Triterpene-enriched fractions from Eucalyptus tereticornis ameliorate metabolic alterations in a mouse model of diet-induced obesity.

ETNOPHARMACOLOGICAL RELEVANCE: Eucalyptus tereticornis Sm. (Eu) is a plant species used in traditional medicine to treat diabetes mellitus. Eu leaf extracts have been shown to regulate immuno-metabolic activities that are associated with obesity and insulin resistance. OBE100 and OBE104 are two natural Eu extracts that are rich in pentacyclic triterpenes. The major compounds identified in OBE100 are ursolic acid (UA), oleanolic acid (OA), and ursolic acid lactone (UAL), and the major compounds identified in OBE104 are UA and OA. AIM OF THE STUDY: This study aimed to investigate the effects of two extracts from Eu leaves with different triterpene composition in a nutritional animal model of prediabetes. METHODS: A mouse model of diet-induced obesity was used to analyze the effects of the OBE100 and OBE104 treatments on metabolic markers and gene expression in liver and visceral adipose tissue. RESULTS: Treating the prediabetic mouse model with OBE100 and OBE104 increased glucose tolerance. However, only the Eu extract that contained three triterpenes reduced mouse body weight, hepatic and adipose fat content, and plasma lipid levels. OBE100 treatment also led to decreased hepatic mRNA levels of PPARA, CPT1A, and SERBP1. In visceral adipose tissue, OBE100 treatment reduced expression of PPARA and ACACA and increased UCP1 expression. CONCLUSIONS: These results suggest that developing a new multitargeting bioactive compound from the natural extract from Eu may help combat obesity and diabetes. Treatment with OBE100 had better effects than OBE104 in a diet-induced obesity mouse model, suggesting that the OBE100 extract, which contains three triterpenes, may be beneficial in combating obesity.

Metabolic Activity of Anthocyanin Extracts Loaded into Non-ionic Niosomes in Diet-Induced Obese Mice.

PURPOSE: Anthocyanins (ACNs) are polyphenols that might reduce pathological processes associated with type 2 diabetes mellitus and other chronic diseases, but their bioavailability is still controversial. In this study, the metabolic activity of oral delivery of ACN-loaded niosomes was investigated and evaluated in a diet-induced obesity (DIO) mice model. METHODS: ACNs extracted from Vaccinium Meridionale by the supercritical fluid extraction method were loaded in niosomes. The niosomal formulation was physically characterized and further administrated in drinking water to obese, insulin resistant mouse. We evaluated the effect of ACN loaded niosomes on hyperglycemia, glucose and insulin intolerance and insulin blood levels in C57BL/6 J mice fed with a high-fat diet. RESULTS: The ACN-loaded particles were moderately monodisperse, showed a negative surface charge and 57% encapsulation efficiency. The ACN-loaded niosomes ameliorated the insulin resistance and glucose intolerance in the DIO mice model. Additionally, they reduced animal weight and plasma insulin, glucose, leptin and total cholesterol levels in obese mice. CONCLUSION: ACN-loaded niosomes administration, as a functional drink, had a beneficial effect on the reversal of metabolic abnormalities associated with obesity.

Serjanic Acid Improves Immunometabolic Markers in a Diet-Induced Obesity Mouse Model.

Plant extracts from Cecropia genus have been used by Latin-American traditional medicine to treat metabolic disorders and diabetes. Previous reports have shown that roots of Cecropia telenitida that contains serjanic acid as one of the most prominent and representative pentacyclic triterpenes. The study aimed to isolate serjanic acid and evaluate its effect in a prediabetic murine model by oral administration. A semi-pilot scale extraction was established and serjanic acid purification was followed using direct MALDI-TOF analysis. A diet induced obesity mouse model was used to determine the impact of serjanic acid over selected immunometabolic markers. Mice treated with serjanic acid showed decreased levels of cholesterol and triacylglycerols, increased blood insulin levels, decreased fasting blood glucose and improved glucose tolerance, and insulin sensitivity. At transcriptional level, the reduction of inflammation markers related to adipocyte differentiation is reported.

