R.Br. [Scrophulariaceae]/AustralianLeaves/CH₃CNType B dimeric fatty acids related to the branched-chain fatty acid (2E,4Z,6E)-5-(acetoxymethyl)tetradeca-2,4,6-trienoic acid (Compounds 9, 12, 13a, 13b)In vitro: PTP-1B enzyme assay/IC50 = 24, 2.4, 12, 12 µMPedersen et al. (2020)
Eriobotrya japonica (Thunb.) Lindl. [Rosaceae]/ChineseLeaves/EtOHExtract of triterpenoid acids (maslinic acid, corosolic acid, oleanolic acid, and ursolic acid)In vivo: insulin-resistant mice (200 mg/kg b.w.)/↓insulin resistance, ↑glucose tolerance, ↓triglycerides, LDL, VLDL, and total cholesterol, ↑HDL; in liver: ↑PPARg, GLUT2, and glucokinase mRNA expression levels, ↓PTP-1B mRNA expression levelsLi et al. (2020b)
Eucalyptus robusta Sm. [Myrtaceae]/ChineseLeaves/EtOHEucarobustol A–I Macrocarpal CIn vitro: PTP-1B enzyme assay/IC50 = 1.3, 4.3, 4.3, 2.9, 4.1, 5.6, 1.8, 3.0, 1.6, 4.5 µMYu et al. (2016b)
Euphorbia hirta L. [Euphorbiaceae]/VietnameseWhole plant/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 29.2, 38.3 μg/mlTrinh et al. (2017a)
Ficus deltoidea Jack [Moraceae]/MalayLeaves/EtOH70% EtOH extract Lupeol 3β,11β-dihydroxyolean-12-en-23-oic acidIn vitro: PTP-1B enzyme assay/IC50 = 92%, 2.88, 4.55 µM In vivo: diabetic rats (125, 250, and 500 mg/kg b.w. of 70% EtOH extract)/chronic hypoglycemic effect, ↓triglycerides, LDL, and total cholesterol, ↑HDL; in liver: ↑GLUT2 levels, ↓PEPCK, G6Pase, and PTP-1B mRNA expression levelsAbdel-Rahman et al. (2020)
Ficus racemosa L. [Moraceae]/VietnameseFruit/EtOAcIsoderrone Derrone Alpinumisoflavone Mucusisoflavone BIn vitro: PTP-1B enzyme assay/IC50 = 22.7, 12.6, 21.2, 2.5 µMTrinh et al. (2017a)
Garcinia mangostana L. [Clusiaceae]/Southeast Asia and IndiaFruits/EtOHγ-Mangostin 8-Deoxyartanin 1,3,7-Trihydroxy-2,8-di-(3-methylbut-2-enyl)- xanthone α-Mangostin Garcinone E 9-HydroxycalabaxanthoneIn vitro: PTP-1B enzyme assay/IC50 = 0.86, 1.57, 3.28, 1.34, 0.43, 12.89 µMHu et al. (2021)
Garcinia oblongifolia Champ. ex Benth [Clusiaceae]/VietnameseTwigs/EtOAcNorcowaninIn vitro: PTP-1B enzyme assay/IC50 = 14.1 µMTrinh et al. (2017b)
Geranium collinum Stephan ex Willd. [Geraniaceae]/Chinese and TajikRoot/EtOH In combination with Hypericum scabrum aerial parts (ratio: 7:3)Full extractIn vitro: PTP-1B enzyme assay/IC50 = 0.48 μg/ml In vitro: cell culture (L6 myotubes, in the presence of insulin)/↓PTP-1B protein, ↑IR, ↑pAkt, ↑pIRS-1, ↑pGSK3β, ↑pAMPK, ↑glucose consumptionEdirs et al. (2018)
Roots/EtOH3,3′,4,4′-Tetra-O-methylellagic acid 3,3′-Di-O-methylellagic acid Caffeic acid Quercetin Catechin Epicatechin CorilaginIn vitro: PTP-1B enzyme assay/IC50 = 21.64, 6.26, 35.81, 2.19, 0.62, 0.23, 0.87 µMNumonov et al. (2017)
Glycyrrhiza inflata Batalin [Fabaceae]/Japanese and ChineseRoots and rhizomes/EtOAcLicoagrochalcone A Kanzonol C Glyurallin B Gancaonin H 2′-hydroxyisolupalbigenin Gancaonin Q Glisoflavanone Glabrol Macarangaflavanone BIn vitro: PTP-1B enzyme assay/IC50 = 0.97, 0.45, 4.5, 1.48, 0.5, 0.55, 0.84, 0.31, 1.03 µMLin et al. (2017)
Glycyrrhiza uralensis Fisch. ex DC. [Fabaceae]/ChineseRhizomes/EtOHLicochalcone A Licoflavone BIn vitro: PTP-1B enzyme assay/IC50 = 27.95, 15.62 µMGuo et al. (2015)
Isoangustone A Angustone AIn vitro: PTP-1B enzyme assay/IC50 = 3, 0.4 µMJi et al. (2016)
Glyptostrobus pensilis (Staunton ex D.Don) K.Koch [Cupressaceae]/ChineseTrunk barks/MeOHSpiropensilisol A, B 3-epi-larixinol 3,2′-epi-larixinol Abiesinol F Larixinol (Abiesinol E)In vitro: PTP-1B enzyme assay/IC50 = 3.3, 11.2, 17.1, 4.6, 12.9, 8.1 µMXiong et al. (2020)
Gymnema latifolium Wall. ex Wight [Apocynaceae]/VietnameseAerial parts/EtOHGymlatinoside GL2, GL3In vitro: PTP-1B enzyme assay/IC50 = 22.66, 19.83 µMPham et al. (2020)
Gynostemma pentaphyllum (Thunb.) Makino [Cucurbitaceae]/ChineseAerial parts/EtOHGypenoside 2–6In vitro: PTP-1B enzyme assay/IC50 = 18.2, 23.5, 28.6, 8.2, 12.5 µMWang et al. (2017b)
Helicteres isora L. [Malvaceae]/JamuGum/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 3.49 μg/mlSaifudin et al. (2016b)
Houttuynia cordata Thunb. [Saururaceae]/Korea, Japan, India, and ChinaAerial parts/EtOH3-hydroxy-1,2-dimethoxy-5-methyl-5H-dibenzoindol-4- one 4-hydroxy-1,2,3-trimethoxy- 7H-dibenzo-quinolin-7-one 7-oxodehy- droasimilobine Cepharadione BIn vitro: PTP-1B enzyme assay/IC50 = 1.254, 2.016, 2.672, 1.862 µMMa et al. (2017)
Hypericum longistylum Oliv. [Hypericaceae]/ChineseAerial parts/MeOHLongistylione A–DIn vitro: PTP-1B enzyme assay/IC50 = 18.87, 16.76, 24.56, 15.96 µMCao et al. (2017)
Hypericum perforatum L. [Hypericaceae]/ChineseAerial parts/EtOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 1.08 μg/ml In vivo: insulin-resistant mice (50 and 200 mg/kg b.w.)/↓PTP-1B expression, ↑hepatic pAkt, ↑hepatic pIRS-1, ↑glucose tolerance, ↑insulin sensitivity, ↓triglycerides, improvement of lipid metabolismTian et al. (2015)
Hypericum scabrum L. [Hypericaceae]/ChineseAerial parts/EtOHQuercetinIn vitro: PTP-1B enzyme assay/IC50 = 2.19 µMJiang et al. (2015)
Iris sanguinea Hornem. [Iridaceae]/ChineseSeeds/MeOHKikkanol F monoacetateIn vitro: PTP-1B enzyme assay/IC50 = 7.3 µM In vitro: cell culture/↑glucose uptake (3T3-L1), ↑pAMPK (C2C12)Yang et al. (2017)
Juniperus chinensis L. [Cupressaceae]/ChineseHeartwood/MeOHa-methyl artoflavanocoumarinIn vitro: PTP-1B enzyme assay/IC50 = 25.27 µM In vitro: cell culture (insulin-resistant HepG2)/↓PTP-1B protein, ↑pPI3K, ↑pAkt, ↑pERK1, ↑insulin-stimulated glucose uptakeJung et al. (2017)
Kandelia candel (L.) Druce [Rhizophoraceae]/VietnameseBark/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 12.9, 0.02 μg/mlTrinh et al. (2017a)
Lagerstroemia speciosa (L.) Pers. [Lythraceae]/VietnameseLeaves/n-BuOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 19.6 μg/mlTrinh et al. (2017a)
Lantana camara L. [Verbenaceae]/Indonesian and JapaneseAerial parts/EtOH24- hydroxy-lantadene B 3-hydroxy-lantadene C Icterogenin 4-epi- hederagonic acid Oleanolic acid 22b-oleanolic acid 3b-hydroxy-lantadene A 3b-hydroxy-lantadene B 22-hydroxy-oleanonic acid Lantadene B, A Oleanonic acid Lantadene D Pomonic acid Pomolic acid Lantanilic acid Camaric acid Lantanolic acidIn vitro: PTP-1B enzyme assay/IC50 = 7.3, 7.3, 11, 8.1, 2, 7.9, 7.2, 5.1, 6.9, 5.5, 5.2, 6.9, 7.9, 10.5, 10.6, 7.5, 5.1, 13 µMAbdjul et al. (2017)
Lanxangia tsao-ko (Crevost & Lemarié) M.F. Newman & Škorničk [Zingiberaceae]/Asian countriesFruits/EtOHTsaokoflavanol F, J, K, L, SIn vitro: PTP-1B enzyme assay/IC50 = 56.4, 75.1, 80.4, 73, 69.8 µM In vivo: db/db mice (200 and 400 mg/kg b.w.)/chronic hypoglycemic effect (full extract)He et al. (2020)
