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Abstract
Cinnamonum zeylanicum (cinnamon) is widely used in traditional system of medicine to treat diabetes in India. The
present study was carried out to isolate and identify the putative antidiabetic compounds based on bioassay-guided
fractionation; the compound identified decreased the plasma glucose levels. The active compound was purified by
repeat column and structure of cinnamaldehyde was determined on the basis of chemical and physiochemical evidence.
The LD50 value of cinnamaldehyde was determined as 1850737 mg/kg bw. Cinnamaldehyde was administered at
different doses (5, 10 and 20 mg/kg bw) for 45 days to streptozotocin (STZ) (60 mg/kg bw)-induced male diabetic
wistar rats. It was found that plasma glucose concentration was significantly (po0.05) decreased in a dose-dependent
manner (63.29%) compared to the control. In addition, oral administration of cinnamaldehyde (20 mg/kg bw)
significantly decreased glycosylated hemoglobin (HbA1C), serum total cholesterol, triglyceride levels and at the same
time markedly increased plasma insulin, hepatic glycogen and high-density lipoprotein–cholesterol levels. Also
cinnamaldehyde restored the altered plasma enzyme (aspartate aminotransferase, alanine aminotransferase, lactate
dehydrogenase, alkaline phosphatase and acid phosphatase) levels to near normal. Administration of glibenclamide, a
reference drug (0.6mg/kg bw) also produced a significant (po0.05) reduction in blood glucose concentration in STZ-
induced diabetic rats. The results of this experimental study indicate that cinnamaldehyde possesses hypoglycemic and
hypolipidemic effects in STZ-induced diabetic rats.
r 2006 Elsevier GmbH. All rights reserved.
0944-7113/$ - see front matter r 2006 Elsevier GmbH. All rights reserved.
doi:10.1016/j.phymed.2006.11.005
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16 P. Subash Babu et al. / Phytomedicine 14 (2007) 15–22
have been reported for hypoglycemic activity. Some shade dried. The species was identified and authenti-
botanical polysaccharides are considered as important cated by Dr. D. Narasimhan, Taxonomist, Department
bioactive components responsible for hypoglycemic of Botany, Madras Christian College, Chennai and the
effect (Wang and Ng, 1999). Also a number of plants voucher specimen (MPC-301) was deposited at the
have hypolipidemic effect (Sharma et al., 2003). How- Entomology Research Institute, Loyola College, Chen-
ever, there is little information about plants with both nai, Tamil Nadu, India.
hypoglycemic and hypolipidemic effects.
Development and utilization of antidiabetic plants Isolation and identification of the active compounds
have attracted increasing interest. The plant kingdom is
a wide field to search for natural effective oral Fresh bark (1.5 kg) was subjected to hydro-distillation
hypoglycemic or hypolipidemic agent that has slight or in a Clevenger-type apparatus for 4 h. The yield (v/w) of
no side effects. Hence, compounds with both hypogly- volatile oil was 0.12%. The volatile oil was dried over
cemic and hypolipidemic properties would be useful anhydrous sodium sulfate and stored in airtight screw
antidiabetic agents (Luo et al., 2004). capped vials at 10 1C until use. Cinnamon oil (10 gm)
A number of investigators have shown that cumarins, was chromatographed on a silica gel column (Merck
flavonoids, terpenoids, and a host of other secondary 70–230 mesh, 400 gm, 3.5 i.d. 60 cm) and successively
plant metabolites, including arginine and glutamic acid, eluted with stepwise gradient of hexane ethyl acetate
possess hypoglycemic effect in various experimental system (0%, 5%, 10%, 20%, 30%, 50%, 70% and
models (Marles and Farnsworth, 1995; Ross, 2001). 100%). Twenty-nine fractions were collected and each
Although the hypoglycemic effect of terpenoids appears fraction was spotted on a precoated Silica gel 60 F254,
to involve stimulation of pancreatic b-cells and subse- 0.25 mm thick TLC plate (Merck) and eluted in
quent secretion of performed insulin, the metabolism of hexane:ethyl acetate (4:1) and fractions with similar Rf
cumarins probably involves hepatotoxity (Marles and values in TLC pattern were pooled together. Fraction-3
Farnsworth, 1995). In cinnamaldehyde, it undergoes (3.5 g) showed significant plasma glucose lowering
extensive metabolism. The alcohol is rapidly converted effect. For further separation bioactive substance was
to the aldehyde via alcohol dehydrogenase to cinnamal- chromatographed on a silica gel column and eluted with
dehyde, which in turn, is converted to cinnamic acid. Thus a stepwise gradient of hexane–ethyl acetate (8:2) solvent
cinnamic acid is the major intermediate metabolite for system, and an active isolate of 2.25 g was obtained. This
both chemicals. The major urinary metabolites are glycine active isolate was subjected to spectral analysis. 1H and
or glucuronic acid conjugates of benzoic acid, which are 13
C NMR spectra were recorded with a JEOL 300 MHz
formed as a result of b-oxidation of cinnamic acid. FT NMR spectrometer (H1) 75, MHz (13C) and
Glycine and glucuronic acid conjugates of cinnamic acid chemical shifts were given in ppm. IR spectra were
are formed in small amounts. A minor percentage of taken on a Perkin Elmer FT-IR (Spectrum One)
cinnamaldehyde undergoes conjugation with glutathione spectrophotometer and mass spectra on a JEOL JMS-
to form mercapturic acid derivatives (JECFA (Joint DX30 spectrometer.
