Accepted Manuscript Appetite suppressing effect of Spinacia oleracea in rats: Involvement of the short term satiety signal cholecystokinin Vandana Panda, Priyanka Shinde PII: S0195-6663(17)30278-7 DOI: 10.1016/j.appet.2017.02.030 Reference: APPET 3348 To appear in: Appetite Received Date: 15 May 2016 Revised Date: 12 December 2016 Accepted Date: 20 February 2017 Please cite this article as: Panda V. & Shinde P., Appetite suppressing effect of Spinacia oleracea in rats: Involvement of the short term satiety signal cholecystokinin, Appetite (2017), doi: 10.1016/ j.appet.2017.02.030. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. ACCEPTED MANUSCRIPT T P I R C Control Rats Slow onset of satiety Rat feed S U N Inhibitory effect A of NPY/AGRP on Release of Cholecystokinin M Paraventricular (CCK) CCK Receptors Nucleus (PVN) 1 D on vagus nerve E T P Quicker onset of Satiety E C Spinach Extract 400 mg/kg C A Feeling of Satiety Rat feed ACCEPTED MANUSCRIPT 1 Title: Appetite suppressing effect of Spinacia oleracea in rats: Involvement of the short 2 term satiety signal cholecystokinin 3 4 Names of Authors: Vandana Panda*, Priyanka Shinde T 5 P 6 Department: Department of Pharmacology & Toxicology I 7 R 8 Institution: Prin. K. M. Kundnani College of Pharmacy, C 9 Jote Joy Building, S 10 Rambhau Salgaonkar Marg, U 11 Cuffe Parade, Colaba, 12 Mumbai – 400005, India N 13 A 14 M 15 *Corresponding author: Dr. (Mrs.) Vandana S. Panda 16 Prin. K. M. Kun dnani College of Pharmacy, D 17 Jote Joy Building, Rambhau Salgaonkar Marg, 18 Cuffe ParaEde, Colaba, Mumbai 400005. India 19 Tel: +T91 22 22164387 Fax: +91 22 22165282 20 e-mail: [email protected] P 21 E 22 C 23 24 C 25 A 26 Running Title: Appetite suppressing effect of Spinacia oleracea 27 28 29 30 31 1 ACCEPTED MANUSCRIPT 32 ABSTRACT 33 Spinacia oleracea (spinach) is a green leafy vegetable rich in antioxidant phyto-constituents such 34 as flavonoids, polyphenols, carotenoids and vitamins. Fruits and vegetables rich in flavonoids are 35 known to prevent weight gain by inducing satiety. The present study evaluates the appetite 36 suppressing effect of a flavonoid rich extract of the spinach leaf (SOE) in rats. HPTLCT of SOE 37 was performed for detecting flavonoids. Rats were administered SOE (200 mg/kg and 400 38 mg/kg, p.o) and fluoxetine (6 mg/kg i.p) as a pre-meal for 14 days. Food intake anPd weight gain 39 was observed daily during the treatment period. Serum levels of the short term satiety signals I 40 cholecystokinin (CCK) and glucose were measured on the 7th and 14thdays at different time R 41 points after start of meal to study the satiety inducing effect of SOE. HPTLC showed the 42 presence of 14 flavonoids in SOE. SOE and fluoxetine treated rats showed a significant 43 reduction in food intake and weight gain when compared with the normaCl control rats. On the 7th 44 day of treatment, peak CCK levels were reached in 30 min after start of meal in fluoxetine 45 treated rats and in 60 min in the remaining rats. On the 14th day, CCSK peaking was observed in 46 30 min after start of meal in the fluoxetine as well as SOE 400 mg/kg treated rats. Peak glucose U 47 levels in all treatment groups were obtained in 60 min after start of feeding on both days of the 48 study. It maybe concluded that SOE exhibited a promising appetite suppressing effect by N 49 inducing a quicker than normal release of CCK, thus eliciting an early onset of satiety in rats. 50 This effect may be due to its high flavonoid content. A 51 M 52 KEY WORDS: Spinacia oleracea; flavonoids; satiety; cholecystokinin; glucose 53 D 54 E 55 T 56 P 57 E 58 C 59 C 60 A 61 62 63 64 2 ACCEPTED MANUSCRIPT 65 INTRODUCTION 66 Energy homeostasis is a complex mechanism which maintains body weight by regulating energy 67 intake (1). Obesity occurs due to an imbalance in energy homeostasis. This imbalance is in the 68 form of increased food intake and reduced energy expenditure. Low metabolic rate, low 69 spontaneous physical activity, low sympathetic