# Patent

## Title
Methods and related compositions using specific flavonoids and indanes to reduce weight and inhibit lipase, α-amylase and α-glucosidase activity in mammals

## Abstract

The present invention relates generally to methods and related compositions using flavonoids and/or indanes extracted from the stems and leaves of C. quadrangularis to reduce weight and inhibit lipase, α-amylase and α-glucosidase activity in mammals. By example and not by way of limitation, embodiments of the present disclosure, a composition and related methods for reducing body weight and/or inhibiting any combination of lipase, α-amylase and α-glucosidase is provided. The composition contains an effective amount of one or more flavonoids or indanes selected from 3-O-rhamnopyranosylkaempferol, 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol, quercitrin, rhamnitrin, rhamnocitrin, quercitrin-3-O′′-acetate and parthenocissin A.

## Background
RELATED APPLICATION
This application is a divisional of U.S. Application Ser. No. 11/855,084, filed Sep. 13, 2007, the contents of which are incorporated by reference herein in its entirety.


BACKGROUND
Cissus quadrangularis L. (Vitaceae) is an ancient medicinal plant native to the hotter parts of Ceylon and India. The stems of Cissus quadrangularis L (Vitaceae) have been consumed for centuries throughout Asia and Africa as a culinary vegetable. C. quadrangularis has been used in India for promoting the fracture healing process [1] for some time. It has been prescribed in Ayurveda as an anthelmintic, dyspeptic, digestive tonic, analgesic in eye and ear diseases and in the treatment of irregular menstruation and asthma. In Cameroon, the whole plant is used in oral re-hydration, while the leaf, stem and root extracts of this plant are important in the management of various ailments. Accordingly, the safely of C. quadrangularis, without causing undesirable side effects, has been demonstrated over time.
There are several reports on C. quadrangularis use in the management of obesity and complications associated with metabolic syndrome [2], and its antioxidant and free radical scavenging activity in vitro [3,4]. Various formulations now contain extracts of C. quadrangularis in combination with other compounds, used for the purpose of weight management and complications/conditions resulting from these and related conditions.
Although the use of C. quadrangularis has been shown to provide certain benefits and advantages, it is unclear what components or aspects of C. quadrangularis provide what desirable benefit and advantages. Additionally, it is unclear whether certain components or aspects of C. quadrangularis counteract the benefits or efficacy of other components or aspects of C. quadrangularis. Furthermore, novel compositions and related methods which safely and effectively provide improved weight loss in a mammal, without causing undesirable side effects, is desired. Additionally, compositions and related method that safely and effectively inhibits lipase, α-amylase and α-glucosidase activity in a mammal, thereby contributing to weight loss and overall health, without causing undesirable side effects, is desired. The compositions and related methods of the present invention provide these and other related benefits and advantages.
SUMMARY OF THE INVENTION
The present invention relates to methods and related compositions using flavonoids and/or indanes extracted from the stems and leaves of C. quadrangularis to reduce weight and inhibit lipase, α-amylase and α-glucosidase activity in mammals. By example and not by way of limitation, in one embodiment of the present disclosure, a composition for reducing body weight or inhibiting any combination of lipase, α-amylase and α-glucosidase is provided. The composition contains an effective amount of flavonoid 3-O-rhamnopyranosylkaempferol or indane 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol or flavonoid 3-O-rhamnopyranosylkaempferol and indane 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol.
In another embodiment of the present disclosure, a method for reducing body weight in a mammal is provided. The method including providing a composition containing an effective amount of one or more flavonoids or indanes selected from 3-O-rhamnopyranosylkaempferol, 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol, quercitrin, rhamnitrin, rhamnocitrin, quercitrin-3-O′′-acetate and parthenocissin A and claiming that the composition reduces, maintains or improves body weight in a mammal.
In yet another embodiment of the present disclosure, a method for inhibiting any combination of lipase, α-amylase and α-glucosidase in a mammal is provided. The method including providing a composition containing an effective amount of one or more flavonoids or indanes selected from 3-O-rhamnopyranosylkaempferol, 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol, quercitrin, rhamnitrin, rhamnocitrin, quercitrin-3-O′′-acetate and parthenocissin A and claiming that the composition inhibits any combination of lipase, α-amylase and α-glucosidase in a mammal. In a detailed aspect of the present disclosure, the effective amount of the composition provided to the mammal is 10 mg to 900 mg daily. In another detailed aspect of the present disclosure, the effective amount of the composition is 50 mg to 200 mg daily.



