Mini Review Volume 7 Issue 2
Correspondence: Ivanete Cardoso Palheta,Instituto de Ci
Received: February 20, 2018 | Published: March 21, 2018
Citation: Palheta IC, Ferreira LR. Hypoglycemic potential of Anacardium occidentale L. J Anal Pharm Res. 2018;7(2):152–153. DOI: 10.15406/japlr.2018.07.00216
Diabetes results from defects in insulin secretion and its action. It is often associated with insulin resistance, obesity, dyslipidemia and hypertension, being regarded as a metabolic syndrome. Diabetes therapy is based, in general, decrease in insulin resistance, improvement of the function of pancreatic beta cells with physical activities and diet, oral hypoglycemic agents, anti-obesity and anti-hyperglycemic agents. New drugs with hypoglycemic effect have been investigated. This mini review presents the pharmacological perspectives of A. occidentale in the treatment of diabetes.
Keywords: diabetes, hypoglycemic plant, anacardic acid, cardanol, cardol
Diabetes describes a multiple etiology metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion and action.1 It is estimated that this metabolic disorder affects about 382 million people worldwide, reaching 471 million in 2035.2 Hyperglycemia associated with diabetes represents a risk factor in cases of retinopathy, neuropathy and nephropathy, in addition, it is strongly related to the progression of several cardiovascular diseases.3 The search for hypoglycemic drugs has increased to find more effective treatments or to discover new strategies to control the disease. Diabetes therapy is generally based on decreased insulin resistance, improved pancreatic beta cell function, oral hypoglycemic agents, antihyperglycemic agents and anti-obesity agents.4
Human disorders have been treated for years with organic substances derived from or derived from plants, which represent the major sources of bioactive substances for therapeutic use, mainly due to the structural diversity of biosynthesized secondary metabolites.5 Anacardium occidentale L. (Anacardiaceae) is a native plant not endemic to Brazil, which appears among species frequently used ethnopharmacologically6,7 and investigated experimentally8 in the treatment of diabetes. It is considered natural source of phenolic compounds, carotenoids, flavonoids, tannins, which confer plant antioxidant activity, antidiabetic agents, gastroprotective, anticancer and antimicrobial actions.9 This mini review presents the pharmacological perspectives of A. occidentale in the treatment of diabetes.
Among the major compounds isolated from A. occidentale are anacardic acid, cardanol and cardol which have hydrophobic side chains with different degrees of unsaturation, including the saturated compound, monoene, diene and triene.10 Anacardic acid is considered an important α-glucosidase inhibitor,11 delaying glucose absorption, presenting potential for the treatment of postprandial hyperglycemia. While the anacardic acid inhibits the aldose reductase10 which acts on various hexoses and is present in tissues that commonly suffer from diabetes complications such as capillaries and vascular endothelium (retina, crystalline) and peripheral nerves (Schwan cells). Tolrestat, an important aldose reductase inhibitor, has been shown to be efficacious in the treatment and prevention of neuropathy, nephropathy and diabetic retinopathy, reducing the gravity of chronic tissue damage associated with hyperglycemia.12 The antioxidant activity of anacardic acid (IC50 =0.6Mm), cardanol and cardol (IC50<0.4Mm) was elucidated.13 The action of anacardic acid against reactive species was mainly associated with its ability to inhibit oxidative enzymatic forms.10 Hyperglycemia is characterized by a state of high oxidative stress, related to the genesis of chronic complications in diabetes,14 so it has been proposed that the use of antioxidants would inhibit the progression and development of complications associated with diabetes (Figure 1).15
In addition to compounds already isolated, studies have shown the hypoglycemic potential of extracts obtained from A. occidentale. Investigations using the hexane extract of leaves elucidated the hypoglycemic effect in insulin-dependent rats with streptozotocin induced diabetes mellitus. At the dose of 300mg/kg/day there was a significant reduction in the level of blood glucose, total excreted protein, glycosuria and urea.16 Fractions of hexane and ethyl acetate have been shown to be more potent in the treatment of diabetic rats when compared to extracts obtained with methanol and dichloromethane.17. At a dose of 100mg/kg ethanolic fractions of leaf extracts of A. occidentale reduced the blood glucose levels of diabetic rats compared to the effect of treatment with pioglitazone, used as standard drug.18 A reduction of the plasma glucose level in alloxan induced rats at doses of 34, 200 and 300mg/kg19 was observed, analyzing the hypoglycemic effect of the ethanolic extract from A. occidentale reddish bark. These results can be supported by the presence of polyphenols and flavonoids in the plant extract.
This mini review reinforces the pharmacological potential of A. occidentale for the treatment of diabetes. The isolated major compounds of this species can be analyzed as prototypes for the development of novel molecules for the treatment of human diseases such as diabetes, the various pathophysiology still without effective treatment, thus highlighting the need for research in this area.
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The Author declares there is no conflict of interest.
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