The aqueous extract of Cissus verticillata leaves prevents diabetic allodynia in type 1 and type 2 diabetic mouse models regardless of glycemic control

Authors

  • Eslen Delanogare Programa de Pós-Graduação em Neurociências, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Roberto Bayestorff Heberle Departamento de Ciências Fisiológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Wellinghton de Medeiros Barros Programa de Pós-Graduação em Neurociências, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Scheila Iria Kraus Programa de Pós-Graduação em Neurociências, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Sara Pereira Braga Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Adriano Emanuel Machado Programa de Pós-Graduação em Neurociências, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Lucas Antônio dos Santos Barbosa Programa de Pós-Graduação em Neurociências, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Gustavo Jorge dos Santos Departamento de Ciências Fisiológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Maique Weber Biavatti Universidade Federal de Santa Catarina image/svg+xml , Departamento de Ciências Farmacêuticas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
  • Larissa Gabriela Faqueti Departamento de Ciências Farmacêuticas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Layzon Antonio Lemos da Silva Departamento de Ciências Farmacêuticas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Louis P. Sandjo Departamento de Ciências Farmacêuticas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml
  • Eduardo Luiz Gasnhar Moreira Programa de Pós-Graduação em Neurociências, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Departamento de Ciências Fisiológicas, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil , Universidade Federal de Santa Catarina image/svg+xml

DOI:

https://doi.org/10.1590/s2175-97902025e24621

Keywords:

Aqueous extract, Cissus verticillata, Diabetes, Allodynia, Pain

Abstract

Cissus verticillata (L.) Nicolson & C.E. Jarvis, popularly known as “plant-insulin,” is used in Brazilian popular medicine for various conditions, including diabetes. Despite its usage, scientific research on its effects remains limited. In this regard, this study aimed to explore the potential anti-diabetic effects of C. verticillata’s aqueous extract (AECv) in mouse models of type 1 diabetes (T1D) and type 2 diabetes (T2D). T1D was induced in Swiss mice via daily intraperitoneal administration of 50 mg/ kg streptozotocin (STZ) for five days. Mice were then treated orally with saline or AECv (30 mg/kg/ day or 300 mg/kg/day) for three weeks. After 18 days, behavioral tests were conducted, and glucose measurements were taken. To mimic T2D-like conditions, mice were fed standard rodent chow (SD) or a high-fat, high-fructose diet (western diet, WD) for 15 days and then received daily treatment with vehicle or AECv (300 mg/kg/day) for 21 days. Behavioral tests and a glucose tolerance test were then performed. AECv did not improve STZ- and WD-induced glucose impairments or anxiogenic like behavior but significantly alleviated mechanical allodynia in both models. While AECv lacked hypoglycemic, anxiolytic, or antidepressant effects, it demonstrated the potential to enhance the pain sensitivity threshold.

Downloads

Download data is not yet available.

References

Allaman I, Bélanger M, Magistretti PJ. Methylglyoxal, the dark side of glycolysis. Front Neurosci. 2015;9:23. https://doi.org/10.3389/fnins.2015.00023

American Diabetes Association. Standards of medical care in diabetes-2015 abridged for primary care providers. Clin Diabetes. 2015;33:97-111. https://doi.org/10.2337/diaclin.33.2.97

Andersson DA, Gentry C, Light E, Vastani N, Vallortigara J, Bierhaus A, Fleming T, Bevan S. Methylglyoxal evokes pain by stimulating TRPA1. PLoS One. 2013;8(12). https://doi.org/10.1371/journal.pone.0077986

Bagdas D, Gul Z, Meade JA, Cam B, Cinkilic N, Gurun MS. Pharmacologic Overview of Chlorogenic Acid and its Metabolites in Chronic Pain and Inflammation. Curr Neuropharmacol. 2020;18(3):216-228. https://doi.org/10.2174/1570159x17666191021111809

Bajor LA, Gunzler D, Einstadter D, Thomas C, McCormick R, Perzynski AT, et al. Associations between comorbid anxiety, diabetes control, and overall medical burden in patients with serious mental illness and diabetes. Int J Psychiatry Med. 2015;49(4):309-320. https://doi.org/10.1177/0091217415589307

Barbosa WL, Santos WR, Pinto LN, Tavares ICC. Flavonóides de Cissus verticillata e a atividade hipoglicemiante do chá de suas folhas. Rev Bras Farmacognosia. 2002;12(Suppl. 1):13-15. https://doi.org/10.1590/S0102-695X2002000300007

Barbosa WLR, Vincieri FF, Gallori S, Pinto LN, Silva ASB, Anunciacao JN. Characterisation of flavonoid glycosides in pharmacopoeial preparation of Cissus verticillata (L) Nicolson & C.E. Jarvis) using HPLC-DAD and HPLC-MS. Int J Pharm Sci Res. 2013; 4:3871. http://dx.doi.org/10.13040/IJPSR.0975-8232.4(10).3871-76

