Citation
Zailan, Nur Fatin Zalikha
(2022)
In vitro antioxidant, anti-diabetic, anti-inflammatory, and wound-healing properties of Mitragyna speciosa (korth.) havil. methanolic extract.
Masters thesis, Universiti Putra Malaysia.
Abstract
Diabetes mellitus (DM) occurs as the consequence of the destruction of insulinproducing
pancreatic beta (β)‐cells (type 1 DM) or cell resistance to insulin
(type 2 DM). Infections with a slow rate of wound healing are commonly
observed in patients with DM. Diabetic foot ulcer is a common complication of
DM which imposes high costs for its treatment and management.
Chronic wounds in diabetes are associated with impaired angiogenesis,
leukocyte function, and fibroblast proliferation. Plant-based remedies such as
Mitragyna speciosa (M. speciosa) have been used by local people in Malaysia
as a complementary treatment for various illnesses including lowering blood
glucose in diabetic patients. This study aims to determine the in vitro
antioxidant, anti-diabetic, anti-inflammatory, and wound-healing properties of
M. speciosa methanolic extract (MSME). The screening of phytochemical
compounds in MSME was performed by ultra-high-performance liquid
chromatography coupled with traveling-wave ion mobility spectrometryquadrupole
time of flight mass spectrometry (UHPLC-TWIMS-QTOF-MS/MS)
analysis. The antioxidant content and scavenging activity of MSME were
evaluated by total phenolic content (TPC) assay and total flavonoid content
(TFC) assay along with 2,2'-azino-bis (3-ethylbenzothiazoline-6-sulphonic acid)
(ABTS) assay and 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay, respectively. In
addition, the cytotoxicity effects of MSME on RAW264.7 macrophages cells
and 3T3-L1 fibroblast cells together with the antioxidative effect of MSME against oxidative stress in hydrogen peroxide (H2O2)-induced 3T3-L1 cells
were determined by 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-
(4-sulfophenyl)-2H-tetrazolium (MTS) assay. The anti-diabetic properties of
MSME were studied by measurement of α-amylase enzyme inhibition. Besides,
the glucose uptake activity of MSME was determined by the median
fluorescence intensity (MFI) of 2-NBDG in 3T3-L1 cells. Anti-inflammatory
properties of MSME were determined in LPS-stimulated RAW264.7 cells
through secretion of inflammatory mediators including nitric oxide (NO) and
cytokines by Griess assay and cytometric bead array (CBA), respectively. The
ability of MSME in accelerating cell migration and wound closure was
investigated on 3T3-L1 cells by scratch assay. The phytochemical compounds
identified in MSME (100 mg/mL) include rutin, epicatechin, quercetin,
procyanidin B2, and chlorogenic acid. MSME (1 mg/mL) has lower Total
Phenolic Content (TPC) than positive control Pterostilbene (Ptb) (MSME:
167.43±13.50 mg GAE/g sample and Ptb: 230.52±10.92 mg GAE/g sample)
but high in TFC (MSME: 347.72±15.97 mg QE/g sample and Ptb:
212.73±17.92 mg QE/g sample). MSME showed relatively similar antioxidant
scavenging activity (IC50=4.34 μg/mL) with Ptb (IC50=4.39 μg/mL) in the DPPH
assay. Conversely, in the ABTS assay, MSME showed lower antioxidant
scavenging activity (IC50=4.25 μg/mL) than Trolox and Ptb (IC50=1.50 and 1.56
μg/mL, respectively). MSME (25, 50, and 100 μg/mL) did not show any toxicity
effect on cell survival and protected 3T3-L1 cells from oxidative damage by
H2O2. Increased inhibition of α-amylase activity (46.39±4.43%) and glucose
uptake (MFI: 274.00±8.00) were detected in the 100 μg/mL of MSME
suggesting anti-diabetic activity of MSME. MSME was also found to have antiinflammatory
activity through the suppression of NO and cytokine levels in
LPS-stimulated RAW264.7 cells. In addition, MSME also induces wound
closure in 3T3-L1 cells by accelerating cell migration. MSME may increase
glucose uptake, downregulate inflammatory responses of macrophages and
subsequently accelerate the process of wound repair which shows promising
antioxidant, anti-diabetic, anti-inflammatory, and wound-healing properties.
Thus, further study should be conducted to recommend M. speciosa as a
possible treatment for DM and wound healing.
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