Immunometabolic regulation by triterpenes of Eucalyptus tereticornis in adipose tissue cell line models.

BACKGROUND: Eucalyptus tereticornis Sm (Myrtaceae) is a plant used in traditional medicine to control obesity, insulin resistance and diabetes. Chronic adipose tissue inflammation is involved in generating insulin resistance, the greatest risk factor in developing type 2 diabetes mellitus and cardiovascular disease. In the present study, a mixture of triterpenes, as obtained from the starting plant material, was evaluated in inflamed adipose tissue cells models. AIM: Our goal is to advance into the understanding, at the cellular level, of the immunometabolic effects of the triterpene mixes from Eucalyptus tereticornis in in vitro models of mouse and human adipose tissues. METHODS: Triterpene mixes were obtained from Eucalyptus tereticornis leaves by organic extraction. The major compounds of these mixes were identified by 1H NMR and 13C NMR in addition to HPLC using primary and secondary standards of ursolic acid, oleanolic acid and ursolic acid lactone. To provide an approach for evaluating the cellular and molecular mechanisms through which triterpene mixes act to modify the metabolic processes associated with obesity, mouse macrophage and adipocyte cell lines, human macrophage cell line and primary culture of human adipocytes were used as models. RESULTS: Adipocytes treated with the two natural chemically characterized triterpene mixes partially reduce lipogenesis and leptin expression. Additionally, an increase in the transcriptional expression of PPARγ, and C/EBPα is observed. In macrophages, these triterpene mixes, decrease the transcriptional and translational expression of pro-inflammatory cytokines, such as interleukin-6 (IL-6), interleukin 1ß (IL-1ß) and tumoral necrosis factor α (TNFα). Conditioned medium of 3T3-L1 adipocytes treated with the triterpene mix shows a stronger anti-inflammatory response on activated J774A.1 macrophages. CONCLUSION: The mixtures of the three triterpenes in the proportions obtained from the plant material may act on different components of the cell, generating a different response, which, in some cases, is more powerful than that seen when exposure to only two triterpenes. It makes this three triterpenes mix a good phytotherapeutic prototype for pathologies as complex as those associated with obesity.

[Styrylquinolines-type synthetic compounds with leishmanicidal and cytotoxic activities]. / Compuestos sintéticos del tipo de estirilquinolinas con actividades leishmanicida y citotóxica.

INTRODUCTION: Leishmaniasis is a major public health problem faced by many countries, including Colombia. Its treatment has limitations such as the toxicity of the drugs used, the emergence of resistant strains, and prolonged and expensive treatments. Thus, there is an urgent need to find alternative solutions. OBJECTIVE: To evaluate the leishmanicidal and cytotoxic activities of three 2-styrylquinolines type compounds: 2-[(E)-2-(2,3-diacetyloxyphenyl)ethenyl]quinolin-8-yl-acetate, E1; 2-[(E)-2-(4-acetyloxy-3-methoxyphenyl)ethenyl] quinoline, E2, and 2-[(E)-2-(2,3-diacetyloxyphenyl)ethenyl] quinoline, E3. MATERIALS AND METHODS: The 2-styrylquinolines were obtained by organic synthesis using Perkin-type condensation reaction from 8-hydroxy quinaldine or quinaldine and aromatic aldehydes. The leishmanicidal activity was evaluated on intracellular amastigotes of Leishmania (Viannia) panamensis by flow cytometry. The results were expressed as lethal concentration 50 (LC 50 ) for cytotoxicity and effective concentration 50 (EC 50 ) for leishmanicidal activity, calculated by the Probit method. RESULTS: E3 showed high activity against L. (V) panamensis with a calculated EC 50 value of 1.4 µg/ml, and a selectivity index of 3.9; E1 and E2 showed higher EC 50 values of 5.6 and 68.1 µg/ml, respectively. For cytotoxicity, LC 50 values ranging from 5.4 to 68.1 µg/ml were calculated. E2 was moderately toxic, showing an LC 50 very similar to that of amphotericin B, a substance used as cytotoxic control. CONCLUSION: The styrylquinoline E3 is a promising compound against L. (V) panamensis , as it was able to significantly inhibit amastigotes inside the cell, reducing infection despite its toxicity.

