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Journal of Ethnopharmacology 139 (2012) 214–220

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Journal of Ethnopharmacology
journal homepage: www.elsevier.com/locate/jethpharm

Trillin, a steroidal saponin isolated from the rhizomes of Dioscorea nipponica,


exerts protective effects against hyperlipidemia and oxidative stress
Tiejie Wang a,d , Roy C.Y. Choi d , Jun Li a , Cathy W.C. Bi d , Wei Ran c , Xiaohui Chen b ,
Tina T.X. Dong d , Kaishun Bi b , Karl W.K. Tsim d,∗
a
Shenzhen Municipal Institute for Drug Control, Shenzhen 518029, China
b
School of Pharmacy, Shenyang Pharmaceutical University, Shenyang 10016, China
c
Center for Drug Re-evaluation, SFDA, National Center for ADR Monitoring, Beijing 100045, China
d
Division of Life Science and Center for Chinese Medicine, The Hong Kong University of Science and Technology, Clear Water Bay Road, Hong Kong, China

a r t i c l e i n f o a b s t r a c t

Article history: Ethnopharmacological evidence: Numerous efforts have been conducted in searching for effective agents
Received 10 June 2011 against cardiovascular diseases, in particular from herbal medicines. The rhizome of Dioscorea nipponica
Received in revised form 27 October 2011 (Dioscoreae Nipponicae Rhizoma) is a traditional Chinese herb being prescribed to improve the blood
Accepted 1 November 2011
circulation. Here, we identified a steroidal saponin trillin from Dioscorea nipponica, which showed robust
Available online 12 November 2011
anti-hyperlipidemic effects.
Materials and methods: Rats were induced for hyperlipidemia and subjected to the drug treatment. The
Keywords:
anti-hyperlipidemic effects of trillin were evaluated by different biochemical assays.
Trillin
Cardiovascular
Results: In hyperlipidemic rat model, fed with high-fat diet, the blood levels of cholesterol, triglyceride,
Hyperlipidemic low density lipoprotein (LDL) and high density lipoprotein (HDL) were increased. The intra-peritoneal
Anti-oxidative administration of trillin into those rats significantly improved the bleeding and blood coagulation time,
Dioscorea nipponica Makino and in parallel the treatment restored the levels of cholesterol, glyceride, LDL and HDL back to the normal
condition. In addition, the administration of trillin in rats exerted beneficial effects in improving the levels
of lipid peroxidation and superoxide dismutase activity.
Conclusion: This was the first time to reveal the anti-hyperlipidemic and anti-oxidative effects of trillin.
These results would be important in developing food supplements for health improvements and thera-
peutic drugs against hyperlipidemia and cardiovascular diseases in future.
© 2011 Elsevier Ireland Ltd. All rights reserved.

1. Introduction Over the last few decades, numerous studies have been car-
ried out on the identification of novel classes of hypolipidemic
Mortality from cardiovascular diseases is the second leading agents from both natural and synthetic sources, which possess
cause of death worldwide (Ohlsen, 2004). Patients suffered from ability in reducing the level of lipids in blood. These studies dis-
cardiovascular diseases usually have an increase in blood choles- covered a lot of anti-hyperlipidemic substances, including dietary
terol and low-density lipoprotein (LDL), as well as an increased fibers (Yamada et al., 2003), plant sterols (Nigon et al., 2001), herbal
activity of lipid peroxidation: these are the hallmarks of hyperc- extracts (Megalli et al., 2005) and yeast extracts (Elwood et al.,
holesterolemia (Dembowski and Davidson, 2009; Zhou and Liao, 1982). Among these searches, traditional Chinese herb is one of the
2009). Due to dramatic changes of living and food styles in the last selections. The rhizome of Dioscorea nipponica Makino (Dioscoreae
century, the intake of a large variety of high-lipid snack and an Nipponicae Rhizoma or Japan Yam Rhizome) has been consumed
excessive intake of high-lipid food could result, subsequently, in as a herbal medicine for more than four thousand years in China. In
hyperlipidemia (Sorrentino et al., 2008). Clinically, hyperlipidemia clinical practice, Dioscoreae Nipponicae Rhizoma is used for reliev-
is considered to be one of the major risk factors for cardiovascu- ing cough and asthma, eliminating rheumatic aches, alleviating
lar diseases including atherosclerosis, myocardial infarction, heart pain, and improving blood circulation. The rhizome of Dioscorea
attacks, stoke and cerebrovascular diseases (McBride, 2008; Tarride nipponica is the major part of medicine, and the identified active
et al., 2009). components are steroidal saponins, including furostanol saponins
and isospirostanol saponins. Saponin of Dioscorea nipponica pos-
sesses various pharmacological activities. Among them, trillin, a
∗ Corresponding author. Tel.: +852 2358 7332; fax: +852 2358 1559. steroidal saponin identified from Dioscorea nipponica, has been
E-mail address: botsim@ust.hk (K.W.K. Tsim). demonstrated to induce multi-nucleation in different cancer cell

