The potential of immature poken (Citrus reticulata) extract in the weight management, lipid and glucose metabolism
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Yung-Kai Lin
Abstract
Objectives
The prevalence of obesity was increasing globally, with nearly half a billion of the world’s population now considered to be overweight or obese. The immature poken (Citrus reticulata) was a good source of flavonoids and phenolic acids, which may exert an anti-obesity effect. However, the current efficacy in clinical trials was still unclear. Thus, the object of this study was to explore whether immature poken had an anti-obesity effect in the clinical trial.
Methods
In this study, we identified nine major compounds from immature poken extract (IPE), and most compounds significantly decreased the lipid accumulation in adipocytes. In addition, 20 subjects with body mass index (BMI) ≥ 24 or body fat > 30 were recruited and randomly allocated to placebo and experimental (IPE) groups for 6 week intervention and 2 week follow-up.
Results
In comparison with the baseline results (week 0), the body weight, body fat, and waist circumference at week 6 in the IPE group were significantly decreased by 1.49 kg, 0.33%, 2.1 cm. Moreover, in blood biochemical analysis, total cholesterol (TC), triglyceride (TG), fasting blood sugar (FBS), and insulin levels at week 6 in IPE group were also decreased by 3.6, 4.6, 2.1 (mg/dL), and 2.9 (μU/mL), respectively.
Conclusions
The finding showed that immature poken had important roles in fat metabolism by suppressing adipogenesis, and immature poken may provide new weight loss strategies for obese people.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Not applicable.
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Ethical approval: Not applicable.
References
1. Trepanowski, JF, Kroeger, CM, Barnosky, A, Klempel, MC, Bhutani, S, Hoddy, KK, et al.. Effect of alternate-day fasting on weight loss, weight maintenance, and cardioprotection among metabolically healthy obese adults: a randomized clinical trial. JAMA Intern Med 2017;177:930–8. https://doi.org/10.1001/jamainternmed.2017.0936.Search in Google Scholar PubMed PubMed Central
2. Brown, L, Poudyal, H, Panchal, SK. Functional foods as potential therapeutic options for metabolic syndrome. Obes Rev 2015;16:914–41. https://doi.org/10.1111/obr.12313.Search in Google Scholar PubMed
3. Sagar, NA, Pareek, S, Sharma, S, Yahia, EM, Lobo, MG. Fruit and vegetable waste: bioactive compounds, their extraction, and possible utilization. Compr Rev Food Sci Food Saf 2018;17:512–31. https://doi.org/10.1111/1541-4337.12330.Search in Google Scholar PubMed
4. Hill, JO, Wyatt, HR, Peters, JC. Energy balance and obesity. Circulation 2012;126:126–32. https://doi.org/10.1161/circulationaha.111.087213.Search in Google Scholar
5. Li, H, Qi, J, Li, L. Phytochemicals as potential candidates to combat obesity via adipose non-shivering thermogenesis. Pharmacol Res 2019;147:104393. https://doi.org/10.1016/j.phrs.2019.104393.Search in Google Scholar PubMed
6. Velickovic, K, Wayne, D, Leija, HAL, Bloor, I, Morris, DE, Law, J, et al.. Caffeine exposure induces browning features in adipose tissue in vitro and in vivo. Sci Rep 2019;9:9104. https://doi.org/10.1038/s41598-019-45540-1.Search in Google Scholar PubMed PubMed Central
7. Salehi, B, Fokou, PVT, Sharifi-Rad, M, Zucca, P, Pezzani, R, Martins, N, et al.. The therapeutic potential of naringenin: a review of clinical trials. Pharmaceuticals 2019;12:11. https://doi.org/10.3390/ph12010011.Search in Google Scholar PubMed PubMed Central