BRIEF DESCRIPTION OF DRAWINGS
FIG. 1 demonstrates the seven flavonoid and indanes that were tested for their ability to inhibit lipase, α-amylase and α-glucosidase.
FIG. 2 is a chart summarizing the experimental results, in % inhibition, of the enzyme inhibition activity of the seven flavonoids and indanes listed in FIG. 1. Samples were tested at 0.15 mg/ml (lipase), 0.12 mg/ml (amylase) and 0.28 mg/ml (glucosidase) and the results are mean values (n=3).



DETAILED DESCRIPTION
Phytochemical analyses of C. quadrangularis have revealed high contents of ascorbic acid, carotene, anabolic steroidal substances and calcium. The stem contains two asymmetric tetracyclic triterpenoids, and two steroidal principles [5]. The presence of β-sitosterol, δ-amyrin and δ-amyrone has also been reported. All of these components have potentially different metabolic and physiological effects. Through experiments we performed, two novel components of C. quadrangularis, flavonoid (3-O-rhamnopyranosylkaempferol) and indane (3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol), demonstrated inhibition of enzymes known to effect weight loss in mammals.
More specifically, our experiments, which are discussed in detail below, have shown that aqueous extracts of C. quadrangularis stems and leaves contains specific flavonoids and/or indanes which inhibit lipase, amylase and/or α-glucosidase and, therefore, are least in part related to the anti-obesity activity of the plant. The enzyme inhibition activity of a novel flavonoid (3-O-rhamnopyranosylkaempferol) and indane (3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol) (7) and four known structurally related flavonoids and one indane isolated from the extract were tested.
Preliminary extraction and bioassays had shown that aqueous extracts of C. quadrangularis stems/leaves inhibited pig amylase, human lipase and yeast α-glucosidase. The inhibition of these enzymes was shown to be selective by comparison with the lack of activity against a panel of other commercially (Sigma) available enzymes including β-glucosidase (almond), α-(green coffee beans) and β-galactosidase (A. niger) and α-fucosidase (human). Bioassay guided fractionation of the extract was performed using the assays for amylase, lipase and α-glucosidase. The aqueous plant extract was passed down a cation exchange resin (Dowex 50 H+ form) from which the inhibitors were un-retained. The extract was applied to a HP20 resin and three active fractions obtained; unbound, 25% methanol elution and 10% acetone in methanol elution.
All showed enzyme inhibition and similar chemical profiles but the 10% acetone in methanol fraction was more suitable for compound purification. Further chromatography of this fraction by polar flash chromatography on silica and preparatory and semi-preparatory HPLC on C18 gave seven compounds shown in FIG. 1. Five have been previously reported; quercitrin (1), rhamnitrin (3) and rhamnocitrin (4), quercitrin-3-O′′-acetate (5) and parthenocissin A (6) and two were novel, 3-O-rhamnopyranosylkaempferol (2) and 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol (7).
Inhibition of Enzyme Activity
As shown in FIG. 2, all but one of the flavonoids show good α-amylase inhibition. Quercitrin (1) differs from the novel 3-O-rhamnopyranosylkaempferol (2) only by one hydroxyl substituent but this results in a decrease in α-amylase inhibition. However, methylation of a ring hydroxyl, in the case of rhamnitrin (3), or acetylation of the sugar, in the case of quercitrin-3-O′′-acetate (5) causes the inhibition to be restored. All the flavonoids show similar response to lipase inhibition but again the inhibition of α-glucosidase shows variation for the various structural features.
The two indanes, 6 and 7 display significantly different inhibition profiles. Parthenocissin A (6) shows good inhibition of α-amylase whereas the novel 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol (7) is fairly specific as an inhibitor of the α-glucosidase.