0378-8741/$ – see front matter © 2011 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.jep.2011.11.001
T. Wang et al. / Journal of Ethnopharmacology 139 (2012) 214–220 215

lines (Liu et al., 2004), suggesting its regulatory effect in arrest-


ing mitotic cells. However, the report on other biological effects
A Cholesterol
of trillin is rather limited. In the current study, we employed a rat
Triglyceride
model feeding with high-fat diet as to induce hyperlipidemia, and + High-fat diet
subsequently the anti-hyperlipidemia effects of Dioscorea nippon-
ica rhizome and trillin were tested in the rats. Thus, we revealed ***
two novel activities of trillin in against hyperlipidemia and oxi-
*

Amount of lipid (mmol)


dation. Specifically, the anti-hyperlipidemic effects, including the 8
bleeding and blood coagulation time, the blood levels of choles-
terol, triglyceride, LDL and high-density lipoprotein (HDL) were
revealed here. In addition, the anti-oxidative effects, including 6
the levels of lipid peroxidation and superoxide dismutase (SOD),
were also determined. Indeed, the oxidation of lipid molecules is
one of the initial stages in developing cardiovascular diseases and 4
atherosclerosis.

2
2. Materials and methods

2.1. Preparation of herbal extracts and purification of trillin 0

Rhizoma Dioscoreae Nipponicae was obtained from Shenyang


Pharmaceutical University with the voucher specimen #10-08-04.
The raw herbs were morphologically authenticated by one of the
authors, Dr. Wang, during the field collection. Their corresponding
voucher specimens in the form of whole plants were deposited in Extractions
Shenzhen Institute of Drug Control, Shenzhen China. For chemi-
cal extraction, dried powder (5 kg) of Dioscorea nipponica rhizomes B
was extracted by 65% ethanol under reflux for 2 h and repeated HDL
two times (2× 50 L). After evaporation of solvent under vacuum,
the extract (630 g) was re-suspended in water and then extracted LDL
+ High-fat diet
by CHCl3 and n-BuOH to yield CHCl3 (60 g), n-BuOH (160 g) and
Amount of HDL or LDL (mmol)

H2 O fractions. The n-BuOH fraction (100 g) was subjected to column


**
chromatography (Ø 8 cm × 38 cm) over a silica gel (200–300 mesh)
with a gradient of CHCl3 –MeOH–H2 O system (10:1:0; 8:2:0.2;
*
7:3:0.5; 6:4:0.8) using 8.4 L volume for elution, which yielded 30 4
sub-fractions. Octa-decyl silica (ODS) open column chromatogra-
phy (Ø 5 cm × 25 cm) using a solvent consisting of MeOH–H2 O (6:4,
7:3, 8:2) and a volume of 1.5 L for elution led to the isolation of trillin
(200 mg) with over 98% purity. The chemical structure of purified
trillin was determined by comparing their spectral data with those
2
in the literatures, including infrared spectrum, nuclear magnetic
resonances (13 C NMR and 1 H NMR) and mass spectrometry (Choi
et al., 1991; Ballabeni et al., 2004).