8. He, D, Shan, Y, Wu, Y, Liu, G, Chen, B, Yao, S. Simultaneous determination of flavanones, hydroxycinnamic acids and alkaloids in citrus fruits by HPLC-DAD-ESI/MS. Food Chem 2011;127:880–5. https://doi.org/10.1016/j.foodchem.2010.12.109.Search in Google Scholar PubMed
9. Montalbano, G, Mania, M, Guerrera, MC, Laura, R, Abbate, F, Levanti, M, et al.. Effects of a flavonoid-rich extract from Citrus sinensis juice on a diet-induced obese zebrafish. Int J Mol Sci 2019;20. https://doi.org/10.3390/ijms20205116.Search in Google Scholar PubMed PubMed Central
10. Kim, GS, Park, HJ, Woo, JH, Kim, MK, Koh, PO, Min, W, et al.. Citrus aurantium flavonoids inhibit adipogenesis through the Akt signaling pathway in 3T3-L1 cells. BMC Compl Alternative Med 2012;12:31. https://doi.org/10.1186/1472-6882-12-31.Search in Google Scholar PubMed PubMed Central
11. Chou, YC, Ho, CT, Pan, MH. Immature Citrus reticulata extract promotes browning of beige adipocytes in high-fat diet-induced C57BL/6 mice. J Agric Food Chem 2018;66:9697–703. https://doi.org/10.1021/acs.jafc.8b02719.Search in Google Scholar PubMed
12. Sun, Y, Qiao, L, Shen, Y, Jiang, P, Chen, J, Ye, X. Phytochemical profile and antioxidant activity of physiological drop of citrus fruits. J Food Sci 2013;78:C37–42. https://doi.org/10.1111/j.1750-3841.2012.03002.x.Search in Google Scholar PubMed
13. Chang, HC, Yang, HC, Chang, HY, Yeh, CJ, Chen, HH, Huang, KC, et al.. Morbid obesity in Taiwan: prevalence, trends, associated social demographics, and lifestyle factors. PloS One 2017;12:e0169577. https://doi.org/10.1371/journal.pone.0169577.Search in Google Scholar PubMed PubMed Central
14. Kalsch, J, Bechmann, LP, Heider, D, Best, J, Manka, P, Kalsch, H, et al.. Normal liver enzymes are correlated with severity of metabolic syndrome in a large population based cohort. Sci Rep 2015;5:13058. https://doi.org/10.1038/srep13058.Search in Google Scholar PubMed PubMed Central
15. Depommier, C, Everard, A, Druart, C, Plovier, H, Van Hul, M, Vieira-Silva, S, et al.. Supplementation with Akkermansia muciniphila in overweight and obese human volunteers: a proof-of-concept exploratory study. Nat Med 2019;25:1096–103. https://doi.org/10.1038/s41591-019-0495-2.Search in Google Scholar PubMed PubMed Central
16. Pedersen, MH, Svart, MV, Lebeck, J, Bidlingmaier, M, Stodkilde-Jorgensen, H, Pedersen, SB, et al.. Substrate metabolism and insulin sensitivity during fasting in obese human subjects: impact of GH blockade. J Clin Endocrinol Metab 2017;102:1340–9. https://doi.org/10.1210/jc.2016-3835.Search in Google Scholar PubMed
17. Choi, Y, Kim, Y, Ham, H, Park, Y, Jeong, HS, Lee, J. Nobiletin suppresses adipogenesis by regulating the expression of adipogenic transcription factors and the activation of AMP-activated protein kinase (AMPK). J Agric Food Chem 2011;59:12843–9. https://doi.org/10.1021/jf2033208.Search in Google Scholar PubMed
18. He, YF, Liu, FY, Zhang, WX. Tangeritin inhibits adipogenesis by down-regulating C/EBPalpha, C/EBPbeta, and PPARgamma expression in 3T3-L1 fat cells. Genet Mol Res 2015;14:13642–8. https://doi.org/10.4238/2015.october.28.26.Search in Google Scholar PubMed
19. Lin, Y, Ren, N, Li, S, Chen, M, Pu, P. Novel anti-obesity effect of scutellarein and potential underlying mechanism of actions. Biomed Pharmacother 2019;117:109042. https://doi.org/10.1016/j.biopha.2019.109042.Search in Google Scholar PubMed
