Bioassay-guided fractionation of Larix laricina du Roi, and antidiabetic potentials of ethanol and hot water extracts of seventeen medicinal plants from the traditional pharmacopeia of the James Bay Cree

We have used a collaborative ethnobotanical approach to identify plant species used by the Cree of Eeyou Istchee (CEI) to treat symptoms of type 2 diabetes. Several screening studies were performed on 17 species identified in a survey of the Cree Nation. Firstly, Larix laricina du Roi (L. laricina) was recently identified as one of the top plants, which stimulated glucose uptake in C2C12 muscle cells and strongly potentiated the differentiation of 3T3-L1 pre-adipocytes suggesting enhanced insulin sensitivity. Secondly, these screening studies were performed on ethanol extracts (EE) using an in vitro bioassay platform, however, traditional preparations are often based on hot water. So the purpose of this PhD thesis was to isolate the active principles from L. laricina through adipogenesis-guided fractionation, and to evaluate and compare the antidiabetic activity and mechanisms of EE and hot water extracts (HWE) of these 17 Cree plants. For the fractionation of L. laricina, we isolated several known compounds and identified a new active cycloartane triterpene, which strongly enhanced adipogenesis in 3T3-L1 cells and was responsible partly for the adipogenic (potentially glitazone-like insulin sensitizing) activity of the ethanol extract of the bark of L. laricina. In the adipocyte lipid metabolism course, the results confirmed that 10 of the 17 EE stimulated adipocyte differentiation and adipogenesis, whereas 2 had inhibitory effects. Corresponding HWE exhibited partial or complete loss of such adipogenic or anti-adipogenic activity. R. groenlandicum and K. angustifolia EEs activated Peroxisome proliferator-activated receptor γ (PPAR γ), sterol regulatory element binding protein-1 (SREBP-1) and CCAAT-enhancer binding protein (C/EBP) α, whereas P. balsamifera and A. incana decreased these transcription factors. P. balsamifera’s inhibitory effect was also found to involve AMP-activated protein kinase (AMPK) activation. R. groenlandicum HWE and EE stimulated similar transcription factors, but HWE of other selected plants lost such effects compared to their respective EE. Phytochemical analysis also uncovered clustering of active versus inactive species, notably when species were segregated by plant family. The results showed that several EE stimulated muscle glucose uptake and inhibited hepatic glucose-6-phosphatase (G6Pase) activity. Some of the HWE partially or completely lost these antidiabetic activities in comparison to EE; while one plant (R.groenlandicum) retained similar potential between EE and HWE in both assays. In C2C12 muscle cells, EE of R.groenlandicum, A. incana and S. purpurea stimulated glucose uptake by activating AMPK pathway and increasing GLUT4 expression level. In comparison to EE, HWE of R.groenlandicum exhibited similar activities; HWE of A. incana completely lost its effect on all parameters; interestingly, HWE of S. purpurea activated insulin pathway instead of AMPK pathway to increase glucose uptake. In the H4IIE cells, all selected 5 plants HWE and EE activated AMPK pathway, and in addition, 2 plants EE and HWE also activated insulin pathways. Quercetin-3-O-galactoside and quercetin 3-O-α-L-arabinopyranoside were identified as potential candidates to be responsible for the biological activity of the active HWE plants in the glucose transport assay. In conclusion, we isolated several known compounds and identified a new active triterpene from fractionation of L. laricina. We also provide direct evidence evaluating and comparing of an insulin-like or insulin-sensitizing action of EE and HWE of Cree medicinal plants at the level of muscle, liver and adipose tissue. Part of their actions may be related to stimulation of insulin-dependent and insulin-independent intracellular signaling pathways, as well as to PPARγ activation. The results indicate that plant species, target tissues or cells, as well as extraction methods, are all significant determinants of the biological activity of Cree medicinal plants on glucose and lipid metabolism.

Keyphrases: l’Akt, la G6Pase, type 2 diabetes, AMPK, Akt, PPAR γ, SREBP-1, C/EBP α, G6Pase, traditional medicine, lipid  and glucose homeostasis