2.2. Induction of hyperlipidemia by high-fat diet 0

Male Sprague–Dawley (SD) rats (180–220 g) were obtained from


the Guangdong Medical Laboratory Animal Center (Guangdong,
China). The handling of animals was according to the regulation
of Shenzhen Institute for Drug Control, Shenzhen China, and the
experimental procedures were approved by the ethical committee Extractions
of this Institute in line with the international guidelines of animal
care and welfare. In the diet-induced hyperlipidemia model, rats Fig. 1. The anti-hyperlipidemic effects of Dioscoreae Nipponicae Rhizoma by dif-
were fed with normal and high-fat diet (normal diet supplemented ferent extractions. The rhizomes of Dioscorea nipponica was extracted twice by 65%
with 5% cholesterol (Sigma, St. Louis, MO)), 0.5% pig bile salt (Sigma) EtOH for 2 h under reflux and then dried by rota-evaporation. The EtOH extract was
extracted by chloroform, n-butonol and water for 3 times. Solutions were dried by
and 0.2% thimecil (Sigma) for 1–28 days. The rats receiving the
either lyopholization or rota-evaporation. Experimental rats were subjected to nor-
high-fat diet were randomly divided into different groups (10 rats mal or high-fat diet for 14 days, and the latter group was intra-gastric administrated
each group) and subjected to drug treatments as control (without with the extracts (100 mg/kg) for 28 days. Intra-peritoneal administration of Lovas-
drug administration), solvent (0.5% DMSO), positive control (Lovas- tatain (10 mg/kg) served as a positive control. The anti-hyperlipidemic activities
were assayed in terms of measuring the blood levels of cholesterol and triglyceride
tatin at 10 mg/kg from Sigma with >98% purity), chloroform extract
in (A), and LDL and HDL in (B). Data were expressed as the amount of lipids or
(50 mg/kg), n-butanol extract (50 mg/kg), water extract (50 mg/kg) lipoproteins, mean ± SEM, n = 10. *p < 0.05, **p < 0.01 and ***p < 0.001 as compared
and trillin (0.5 mg/kg dissolved in 0.5% DMSO). The drug delivery to the control received high-fat diet.
was conducted by intra-peritoneal administration everyday from
the period of 15 to 28 days.
216 T. Wang et al. / Journal of Ethnopharmacology 139 (2012) 214–220

A C
Capillary method
250
O ***
Trillin
200 ***
O
150

100

Coagulation time (sec)


GlcO
60

0
B 250 *** Slide method
***
Bleeding time (secc)

*** 200
200
**
150
150

100
100

60
60

0
0

+ High-fat diet
+ High-fat diet
Fig. 2. The regulatory effects of trillin on bleeding and coagulation time. (A) Trillin, ((25R)-spirost-5-en-3b-yl O-␤-d-glucopyranoside), was isolated and purified by column
chromatography as described in Section 2, with a purify of >98%. The identity was confirmed by correspondent spectra IR, NMR and MS (data not shown here). (B) Rats were
subjected to normal or high-fat diet for 1–28 days, and the latter group was intra-peritoneally injected with the trillin (0.5 mg/kg), Lovastatain (10 mg/kg), and 0.5% DMSO
solvent from 14 to 28 days. The measurement of blood clotting was represented by the bleeding time from the cut tail. (C) The blood coagulation time was determined
by using the capillary (upper panel) and slide (lower panel) methods being described in Section 2. Data were expressed as the time of bleeding or blood coagulation (s),
mean ± SEM, n = 10, **p < 0.01 and ***p < 0.001 as compared to the control received high-fat diet.