20. de Melo, TS, Lima, PR, Carvalho, KM, Fontenele, TM, Solon, FR, Tome, AR, et al.. Ferulic acid lowers body weight and visceral fat accumulation via modulation of enzymatic, hormonal and inflammatory changes in a mouse model of high-fat diet-induced obesity. Braz J Med Biol Res 2017;50:e5630. https://doi.org/10.1590/1414-431x20165630.Search in Google Scholar PubMed PubMed Central
21. Kang, SW, Kang, SI, Shin, HS, Yoon, SA, Kim, JH, Ko, HC, et al.. Sasa quelpaertensis Nakai extract and its constituent p-coumaric acid inhibit adipogenesis in 3T3-L1 cells through activation of the AMPK pathway. Food Chem Toxicol 2013;59:380–5. https://doi.org/10.1016/j.fct.2013.06.033.Search in Google Scholar PubMed
22. Yamamoto, N, Kanemoto, Y, Ueda, M, Kawasaki, K, Fukuda, I, Ashida, H. Anti-obesity and anti-diabetic effects of ethanol extract of Artemisia princeps in C57BL/6 mice fed a high-fat diet. Food Funct 2011;2:45–52. https://doi.org/10.1039/c0fo00129e.Search in Google Scholar PubMed
23. Hadrich, F, Sayadi, S. Apigetrin inhibits adipogenesis in 3T3-L1 cells by downregulating PPARgamma and CEBP-alpha. Lipids Health Dis 2018;17:95. https://doi.org/10.1186/s12944-018-0738-0.Search in Google Scholar PubMed PubMed Central
24. Oh, JH, Lee, JI, Karadeniz, F, Seo, Y, Kong, CS. 3,5-Dicaffeoyl-Epi-Quinic acid isolated from edible halophyte Atriplex gmelinii inhibits adipogenesis via AMPK/MAPK pathway in 3T3-L1 adipocytes. Evid base Compl Alternative Med 2018;2018:8572571. https://doi.org/10.1155/2018/8572571.Search in Google Scholar PubMed PubMed Central
25. Jung, UJ, Lee, MK, Park, YB, Kang, MA, Choi, MS. Effect of citrus flavonoids on lipid metabolism and glucose-regulating enzyme mRNA levels in type-2 diabetic mice. Int J Biochem Cell Biol 2006;38:1134–45. https://doi.org/10.1016/j.biocel.2005.12.002.Search in Google Scholar PubMed
26. Dallas, C, Gerbi, A, Elbez, Y, Caillard, P, Zamaria, N, Cloarec, M. Clinical study to assess the efficacy and safety of a citrus polyphenolic extract of red orange, grapefruit, and orange (Sinetrol-XPur) on weight management and metabolic parameters in healthy overweight individuals. Phytother Res 2014;28:212–8. https://doi.org/10.1002/ptr.4981.Search in Google Scholar PubMed
27. Lee, YS, Cha, BY, Choi, SS, Choi, BK, Yonezawa, T, Teruya, T, et al.. Nobiletin improves obesity and insulin resistance in high-fat diet-induced obese mice. J Nutr Biochem 2013;24:156–62. https://doi.org/10.1016/j.jnutbio.2012.03.014.Search in Google Scholar PubMed
28. Kim, MS, Hur, HJ, Kwon, DY, Hwang, JT. Tangeretin stimulates glucose uptake via regulation of AMPK signaling pathways in C2C12 myotubes and improves glucose tolerance in high-fat diet-induced obese mice. Mol Cell Endocrinol 2012;358:127–34. https://doi.org/10.1016/j.mce.2012.03.013.Search in Google Scholar PubMed
29. Malik, S, Bhatia, J, Suchal, K, Gamad, N, Dinda, AK, Gupta, YK, et al.. Nobiletin ameliorates cisplatin-induced acute kidney injury due to its anti-oxidant, anti-inflammatory and anti-apoptotic effects. Exp Toxicol Pathol 2015;67:427–33. https://doi.org/10.1016/j.etp.2015.04.008.Search in Google Scholar PubMed
30. Mulvihill, EE, Assini, JM, Lee, JK, Allister, EM, Sutherland, BG, Koppes, JB, et al.. Nobiletin attenuates VLDL overproduction, dyslipidemia, and atherosclerosis in mice with diet-induced insulin resistance. Diabetes 2011;60:1446–57. https://doi.org/10.2337/db10-0589.Search in Google Scholar PubMed PubMed Central