Leonurus sibiricus L. [Lamiaceae]/MongolianAerial parts/MeOHFull extractIn vitro: PTP-1B enzyme assay/Activity inhibition by 40% at 10 μg/ml In vitro: cell culture (C2C12, in the presence of insulin)/↑glucose uptakePitschmann et al. (2016)
Lithocarpus polystachyus (Wall. ex A.DC.) Rehder [Fagaceae]/ChineseLeaves/MeOHFull extracts from five localities in ChinaIn vitro: PTP-1B enzyme assay/IC50 = inhibition rate ranging from 84.3 to 90.3% at 1.25 mg/mlMeng et al. (2020)
Litsea cubeba (Lour.) Pers. [Lauraceae]/ChineseTwigs/EtOAc(+)-9,9′-O-di-(E)-feruloyl-5,5′-dimethoxy secoisolariciresinolIn vitro: PTP-1B enzyme assay/IC50 = 13.5 µMLi et al. (2019c)
Lonicera japonica Thunb. [Caprifoliaceae]/ChineseFlower buds/EtOHLonjaponspiroside A, BIn vitro: PTP-1B enzyme assay/IC50 = 6.14, 8.42 µMLiu et al. (2016)
Ludwigia octovalvis (Jacq.) P.H.Raven [Onagraceae]/VietnameseAerial parts/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 16.9, 3.3 μg/mlTrinh et al. (2017a)
Macaranga denticulata (Blume) Müll.Arg. [Euphorbiaceae]/ChineseTwings and leaves/EtOHMacdentichalcone 1-(5,7-dihydroxy-2,2,6-trimethyl-2H-1-benzopyran-8-yl)-3-phenyl-2-propen-1-oneIn vitro: PTP-1B enzyme assay/IC50 = 21, 22 µMLei et al. (2016)
Macleaya cordata (Willd.) R.Br. [Papaveraceae]/ChineseAerial parts/EtOHMacleayineIn silico: molecular dockingSai et al. (2016)
Maclura tricuspidata Carrière [Moraceae]/Korean, Japanese, and ChineseLeaves/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 65 μg/ml In vitro: PTP-1B enzyme assay (protein chip screening method)/↓PTP-1B activity In vitro: cell culture (3T3-L1)/↓lipid droplets, ↑pIRS-1, ↑pAkt In vivo: obese mice (20 and 100 mg/kg b.w.)/↑hepatic pIRS-1, ↑hepatic pAkt ↓tryglicerides, ↓glucose toleranceKim et al. (2016)
Root barks/MeOHCudratricusxanthone N 1,6,7-trihydroxy-2-(1,1-dimethyl-2-propenyl)-3-methoxyxanthone Cudratricusxanthone L, A Cudraxanthone L Macluraxanthone B Cudracuspixanthone A Cudraxanthone D, M Cudraflavanone D Euchrestaflavanone C Cudraflavone C Kuwanon CIn vitro: PTP-1B enzyme assay/IC50 = 2, 3, 3, 4.3, 4.6, 3.8, 1.9, 2.8, 3.5, 5.7, 12.3, 9.4, 13.6 µMQuang et al. (2015)
Magnolia aromatica (Dandy) V.S.Kumar [Magnoliaceae]/ChineseTwigs and leaves/EtOH(1R,6S,7S)-1-hydroxy- cadin-4,9-dien-8-oneaIn vitro: PTP-1B enzyme assay/IC50 = 83.5 µMWang et al. (2016b)
Magnolia officinalis Rehder & E.H.Wilson [Magnoliaceae]/ChineseRoot barks/MeOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 55.96 μg/ml In vitro: cell culture (3T3-L1 and C2C12, in the presence of insulin)/↑pIRb, ↑pERK, ↑GLUT4 translocation In vivo: db/db mice (0.5 g/kg b.w.)/chronic hypoglycemic effectSun et al. (2015)
Magnolia officinalis var. biloba Rehder & E.H.Wilson [Magnoliaceae]/ChineseBarks/EtOHMagterpenoid A, CIn vitro: PTP-1B enzyme assay/IC50 = 1.44, 0.81 µMLi et al. (2018)
Magmenthane E, HIn vitro: PTP-1B enzyme assay/IC50 = 4.38, 3.8 µMLi et al. (2019a)
Root and stem bark/EtOH(±)-Mooligomers B, D, EIn vitro: PTP-1B enzyme assay/IC50 = 0.47, 2.1, 0.35, 1.22, 0.89, 0.14 µMLi et al. (2020a)
Melaleuca leucadendra (L.) L. [Myrtaceae]/JamuFruit/MeOHBetulinic acid Ursolic acidIn vitro: PTP-1B enzyme assay/IC50 = 1.5, 2.3 µMSaifudin et al. (2016a)
Leaves/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 2.05 μg/mlSaifudin et al. (2016b)
Melicope pteleifolia (Champ. ex Benth.) T.G. Hartley [Rutaceae]/ChineseRoots/CH2Cl2/CH3OH (1:1)Melicoptelin B1/B2, D1/D2, EIn vitro: PTP-1B enzyme assay/IC50 = 34.4, 55.2, 66.6 µMXu et al. (2019b)
Momordica charantia L. [Cucurbitaceae]Fruits/EtOH25- O-methylkaraviagein D (19R,23E)-5b,19-epox y-19,25-dimethoxycucurbita-6,23-dien-3b-olIn vitro: PTP-1B enzyme assay/IC50 = 51.8, 54.95 µMYue et al. (2017)
Morus alba L. [Moraceae]/ChineseLeaves/AqueousFull extract (mulberry leaves polysaccharide)In vivo: insulin-resistant rats (200 mg/kg b.w.)/↑glucose tolerance, ↓insulin resistance, ↑hepatic glycogen synthesis, ↓hepatic PTP-1B expression, ↑hepatic pIRS-2, ↑hepatic pAkt-2, ↑hepatic PI3KRen et al. (2015)
Fruits/EtOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 11.89 μg/mlXiao et al. (2017b)
Leave cell culture/EtOHMorusalone A–DIn vitro: PTP-1B enzyme assay/IC50 = 2.51, 1.14, 0.35, 1.99 µM In vitro: cell culture (HepG2)/↑pIRβ and pAkt protein levelsSu et al. (2019)
Morusalisin A–FIn vitro: PTP-1B enzyme assay/IC50 = 1.55, 2.24, 1.58, 1.52, 1.60, 1.14 µMSu et al. (2020)
Leaves/EtOHmortatarin E 3′-geranyl-3-prenyl-2′,4′,5,7- tetrahydroxyflavoneIn vitro: PTP-1B enzyme assay/IC50 = 4.53, 10.53 µM In vitro: cell culture (insulin-resistant HepG2)/↑glucose uptake, ↑glycogen synthesis, ↓PTP-1B, ↑IRS1, ↑IRS2, ↓GSK3β, and ↑GLUT4 mRNA expression levels, ↓PTP-1B, ↑pIRS1, ↑PI3K, ↑pAkt, and ↑GLUT4 protein levels (mortatarin E)Niu et al. (2020)
Root bark/MeOHMorusalfuran A–C, F Morusalnol B Morusibene AIn vitro: PTP-1B enzyme assay/IC50 = 11.02, 8.92, 7.26, 18.02, 26.56, 17.64 µMHa et al. (2020)
Roots/EtOAcKuwanon L Mulberrofuran G Moracenin B (Kuwanon G) Morusinol Sanggenon G Kuwanon C Moracenin A (Kuwanon H) Kuwanon T, F, M Morusin Mulberrofuran B Cyclomorusin Sanggenofuran AIn vitro: PTP-1B enzyme assay/IC50 = 21.67, 20.03, 13.07, 30.49, 10.87, 17.48, 4.04, 9.83, 9.52, 10.71, 19.63, 4.69, 13.28, 12.72 μg/mlZhao et al. (2018)
Morus macroura Miq. [Moraceae]/ChineseTwigs/EtOHNotabilisin E Taxifolin HulteninIn vitro: PTP-1B enzyme assay/IC50 = 0.87, 5.3, 1.04 µMWang et al. (2015)
Myrtus communis L. [Myrtaceae]/ItalianLeaves/chloroform3β-cis-p-coumaroyloxy-2α,23-dihydroxyolean-12-en-28-oic acid 3β-trans-p-coumaroyloxy-2α,24-dihydroxy-urs-12-en-28-oic acid Maslinic acid Corosolic acid Isomyrtucommulone B 3β-O-cis-p-coumaroyl-2α-hydroxy-urs-12-en-28-oic acid Jacoumaric acid Betulinic acid Oleanolic acid Ursolic acidIn vitro: PTP-1B enzyme assay/IC50 = 15.38, 14.89, 25.73, 12.21, 8.93, 26.67, 11.93, 16.05, 8.92, 14.93 µMLiang et al. (2020)
Nepenthes mirabilis (Lour.) Druce [Nepenthaceae]/VietnameseWhole plant/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 1.4, 0.4 μg/mlTrinh et al. (2017a)
Nigella sativa L. [Ranunculaceae]/From Turkey to IndiaAerial parts/MeOH3-O-[α-l-Rhamnopyranosyl-(1→2)-α-l-arabinopyranpsyl]hederageninIn vitro: PTP-1B enzyme assay/IC50 = 91.3 µMParveen et al. (2020)
Nigella sativa var. hispidula Boiss. [Ranunculaceae]/UighurSeeds/Petroleum etherNigelladine A–CIn vitro: cell culture (L6 myotubes, in the presence of insulin)/↓PTP-1B protein, ↑pAkt, ↑pIRS-1, ↑pGSK-3b, ↑pAMPK, ↑glucose consumption, ↑lactic acid production, ↑glycogen synthesis, ↑hexokinase activityTang et al. (2017)