2.3. Bleeding and blood coagulation assays was calculated using the equation: LDL = cholesterol − HDL − 1/5
triglyceride (Choi et al., 1991; Kim et al., 2001).
At the end of the experimental period, followed by fasting for
8 h, the rats were anesthetized by isoflurane (5%) and subjected to
different blood assays, including bleeding and coagulation tests. For 2.5. Anti-oxidative assays of lipid peroxidation and super oxide
bleeding assay, the rat tail was cut. The duration (in s) required from dismutase
bleeding to clotting was determined (Ballabeni et al., 2004). For
coagulation tests, the blood samples (0.5 mL) were collected from Followed by fasting for 8 h, the rats were anesthetized by isoflu-
the eye socket using a glass capillary, and the time interval required rane (5%), the blood samples (0.5 mL) were withdrawn from the
for blood coagulation inside the capillary was measured (capillary veins of upper extremity, and which was centrifuged to obtain
method). In addition, the blood samples (collected before) were the serum. Lipid peroxidation was measured by the formation of
spread onto the glass slides. The duration (in s) required for blood malonaldehyde using thio-barbituric acid (TBA shade selection)
coagulation was also determined (slide method). The experimental method (BIOMOL International Inc., Plymouth Meeting, PA), and the
conditions of all the tests were controlled at 27 ◦ C with a humidity enzymatic activity of superoxide dismutase (SOD) was measured
of 60%. by xanthine oxidase (hydroxylamine method) method (Invitrogen,
Carlsbad, CA).
2.4. Measurement of triglyceride, cholesterol, HDL, LDL in blood

At the end of the experimental period, followed by fasting for 8 h, 2.6. Statistical analysis
the rats were anesthetized by isoflurane (5%), and blood samples
(1 mL) were collected from the eye socket. The levels of choles- All data were analyzed by one-way ANOVA (analysis of F-test,
terol, triglyceride and HDL in serum were determined by enzymatic q-test and t-test) using the SPSS version 13 statistical analysis pro-
colorimetric methods using the commercial kits (Jiangcheng Bio- gram. Statistical significance was considered as ** for p < 0.01 and
engineering Institute, Nanjing, China). The concentration of LDL *** for p < 0.001.
T. Wang et al. / Journal of Ethnopharmacology 139 (2012) 214–220 217

3. Results
Cholesterol
**
In order to test the anti-hyperlipidemia property of Dioscoreae
Nipponicae Rhizoma, the ethanol extracts were subjected to fur- ***
8
ther extraction by three different solvents: chloroform, n-butanol
and water. Different extracts were intra-gastrically administrated
to the rats that previously fed with normal, or high-fat, diet. The
6
results showed that administration of n-butanol extract in rats
exerted the best effect in reducing the high-fat diet-induced up reg-
ulation of lipid, including cholesterol and triglyceride (Fig. 1A). On
the other hand, the administration of n-butanol extract could also 4
restore the levels of HDL and LDL back to normal status (Fig. 1B).

nt of lipid (mmol)
Thus, the n-butanol extract was subjected to further purification.
Among various chemicals identified in the extract, trillin (chemical 2
structure see Fig. 2A) was the predominant chemical being isolated
from the extract, and about 200 mg of highly purified chemical was
achieved from 5 kg of dried herb, which therefore was chosen for 0
pharmacological characterization. 4 Triglyceride