Our experiments did not determine the Ki values of the more potent of the individual inhibitors since we were more interested in indicating the combined effect of multiple inhibitors taken together as found for the original extract. It is important in such studies, however, to look for some specificity of inhibition to prove that the inhibition is not a therapeutically unattractive non-specific interaction with proteins in general. We have shown here that the compounds show specific inhibition of different enzymes. The inhibition of lipase did not go above 60% even with use of the commercial inhibitor Orlistat® at the same top concentration. The lipase and amylase seemed much more prone to inhibition by the C. quadrangularis components in general than the α-glucosidase.
The presence of several components exhibiting inhibition of amylase, lipase and glucosidase suggests that the plant could well have an effect on the ability of the gastrointestinal tract to utilize the plant and other sources of nutrients efficiently. Inhibitors of lipase such as Orlistat® and glucosidases such as Glyset® and Acarbose® are used as drugs to treat obesity and diabetes type 2. These drugs, however, often cause side-effects and it may well be that the combination of several tested components in C. quadrangularis working on different enzymes has a better tolerated effect and reduces or eliminates side effects associated with commercially available pharmaceuticals.
Although the combined effect of the aqueous extract was inhibition of the glucosidase activity, it is of interest to note that 1 and 5 actually promoted the glucosidase activity. Such promotion of enzyme activity can be due to binding to allosteric sites on the enzyme. While the effect of increased glucosidase activity by some components on weight control or diabetes is difficult to understand, there are many α-glucosidases present in the gastrointestinal tract and within cells and inhibition of some may be beneficial to the control of weight or diabetes whereas increased activity of certain glucosidases may be promoting health in other ways. We have only used one α-glucosidase here and the compounds may vary in effects and activity on other α-glucosidases. The ability of the individual components identified to reach the sites of enzyme activity will also vary and will be influenced by individual differences and no doubt also by variations in other food consumed with C. quadrangularis and formulation of products containing it.
The inhibition of α-glucosidases has been shown to be potentially therapeutically useful in diseases other than diabetes type 2 and weight control [6]. In particular such inhibitors have been studied as potential anti-viral and anti-cancer agents and it may well be that inhibition of α-glucosidases by C. quadrangularis explains the wide traditional medicinal use of the species. Promotion of specific glycosidase activities can also be therapeutic where those enzymes are deficient [6].
Experimental
Structure Elucidation
Structure elucidation was carried out using NMR (Bruker DRX500) for full 1H and 13C assignments and LCMS (Waters Integrity), which gave EIMS data for molecular weight and/or fragmentation assignment. All of the compounds would require further work (optical rotation measurements and/or x-ray crystallography) to ascertain stereochemistry.
Literature searches were conducted using the Dictionary of Natural Products (DNP) available on CDROM.
Plant Material
Cissus quadrangularis was supplied dry from the Cameroon. The reference for the voucher specimen for Cissus quadrangularis is No. 18668/SRF/Cam, identified by the Cameroon National Herbarium, Yaounde, Cameroon.
Extraction and Isolation
The dried Cissus quadrangularis (2.3 kg) was extracted in 50% aqueous ethanol (10 L) overnight. The filtered extract was loaded on two cation exchange columns (Dowex 50 H+ form, 700 cm3) from which the inhibitors were un-retained. The extract (8 L) was applied to a HP20 cartridge (6×75 cm) pre-equilibrated with 50% aqueous methanol (5 L) and eluted with 25% aqueous methanol (3 L) followed by 10% acetone in methanol (6 L) to give three active fractions; unbound (37 g), 25% methanol elution (27 g) and 10% acetone in methanol elution (14 g). All showed enzyme inhibition and similar chemical profiles but the 10% acetone in methanol fraction was more suitable for compound purification. The 10% acetone in methanol extract was bound onto silica and applied to a KP-SilTM silica Flash 75S cartridge (7.5×9.0 cm) pre-equilibrated with heptane (5 L) and eluted with 75% heptane in ethyl acetate (1 L), 50% heptane in ethyl acetate (1 L), 25% heptane in ethyl acetate (1 L), 100% ethyl acetate (1 L) and 95% ethyl acetate in methanol (1 L) to give 5 fractions.
