Čes. slov. farm. 2015, 64(1):3-6 | DOI: 10.36290/csf.2015.001
Effectiveness of phytotherapy in supportive treatment of type 2 diabetes mellitus Billberry (Vaccinium myrtillus)
- 1 Vojenská nemocnice Brno, Interní oddělení, Brno
- 2 Veterinární a Farmaceutická Univerzita Brno, Farmaceutická fakulta, Ústav humánní farmakologie a toxikologie, Brno
- 3 Masarykova Univerzita, Lékařská fakulta, Farmakologický ústav, Brno
- 4 Masarykova Univerzita, CEITEC - Středoevropský technologický institut, Brno
The billberry is well-known for its tasty blue-dyeing fruits. Historically the leaves and fruits were used to treat diabetes, cardiovascular diseases, dementia and cancer. Antidiabetic properties of the plant are attributed mostly to the content of anthocyanins and polyphenols. These compounds have proven their antidiabetic potential in various studies. Their mechanism of action is an increase in insulin secretion (anthocyanin pelargonidin), reduction of insulin resistance (anthocyanin cyanidin-3-glucoside), glucose resorption from the GIT (polyphenols) and enhancement of beta-cells regeneration. Besides these effects, anthocyanins contribute to the improvement of the lipid spectrum and have antioxidant, anti-inflammatory and cardioprotective activities. Antidiabetic effects of anthocyanin cyanidin-3-galactoside were compared to acarbose (synergistic effect), hypocholesterolemic activity of cyanidin-3-O-glucoside to atorvastatin (synergistic effect) and hypolipidemic properties of blueberry leaf extract to ciprofibrate (extract has a lower effect). However, in many preclinical and clinical studies different species of the Vaccinium genus and other plants with asimilar effect as the billberry were also assessed. Therefore, in order to convincingly assess the efficacy and safety of blueberry herbal medicines more studies are necessary. Such studies should shed light into the variety of anthocyanins, their particular effects and optimal doses and compare their effects with intake of foods generally rich in anthocyanins.
Keywords: billberry; Vaccinium myrtillus; diabetes mellitus; phytotherapy; antocyanines
Grants and funding:
Podpořeno projektem specifického výzkumu na Masarykově univerzitě (MUNI/A/0886/2013 a MUNI/A/1116/2014).
Received: January 28, 2015; Accepted: February 15, 2015; Published: January 1, 2015 Show citation
References
- Mika K. Fytoterapia pre lekárov. Martin: Osveta 1991.
- Tomko J. Farmakognózia. Martin: Osveta 1999.
- Kong J. M., Chia L. S., Goh N. K., Chia T. F., Brouillar R. Analysis and biological activities of anthocyanins. Phytochemistry 2003; 64, 923-933.
Go to original source...
Go to PubMed...
- Castañeda-Ovando A., Pacheco-Hernández M. L., Páez-Hernández M. E., Rodriguez J. A., Galan-Vidal C. A. Chemical studies of anthocyanins: a review. Food Chem. 2009; 113, 859-871.
Go to original source...
- Benzie I. F. F., Wachtel-Galor S. Herbal medicine: biomolecular and clinical aspects. CRC Press: Boca Raton (FL) 2011.
Go to original source...
- Jayaprakasam B., Vareed S. K., Olson L. K., Nair M. G. Insulin secretion by bioactive anthocyanins and anthocyanidins present in fruits. J. Agric. Food Chem. 2005; 53, 28-31.
Go to original source...
Go to PubMed...
- Horská K., Kučerová J., Suchý P., Kotolová H. Metabolic syndrome - dysregulation of adipose tissue endocrine function. Čes. slov. Farm. 2014; 63, 152-159.
Go to original source...
- Kučerová J., Babinská Z., Horská K., Kotolová H. The common pathophysiology underlying the metabolic syndrome, schizophrenia and depression. A review. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub. 2014; doi: 10.5507/bp.2014.060.
Go to original source...
Go to PubMed...
- Tsuda T., Horio F., Uchida K., Aoki H., Osawa T. Dietary cyanidin 3-O-beta-D-glucoside-rich purple corn color prevents obesity and ameliorates hyperglycemia in mice. J. Nutr. 2003; 133, 2125-2130.
Go to original source...
Go to PubMed...
- Tsuda T. Regulation of adipocyte function by anthocyanins; possibility of preventing the metabolic syndrome. J. Agric. Food Chem. 2008; 56, 642-646.
Go to original source...
Go to PubMed...
- DeFuria J., Bennett G., Strissel K. J., Perfield J. W., Milbury P. E., Greenberg A. S., Obin M. S. Dietary blueberry attenuates whole-body insulin resistance in high fat-fed mice by reducing adipocyte death and its inflammatory sequelae. J. Nutr. 2009; 139, 1510-1516.
Go to original source...
Go to PubMed...
- Sasaki R., Nishimura N., Hoshino H., Isa Y., Kadowaki M., Ichi T., Tanaka A., Nishiumi S., Fukuda I., Ashida H., Horio F., Tsuda T. Cyanidin 3-glucoside ameliorates hyperglycemia and insulin sensitivity due to downregulation of retinol binding protein 4 expression in diabetic mice. Biochem. Pharmacol. 2007; 74, 1619-1627.