Compuestos sintéticos del tipo de estirilquinolinas con actividades leishmanicida y citotóxica / Styrylquinolines-type synthetic compounds with leishmanicidal and cytotoxic activities

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Actividad tripanocida y citotóxica de extractos de plantas colombianas / Trypanocidal and cytotoxic activity of extracts of Colombian plants

Introducción. El tratamiento de la enfermedad de Chagas está basado en sólo dos medicamentos de eficacia limitada y con importantes efectos colaterales. La gran biodiversidad de la flora colombiana hace de la bioprospección una alternativa potencial en la búsqueda de nuevos antiparasitarios. Objetivo. Evaluar in vitro el potencial tripanocida y la citotoxicidad de extractos obtenidos de 23 plantas colombianas. Materiales y métodos. Se obtuvieron extractos de hojas, de tallos o de la planta entera, en solventes de diferente polaridad. La actividad contra epimastigotes y la citotoxicidad se evaluaron por el micrométodo enzimático con MTT. Los extractos activos contra epimastigotes y con baja citotoxicidad se evaluaron también en tripomastigotes y amastigotes intracelulares. Resultados. Se reporta la actividad tripanocida de 13 plantas colombianas y se confirma el efecto biológico de cuatro especies previamente evaluadas. Cuatro extractos activos en epimastigotes también fueron activos en tripomastigotes y, uno de ellos, en amastigotes. Este extracto fue aislado de la planta Hieronyma antioquensis, y presentó CI50 de 3,125, 11,48 y 2,85 µg/ml, e índices de selectividad de 25,7 y 27, para epimastigotes, tripomastigotes y amastigotes, respectivamente. Los resultados sugieren que este extracto es un candidato promisorio para el tratamiento de la enfermedad de Chagas. Conclusión. La flora colombiana es una fuente potencial de nuevas sustancias para la quimioterapia contra la enfermedad de Chagas. El micrométodo enzimático con MTT es una herramienta útil para la tamización de la actividad biológica en epimastigotes y posterior selección para ensayos con otros estadios del parásito.

Introduction. The treatment of Chagas disease is based on only two drugs with limited efficacy and significant side effects. The rich biodiversity of the Colombian flora makes bio-prospecting a potential alternative in the search for new antiparasitic drugs. Objective. Potential trypanocidal activity and cytotoxicity was assessed in extracts from 23 Colombian plants. Materials and methods. Extracts of leaves, stems, or of the whole plants were obtained in solvents of a range of polarities. The activity against Trypanosoma cruzi epimastigotes and the cytotoxicity were evaluated by the MTT enzymatic micro-method. Extracts active against epimastigotes and with lowcytotoxicity were also tested on trypomastigotes and intracellular amastigotes. Results. Among the extracts, biological activity was confirmed in 4 species. The extracts were active on epimastigotes and trypomastigotes; one was active also against amastigotes. The latter extract was isolated from the plant Hieronyma antioquensis and presented IC50 of 3.1 mg/ml for epimastigotes, 11.5mg/ml for trypomastigotes and 2.9 mg/ml for amastigotes. The selectivity indexes were 25, 7, and 27 respectively. Conclusions. The extract from H. antioquensis proved a promising candidate for Chagas disease treatment. Futhermore, the MTT enzymatic micromethod was a useful tool for screening biological activity on epimastigotes and other stages of the parasite for further extract trials.

[Trypanocidal and cytotoxic activity of extracts of Colombian plants]. / Actividad tripanocida y citotóxica de extractos de plantas colombianas.