Orthosiphon aristatus (Blume) Miq. [Lamiaceae]/Vietnamese and IndonesianAerial parts/MeOHSiphonol B, D Orthosiphol B, F, G, I, NIn vitro: PTP-1B enzyme assay/IC50 = 8.18, 24.75, 9.84, 27.56, 3.82, 0.33, 1.6 µM In vitro: cell culture (3T3-L1)/↑glucose uptakeNguyen et al. (2019)
Ouret lanata (L.) Kuntze [Amaranthaceae]/AyurvedaLeaves/EtOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 94.66 μg/ml In vitro: cell culture (L6 myotubes)/↑adipogenesis, ↑insulin-mediated glucose uptake In vivo: diabetic rats (500 mg/kg b.w.)/antihyperglycemic effect in OSTTs by 18.44%Riya et al. (2015)
Paeonia lactiflora Pall. [Paeoniaceae]/ChineseSeeds/EtOHPaeonilactiflorol trans-gnetin HIn vitro: PTP-1B enzyme assay/IC50 = 27.23, 27.81 µMZhang et al. (2019a)
Panax ginseng C.A.Mey. [Araliaceae]/Eastern AsiaStems, flowers, and fruits/EtOH20(R)-25-methoxydammarane-3β,12β, 20-tetrol 20(R)-dammarane-3β,6α,12β, 20, 25-pentol 20(R)- protopanaxatriol 20(S)-panaxatriol 20(R)-protopanaxadiolIn vitro: PTP-1B enzyme assay/IC50 = 16.54, 10.07, 17.98, 21.02, 21.27 µMYang et al. (2016)
Panax quinquefolius L. [Araliaceae]/ChineseCrude saponins/EtOH20(S)-panaxadiol (20S,24R)-dammarane-20,24-epoxy-3 β,6 α, 12 β,25- tetraol 20(R)-dammarane-3 β, 12 β,20,25-tetraol 20(S)-dammarane-3 β,6 α, 12 β,20,25-pentol 20(R)-dammarane-3 β, 12 β,20,25-tetrahydroxy-3 β-O- β- d–glucopyranoside Oleanolic acid 20(S)-protopanaxadiolIn vitro: PTP-1B enzyme assay/IC50 = 27.23, 23.63, 10.39, 6.21, 5.91, 18.99, 13.38 µMHan et al. (2020)
Pandanus odorifer (Forssk.) Kuntze [Pandanaceae]/VietnameseFruit/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 20.8, 40.4 μg/mlTrinh et al. (2017a)
Phyllanthus amarus Schumach. & Thonn. [Phyllanthaceae]/VietnameseWhole plant/EtOAcFull extractIn vitro: PTP-1B enzyme assay/IC50 = 74.4 μg/mlTrinh et al. (2017a)
Phyllanthus niruri L. [Phyllanthaceae]/JamuAerial parts/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 10.99 μg/mlSaifudin et al. (2016b)
Phyllanthus urinaria L. [Phyllanthaceae]/VietnameseWhole plant/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 14, 10.8 μg/mlTrinh et al. (2017a)
Pithecellobium dulce (Roxb.) Benth. [Fabaceae]/VietnameseStem/EtOAcFull extractIn vitro: PTP-1B enzyme assay/IC50 = 26.1 μg/mlTrinh et al. (2017a)
Prunus amygdalus Batsch [Rosaceae]Fruits/EtOHHexane fraction Chloroform fractionIn vitro: PTP-1B enzyme assay/IC50 = 9.66, 37.95 μg/mlQureshi et al. (2019)
Psidium guajava L. [Myrtaceae]/WorldwideLeaves/EtOAcPsiguadiol A–JIn vitro: PTP-1B enzyme assay/IC50 = 4.7, 11, 11.9, 10.7, 19.1, 18.9, 6.2, 9.2, 22.8, 22.8 µMHou et al. (2019)
Leaves/EtOHJejuguajavone A, CIn vitro: PTP-1B enzyme assay/IC50 = 10.52, 9.4 µMRyu et al. (2021)
Psydrax subcordatus (DC.) Bridson [Rubiaceae]/AfricanLeaves and bark/EtOHSubcordatanol I, III, IVIn vitro: PTP-1B enzyme assay/IC50 = 22.2, 8.9, 9.8 µMZhou et al. (2019)
Pueraria montana var. lobata (Willd.) Maesen & S.M.Almeida ex Sanjappa & Predeep [Fabaceae]/ChineseRoot/MeOHPuerarinIn silico: molecular docking/PTP-1B binding energy: 6.4 kcal/molOjo, (2021)
Roots/EtOHLupeol LupenoneIn vitro: PTP-1B enzyme assay/IC50 = 38.89, 15.11 µMSeong et al. (2016)
Full extractIn vitro: PTP-1B enzyme assay/IC50 = 0.046 mg/ml In vitro: cell culture (insulin resistant HepG2 cells)/↑glucose uptake In vivo: insulin resistant mice (0.25, 0.5, 1, and 2 g/kg b.w.)/↓AUC in OGTTs by 5.7, 10, 20, and 21%Sun et al. (2019)
Quercus infectoria G.Olivier [Fagaceae]/JamuFruits/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 4.68 μg/mlSaifudin et al. (2016b)
Quercus wutaishanica Mayr [Fagaceae]/Chinese and MexicanAcorn/EtOH3-O-galloyloleanolic acid 23- acetoxy-3-O-galloyloleanolic acid 3-acetoxy-23-O-galloyloleanolic acid Oleanolic acid 3-O-galloylursolic acid Ursolic acidIn vitro: PTP-1B enzyme assay/IC50 = 2.10, 4.17, 4.52, 17.25, 1.86, 17.37 µMXu et al. (2018a)
Leaves/EtOHQuercetin-3-O-(2″-O-galloyl)-β-galactopyranoside Kaempferol-3-O-rutinoside Quercetin-3-O-rutinoside Quercetin Kaempferol Myricetin Dihydromyricetin 4′,5,7-trihydroxyflavanone 4′-methoxy-5′,5,7-trihydroxyflavanone Ellagic acidIn vitro: PTP-1B enzyme assay/IC50 = 5.56, 24.89, 20.56, 4.16, 3.92, 3.53, 9.58, 15.38, 20.16, 1.03 µM In vitro: cell culture (MIN6)/Protective effect on pancreatic b cells damaged by H2O2 (Quercetin-3-O-(2″-O-galloyl)-β-galactopyranoside)Xu et al. (2018b)
Reynoutria japonica Houtt. [Polygonaceae]/Japanese, South Korean, and ChineseRoots/EtOAc(trans)-emodin-physcion bianthrone (cis)-emodin-physcion bianthroneIn vitro: PTP-1B enzyme assay/IC50 = 2.77, 7.29 µMZhao et al. (2017)
Reynoutria multiflora (Thunb.) Moldenke [Polygonaceae]/ChineseRoots/EtOHMultiflorumiside H–KIn vitro: PTP-1B enzyme assay/IC50 = 1.2, 1.7, 1.5, 4.6 µMYang et al. (2020)
Rhizophora apiculata Blume [Rhizophoraceae]/IndiaLeaves/EtOHGlycosinIn silico: molecular docking/PTP-1B binding energy: 6.35 kcal/mol In vivo: diabetic rats (50 mg/kg b.w.)/↓blood glucose reduction by 25% in OGTTs, ↓chronic hypoglycemic effect, ↓HbA1c, ↓triglycerides, ↓cholesterol, ↑HDL, ↑hexokinase activity, ↓G6Pase activity, ↑FBPase activitySelvaraj et al. (2016)
Rhizophora mucronata Poir. [Rhizophoraceae]/VietnameseBark/EtOAc and n-BuOHFull extractsIn vitro: PTP-1B enzyme assay/IC50 = 17.2, 1.8 μg/mlTrinh et al. (2017a)
Rhodiola rosea L. [Crassulaceae]/ChineseWhole plant/MeOHArbutinIn vitro: PTP-1B enzyme assay/IC50 = 20.5 µMYuan et al. (2021)
Rhododendron fastigiatum Franch. [Ericaceae]Aerial parts/EtOH(+)-fastinoid B (-)-fastinoid B Rubiginosin A (-)-rubiginosin A Grifolinone AIn vitro: PTP-1B enzyme assay/IC50 = 47, 54.9, 40.9, 49.2, 13 µMHuang et al. (2019)
Ricinus communis L. [Euphorbiaceae]/ChineseRhizomes/EtOH3α,19-dihydroxyl-ent-pimara-8 (14),15-dieneIn vitro: PTP-1B enzyme assay/IC50 = 49.49% at 20 μg/mlZhang et al. (2019b)
Rubus chingii Hu [Rosaceae]/ChineseFruits/MeOHUrsolic acid 2-oxopomolic acid 2α,19α-dihydroxy-3-oxo-urs- 12-en-28-oic acidIn vitro: PTP-1B enzyme assay/IC50 = 7.1, 23.7, 52.3 µMZhang et al. (2019c)
Rubus idaeus L. [Rosaceae]Leaves/MeOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 3.41 μg/mlLi et al. (2016)
Rubus occidentalis L. [Rosaceae]Fruits/EtOHCyanidin-3-O-xylosilutinoside Cyanidin-3-O -rutinoside Quercetin-3-O-rutinoside Ellagic acidIn vitro: PTP-1B enzyme assay/IC50 = 2.58, 1.88, 2.12, 0.03 µMXiao et al. (2017a)
Salvia circinnata Cav. [Lamiaceae]/MexicanAerial parts/Aqueous6-hydroxyluteolin PedalitinIn vitro: PTP-1B enzyme assay/IC50 = 80.1, 62 µMSalinas-Arellano et al. (2020)