Preparatory HPLC of fraction 4 on Water's Nova-Pak® HR C18 column (2×(40×100 mm) in series, 6 μm, 60 A0 at a flow rate of 55 ml/min and monitoring wavelength of 225 nm with an acetonitrile/water gradient; 80% water:20% acetonitrile containing 0.1% TFA to 65% water:35% acetonitrile containing 0.1% TFA over 15 mins, gave rise to parthenocissin A (6). Further purification of this fraction on Water's Nova-Pak® HR C18 column (25×100 mm, 6 μm, 60 A0 at a flow rate of 15 ml/min and monitoring wavelength of 225 nm with an methanol/water gradient; 55% water:45% methanol containing 0.1% TFA to 30% water:70% methanol containing 0.1% TFA over 15 mins, gave rise to quercitrin-3-O′′-acetate (5) and 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyphenyl)-1-(4-hydroxyphenyl)indane-4,6-diol (7). Preparatory HPLC of fraction 5 on Water's Nova-Pak® HR C18 column (2×(40×100 mm) in series, 6 μm, 60 A0 at a flow rate of 55 ml/min and monitoring wavelength of 210 nm with an acetonitrile/water gradient, 80% water:20% acetonitrile containing 0.1% TFA to 60% water:40% acetonitrile containing 0.1% TFA over 20 mins, gave rise to quercitrin (1), 3-O-rhamnospyranosylkaempferol (2), rhamnitrin (3) and rhamnocitrin (4).
Kits and Reagents Used for Bioassays
The purified compounds and extracts were made up 2 mg/ml solutions in water using initially a drop of DMSO if required for solubility.
Lipase
Sigma Lipase-PS Kit (Catalogue Number 805-A)
Human pancreatic lipase was diluted 1.5:5 prior to use. The assay was carried out at 20° C. using 10 μl test compound, 5 μl enzyme solution, 90 μl substrate, and 30 μl activator reagent. Color formation was measured at 550 nm after 30 minutes.
Amylase
Sigma INFINITY Powder Reagent (Catalogue Number 568-20)
Sigma α-amylase (A6255, porcine pancreatic amylase as saline suspension), diluted to 35 units/ml. The assay was carried out at 20° C. using 10 μl enzyme solution, 10 μl test compound, and 150 μl INFINITY reagent. The rate of color formation was measured over five minutes, after which the final absorbance was measured at 405 nm as an endpoint recording.
α-Glucosidase
Sigma α-glucosidase (G5003, from S. cerevisiae) at 2 units/ml in phosphate buffer pH 6.0. Sigma p-nitrophenyl-α-D-glucopyranoside, 5 mM in phosphate buffer pH 6.0. The assay was carried out at 20° C. using 10 μl enzyme solution, 10 μl test compound, and 50 μl substrate solution. The reaction was carried out for 7 minutes; color formation was measured at 415 nm following the addition of 80 μl 0.4 M glycine solution, pH 10.4 to stop the reaction. Other glycosidase assays were carried out using enzymes from Sigma and appropriate p-nitrophenyl substrates [7].
3-O-rhamnopyranosylkaempferol (2)
UV/Vis λmax (MeOH) nm (log ε): 200, 264, 342 1H NMR (500 MHz, MeOH) δ ppm 0.79 (3H, d, J=6 Hz), 3.23 (1 H, m), 3.59 (1 H, m), 3.59 (1 H, m), 4.11 (1 H, m), 5.27 (1H, d, J=2 Hz), 6.10 (1H, d, J=2 Hz), 6.27 (1H, d, J=2 Hz), 6.84 (2H, dd, J=2.9 Hz), 7.67 (2H, dd, J=2.9 Hz). 13C NMR (500 MHz, MeOH) δ ppm 18.0 (CH3), 72.3 (CH), 72.4 (CH), 72.6 (CH), 73.6 (CH), 95.2 (CH), 100.3 (CH), 103.9 (CH), 106.4 (C), 117.0 (2×CH), 123.1 (C), 132.3 (2×CH), 136.7 (C), 159.0 (C), 159.7 (C), 162.0 (C), 163.7 (C), 166.3 (C), 180.1 (C═O). HPLC-MS: m/z, 288 (100) (C21H22O10), 257, 120.
3-(4-hydroxybenzylidene)-2-(2,5-dihydroxy-phenyl)-1-(4-hydroxyphenyl)indane-4,6-diol (7)
UV/Vis λmax (MeOH) nm (log ε): 200, 323 1H NMR (500 MHz, MeOH) δ ppm 4.21 (1H, broad s), 4.36 (1H, broad s), 6.27 (1H, t, J=2 Hz), 6.35 (1H, d, J=2 Hz), 6.41 (2H, d, J=2 Hz), 6.81 (4H, dd, J=2.9 Hz), 6.88 (1 H, d, J=2 Hz), 7.07 (2H, dd, J=2.9 Hz), 7.16 (1H, s), 7.29 (2H, d, J=9 Hz). 13C NMR (500 MHz, MeOH) δ ppm 58.5 (CH), 61.6 (CH), 98.9 (CH), 102.0 (CH), 104.3 (CH), 107.1 (2×CH), 116.3 (2×CH), 116.4 (2×CH), 123.6 (CH), 125.9 (C), 129.3 (2×CH), 129.6 (2×CH), 130.7 (C), 131.6 (CH), 139.0 (C), 143.8 (C), 148.0 (C), 148.1 (C), 150.1 (C), 156.5 (C), 156.9 (C), 157.8 (C), 160.1 (2×C). HPLC-MS: M·+ 454 (C28H22O6, m/z 360, 347 (100), 331, 239, 227, 226, 215, 199, 180, 149, 107, 95.
REFERENCES