INTRODUCTION: The treatment of Chagas disease is based on only two drugs with limited efficacy and significant side effects. The rich biodiversity of the Colombian flora makes bio-prospecting a potential alternative in the search for new antiparasitic drugs. OBJECTIVE: Potential trypanocidal activity and cytotoxicity was assessed in extracts from 23 Colombian plants. MATERIALS AND METHODS: Extracts of leaves, stems, or of the whole plants were obtained in solvents of a range of polarities. The activity against Trypanosoma cruzi epimastigotes and the cytotoxicity were evaluated by the MTT enzymatic micro-method. Extracts active against epimastigotes and with low cytotoxicity were also tested on trypomastigotes and intracellular amastigotes. RESULTS: Among the extracts, biological activity was confirmed in 4 species. The extracts were active on epimastigotes and trypomastigotes; one was active also against amastigotes. The latter extract was isolated from the plant Hieronyma antioquensis and presented IC(50) of 3.1 mg/ml for epimastigotes, 11.5 mg/ml for trypomastigotes and 2.9 mg/ml for amastigotes. The selectivity indexes were 25, 7, and 27 respectively. CONCLUSIONS: The extract from H. antioquensis proved a promising candidate for Chagas disease treatment. Futhermore, the MTT enzymatic micromethod was a useful tool for screening biological activity on epimastigotes and other stages of the parasite for further extract trials.

Evaluación de la actividad citotóxica y leishmanicida de extractos y fracciones de Piper cumanense y Piper holtonii / Evaluation of the cytotoxic and leishmanicidal activity of extracts and fractions of Piper cumanense and Piper holtonii

Especies del género Piper son reportadas como promisorias para el tratamiento de enfermedades tropicales. Este estudio evalúa la actividad citotóxica y leishmanicida de extractos y fracciones de diferente polaridad obtenidas de las especies vegetales Piper cumanense (P. cumanense) y Piper holtonii (P. holtonii); se emplearon macrófagos murinos J774 y promastigotes de Leishmania panamensis MHOM/CO/87/UA140. La fracción hexánica (PcH) presentó un efecto leishmanicida con una selectividad de 2 en los modelos in vitro empleados. Esta selectividad permite sugerir una potencial actividad antileishmanial, que amerita seguir siendo explorada.

Piper genus’ species are reported as promissory as tropical diseases treatment. This research showed the cytotoxic and leishmanicidal activity of extracts and fractions of different polarity derived from Piper cumanense (P. cumanense) and Piper holtonii (P. holtoni) on murine macrophages J774 and L. panamensis promastigotes (MHOM/ CO/87/UA140). Hexanic fraction (PcH) exhibited leishmanicidal effect with 2-fold index selectivity in this in vitro model used. These results suggest a potential antileishmanial activity which should be more studied.

Evaluación in vitro de la actividad de aceites esenciales de plantas colombianas sobre Leishmania braziliensis / In vitro evaluation of essentials oils activity from Colombians plants on Leishmania braziliensis

Las leishmaniosis son zoonosis que en el hospedero humano pueden afectar la piel, las mucosas o las vísceras, resultado del parasitismo de los macrófagos por un protozoario flagelado del género Leishmania, introducido al organismo por la picadura de un insecto flebótomo. En Colombia, la leishmaniosis cutánea es causada por parásitos del subgénero Viannia, al cual pertenecen las especies Leishmania (L) panamensis, L. braziliensis y L. guyanensis. El tratamiento clínico requiere la administración de medicamentos que, si bien son efectivos, generan efectos adversos en el individuo. Además, se ha detectado una resistencia del parásito, lo que ha favorecido la disminución de la eficacia de los tratamientos usados convencionalmente para controlar la enfermedad. En la búsqueda de nuevas y más seguras alternativas terapéuticas, los productos naturales son una fuente importante de agentes con potencial actividad antileishmanial. Éste es el caso de los aceites esenciales que por sus características físico-químicas, principalmente por su untuosidad, pueden constituirse en una alternativa tópica para el control de la leishmaniosis cutánea (lc). En este estudio, la actividad antileishmanial de trece aceites esenciales de diferentes familias de plantas colombianas (Lauraceae, Rutaceae, Verbenaceae, Lamiaceae, Zingiberaceae, Myristicaceae, Cardiopteridaceae y Pinaceae) se evaluó sobre los promastigotes de L. braziliensis. Si bien, es necesaria la valoración del efecto citotóxico que sobre los macrófagos, como células blanco de la infección por Leishmania, puedan generar estos aceites; resulta promisoria la actividad antileishmanial directa sobre las formas promastigotes, la cual puede ser comparable con la observada para pentamidina, fármaco que a diferencia de las sales antimoniales pentavalentes, no es una prodroga que requiera ser descompuesta en metabolitos activos una vez es incorporada al macrófago.