Salvia miltiorrhiza Bunge [Lamiaceae]/ChineseRoots/EtOHCryptotanshinone Tanshinol B Tanshinonal 15,16-dihydrotanshinone I Tanshinone I Dehydrodanshenol AIn vitro: PTP-1B enzyme assay/IC50 = 5.5, 4.7, 37.6, 18.6, 27.1, 8.5 µMKim et al. (2017b)
Selected compounds of Tangzhiqing herbal formula In combination with Morus alba L. (Moraceae) Nelumbo nucifera Gaertn. (Nelumbonaceae) Crataegus pinnatifida Bunge (Rosaceae) Paeonia lactiflora Pall. (Paeoniaceae)Nuciferine Rutin 1-Deoxynojirimycin Salvianolic acid A Salvianolic acid C Danshensu Rosmarinic acid Tanshinone IIA Cryptotanshinone Dihydrotanshinone I Quercitrin PaeonifloriIn silico: molecular docking/PTP-1B binding energy: 26.49, 86.52, 17.57, 72.09, 95.07, 49.37, 54.44, 25.66, 33.08, 22.27, 83.52, 44.46 kcal/molHao et al. (2020)
Selaginella rolandi-principis Alston [Selaginellaceae]/VietnameseAerial parts/EtOHSelaginolide A 2′-hydroxygenistein 6,7-dimethoxy-2′,4′-dihydroxyisoflavoneIn vitro: PTP-1B enzyme assay/IC50 = 7.4, 23.02, 11.08 µM In vitro: cell culture (3T3-L1)/↑glucose uptake, ↑pIRS-1, ↑pPI3K, pAktNguyen et al. (2021)
Selaginella tamariscina (P.Beauv.) Spring [Selaginellaceae]/ChineseAerial parts/MeOHSelariscinin D Selariscinin E Amentoflavone Robustaflavone Cupressuflavone Taiwaniaflavone 3,8″-biapigeninIn vitro: PTP-1B enzyme assay/IC50 = 13.2, 9.8, 7.4, 6.2, 9.6, 5.4, 4.5 µM In vitro: cell culture (3T3-L1)/↑glucose uptakeNguyen et al. (2015)
Sellaginellin U–W Sellaginellin Selariscinin AIn vitro: PTP-1B enzyme assay/IC50 = 13.8, 14.5, 14.6, 15.9, 4.8 µMLe et al. (2017)
Selaginella uncinata (Desv.) Spring [Selaginellaceae]/ChineseWhole plant/EtOHUncinatabiflavone C 7-methyl ether Robustaflavone 4′-methyl ether Robustaflavone 7- methyl ether (2R) 2, 3-dihy- droamentoflavone Amentoflavone Bilobetin (2″S) chrysocauloflavone I Delicaflavone (2S) 2,3-dihydro- 5,5″,7,7″,4′-pentahydroxy-6,6″-dimethyl-[3′-O-4‴]-biflavoneIn vitro: PTP-1B enzyme assay/IC50 = 7.7, 9.2, 9.8, 16.1, 10.6, 14.6, 5.5, 6.2, 4.6 µM In vitro: cell culture (insulin-resistant HepG2)/↑glucose uptake, ↑pIRS-1, ↑pPI3K, pAkt (Uncinatabiflavone C 7-methyl ether)Xu et al. (2019a)
Senna obtusifolia (L.) H.S.Irwin & Barneby [Fabaceae]/ChineseSeeds/MeOHPhyscion Chrysophanol Emodin Alaternin Obtusin Questin Chryso-obtusin Aurantio-obtusin 2-Hydroxyemodin-1 methyletherIn vitro: PTP-1B enzyme assay/IC50 = 7.28, 5.86, 3.51, 1.22, 6.44, 5.69, 14.88, 27.19, 5.22 µM In vitro: cell culture (insulin-resistant HepG2)/↑insulin-stimulated glucose uptake (alaternin and emodin)Jung et al. (2016)
Silybum marianum (L.) Gaertn. [Asteraceae]Seeds/EtOAcTaxifolin Dihydrokaempferol Dihydroquercetin-4′-methylether KaempferolIn vitro: PTP-1B enzyme assay/IC50 = 24.23, 27.83, 21.30, 6.79 µMQin et al. (2017)
Smilax china L. [Smilacaceae]/ThaiLeaves/EtOHMorin Kaempferol 7-O-α-l-rhamnoside Quercetin-4′-O-β-D-glucoside
4′-methoxy-5,7-dihydroxyflavone-(3-O-7″)-4’’’,5″,7″-trihydroxyflavone Partensein 1,3,6-trihydroxyxanthone
In vitro: PTP-1B enzyme assay/IC50 = 7.62, 10.80, 0.92, 2.68, 9.77, 24.17 µMZhao et al. (2016)
Sophora flavescens Aiton [Fabaceae]Roots/EtOHSophobiflavonoid A, CIn vitro: PTP-1B enzyme assay/IC50 = 0.33, 0.35 µMYan et al. (2019)
Symplocos cochinchinensis (Lour.) S. Moore. [Symplocaceae]/AyurvedaBark/EtOHFull extractIn vivo: insulin-resistant rats (250 and 500 mg/kg b.w.)/↓hepatic PTP-1B activity and expression, ↑hepatic pAkt, ↑hepatic pIRS-1, ↑glucose tolerance, ↑insulin sensitivity, ↓hepatic triglycerides, ↓expression of gluconeogenic enzymesAntu et al. (2016)
Syzygium cumini (L.) Skeels [Myrtaceae]/Vietnamese, Ayurveda, Unani, and ChineseSeeds/MeOHValoneic acid dilactone Rubuphenol Ellagic acidIn vitro: PTP-1B enzyme assay/IC50 = 9.37, 28.14, 25.96 µMSawant et al. (2015)
Fruit/EtOAcFull extractIn vitro: PTP-1B enzyme assay/IC50 = 27.5 μg/mlTrinh et al. (2017a)
Tetradium ruticarpum (A.Juss.) T.G.Hartley [Rutaceae]/East AsiaBuds/MeOHSchinifoline IntergrifoliodiolIn vitro: PTP-1B enzyme assay/IC50 = 24.3, 47.7 µMTo et al. (2021)
Thonningia sanguinea Vahl [Balanophoraceae]/AngolaRhizomes/MeOH2′-O- (3-O-galloyl-4,6-O-Sa-hexahydroxydiphenoyl-β-d-glucopyranosyl)-3-hydroxyphloretin 4′-O-(4,6-O-Sa-hexahydroxydiphenoyl-β-d-glucopyranosyl)- phloretin 2′-O-(3-O-galloyl-4,6-O-Sa- hexahydroxydiphenoyl-β-d-glucopyranosyl)phloretin Thonningianin B, AIn vitro: PTP-1B enzyme assay/IC50 = 24.7, 23.8, 19.3, 21.7, 4.4 µM In vitro: cell culture (HepG2)/↑insulin-stimulated IR phosphorylation (Thonningianin A)Pompermaier et al. (2018)
Tinospora sagittata (Oliv.) Gagnep. [Menispermaceae]/ChineseRhizome/EtOAcFull extractIn vitro: PTP-1B enzyme assay/IC50 = 38.5 μg/mlZhao et al. (2019b)
Tradescantia spathacea Sw. [Commelinaceae]/VietnameseAerial parts/MeOHBracteanolide A Latifolicinin C, A Oresbiusin AIn vitro: PTP-1B enzyme assay/IC50 = 7.82, 6.80, 4.55, 6.38 µMVo et al. (2015)
Ugni molinae Turcz. [Myrtaceae]/ChileanLeaves/EtOAcFull extract Madecassic acid MyricetinIn vitro: PTP-1B enzyme assay/IC50 = 97.2% at 2 μg/ml (full extract) In vivo: Insulin resistant mice (20, 20, and 20 mg/kg b.w.)/↓PTP-1B mRNA expression in aorta (full extract), ↑glucose tolerance (full extract and madecassic acid), ↑aortic insulin sensitivityArancibia-Radich et al. (2019)
Vaccinium myrtillus L. [Ericaceae]Fruits/EtOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 6.96 μg/mlXiao et al. (2017b)
Vaccinium uliginosum L. [Ericaceae]Fruits/EtOHFull extractIn vitro: PTP-1B enzyme assay/IC50 = 3.06 μg/mlXiao et al. (2017b)
Phenolic compounds Cyanidin-3-arabinoside Delphinidin-3-glucoside Cyanidin-3-galactoside Cyanidin-3-glucoside Malvidin-3-galactoside Petunidin-3-glucosideIn vitro: PTP-1B enzyme assay/IC50 = 8.91, 17.8, 19.8, 25.9, 34, 31.1 µM In vitro: cell culture (PTP-1B-overexpressed HepG2)/↑glucose consumption, ↑glycogen synthesis, ↓PTP-1B mRNA expression and protein level, ↑IRS1 and ↓GSK3β mRNA expression, ↑pIRS1, PI3K, pAkt, pAMPK, and pGSK3β protein level (cyanidin-3-arabinoside)Tian et al. (2019)
Procyanidin B1, B2In vitro: PTP-1B enzyme assay/IC50 = 0.6, 4.79 µM In vitro: cell culture (HepG2)/↓PTP-1B mRNA expression and protein levelLi et al. (2021)
Viburnum macrocephalum Fortune [Viburnaceae]/ChineseFruits/EtOHViburmacrosides C Viburmacrosideand D (+)-8′-hydroxypinoresinol 4-O-b-D-glucoside (-)-olivil 4′-O-b-D-glucosideIn vitro: PTP-1B enzyme assay/IC50 = 25.8, 8.9, 28.7, 27.5 µMZhao et al. (2020)
Vigna radiata (L.) R.Wilczek [Fabaceae]Seeds/AqueousFull extractIn vitro: PTP-1B enzyme assay/IC50 = 10 μg/ml In vitro: cell culture (insulin-resistant HepG2)/↑glucose uptake, ↓PEPCK and GSK3β mRNA expression levelSaeting et al. (2021)

