Triple-action of the standardized antidiabetic polyherbal extract; Synacinn through upregulation of GLUT4 and inhibition of DPP(IV), α-amylase, and α-glucosidase activity

Med J Malaysia. 2022 Jul;77(Suppl 1):16-22.

Abstract

Introduction: Synacinn is a standardized polyherbal supplement for diabetes mellitus which is formulated from Andrographis paniculata, Curcuma xanthorrhiza, Cinnamomum zeylanicum, Eugenia polyantha, and Orthosiphon stamineous.

Materials and methods: This study aimed to elucidate the antidiabetic potential of Synacinn on three specific actions, including 1) the insulin sensitivity and glucose transport on dexamethasone-induced insulin-resistance 3T3-L1 adipocytes, 2) the inhibitory capacity on postprandial enzyme activity (α-amylase and α-glucosidase), and 3) the inhibitory activity of hepatic DPP(IV) enzyme.

Results: Results showed that insulin resistance of 3T3-L1 adipocytes may be developed by prolonging the exposure of 1μg/ml of dexamethasone for >48 hours. The insulinresistance condition was minimized by the treatment of 10 μg/ml of Synacinn which significantly improved the insulin-stimulated glucose utilization by 10.6%. Meanwhile, insulin-stimulated glucose utilization in normal adipocytes was also attenuated by 9.2%. At the cellular level, Synacinn attenuated glucose utilization mainly by upregulating GLUT4 protein expression by 1.71 fold. Additionally, Synacinn is a potent inhibitor for the activity of α-amylase and α-glucosidase with IC50 of 0.467 mg/mL and 0.245 mg/mL, respectively. Synacinn also controlled the glycemic index through inhibition of hepatic DPP(IV) enzyme with IC50 of 1.11 mg/mL.

Conclusion: Results suggested that Synacinn reduced diabetes mellitus through sensitizing the cellular glucose utilization, reducing the postprandial carbohydrate degradation, and inhibiting the hepatic DPP(IV) enzyme function.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Dexamethasone
  • Glucose
  • Humans
  • Hypoglycemic Agents* / pharmacology
  • Insulin
  • Insulin Resistance*
  • Plant Extracts / pharmacology
  • Up-Regulation
  • alpha-Amylases / metabolism
  • alpha-Glucosidases / metabolism

Substances

  • Hypoglycemic Agents
  • Insulin
  • Plant Extracts
  • Dexamethasone
  • alpha-Amylases
  • alpha-Glucosidases
  • Glucose