Leishmaniasis is zoonosis that in human host can affect skin, mucosa and viscera, when a flagelar protozoo is phagocyted by macrophages after bit of Phlebotomineo insect. In Colombia, cutaneous leishmaniasis is produced by subgenus Viannia parasites, genus that includes species like Leishmania panamensis (L), L. braziliensis y L. guyanensis. Clinical treatment requires the administration of effective drugs that induce severe adverse effects in the patient treated. Additionally, the parasite had generated a drug-resistance, which promotes a reduction in this kind of therapeutic schedule. In the searching of new and safer therapeutics alternatives to leishmaniasis control, natural products are a important source of active molecules with pharmacological activity. In this study we reported the antileishmanial activity of 13 essentials oils of different Colombians plants (Lauraceae, Rutaceae, Verbenaceae, Lamiaceae, Zingiberaceae, Myristicaceae, Cardiopteridaceae y Pinaceae) using L. braziliensis promastigotes. The effective concentration 50 (EC50) was 87,8 +/- 55,51 μg/mL, 265,5 +/- 7,5 μg/mL and 17,4 +/- 0,43 μg/mL for essentials oils of Persea caerulea fruit, Lippia alba leaves and Rosmarinus officinalis leaves, respectively, which permit suggest us, a parasitocide property. Although, it is necessary the cytotoxic effect study on macrophages as infection target cells, result promissory the antileishmanial effect direct to promastigote form, which can be comparable with the effect observed to pentamidine, drugs to a difference of antimonial drugs, is not a prodrug that require to be metabolized into macrophage. In other words, essentials oils would contain active principles lethal against free forms and maybe, against intracellular Leishmania spp forms that need further studies to be considered as therapeutic alternative to leishmaniasis cutaneous control.

Presencia de infestación por Fasciola hepatica en habitantes del valle de San Nicolás, oriente antioqueño / Presence of infection by Fasciola hepatica in inhabitants from the valle de San Nicolás, eastern Antioquia

Introducción. En estudios previos se han encontrado prevalencias hasta de 90% de fasciolosis hepática en el ganado bovino del valle de San Nicolás en el oriente antioqueño. Objetivo. En este estudio se determinó la presencia de infestación en la población humana que está en contacto con el ganado de la región. Materiales y métodos. La presencia de anticuerpos en muestras de suero de 61 personas residentes de la zona y cuyos trabajos exigían contacto constante con ganado bovino, se determinó mediante una prueba tipo ELISA específica para Fasciola. hepatica. También se determinaron las conductas de riesgo para la adquisición del parásito, al igual que los antecedentes clínicos para la población estudiada. Resultados. Tres de los 61 sueros fueron positivos para la presencia de anticuerpos específicos para F. hepatica que corresponde a una prevalencia de infestación de 4,9%. Los tres individuos con muestras positivas relataron manipular pastos para ganadería y beber agua de las quebradas aledañas a las zonas de pastoreo. Sólo una de las personas con suero positivo refirió haber presentado ictericia en los últimos seis meses. Conclusiones Los resultados documentan la presencia de F. hepatica en la población humana que se encuentra en contacto con ganado infectado y permiten identificar las conductas de riesgo para la adquisición de la enfermedad en los habitantes de la zona. Es importante conocer la incidencia y prevalencia de la infestación, tanto en la población humana como animal, para adoptar medidas de prevención de las personas que están en contacto con el ganado enfermo, así como para tratar las personas enfermas.