Medicinal plants and their phytochemicals with PTP-1B inhibitory capacity.

EtOH: ethanolic extract; MeOH: methanolic extract; EtOAc; ethyl acetate extract; PTP-1B: protein tyrosine phosphatase 1B; OSTT: oral sucrose tolerance test; OGTT: oral glucose tolerance test; IR: insulin receptor; IRS1: insulin receptor substrate 1; IRS2: insulin receptor substrate 2; GSK3β: glycogen synthase kinase 3 beta; Akt: protein kinase B; PI3K: phosphoinositide 3-kinase; ERK1: extracellular signal-regulated kinase 1; HFD: high-fat diet; HDL: high-density lipoprotein; LDL: low-density lipoprotein; VLDL: very low-density lipoprotein; PEPCK: phosphoenolpyruvate carboxykinase; FBPase: fructose 1,6-bisphosphatase; G6Pase: glucose 6-phosphatase; GLUT2: glucose transporter 2; GLUT4: glucose transporter 4; AMPK: AMP-activated protein kinase; PPARγ: peroxisome proliferator-activated receptor gamma; HbA1c: glycated hemoglobin.

Inhibition of Hepatic Glucose Output by Modulating Glucose Metabolism in Liver

The liver is a key organ that plays a crucial role in the regulation of blood glucose because it manages both storage and synthesis of glucose. The latter involves two metabolic pathways: glycogenolysis and gluconeogenesis, which constitute total hepatic glucose production (HGP) (Lee et al., 2015). Glycogenolysis consists of glycogen breakdown into glucose, being half of the basal HGP in fasting and decreasing the glycogen concentration at an almost linear rate during the first 22 h (Rothman et al., 1991; Cersosimo et al., 2018). In fasting, it is controlled by glucagon and epinephrine that activate glycogen phosphorylase (GP), the major enzyme responsible for digesting glycogen by releasing glucose 1-phosphate. In feeding condition, insulin inhibits glycogen breakdown and promotes glycogen synthesis through the activation of Akt and protein phosphatase 1 (PP1), leading the deactivation of both GP and glycogen synthase kinase-3 (GSK3), which in its active form (dephosphorylated), inactivates glycogen synthase (GS) (Han et al., 2016).

Gluconeogenesis, on the other hand, is defined as the production of glucose from a molecule that is not a carbohydrate. Its main substrates are pyruvate, glycerol, and amino acids such as alanine (Hanson and Owen, 2013). Another way to denote gluconeogenesis is as “reverse glycolysis” since both share not only substrates and final products, but also many enzymes. However, the direction of the reactions catalyzed in gluconeogenesis goes in the opposite direction, so the steps that are not shared with glycolysis can be determined as regulatory steps. These reactions are catalyzed by four rate-limiting enzymes: pyruvate carboxylase (PC), which is responsible for converting pyruvate into oxaloacetate; phosphoenolpyruvate carboxykinase (PEPCK), that converts oxaloacetate to phosphoenolpyruvate; fructose 1,6-bisphosphatase (FBPase), that dephosphorylates fructose 1,6-bisphosphate obtaining fructose 6-phosphate; and glucose 6-phosphatase (G6Pase), which is responsible for removing the phosphate group from glucose 6-phosphate, yielding novo synthesized glucose (Postic et al., 2004).