nervous system activity and low fat oxiTdation are 70 known to be the four main predisposing factors for weight gain (1). However, genetic, 71 environmental, metabolic and behavioral issues may also contribute to the developPment of 72 obesity. I R C S U N A M D E T 73 74 Figure1: Regulation of food inPtake by CNS and peripheral signals 75 The hypothalamus, a small aErea of the brain located just above the brainstem is the regulating 76 center of appetite and energy homeostasis (Figure 1). It consists of several interconnecting nuclei 77 including the arcuate nuCcleus (ARC) and the paraventricular nucleus (PVN). The ARC of the 78 hypothalamus is considered to be an area primarily sensing peripheral metabolic signals. It is an 79 aggregation of two Cdistinct populations of neurons, the AgRP/NPY expressing neurons and the 80 pro-opiomelanocortin (POMC) expressing neurons (2). The agouti-related peptide (AgRP) co- A 81 expressed with neuropeptide Y (NPY) is orexigenic and promotes weight gain by stimulating 82 appetite, while the POMC neurons which secrete α- melanocyte stimulating hormone (α-MSH) 83 and contain receptors for serotonin and leptin are anorexigenic and cause weight loss by 84 decreasing appetite and inducing satiety. POMC neurons are also present in the nucleus tractus 85 solitarius (NTS) in the medulla, which are involved in regulation of satiety. The orexigenic and 86 anorexigenic neurons integrate various nutritional, hormonal and neuronal signals to regulate 87 food intake and energy expenditure, thus helping to achieve energy homeostasis. 88 Nutrients and gastrointestinal peptide hormones such as cholecystokinin (CCK), glucagon like 89 peptide-1 (GLP-1) and peptide YY are involved in the short term regulation of food intake (3). 3 ACCEPTED MANUSCRIPT 90 These short term signals interact with long term regulators such as insulin, leptin and ghrelin to 91 maintain energy homeostasis. 92 In the ARC, glucose induced stimulation of the anorexigenic POMC neurons has been reported, 93 while the orexigenic AgRP/NPY neurons may be directly inhibited by glucose (4). Glucose may 94 thus play an important role in suppressing appetite and reducing food intake. T 95 Recently, much attention has been focused on plant foods that are effective in modifying release P 96 of the above mentioned short term satiety signals which regulate the balance between food intake 97 and energy expenditure to maintain body weight. Spinacea oleracea known as sIpinach is a green 98 leafy vegetable consumed by people across the globe in various culinary prepRarations. Spinach is 99 reported to possess antimicrobial, anticancer, antiulcer, antidiabetic, antihyperlipidemic and 100 antithrombotic activities by virtue of its numerous antioxidant phyto-conCstituents, together 101 termed as natural antioxidants, NAO (5). NAO comprises flavonols (spinacetin, patuletin, 102 jaceidin), polyphenols (quercetin, luteolin) and vitamins (A, B1, B2S, B3, B6, C, E, K and folic 103 acid), (6). This wide array of antioxidant phyto-constituents present in spinach renders it a potent U 104 ROS scavenger and antioxidant. 105 It is reported that fruits and vegetables which are rich in flaNvonoids particularly flavonols, 106 anthocyanins and flavones are associated with reduced weight gain (7).Chrysin, a naturally A 107 occurring flavone has been demonstrated to bring about reduction in weight gain by inducing 108 satiety (8). Recent studies have shown thylakoids, the internal membranes of chloroplasts in M 109 green leafy vegetables to induce satiety (9). Hence, we contemplated to study whether spinach 110 could curb food intake and reduce weight gain in rats by inducing satiety due to its high content 111 of thylakoids and flavonols. The present study evaluates the effect of a flavonoid- rich extract of D 112 Spinacea oleracea on food intake, body weight and the short term satiety markers 113 cholecystokinin and glucose. E 114 MATERIALS AND METHODS T 115 Drugs and chemicals 116 