Introduction: The Programa de Estudio y Control de Enfermedades Tropicales (PECET) at the Universidad de Antioquia has found a prevalence of 90% of hepatic fasciolasis in cattle from valle de San Nicolás, eastern Antioquia. Objective: In this study the presence of infection in the human population that is in contact with livestock was determined. Materials and methods: The presence of antibodies in serum samples from 61 residents of the area and whose jobs require constant contact with cattle was determined by an ELISA test. Risk behaviors for acquisition of the parasite as well as the clinical and symptoms for the study population were also determined.Results: Three of the 61 sera tested were positive for the presence of specific antibodies to F. hepatica, corresponding to a prevalence of infection of 4.9%. These three subjects reported manipulating pasture for livestock and drinking water from streams near grazing fields. Only one person referred jaundice in the last six months. Conclusions: The findings of this study document the presence of F. hepatica in the human population that is in contact with infected livestock and identify the risk behaviors for acquisition of the disease among the inhabitants of the area. It is important to know the incidence and prevalence of infection in both human and animal population, to adopt preventive measures for those that are in contact with sick cattle, and treatment of infected people.

Leishmania (Viannia) panamensis: an in vitro assay using the expression of GFP for screening of antileishmanial drug.

Promastigotes of Leishmania (Viannia) panamensis were successfully transfected with p6.5-egfp to express green fluorescent protein. The transfectants remained infective to macrophages, providing an in vitro model for screening antileishmanial drugs. This was demonstrated by flow cytometry of macrophage-associated GFP after exposure of infected cultures to known antileishmanial drugs, i.e. amphotericin B and glucantime. Fluorescence of GFP diminished progressively from infected cells with increasing drug concentrations used in both cases. The availability of this fluorescent assay for infection of macrophages by L. (V.) panamensis facilitates drug discovery program for the Viannia species, which differ significantly from those of the Leishmania subgenus.

[Efficacy and tolerance of pentamidine for treatment of cutaneous leishmaniasis caused by por L. (V) panamensis in Colombia]. / Eficacia y tolerancia de la pentamidina en el tratamiento de la leishmaniasis cutánea producida por Leishmania (V.) panamensis en Colombia.

INTRODUCTION: Current treatment for human cutaneous leishmaniasis (CL) relies on pentavalent antimonials. Although efficacy of these drugs is high (around 85%), their widely documented toxicity and increasing resistance makes the search for therapeutic alternatives a priority for endemic countries. OBJECTIVE: To evaluate the efficacy and tolerability of the pentamidine isethionate for the treatment of cutaneous leishmaniasis caused by L. (V) panamensis in a pilot clinical trial. MATERIALS AND METHODS: Sixty three individuals suffering CL were enrolled. Patients received four intramuscular injections of pentamidine (4 mg/Kg/injection) administered every other day, and both clinical efficacy and side effects were documented during the following 6 months. RESULTS: Of the 63 patients enrolled, 43 could be followed for 6 months. 86% (37/43) of treated patients healed all their lesions by 1.5 months after therapy. Treatment failure was observed in only five patients (11.6%; 5/43). One patient showed relapse. Overall tolerance of treatment was good, with adverse events such as local pain and swelling at the site of injection, dizziness and fever, varying from mild to moderate. Hypoglycemia, hypotension or diabetes were not observed. DISCUSSION: These results confirm the previously reported efficacy of pentamidine for the treatment of CL in Colombia and Brazil, and, additionally, highlight the low intensity and frequency of side effects in a civilian population. No serious adverse events were recorded.

Actividad Leishmanicida de Annonacina, Aislada de Annona muricata contra Leishmania panamensis / Activity agaisntLeishmaniossis panomensis of Annonacina obtained from Annona muricata

Una acetogenina bioactiva monotetrahidrofuránica fue aislada de semillas de Annona muricata. La estructura fue elucidada usando métodos espectrales, determinando que su estructura corresponde a la annonacina. La actividad leishmanicida contra amastigotes axénicos de Leishmania panamensis UA140 se realizó por un método espectrofotométrico basado en la hidrólisis enzimática del p-nitrofenil-fosfato, por acción de la fosfatasa ácida presente en los parásitos, encontrándose una DL50 de 2.1mg/ml (R2=0.997; P<0.01)