In the diabetic state, increased rates of HGP are observed as a result of an imbalance of various factors, such as the augmented availability of gluconeogenic substrates, the resistance of the liver to the action of insulin, and elevated levels of glucagon that activate HGP (Sharabi et al., 2015). Due to all these factors, the inhibition of HGP turns out to be an important therapeutic target for the reduction of hyperglycemia observed in T2D patients. In this regard, Table 2 summarizes the works made between 2015 and 2021 with extracts or natural products from 47 medicinal plants that showed to modulate hepatic glucose metabolism by inhibiting glucose production or promoting glycogen synthesis. As it can be observed, decreasing the expression of PEPCK and G6Pase is the principal mechanism related to gluconeogenesis inhibition, while phosphorylation of GSK3, promotion of GS activity, and inhibition of GP are the main mechanisms involved in glycogen breakdown and synthesis. Furthermore, although PI3K/Akt pathway stands out as a good pharmacological target to reduce insulin resistance, medicinal plants and their phytochemicals can also decrease HGP through AMP-activated protein kinase (AMPK).

TABLE 2

Medicinal plant (scientific name [Family]/Traditional medicine system or places where it is used)Part/ExtractIsolated compoundsExperiment/OutcomeReferences
Abelmoschus esculentus (L.) Moench [Malvaceae]/ChineseWhole plant/EtOHPolysaccharidesIn vivo: insulin-resistant mice (200 and 400 mg/kg b.w.)/↑pAkt and pGSK3βLiao et al. (2019)
Ageratina petiolaris (Moc. & Sessé ex DC.) R.M.King & H.Rob. [Asteraceae]/MexicanAerial parts/AqueousFull extractIn vivo: diabetic rats (160 mg/kg b.w.)/↓Glucose production in PTTs In vitro: G6Pase inhibition assay/IC50 = 223 μg/mlMata-Torres et al. (2020)
Aloe vera (L.) Burm.f. [Asphodelaceae]/AryuvedaGel/EtOHCarbohydrate fractionIn vivo: diabetic rats (27 and 54 mg/kg b.w.)/↑Liver glycogen content, ↑GS protein levels, ↓G6Pase activityGovindarajan et al. (2021)
Alsophila firma (Baker) D.S.Conant [Cyatheaceae]/MexicanRhizome/AqueousFull extractIn vitro: G6Pase inhibition assay/IC50 = 341 μg/ml In vitro: FBPase inhibition assay/IC50 = 45 μg/mlAndrade-Cetto et al. (2021b)
Aster spathulifolius Maxim. [Asteraceae]/KoreanWhole plant/EtOHFull extractIn vivo: db/db mice (50, 100, and 200 mg/kg b.w.)/↑GK, ↓G6Pase and PEPCK expressionYin et al. (2015)
Averrhoa bilimbi L. [Oxalidaceae]/IndianFruits/AqueousEtOAc fractionIn vivo: diabetic rats (25 mg/kg b.w.)/↓G6Pase and FBPase activityKurup and S, (2017)
Bromelia karatas L. [Bromeliaceae]/MexicanAerial parts/AqueousFull extractIn vitro: G6Pase inhibition assay/IC50 = 1,136 μg/mlMata-Torres et al. (2020)
Calea urticifolia (Mill.) DC. [Asteraceae]/MexicanAerial parts/AqueousFull extractIn vivo: diabetic rats (41 mg/kg b.w.)/↓Glucose production in PTTs In vitro: G6Pase inhibition assay/IC50 = 406 μg/mlAndrade-Cetto et al. (2021a)
Calotropis procera (Aiton) W.T.Aiton [Apocynaceae]/IndianAerial parts/LatexProtein fractionIn vivo: Wistar rats (5 mg/kg b.w.)/↑ pAMPK, ↓PEPCK expression, ↓blood glucose in PTTsde Oliveira et al. (2019)
Caralluma fimbriata Wall. [Apocynaceae]/IndianStems/EtOHFull extractIn vivo: insulin-resistant rats (200 mg/kg b.w.)/↓G6Pase and FBPase activityGujjala et al. (2017)
Caralluma quadrangula (Forssk.) N.E.Br./Apocynaceae/SaudiWhole plant/MeOHRusselioside BIn vivo: diabetic rats (50 mg/kg b.w.)/↑Glycogen content, ↓GP activity, ↓GS and GSK3β expression, ↓G6Pase activity and expressionAbdel-Sattar et al. (2016)
Chrysobalanus icaco L. [Chrysobalanaceae]/NigerianLeaves/AqueousFull extractIn vivo: diabetic rats (11.076, 22.134, and 44.268 mg/kg b.w.)/↑Liver glycogen content, ↓G6Pase activityEkakitie et al. (2021)
Cola nitida (Vent.) Schott & Endl. [Malvaceae]/AfricanSeeds/AqueousFull extractIn vivo: diabetic rats (300 mg/kg b.w.)/↓GP, G6Pase, and FBPase activitiesErukainure et al. (2019b)
Combretum lanceolatum Pohl ex Eichler [Combretaceae]/BrazilianFlowers/EtOHFull extractIn vivo: diabetic rats (500 mg/kg b.w.)/↑pAMPK and pAkt, ↓PEPCK expressionSiqueira et al. (2016)
Coreopsis tinctoria Nutt. [Asteraceae]/Chinese and PortugueseFlowers/EtOAcMareinIn vitro: cell culture (insulin-resistant HepG2)/↑Glycogen content, ↓G6Pase and PEPCK expression and protein levelsJiang et al. (2018a)
Corispermum squarrosum L. [Amaranthaceae]/MongolWhole plant/EtOHOligosaccharidesIn vivo: db/db mice (380 and 750 mg/kg b.w.)/In liver: ↑pIRS2, ↑pAkt, ↑IRS2, PI3K, Akt, and IR expression and protein levelsBao et al. (2020)
Couroupita guianensis Aubl. [Lecythidaceae]Leaves/AqueousFull extract Gold nanoparticlesIn vivo: diabetic rats (100 and 2.5 mg/kg b.w.)/↑Glycogen storage, ↓G6Pase activity and expressionManimegalai et al. (2020)
Edgeworthia gardneri (Wall.) Meisn. [Thymelaeaceae]/ChineseFlowers/AqueousFull extractIn vitro: cell culture (insulin-resistant HepG2)/↑Glucose uptake and consumption, ↑Glycogen content, ↓Gluconeogenesis, ↑pIR, ↑pIRS1, ↑pAkt, ↑pGSK3Zhang et al. (2020)
Equisetum myriochaetum Schltdl. & Cham. [Equisetaceae]/MexicanAerial parts/AqueousFull ExtractIn vivo: diabetic rats (330 mg/kg b.w.)/↓Glucose production in PTTsMata-Torres et al. (2020)
Eryngium cymosum F.Delaroche [Apiaceae]/MexicanAerial parts/AqueousFull extractIn vivo: diabetic rats (470 mg/kg b.w.)/↓ Glucose production in PTTs In vitro: G6Pase inhibition assay/IC50 = 782 μg/ml In vitro: FBPase inhibition assay/IC50 = 57.4 μg/mlEspinoza-Hernández et al. (2021)
Eryngium longifolium Cav. [Apiaceae]/MexicanAerial parts/EtOHFull extractIn vitro: G6Pase inhibition assay/IC50 = 780 μg/ml In vitro: FBPase inhibition assay/IC50 = 93 μg/mlAndrade-Cetto et al. (2021b)
Ficus carica L. [Moraceae]/SpainLeaves/EtOHFull extractIn vivo: diabetic mice (2 g/kg b.w.)/↓PEPCK and G6Pase expression, ↑pAMPK In vitro: cell culture (HepG2)/↓PEPCK and G6Pase expression, ↑pAMPKZhang et al. (2019d)
Forsythia suspensa (Thunb.) Vahl [Oleaceae]/ChineseFruit/MeOHFull extractIn vivo: diabetic mice (200 mg/kg b.w.)/↓PEPCK expressionZhang et al. (2016b)