Go to original source...
Go to PubMed...
- Nizamutdinova I. T., Jin Y. C., Chung J. I., Shin S. C., Lee S. J., Seo H. G., Lee J. H., Chang K. C., Kim H. J. The anti-diabetic effect of anthocyanins in streptozotocin-induced diabetic rats through glucose transporter 4 regulation and prevention of insulin resistance and pancreatic apoptosis. Mol. Nutr. Food Res. 2009; 53, 1419-1429.
Go to original source...
Go to PubMed...
- Takikawa M., Inoue S., Horio F., Tsuda T. Dietary anthocyanin-rich bilberry extract ameliorates hyperglycemia and insulin sensitivity via activation of AMP-activated protein kinase in diabetic mice. J. Nutr. 2010; 140, 527-533.
Go to original source...
Go to PubMed...
- McDougall G. J., Kulkarni N. N., Stewart D. Current developments on the inhibitory effects of berry polyphenols on digestive enzymes. Biofactors 2008; 34, 73-80.
Go to original source...
Go to PubMed...
- Martineau L. C., Couture A., Spoor D., Benhaddou-Andaloussi A., Harris C., Meddah B., Leduc C., Burt A., Vuong T., Mai Le P., Prentki M., Bennett S. A., Arnason J. T., Haddad P. S. Anti-diabetic properties of the Canadian lowbush blueberry Vaccinium angustifolium Ait. Phytomedicine 2006; 13, 612-623.
Go to original source...
Go to PubMed...
- Pool-Zobel B. L., Bub A., Schroder N., Rechkemmer G. Anthocyanins are potent antioxidants in model systems but do not reduce endogenous oxidative DNA damage in human colon cells. European J. Nutr. 1999; 38, 227-234.
Go to original source...
Go to PubMed...
- Kay C. D., Holub B. J. The effect of wild blueberry (Vaccinium angustifolium) consumption on postprandial serum antioxidant status in human subjects. Br. J. Nutr. 2002; 88, 389-98.
Go to original source...
Go to PubMed...
- Valentova K., Ulrichova J., Cvak L., Simanek V. Cytoprotective effect of a bilberry extract against oxidative damage of rat hepatocytes. Food Chem. 2006; 101, 912-917.
Go to original source...
- Feshani A. M., Kouhsari S. M., Mohammadi S. Vaccinium arctostaphylos, a common herbal medicine in Iran: molecular and biochemical study of its antidiabetic effects on alloxan-diabetic Wistar rats. J. Ethnopharmacol. 2011; 133, 67-74.
Go to original source...
Go to PubMed...
- Bornseka S. M., Zibernab L., Polaka T. Bilberry and blueberry anthocyanins act as powerful intracellular antioxidants in mammalian cells. Food Chem. 2012; 134, 1878-1884.
Go to original source...
Go to PubMed...
- Cignarella A., Nastasi M., Cavalli E., Puglisi L. Novel lipid-lowering properties of Vaccinium myrtillus L. leaves, a traditional antidiabetic treatment, in several models of rat dyslipidaemia: a comparison with ciprofibrate. Thromb. Res. 1996; 84, 311-322.
Go to original source...
Go to PubMed...
- Adisakwattana S., Charoenlertkul P., Yibchok-Anun S. Alpha-glucosidase inhibitory activity of cyanidin-3-galactoside and synergistic effect with acarbose. J. Enzyme Inhib. Med. Chem. 2009; 24, 65-69.
Go to original source...
Go to PubMed...
- Zhou Z., Nair M. G., Claycombe K. J. Synergistic inhibition of interleukin-6 production in adipose stem cells by tart cherry anthocyanins and atorvastatin. Phytomedicine 2012; 19, 878-881.
Go to original source...
Go to PubMed...
- Prior R. L., Wilkes S. E., Rogers T. R., Khanal R. C., Wu X., Howard L. R. Purified blueberry anthocyanins and blueberry juice alter development of obesity in mice fed an obesogenic high-fat diet. J. Agric. Food Chem. 2010; 58: 3970-3976.
Go to original source...
Go to PubMed...
- Diabetan-spc.pdf. SÚKL. http://www.sukl.cz/modules/medication/search.php (staženo 9. února 2015).
- Koupý D., Kotolová H., Kučerová J. Současné fytoterapeutické možnosti v léčbě diabetes mellitus. Prakt. Lékáren. 2014; 10, 4.
- Kašparová M. Borůvka černá (Vaccinium myrtillus L.). Prakt. Lékáren. 2009; 5, 143-145.
- Xiao J., Kai G., Yamamoto K., Chen X. Advance in dietary polyphenols as α-glucosidases inhibitors: a review on structure-activity relationship aspect. Crit. Rev. Food Sci. Nutr. 2013; 53, 818-836.
Go to original source...
Go to PubMed...
- Williamson G. Possible effects of dietary polyphenols on sugar absorption and digestion. Mol. Nutr. Food Res. 2013; 57, 48-57.
Go to original source...
Go to PubMed...