    [1] Chopra S, Patel M, Gupta L and Datta I. (1975) Studies on C. quadrangularis in experimental fracture repair: Effect on chemical parameters in blood. Indian Journal of Medicinal Research, 63: 824-828.
    [2] Oben J, Kuate D, Agbor G, Momo C and Talla X. (2006) The use of a C. quadrangularis formulation in the management of weight loss and metabolic syndrome. Lipids in Health and Disease, 5; 24-30.
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    [4] Mallika J and Shyamala C. (2005) In vitro and in vivo evaluation of free radical scavenging potential of C. quadrangularis. African Journal of Biomedical Research., 8: 95-99.
    [5] Mehta M, Kaur N, Bhutani K K. (2007) Determination of marker constituents from Cissus quadrangularis Linn. and their quantization by HPTLC and HPLC. Phytochemical Analysis 12, 91-105.
    [6] Watson A, Fleet G W J, Asano N, Molyneux R J and Nash R J (2001) Polyhydroxylated Alkaloids—Natural Occurrence and Therapeutic Applications. Phytochemistry 56, 265-295.
    [7] Watson A, Nash R, Wormald M, Harvey D, Dealler S, Lees E, Asano N, Kizu H, Kato A, Griffiths R C, Cairns A J and Fleet G W J. (1997) Glycosidase-inhibiting pyrrolidine alkaloids from Hyacinthoides non-scripta. Phytochemistry 46, 255-259.


While the apparatus and method have been described in terms of what are presently considered to be the most practical and preferred embodiments, it is to be understood that the disclosure need not be limited to the disclosed embodiments. It is intended to cover various modifications and similar arrangements included within the spirit and scope of the claims, the scope of which should be accorded the broadest interpretation so as to encompass all such modifications and similar structures. The present disclosure includes any and all embodiments of the following claims.

## Claims

1. A method for reducing body weight in a mammal comprising:
a. providing a composition containing an effective amount of purified and isolated 3-(4-hydroxybenzylidene)-2-(2,5-dihydroxyohenyI)-1-(4-hydroxyphenyl)indane-4,6-diol;
b. administering the composition to a mammal in need thereof;
wherein the effective amount of the composition is 10 mg to 900 mg daily.

2. A method of claim 1, wherein the effective amount of the composition provided to the mammal is 50 mg to 200 mg daily.