Amoun
The regulatory effects of trillin on blood circulation were firstly
evaluated. Rats were subjected to high-fat, or normal, diet for
**
4 weeks. During this hyperlipidemic-inducing period, trillin was **
intra-peritoneal administrated into the animals from week 2 to
week 4. At the end of the experiments, the animals were subjected
to fasting for 8 h and then anesthetized for blood clotting analysis, 2
including (i) the blood clotting time (indicated by the interval of
bleeding until clotting at the cutting tail); and (ii) the time of blood
coagulation (using capillary and slide methods). The results showed
that upon the receiving of high-fat diet (control), the bleeding time
in tail of the rat was dramatically reduced, as compared to that of
the normal-diet fed rat (normal). In contrast, the injection of trillin 0
could increase the bleeding time for more than 50% (Fig. 2B). Sim-
ilar effects were observed in blood coagulation tests that the time
interval of blood coagulation, being lowered by high-fat diet, could
be greatly restored by the administration of trillin (Fig. 2C, upper
and lower panels). In all the experiments, Lovastatin, a frequently
used statin, was used as the positive control to indicate the respon-
siveness of our model system. These results indicated that trillin + High-fat diet
did possess promising effects in enhancing the bleeding time and
blood clotting time in the hyperlipidemic condition. Fig. 3. Reduction of blood cholesterol and triglyceride by trillin. Experimental rats
were subjected to a high-fat diet and then treated with solvent, Lovastatin or with
Clinically, the reduction of bleeding time and blood clotting time trillin, as in Fig. 2B. The amounts of cholesterol and triglyceride in the blood sam-
under hyperlipidemic condition can be attributed to hypercholes- ples were determined. Lovastatin (10 mg/ml) served as a positive control. Data
terolemia. Based on this rationale, the regulatory effect of trillin were expressed as the amount of lipid (mmol), mean ± SEM, n = 10, **p < 0.01 and
in reducing the blood cholesterol was examined. Blood samples ***p < 0.001 as compared to the control received high-fat diet.
from the experimental rats were collected and subjected to differ-
ent biochemical assays. Results showed that the amount of blood the lipoproteins in blood stream, the ratio of HDL/LDL is another
cholesterol was increased by ∼1.8 folds in the control group having useful index for health assessment, e.g. a high ratio of HDL/LDL
the high-fat diet (Fig. 3, upper panel): this increase could be attenu- refers to a better health condition with relatively low risk in suf-
ated by the administration of trillin, with more than 90% reduction fering cardiovascular diseases. The rats receiving the high-fat diet
of the level of cholesterol. In addition, high level of triglyceride in had a low ratio of HDL/LDL, indicating the potential risk of body
blood stream could be linked with atherosclerosis. Therefore, the health (Fig. 4B). However, the intra-peritoneal administration of
regulatory effect of trillin on blood triglyceride was also investi- trillin was able to significantly raise the ratio to ∼4.5 (Fig. 4B). Such
gated. To our expectation, the content of blood triglyceride could promising results could be attributed to the differential regulation
be elevated by the high-fat diet. The administration of trillin was of HDL and LDL by trillin that simultaneously reduced the amounts
able to suppress the high level of triglyceride under high-fat diet of LDL completely and HDL partially in blood stream.
treatment (Fig. 3, lower panel). These results were similar to that of In the development of cardiovascular diseases and atherosclero-
Lovastatin in reducing the levels of both cholesterol and triglyceride sis by hyperlipidemia, oxidative damage of lipid molecules is one
in high-fat diet rat. of the initial steps of pathogenesis (Gamkrelidze et al., 2008). In
HDL and LDL function as a cholesterol carrier in our body, and order to evaluate the anti-oxidative effects of trillin, the lipid per-
which could serve as a diagnostic index in assessing the riskiness oxidation in blood was measured. Upon the treatment of high-fat
of hyperlipidemia and other cardiovascular diseases. In the con- diet, the lipid peroxidation activity was increased by ∼50% (Fig. 5,
trol rats receiving high-fat diet, the contents of LDL and HDL were upper panel). Such deteriorate effect could be recovered by the
dramatically increased by ∼3.5 folds and ∼1 fold, respectively, administration of trillin, and the level of lipid peroxidation was
as compared with that of normal diet (Fig. 4A). Interestingly, the totally restored to normal condition (Fig. 5, upper panel). Similar
administration of trillin was shown to reduce the level of LDL com- result was observed in Lovastatin treatment. This result indicated
pletely and HDL partially (Fig. 4A). These results were similar to that that trillin possessed the biological activity in suppressing the lipid
of Lovastatin administration. In addition to the absolute amount of peroxidation in vivo. To partly account for this phenomenon, the
218 T. Wang et al. / Journal of Ethnopharmacology 139 (2012) 214–220