Graptopetalum paraguayense (N.E.Br.) E.Walther [Crassulaceae]/TaiwanLeaves/MeOHFull extract Partially purified fraction (HH-F3)In vitro: cell culture (Hep3B/T2)/↓PEPCK and G6Pase expressionJhuang et al. (2015)
Hyoscyamus albus L. [Solanaceae]/MediterraneanSeeds/MeOHCalystegine fractionIn vitro: cell culture (insulin-resistant HepG2)/↑Glucose consumption, ↓G6Pase (catalytic subunit) expression, ↑IR, IRS1/2, PI3K, Akt1/2 expression and protein levelsKowalczuk et al. (2021)
Hypericum attenuatum Fisch. ex Choisy [Hypericaceae]/ChineseWhole plant/EtOHFull extractIn vivo: insulin-resistant mice (100, 200, and 300 mg/kg b.w.)/↓PEPCK and G6Pase expression and protein levels, ↑GS expression and protein levels, ↑pIRS, ↑PI3K, ↑pAkt, ↑GSK3Jin et al. (2019)
Iris domestica (L.) Goldblatt & Mabb. [Iridaceae]/ChineseLeaves/EtOHSaponins and polysaccharide fraction Flavonoid fractionIn vivo: KK-Ay-mice (200 mg/kg b.w.)/↓G6Pase and PEPCK activities, ↑Glycogen contentGuo et al. (2019)
Launaea acanthodes (Boiss.) Kuntze [Asteraceae]/IranAerial parts/EtOHFull extractIn vivo: diabetic rats (100, 200, and 400 mg/kg b.w.)/↑GK and GLUT2 expression, ↓PEPCK and G6Pase expressionMarvibaigi et al. (2021)
Lithocarpus polystachyus (Wall. ex A.DC.) Rehder [Fagaceae]/ChineseLeaves/AqueousFull extractIn vivo: insulin-resistant mice (800 mg/kg b.w.)/↑Glycogen content, ↑Liver glucose influx,/↓G6Pase and PEPCK expression, ↑IR and IRS expressionWang et al. (2016a)
Lupinus mutabilis Sweet [Fabaceae]/AndeanSeeds/AqueousProtein fractionIn vitro: cell culture (HepG2)/↓glucose production and PEPCK expressionMuñoz et al. (2018)
Myrianthus arboreus P.Beauv. [Urticaceae]/AfricanRoot bark/EtOHEtOAc fraction Isoorientin Orientin Chlorogenic acidIn vitro: cell culture (H4IIE hepatocytes)/↓G6Pase activity, ↑pAMPKKasangana et al. (2019)
Root bark/Aqueous, EtOH (EtOAc and hexane fractions), Alkaloid rich, and DCM extractsFull extracts or fractionsIn vitro: cell culture (H4IIE hepatocytes)/↓G6Pase activity, ↑pAkt, ↑pAMPK In vitro: cell culture (HepG2)/↑GS activity, ↑GSK3Kasangana et al. (2018)
Myrica rubra (Lour.) Siebold & Zucc. [Myricaceae]/ChineseFruits/EtOHFull extractIn vivo: KK-Ay mice (200 mg/kg b.w.)/↑pAMPK. ↓ PEPCK and G6Pase expression In vitro: cell culture (HepG2)/↑pAMPK, ↓PEPCK and G6Pase expressionZhang et al. (2016a)
Pachylobus edulis G.Don [Burseraceae]/African and NigerianLeaves/EtOHBuOH fractionIn vivo: diabetic rats (150 and 300 mg/kg b.w.)/↓GP, FBPase, and G6Pase activitiesErukainure et al. (2020)
Leaves/EtOAc, EtOH, and AqueousFull extractsIn vitro: G6Pase inhibition assay/IC50 = 0.66, 3.59, 0.05 μg/mlErukainure et al. (2017)
Panax ginseng C.A.Mey. [Araliaceae]/KoreanRoots/EtOHBlack ginseng extractIn vivo: diabetic mice (300 and 900 mg/kg b.w.)/↓G6Pase, PEPCK and GP expression, ↑GS expressionSeo et al. (2016)
Plantago depressa Willd [Plantaginaceae]/ChineseSeeds/EtOHPlantadeprate A Plumbagine D Plantagoguanidinic acidIn vitro: cell culture (rat hepatocytes)/↓Gluconeogenesis inhibition by 8.2, 18.5, and 12.5% at 40 μMZheng et al. (2015)
Raphia hookeri G.Mann & H.Wendl. [Arecaceae]Raffia palm wine/Concentrated in water bathConcentrated wineIn vivo: diabetic rats (150 and 300 mg/kg b.w.)/↓GP, FBPase and G6Pase activityErukainure et al. (2019)
Rhizophora mangle L. [Rhizophoraceae]/MexicanBark/EtOHFull ExtractIn vivo: diabetic rats (90 mg/kg b.w.)/↓Glucose production in PTTs In vitro: G6Pase inhibition assay/IC50 = 99 μg/mlMata-Torres et al. (2020)
Rhodiola crenulata (Hook.f. & Thomson) H.Ohba [Crassulaceae]/Asian and Eastern European countriesRoots/EtOHFull extractIn vivo: Sprague–Dawley rats (50 mg/kg b.w.)/↓PEPCK expression, ↑pAMPK In vitro: cell culture (HepG2)/↑pGSK3β and AMPK, ↓PEPCK and G6Pase expressionLee et al. (2015)
Sarcopoterium spinosum (L.) Spach [Rosaceae]/Israel, Palestine, and JordanRoot/AqueousFull extractIn vivo: insulin-resistant mice (35 and 100 mg/kg b.w.)/↑pIR, ↑pAkt, ↑GSK3, ↑glycogen content In vivo: KK-Ay mice (35 and 100 mg/kg b.w.)/↑pIR, ↑pAkt, ↓PEPCK expressionRozenberg and Rosenzweig, (2018)
Senna alata (L.) Roxb. [Fabaceae]/Asia, Africa and South AmericaLeaves/EtOHFull extractIn vivo: diabetic rats (400 mg/kg b.w.)/↑Liver glycogen content, ↑GS activity, ↓GP and FBPase activitiesMohanasundaram et al. (2021)
Flowers/AqueousFull extract EtOAc fraction n-butanol fraction Aqueous fractionIn vivo: diabetic rats (75 mg/kg b.w.)/↑Glycogen storageUwazie et al. (2020)
Sesbania grandiflora (L.) Poir. [Fabaceae]/AryuvedaFlowers/MeOHFull extractIn vivo: diabetic rats (250 mg/kg b.w.)/↑Liver glycogen content, ↑GS activity, ↓GP, G6Pase, and FBPase activitiesSureka et al. (2021)
Shirakiopsis elliptica (Hochst.) Esser [Euphorbiaceae]/NigerianLeaves/EtOHFull extractIn vivo: diabetic rats (400 and 800 mg/kg b.w.)/↑GK activity by 40.31%, ↓G6Pase activity by 37.29%, ↑Glycogen contentIghodaro et al. (2017)
Smilax moranensis M.Martens & Galeotti [Smilacaceae]/MexicanRoots/EtOHFull ExtractIn vitro: G6Pase inhibition assay/IC50 = 84 μg/mlMata-Torres et al. (2020)
Swietena humilis Zucc. [Meliaceae]/MexicanSeeds/AqueousDried aqueous extract Mexicanolide 1 Mexicanolide 2 Mexicanolide 3In vitro: G6Pase inhibition assay in H4IIE hepatocytes Extract: 100 μg/ml = 40.67%; 200 μg/ml = 61.11 1: 9.46 µM = 42.68% 2: 8.79 µM = 56.51% 3: 8.13 µM = 41.79%Ovalle-Magallanes et al. (2019)
Tephrosia tinctoria (L.) Pers. [Fabaceae]/AryuvedaStems/EtOAcEtOAc fractionIn vivo: diabetic rats (100 and 200 mg/kg b.w.)/↑Liver glycogen content, ↓G6Pase and FBPase activityKrishnasamy and Periyasamy, (2019)
Terminalia catappa L. [Combretaceae]/AryuvedaLeaves/EtOHFull extractIn vivo: diabetic rats (300 and 500 mg/kg b.w.)/↓G6Pase and FBPase activityDivya et al. (2019)
Trigonella foenum-graecum L. [Fabaceae]/Asia, Africa, and the Mediterranean regionSeeds/EtOHFenugreek flavonoidsIn vivo: diabetic rats (0.5 g in 10 ml/kg)/↑Liver glycogen content, ↓G6Pase and FBPase activityJiang et al. (2018b)

Medicinal plants and their phytochemicals capable to modulate hepatic glucose metabolism.