Bertoncelj J, Polak T, Kropf U, Korošec M, Golob T. LC-DAD-ESI/MS analysis of flavonoids and abscisic acid with chemometric approach for the classification of Slovenian honey. Food Chem. 2011;127:296-302. http://dx.doi.org/10.1016/j.foodchem.2011.01.003

Bierhaus A, Fleming T, Stoyanov S, Leffler A, Babes A, Neacsu C, et al. Methylglyoxal modification of Nav1.8 facilitates nociceptive neuron firing and causes hyperalgesia in diabetic neuropathy. Nat Med. 2012;18(6):926-33. https://doi.org/10.1038/nm.2750

Chaplan SR, Bach FW, Pogrel JW, Chung JM, Yaksh TL. Quantitative assessment of tactile allodynia in the rat paw. J Neurosci Methods. 1994;53:55-63. https://doi.org/10.1016/0165-0270(94)90144-9

Cuyckens F, Claeys M. Mass spectrometry in the structural analysis of flavonoids. J Mass Spectrom. 2004;39:1-15. https://doi.org/10.1002/jms.585

De Beer D, Schulze AE, Joubert E, De Villiers A, Malherbe CJ, Stander MA. Food ingredient extracts of Cyclopia subternata (Honeybush): variation in phenolic composition and antioxidant capacity. Molecules. 2012;17:14602-14624. https://doi.org/10.3390/molecules171214602

Drobnik J, de Oliveira AB. Cissus verticillata (L.) Nicolson and C.E. Jarvis (Vitaceae): Its identification and usage in the sources from 16th to 19th century. J Ethnopharmacol. 2015;171:317-329. https://doi.org/10.1016/j.jep.2015.06.003

Düll MM, Riegel K, Tappenbeck J, Ries V, Strupf M, Fleming T, et al. Methylglyoxal causes pain and hyperalgesia in humans through C-fiber activation. Pain. 2019;160(11):2497-2507. https://doi.org/10.1097/j.pain.0000000000001644

Feldman EL, Callaghan BC, Pop-Busui R, Zochodne DW, Wright DE, Bennett DL, et al. Diabetic neuropathy. Nat Rev Dis Primers. 2019;5(1):41. https://doi.org/10.1038/s41572-019-0092-1

Holt RIG, de Groot M, Golden SH. Diabetes and Depression. Curr Diabetes Rep. 2014;14(6). https://doi.org/10.1007/s11892-014-0491-3

Huang Q, Chen Y, Gong N, Wang YX. Methylglyoxal mediates streptozotocin-induced diabetic neuropathic pain via activation of the peripheral TRPA1 and Nav1.8 channels. Metabolism. 2016;65(4):463-474. https://doi.org/10.1016/j.metabol.2015.12.002

Kim W, Kwon HJ, Jung HY, Lim SS, Kang BG, Jo YB, et al. Extracts from the Leaves of Cissus verticillata Ameliorate High-Fat Diet-Induced Memory Deficits in Mice. Plants (Basel), 2021;10(9):1814. https://doi:10.3390/plants10091814

Leba LJ, Brunschwig C, Saout M, Martial K, Bereau D, Robinson JC. Oenocarpus bacaba and Oenocarpus bataua Leaflets and Roots: A New Source of Antioxidant Compounds. Int J Mol Sci. 2016;17:1014. https://doi.org/10.3390/ijms17071014

Li M, Li Q, Zhao Q, Zhang J, Lin J. Luteolin improves the impaired nerve functions in diabetic neuropathy: behavioral and biochemical evidences. Int J Clin Exp Pathol. 2015; 8(9):10112-1020. PMID: 26617718; PMCID: PMC4637533

Like A, Rossini AA. Streptozotocin-induced pancreatic insulitis: a new model of diabetes mellitus. Science. 1976;193(4251):415-417. https://doi.org/10.1126/science.180605

Liu J, Wang R, Desai K, Wu L. Upregulation of aldolase B and overproduction of methylglyoxal in vascular tissues from rats with metabolic syndrome. Cardiovasc Res. 2011;92(3):494-503. https://doi.org/10.1093/cvr/cvr239

Millan MJ. The induction of pain: an integrative review. Prog Neurobiol. 1999;57(1):1-164. https://doi.org/10.1016/s0301-0082(98)00048-3

Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev. 2013;14(Suppl 2):21-28. https://doi.org/10.1111/obr.12107