A *** LDL Lipid peroxidation


3
*** **

Amount of MDA ((mmol/L)


**
2
protein (mmol)

30

1
20
Amount of lipop

0
** HDL 10
4 **

0
3 SOD
**
400

SOD level (U/mL)


**
2
300

1
200

0 S 100

+ High-fat diet

B + High-fat diet
***
6
Fig. 5. Anti-oxidative effects of trillin on lipid peroxidation and SOD activity. Exper-
DL

imental rats were subjected to a high-fat diet and then treated with solvent,
Ratio of HDL/LD

Lovastatin or with trillin, as in Fig. 2B. The amount of MDA (lipid peroxidation) and
SOD activity in the blood samples were determined. Lovastatin (10 mg/ml) served as
4 a positive control. Data were expressed as the amount of SOD or MDA, mean ± SEM,
n = 10, **p < 0.01 and ***p < 0.001 as compared to the control received high-fat diet.

enzymatic activity of SOD was revealed since it participated in the


2 anti-oxidant defense in nearly all cells exposed to oxygen. To our
expectation, the activity of SOD, being reduced by high-fat diet, was
enhanced in the presence of trillin (Fig. 5, lower panel). Serving as
the positive control, Lovastatin also suppressed lipid oxidation and
0 elevated SOD activity. Taken together, the anti-oxidation effects of
trillin in vivo might be a part of molecular mechanisms in protecting
body health against hyperlipidemia.

4. Discussion

Saponins, a class of glycoside having structural diversity, have


+ High-fat diet attracted more and more attention in the last decade due to their
promising biological activities (Hostettmann and Marston, 1995;
Fig. 4. Trillin suppresses the blood levels of LDL and HDL in high-fat diet treated Wang et al., 2001). Isospirostanol saponins are often found to be
rats. (A) Experimental rats were subjected to a high-fat diet and then treated with the major ingredients in traditional Chinese herbs, with diosgenin
solvent, Lovastatin or with trillin, as in Fig. 2B. The amounts of HDL and LDL in the
as the steroidal sapogenin. Most of them are deriving chemically
blood samples were determined. (B) The ratio of HDL/LDL was calculated from the
data as listed in (A). Lovastatin (10 mg/ml) served as a positive control. Data were from trillin, while their structural diversities are attributed to
expressed as the amount of HDL or LDL (mmol), mean ± SEM, n = 10, **p < 0.01 and the difference in their sugar moieties. Some of the isospirostanol
***p < 0.001 as compared to the control received high-fat diet. glycosides in medicinal herbs have been used to treat malaria,
T. Wang et al. / Journal of Ethnopharmacology 139 (2012) 214–220 219

helminthes infections and snake bites (Espejo et al., 1982; Ma and internationalization and modernization of Chinese herbal
Lau, 1985). Besides, anti-fungal and anti-bacterial effects were also medicine, as well as for the development of drugs against
documented (Hufford et al., 1988; Li et al., 2001). Moreover, the different diseases in future.
cytotoxic property of isospirostanol saponins has been shown in
againsting different strains of human cancer cells (Beneytout et al., Acknowledgements
1995; Ma et al., 2000). Among various biological properties, dioscin
(Cai et al., 2002) and trillin (Li et al., 1998) are the best known This research was supported by grants from Research Grants
isospirostanol saponins having these pharmacologically properties. Council of Hong Kong (N HKUST629/07, 662608), Croucher Foun-
In addition to the aforementioned physiological effects, dioscin also dation (CAS-CF07/08.SC03) to Karl Tsim, and Shenzhen Bureau
possesses the lipase-inhibitory activity, which is beneficial to car- Science Technology and Information to Jun Li (2005).
diovascular system (Kwon et al., 2003). Here, we reported the novel
biological activities of trillin in mediating the anti-hyperlipidemic
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