Fluoxetine was a gift sample froPm Macleods Pharmaceuticals Ltd., Mumbai, India. Methanol, 117 ethyl acetate, formic acid and glacial acetic acid were purchased from Merck® India Ltd. Rutin E 118 was purchased from Sigma Chemical Co., St Louis, MO, USA. All other chemicals were 119 obtained from local sources and were of analytical grade. C 120 121 Plant material C 122 Spinach was purchased from a farm on the outskirts of Mumbai, India and authenticated at the 123 Blatter HerbariuAm, St. Xavier’s College, Mumbai after matching with the existing specimen 124 (specimen no. TK-1).The leaves were washed, shade dried and ground to obtain a dry powder. 125 This powder was extracted using a mixture of methanol: water (70:30) v/v in a soxhlet apparatus. 126 This extract of Spinacea oleracea termed as “SOE” was dried and stored in a refrigerator for 127 further use. The yield of dried SOE from the leaves was 6.5 % w/w. 128 HPTLC fingerprinting of SOE for flavonoids 129 HPTLC of SOE for detecting flavonoids was performed on the CAMAG system using silica gel 130 60 F254 (20x10 cm) plates and a mobile phase comprising ethyl acetate: formic acid: glacial 4 ACCEPTED MANUSCRIPT 131 acetic acid: water [10:0.5:0.5:1.3 (v/v)]. Solutions of the reference standard rutin and SOE at 132 different concentrations were applied to the plates as bands of 8 mm each using the CAMAG 133 Linomat V applicator at a speed of 150 nL/s. The plates were then treated with a solution of 10% 134 methanolic sulfuric acid, heated at 110˚C and scanned using the CAMAG TLC scanner at 366 135 nm. T 136 Animals 137 Sprague Dawley female rats (150- 200g) were acquired from Glenmark PharmaceuPticals Ltd., 138 India. They were housed in clean polypropylene cages under standard conditions of humidity (50 I 139 ± 5%), temperature (25 ± 2°C) and light (12 h light/12 h dark cycle) and fed with a standard diet R 140 (Amrut laboratory animal feed, Pranav Agro Industries, India) and water ad libitum. All animals 141 were handled with humane care. Experimental protocols were reviewed and approved by the C 142 Institutional Animal Ethics Committee (Animal House Registration No. 25/1999/CPCSEA) and 143 conform to the Indian National Science Academy Guidelines for the Use and Care of 144 Experimental Animals in Research. S 145 U 146 Preparation of test solutions 147 SOE was dissolved in distilled water and the fresh solution was used for administration. N 148 Fluoxetine was dissolved in distilled water and was administered intraperitoneal to the rats. 149 A 150 Procedure 151 Animals, after acclimatization (6 –7 days) in the aniMmal quarters, were randomly divided into 4 152 groups of 6 animals each (Groups I to IV) and treated in the following way: 153 Group I (Normal control) - received drinking water (1 mL/kg, per oral) daily for 14 days, 20 154 minutes before meal time. D 155 Group II (Reference standard) – received fluoxetine (6 mg/kg, intraperitoneal) daily for 14 days, 156 20 minutes before meal time. E 157 Group III (SOE200) - received SOE (200 mg/kg, per oral) daily for 14 days, 20 minutes before 158 meal time. T 159 Group IV (SOE400) - received SOE (400 mg/kg, per oral) daily for 14 days, 20 minutes before 160 meal time. P 161 Animals of all groups were given access to normal chow diet for 4h every day and drinking E 162 water ad libitum throughout the treatment period. Animals of the SOE and fluoxetine treatment 163 groups were administered SOE and fluoxetine 20 min prior to the feeding period. The effect of C 164 treatment was determined by monitoring changes in total food intake and body weight each day. 165 Blood was withdrawn on the 7th day and 14th day from the retro orbital plexus at different time C 166 points (0 min, 30 min, 60 min and 180 min) during the feeding period and a drop was used for 167 glucose measureAment. The remaining blood was allowed to clot for 30 min at room temperature 168 and serum was separated by centrifugation at 2500 rpm at 30˚C for 15 min and used for 169 estimation