Expert Committee on Food Additives), 2000).
It is well established that cinnamaldehyde really
possesses a wide variety of bioactive properties. A number
of traditional healers have claimed that cinnamon is Experimental animals
effective in the reduction of blood glucose level (Qin et al.,
2003; Alam et al., 2003) and promotes hypolipidemic Male wistar strain rats weighing about 200–250 g bred
effect (Lee et al., 2003; Kannappan et al., 2006). However, in the Laboratory of Animal Medicine, Centre for
there are no reports available for hypoglycemic and Animal Health Studies, Tamilnadu Veterinary and
hypolipidemic effects of cinnamaldehyde from Cinnamo- Animal Sciences University, Madhavaram, Chennai,
num zeylanicum. So the aim of this study was to Tamil Nadu, India were used. All the animals were kept
investigate the hypoglycemic and hypolipedemic effects and maintained under laboratory conditions of tem-
of cinnamaldehyde (using a bioassay guided separation) in perature (2272 1C), humidity (4575%) and 12 h
streptozotocin (STZ)-induced diabetic rats. day:12 h night cycle; and were allowed free access to
food (standard pellet diet) and water ad libitum. The
animals were divided into 7 groups of 8 rats each.
Materials and methods
Induction of diabetes
Plant material
Diabetes mellitus was induced by single intraperito-
C. zeylanicum Blume. (Lauraceae) bark was collected neal injection of freshly prepared STZ (60 mg/kg bw)
from Kanyakkumari district, Tamil Nadu, India and in 0.1 M citrate buffer (pH – 4.5) in a volume of
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P. Subash Babu et al. / Phytomedicine 14 (2007) 15–22 17
1 ml/kg bw. Diabetes was developed and stabilized glycogen was estimated by the method of Morales et al.
in these STZ treated rats over a period of 7 days (1973).
(Sarkar et al., 1996). The control animals were treated
with citrate buffer (pH – 4.5). After 7 days of
STZ administration, plasma glucose levels of each rat Determination of plasma insulin
were determined. Rats with a fasting plasma glucose
Plasma insulin concentrations were determined by
range of 280–350 mg/dl were considered diabetic
radioimmunoassay kit (Pharmacia, Uppsala, Sweden)
and included in the study. Blood was collected by
with a beta metric counter (Cronex, Dupont, France).
sinocular puncture.
The kit included human insulin as standard and 125I-
labeled human insulin antibody, which cross-reacts
Experimental design and treatment schedule similarly with rat insulin.
Table 1. Effect of cinnamaldehyde on plasma glucose levels in normal and streptozotocin-induced diabetic male wistar rats
Table 2. Effect of cinnamaldehyde on body weight, hemoglobin, glycosylated hemoglobin, hepatic glycogen and plasma insulin in
normal and streptozotocin-induced diabetic male wistar rats
Groups Body weight (g/day) Food intake Total Glycosylated Hepatic Plasma
(g/day) hemoglobin hemoglobin glycogen insulin
Initial Final (mg/dl) (% total Hb) (g/100 g wet (mU/ml)
tissue
Table 3. Effect of cinnamaldehyde on serum total cholesterol, triglyceride, HDL cholesterol levels in normal and streptozotocin-
induced diabetic male wistar rats
Table 4. Effect of cinnamaldehyde on plasma AST, ALT, LDH, ALP and ACP levels in normal and streptozotocin-induced
diabetic male wistar rats
Groups AST (U/dl) ALT (U/dl) LDH (U/l) ALP (U/l) ACP (U/l)
uptake and HbA1C (40.2%) when compared to un- (Gomes et al., 2001). Hyperglycemia generates abnor-
treated diabetic rats. mally high levels of free radicals by autoxidation of
Table 3 shows the levels of serum lipids in normal and glucose and protein glycation, and oxidative stress has
experimental rats. There was a significant decrease in the been reported to be a causal factor of cardiovascular
level of serum HDL-cholesterol and a significant complications in STZ-induced diabetes mellitus (Okutan
increase in the levels of total cholesterol and triglycer- et al., 2005). Hyperglycemia is associated with the
ides in diabetic rats when compared to normal rats. generation of reactive oxygen species (ROS) causing
Administration of cinnamaldehyde brought back the oxidative damage particularly to heart, kidney, eyes,
levels of serum lipids to near normal. nerves, liver, small and large vessels and gastrointestinal
Table 4 shows that the activities of plasma enzymes system (Tunali and Yanardag, 2006). The increased
AST, ALT, LDH, ALP and ACP significantly (po0.05) levels of plasma glucose in STZ-induced diabetic rats
increased in diabetic rats compared to controls. Oral were lowered by cinnamaldehyde administration. The
administration of cinnamaldehyde for 45 days signifi- antihyperglycemic action of cinnamaldehyde results
cantly restores the enzyme levels to near normal in from the potentiation of insulin from existing b-cells
diabetic rats. of the islets of Langerhans. The plasma glucose lowering
activity was compared with glibenclamide, a standard
hypoglycemic drug. Glibenclamide has been used for
Discussion many years to treat diabetes, to stimulate insulin
secretion from pancreatic b-cells (Tian et al., 1998).