EtOH: ethanolic extract; MeOH: methanolic extract; EtOAc; ethyl acetate extract; PTT: pyruvate tolerance test; IR: insulin receptor; IRS1: insulin receptor substrate 1; IRS2: insulin receptor substrate 2; GSK3: glycogen synthase kinase 3; Akt: protein kinase B; PI3K: phosphoinositide 3-kinase; PEPCK: phosphoenolpyruvate carboxykinase; FBPase: fructose 1,6-bisphosphatase; G6Pase: glucose 6-phosphatase; GLUT4: glucose transporter 4; AMPK: AMP-activated protein kinase; GS: glycogen synthase; GP: glycogen phosphorylase.

Discussion

Insulin resistance in liver leads to the release of large amounts of glucose into the bloodstream that affects long-term homeostasis. The regulation of hepatic glucose output represents a good pharmacological target for the control of metabolic diseases such as T2D, which are characterized by the presence of this pathophysiological phenomenon. The search for new molecules capable of regulating hepatic glucose metabolism from medicinal plants has focused on screening for phytochemicals that can directly inhibit key enzymes in glucose-producing pathways. However, considering compounds with the ability to also decrease the activity of the enzymes involved in terminating the insulin signal could result in more effective glycemic control.

According to the bibliographic search, plants used in different systems of traditional medicine have shown the ability to inhibit the activity or expression of PTP-1B, which could indicate that they have a potential inhibitory effect on HGP. The determination of biological activity of full extracts and compounds isolated from medicinal plants has been approached through different perspectives. Generally, the medicinal plant is first identified using an ethnopharmacological approach. Afterwards, different types of extracts are elaborated (aqueous, ethanolic, methanolic, etc.) and then tested on the biological activity to be evaluated following several paths: 1) direct inhibition enzymatic assays, which can be complemented with structure-activity relationship (SAR) studies and molecular docking analysis to find the possible structures responsible for the bioactivity, relating them with the binding of amino acid residues present at the catalytic or regulatory sites (regarding isolated compounds); 2) the use of cell cultures to evaluate the effect of the extract or compound on the expression and protein levels of key enzymes; and 3) in vivo studies, where diabetic (hyperglycemic) animals induced with STZ or alloxan, or insulin-resistant animals generated by the consumption of high-fat diet are used.

Regarding PTP-1B, most of the studies published between 2015 and 2021 focused on conducting enzyme activity assays, and few of them had a multidisciplinary approach that encompassed enzyme assays and in vitro or in vivo studies. The main problem with the first type of studies is that, although the inhibition potency and selectivity of the molecule over the enzyme are directly evaluated, the pharmacokinetic properties of the compound are omitted. This particularity stands out since it has been reported that, despite having excellent inhibitory activity, many compounds lack adequate cellular permeability, namely they present poor absorption and low bioavailability (Zhang et al., 2017). Another aspect to highlight is that PTP-1B is almost identical to TC-PTP, another member of the PTP family with 74% identity at the catalytic site, so it is important that the identified inhibitors have a high selectivity towards PTP-1B to avoid unwanted effects (Dewang et al., 2005). Considering these facts, it would be necessary in the future to carry out more studies involving as many approaches as possible to obtain a more integrative panorama and to be able to evaluate potential inhibitors considering their pharmacokinetic properties and selectivity. Also, it is encouraged to directly evaluate the effect of medicinal plants and their compounds with reported PTP-1B inhibitory capacity on hepatic glucose metabolism.

In addition to exhibiting PTP-1B inhibitory capacity, some of the medicinal plants reported in Table 1 also improved hepatic glucose metabolism by promoting glucose consumption and glycogen synthesis, upregulating activity or expression of GS, decreasing activity or expression of key enzymes involved in glycogenolysis and gluconeogenesis such as GSK3, GP, PEPCK, FBPase, and G6Pase, and by modulating insulin signaling. The compounds isolated from these plants could have a greater modulatory capacity of hepatic glucose metabolism because they are capable of directly reducing both insulin resistance and glucose production. These species were Astragalus mongholicus (astragaloside IV), Chaenomeles japonica, Duranta erecta, Eriobotrya japonica (maslinic acid, corosolic acid, oleanolic acid, and ursolic acid), Symplocos cochinchinensis, Thonningia sanguinea (2′-O- (3-O-galloyl-4,6-O-Sa-hexahydroxydiphenoyl-β-d-glucopyranosyl)-3-hydroxyphloretin, 4′-O-(4,6-O-Sa-hexahydroxydiphenoyl-β-d-glucopyranosyl)- phloretin, 2′-O-(3-O-galloyl-4,6-O-Sa-hexahydroxydiphenoyl-β-d-glucopyranosyl)phloretin, thonningianin A, and thonningianin B), Vaccinium uliginosum (cyanidin-3-arabinoside, delphinidin-3-glucoside, cyanidin-3-galactoside, cyanidin-3-glucoside, malvidin-3-galactoside, petunidin-3-glucoside, procyanidin B1, and procyanidin B2), and Vigna radiata. On the other hand, since Coreopsis tinctoria, Lithocarpus polystachyus, and Panax ginseng were documented in both Tables 1, 2, their isolated compounds may have better glycemic control.

This work focused on summarizing the medicinal plants with the potential capacity to reduce hyperglycemia resulting from an imbalance in the hepatic metabolism of glucose, encompassing two different approaches: the inhibition of PTP-1B (improvement of hepatic insulin resistance), and the modulation of enzymes involved in gluconeogenesis and glycogenolysis/glycogenesis (decreased hepatic glucose output). In recent years, PTP-1B research has focused on the characterization of different phytochemicals from medicinal plants, such as phenolic compounds, terpenes, and alkaloids. The main methodology used was to carry out direct enzyme inhibition tests to evaluate the potency of these molecules, omitting important aspects such as selectivity or pharmacokinetics. Therefore, it is proposed to use of multidisciplinary approaches that involve in vitro studies, such as the use of cell lines or primary culture to evaluate the effect of the extracts and compounds on expression and protein levels, and in vivo studies, where the concentration of the compound in systemic circulation and its duration is determined, as well as the transformation processes involved. In this regard, not only the inhibitory activity of the compounds is evaluated, but also the impact on other pharmacological aspects that can only be observed using animal models.

On the other hand, research on medicinal plants that modulate hepatic glucose metabolism has primary focused on testing full extracts rather than compounds. However, it is worth mentioning that mixtures could have synergistic effects capable of regulating multiple targets (Caesar and Cech, 2019) and therefore compound fractions may exhibit more bioactivity than isolated molecules. Further studies are needed to identify potential multi-target phytochemicals in plants listed in Table 2. Finally, it is expected that this review will provide greater knowledge of medicinal plants and compounds for the development of drugs that improving hepatic glucose metabolism as a therapeutic target for the treatment of T2D.

We suggest that Coreopsis tinctoria, Lithocarpus polystachyus, and Panax ginseng can be good candidates for developing herbal medicines or phytomedicines that target inhibition of hepatic glucose output as they can modulate the activity of PTP-1B, the expression of gluconeogenic enzymes, and the glycogen content. However, only their full extracts are tested until now. Therefore, compounds responsible for the effects mentioned above have not been identified, and pharmacological and toxicological tests in animal models are required to assess their efficacy and safety, with the aim of moving forward to carry out clinical studies.

Statements

Author contributions

GM-T and FE-H performed the bibliographical research summarized in tables and wrote the first version of the manuscript. AA-C reviewed and edited the manuscript. All authors have read and agreed to the published version of the manuscript.

Funding

This project was partially sponsored by DGAPA PAPIIT IN226719 and IN213222.

Acknowledgments

Authors acknowledge “Consejo Nacional de Ciencia y Tecnología (CONACyT)” for the doctoral scholarship of GM-T and FE-H.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

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Summary

Keywords

medicinal plants, hyperglycemia, hepatic glucose output, insulin resistance, PTP-1B inhibitors, natural products

Citation

Mata-Torres G, Andrade-Cetto A and Espinoza-Hernández F (2021) Approaches to Decrease Hyperglycemia by Targeting Impaired Hepatic Glucose Homeostasis Using Medicinal Plants. Front. Pharmacol. 12:809994. doi: 10.3389/fphar.2021.809994

Received

05 November 2021

Accepted

30 November 2021

Published

23 December 2021

Volume

12 - 2021

Edited by

Valentina Echeverria Moran, Bay Pines VA Healthcare System, United States

Reviewed by

Luis Goya, Spanish National Research Council (CSIC), Spain

Sakina Mohamed Yagi, University of Khartoum, Sudan

Updates

Copyright

*Correspondence: Adolfo Andrade-Cetto,

This article was submitted to Ethnopharmacology, a section of the journal Frontiers in Pharmacology

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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