Moretti M, Colla A, De Oliveira Balen G, Dos Santos DB, Budni J, De Freitas AE, et al. Ascorbic acid treatment, similarly to fluoxetine, reverses depressive-like behavior and brain oxidative damage induced by chronic unpredictable stress. J Psychiatr Res. 2012;46(3):331-340. https://doi.org/10.1016/j.jpsychires.2011.11.009

Oliveira AB, de Mendonça MS, Azevedo AA, Meira RMSA. Anatomy and histochemistry of the vegetative organs of Cissus verticillata - a native medicinal plant of the Brazilian Amazon. Rev Bras Farmacogn. 2012;22(6):1201-1211. https://doi.org/10.1590/S0102-695X2012005000053

Omonije OO, Saidu AN, Muhammad HL. Anti-diabetic activities of Chromolaena odorata methanol root extract and its attenuation effect on diabetic induced hepatorenal impairments in rats. Clin Phytosci. 2019;5:23. https://doi.org/10.1186/s40816-019-0115-1

Pepato MT, Baviera AM, Vendramini RC, Perez MP, Kettelhut IC, Brunetti IL. Cissus sicyoides (princess vine) in the long-term treatment of streptozotocin-diabetic rats. Biotechnol Appl Biochem. 2003;37(Pt 1):15-20. https://doi.org/10.1042/BA20030108

Rasband MN, Park EW, Vanderah TW, Lai J, Porreca F, Trimmer JS. Distinct potassium channels on pain-sensing neurons. Proc Natl Acad Sci U S A. 2001;98(23):13373-13378. https://doi.org/10.1073/pnas.231376298

Russell JW, Zilliox LA. Diabetic Neuropathies. Continuum (Minneap Minn) 20(5 Peripheral Nervous System Disorders). 2014;1226-1240. https://doi.org/10.1212/01.CON.0000455884.29545.d2

Salgado JM, Mansi DN, Gagliardi A. Cissus sicyoides: analysis of glycemic control in diabetic rats through biomarkers. J Med Food. 2009;12(3):722-727. https://doi.org/10.1089/jmf.2008.0157

Schreiber AK, Nones CF, Reis RC, Chichorro JG, Cunha JM. Diabetic neuropathic pain: Physiopathology and treatment. World J Diabetes. 2015;6(3):432-444. https://doi.org/10.4239/wjd.v6.i3.432

Viana GS, Medeiros AC, Lacerda AM, Leal LK, Vale TG, Matos FJ. Hypoglycemic and anti-lipemic effects of the aqueous extract from Cissus sicyoides. BMC Pharmacol. 2004;4:9. https://doi.org/10.1186/1471-2210-4-9

Wei F, Minting C, Chaohua L, Feilong C, Qun S, Zhixian M. Developing an absorption-based quality control method for hu-gan-kang-yuan capsules by UFLC-QTOF-MS/MS Screening and HPLC-DAD quantitative determination. Molecules. 2016;21(5):592. https://doi.org/10.3390/molecules21050592

Xu LL, Xu JJ, Zhong KR, Shang ZP, Wang F, Wang RF, Liu B. Analysis of non-volatile chemical constituents of Menthae haplocalycis herba by ultra-high performance liquid chromatography-high resolution mass spectrometry. Molecules. 2017;22:1756. https://doi.org/10.3390/molecules22101756

Xue M, Rabbani N, Momiji H, Imbasi P, Anwar MM, Kitteringham N, et al. Transcriptional control of glyoxalase 1 by Nrf2 provides a stress-responsive defence against dicarbonyl glycation. Biochem J. 2012;443(1):213-22. https://doi.org/10.1042/BJ20111648

Yankelevitch-Yahav R, Franko M, Huly A, Doron R. The forced swim test as a model of depressive-like behavior. J Vis Exp. 2015. https://doi.org/10.3791/52587

Zhang YJ, Lu XW, Song N, Kou L, Wu MK, Liu F, et al. Chlorogenic acid alters the voltage-gated potassium channel currents of trigeminal ganglion neurons. Int J Oral Sci. 2014;6(4):233-240. https://doi.org/10.1038/ijos.2014.58

Zhao Y, Geng CA, Ma YB, Huang XY, Chen H, Cao TW, Chen JJ. UFLC/MS-IT-TOF guided isolation of anti-HBV active chlorogenic acid analogues from Artemisia capillaris as a traditional Chinese herb for the treatment of hepatitis. J Ethnopharmacol. 2014;156:147-154. https://doi.org/10.1016/j.jep.2014.

Downloads

Published

2025-11-10

Data Availability Statement

Not informed.

Issue

Section

Article

How to Cite

The aqueous extract of Cissus verticillata leaves prevents diabetic allodynia in type 1 and type 2 diabetic mouse models regardless of glycemic control. (2025). Brazilian Journal of Pharmaceutical Sciences, 61, e24621. https://doi.org/10.1590/s2175-97902025e24621

Funding data