of CCK. 170 Determination of blood glucose levels 171 Blood glucose levels were measured using an automated digital glucometer (Accu-chek 172 Advantage Roche, USA) and expressed as mg/dL. 173 Determination of plasma cholecystokinin levels 5 ACCEPTED MANUSCRIPT 174 CCK levels were estimated using an ELISA kit supplied by Bioassay Technology Laboratory, 175 Korea. The assay is based on the biotin double antibody sandwich technology in which the 176 sample and standard solutions are reacted with CCK monoclonal antibodies. Chromogen 177 solutions A and B are added to form a blue color turning to yellow in presence of acid. The 178 absorbance of the yellow colored solution and the concentration of the rat CCK was positively 179 correlated. T 180 Statistical analysis P 181 The results are expressed as mean ± SEM from 6 animals in each group. ResultIs were 182 statistically analyzed using one-way ANOVA, followed by the Tukey’s KramRer multiple 183 comparison test; P<0.05 was considered significant. Graphpad Prism version 5.00.288 of Graph 184 Pad Software Inc., San Diego, USA was the software used for statistical Canalysis. 185 S 186 RESULTS U 187 HPTLC fingerprinting of SOE for flavonoids N 188 HPTLC showed clear separation of 14 flavonoids from SOE (Figure 2). Rf values of the 189 separated flavonoids were observed to be in the range oAf 0.03 to 0.93. 190 Figure2a. HPTLC fingerprint of SOE at 366 nm M D E T P 191 E 192 1 2 3 4 5 6 7 8 9 10 C Track Sample Volume of sample applied no. C (µL) 1 Extract 0.5 A 2 Extract 0.5 3 Extract 1.0 4 Extract 1.0 5 Rutin 2.0 6 Rutin 2.0 7 Extract 1.5 8 Extract 1.5 9 Extract 2.0 10 Extract 2.0 6 ACCEPTED MANUSCRIPT 193 Figure2b. HPTLC Chromatogram and Rf values of SOE at 366 nm 194 T P I R C 195 S U N A M D 196 197 E 198 Effect of SOE and fluoxetine on foTod intake and reduction in weight gain 199 The food intake of rats treated wPith SOE200, SOE400 and fluoxetine was significantly (p<0.001) 200 lower than that of the normal control rats indicating a distinct satiating effect of the treatments 201 (Table 1). E 202 Rats treated with SOE40C0 and fluoxetine showed significant reduction in weight gain (p<0.05 for 203 SOE400 and p<0.01 for fluoxetine) when compared with rats of the normal control group at the 204 end of the study, refClective of a good satiating effect of SOE400 and fluoxetine (Table 1). 205 Table 1. Effect ofA SOE and fluoxetine on food intake and reduction in weight gain Treatment Group Food intake (g) % Reduction in weight gain Normal control 9.204± 0.111 1.66 ± 1.17 *** Fluoxetine 3.104± 0.298 (66.27) 11.32 ± 2.36** (6mg/kg) 7 ACCEPTED MANUSCRIPT SOE200 5.795± 0.279*** (37.03) 7.96 ± 1.94 SOE400 5.714± 0.249*** (37.92) 10.05 ± 1.76* 206 T 207 All values are expressed as mean ± SEM; N = 6 in each group; Values in parenthesPis indicate % 208 reduction in food intake. One way ANOVA followed by Tukey-Kramer multipIle comparison 209 test is applied for statistical analysis *p< 0.05, **p< 0.01 and ***p< 0.001 wRhen experimental 210 groups compared with control group. C 211 Effect of SOE and fluoxetine on serum CCK S 212 The effect of SOE and fluoxetine on serum CCK levels at different time intervals (0 min, 30 min, 213 60 min and 180 min) after start of feeding is shown in Figure 3. UPeak levels of CCK were 214 reached in 30 min after start of feeding in fluoxetine treated animals and in 60 min in the 215 remaining animals on the 7th day of treatment. On the14th daNy, peaking of CCK levels was 216 observed in 30 min after start of feeding in the fluoxetine treated animals as well as the SOE400 217 animals. However, the SOE200 and normal control grouAp of animals exhibited peak CCK levels 218 only after 60 min of start of feeding. M 219 Figure3a. Effect of SOE and fluoxetine on serum CCK levels on day 7 1200 D 1000 E 800 T ) L / g 600 P (n Normal control K CC 400 E Fluoxetine SOE200 C 200 SOE400 C 0 0 A 30 60 90 120 150 180 T ime in minutes 220 221 222 8
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