The aim of the present study was to evaluate the From the results of the present study, it appears that still
antihyperglycemic and hypolipidemic effects of cinna- insulin producing cells are functioning and the stimula-
maldehyde in STZ-induced diabetic rats. Diabetes tion of insulin release could be responsible for most of
mellitus causes a disturbance in the uptake of glucose the metabolic effects. It may be suggested that the
as well as glucose metabolism. The use of a lower dose mechanism of action of cinnamaldehyde is similar to
of STZ (60 mg/kg) produced an incomplete destruction glibenclamide. Although a number of active principles
of pancreatic b-cells even though the rats become have also been observed with antidiabetic activity
permanently diabetic (Aybar et al., 2002). After treat- (Villasenor et al., 2004; Sheehan and Zemaitis, 1983),
ment with a low dose of STZ there should be many this is the first report that demonstrates antidiabetic
surviving b-cells, and regeneration is also possible properties for cinnamaldehyde.
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20 P. Subash Babu et al. / Phytomedicine 14 (2007) 15–22
Decrease in body weight of diabetic rats is possible blood lipids (Patil et al., 2004). Administration of
due to catabolism of fats and protein, even though the cinnamaldehyde lowers serum lipids, and also increases
food intake is more in diabetic rats than control. Due to the serum HDL-cholesterol level in diabetic rats.
insulin deficiency protein content is decreased in The increase in the activities of plasma AST, ALT,
muscular tissue by proteolysis (Vats et al., 2004). Oral LDH, ALP and ACP indicated that diabetes may be
administration of cinnamaldehyde partially improves induced due to liver dysfunction. Ohaeri (2001) also
body weight in diabetic rats. Lower levels of total found that liver was necrotized in STZ-induced diabetic
hemoglobin observed in diabetic rats might be due rats. Therefore, increase in the activities of AST, ALT,
to the increased formation of HbA1C. In uncontrolled or LDH, ALP and ACP in plasma may be mainly due to
poorly controlled diabetes, there is an increased the leakage of these enzymes from the liver cytosol into
glycosylation of a number of proteins including the blood stream (Navarro et al., 1993), which gives an
hemoglobin and a-crystallin of lens (Alberti and Press, indication on the hepatotoxic effect of STZ. On the
1982). HbA1C was found to increase in patients with other hand, treatment of the diabetic rats with
diabetes mellitus to approximately 16% and the cinnamaldehyde caused reduction in the activity of
amount of increase was directly proportional to the these enzymes in plasma compared to the mean values
fasting blood glucose levels (Pari and Saravanan, 2002). of diabetic group and consequently may alleviate liver
Oral administration of cinnamaldehyde decreases hy- damage caused by STZ-induced diabetes. These results
perglycemia and therefore levels of HbA1C decreased are in agreement with those obtained by El-Demerdash
(40.2%). et al. (2005) in rats.
Insulin is a stimulator of glycogen synthase system Our finding shows that oral administration of
and when insulin is lacking this enzyme is not activated. cinnamaldehyde produces significant antihyperglycemic
On the other hand insulin inhibits glycogenolysis and, if effect, lowers both total cholesterol and triglyceride
there is a lack of insulin glycogenolysis, it is not under levels and, at the same time, increases HDL-cholesterol
inhibition of insulin and, therefore, glycogen content of in STZ-induced diabetic rats. This investigation reveals
the liver decreases (Vats et al., 2004). Oral administra- the potential of cinnamaldehyde for use as a natural oral
tion of cinnamaldehyde significantly increases hepatic agent, with both hypoglycemic and hypolipidemic
glycogen levels in STZ-diabetic rats, possibly because of effects.
the reactivation of the glycogen synthase system as a
result of increased insulin secretion.
Lipids play a vital role in the pathogenesis of diabetes Acknowledgments
mellitus. The most common lipid abnormalities in
diabetes are hypertriglyceridemia and hypercholestero- The authors are grateful to Indian Council of Medical
lemia. In our study, we have noticed elevated levels of Research, New Delhi for providing Research Grant.
serum lipids such as cholesterol and triglycerides in They also thank the Director, Dr. ALM. Post Graduate
diabetic rats. The levels of increased serum lipids in Institute of Basic Medical Sciences, University of
diabetes represent a risk factor for coronary heart Madras for permission to undertake part of the studies
disease (Al-Shamaony et al., 1994). Under normal at PGIBMS.
circumstances, insulin activates lipoprotein lipase and
hydrolyzes triglycerides (Shirwaikar et al., 2004). Insulin
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