31. Wang, W, Pan, Y, Zhou, H, Wang, L, Chen, X, Song, G, et al.. Ferulic acid suppresses obesity and obesity-related metabolic syndromes in high fat diet-induced obese C57BL/6J mice. Food Agric Immunol 2018;29:1116–25. https://doi.org/10.1080/09540105.2018.1516739.Search in Google Scholar
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Reviews
- Swarna Prashana – faith in the embrace of research
- A review on the concept of aging in Ayurveda literature
- Ethno-pharmacology of Asaroon (Asarum europaeum L.) with special reference to Unani System of Medicine
- Is Trikatu an ayurvedic formulation effective for the management of flu-like illness? A narrative review
- The anti-cancer properties of neem (Azadirachta indica) through its antioxidant activity in the liver: its pharmaceutics and toxic dosage forms. A literature review
- The role of acupuncture for myofascial pain syndrome (MPS) in interventional pain management
- Research Articles
- Identification of phenolic compounds in the buds of Algerian Pistacia atlantica desf. Subsp. atlantica by antioxidant activity guided fractionation
- Optimization of water-based ultrasonic-microwave assisted extraction (UMAE) of bioactive compounds from Garcinia mangostana pericarp
- Proximate analysis, HPTLC finger print analysis and multi spectrometric analysis of Strychnos nux-vomica nuts
- Amelioration of sodium fluoride induced oxidative stress by Cynometra travancorica Bedd in mice
- The effects of saffron petals and damask rose petals on biochemical and inflammatory measurements
- Ethanolic extract of Achillea wilhelmsii C. Koch improves pulmonary function and inflammation in LPS-induced acute lung injury mice
- Interaction between properties of commercial Australian honey and saliva: in vitro exploratory study of a potential mechanism in the treatment of oral mucositis
- The potential of immature poken (Citrus reticulata) extract in the weight management, lipid and glucose metabolism
- Effect of the beta-adrenergic blockade on intestinal lactate production and glycogen concentration in dogs infused with hexoses
- Investigating the effect of the Teucrium polium aqueous extract on the liver of the streptozotocin-induced diabetic rats
- Synergistic effects of high-intensity interval training (HIIT) and intake of nettle on serum levels of chemerin and beta cells function in type 2 diabetic rats
- The effect of Cinnamomum cassia extract on oxidative stress in the liver and kidney of STZ-induced diabetic rats
- Protective role of Sterculia tragacantha aqueous extract on pancreatic gene expression and oxidative stress parameters in streptozotocin-induced diabetic rats
- Ameliorating activity of polyphenolic-rich extracts of Basella rubra L. leaves on pancreatic β-cell dysfunction in streptozotocin-induced diabetic rats
- Amelioration of related complications by the combined usage of Gymnadenia orchidis Lindl and pumpkin seed in type 2 diabetic mice
- The effect of Madhumeha Kusumakar Rasa – an Ayurved medicine – in insulin resistance
- Anti-obesity effects of the n-butanol fraction of the methanolic leaf extract of Artemisia campestris from Tunisian pharmacopeia in male Wistar rats
- Compensatory depression of arterial pressure and reversal of ECG abnormalities by Annona muricata and Curcuma longa in hypertensive Wistar rats
- Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions
- Clinical significance of serum gonadotropin and androgen levels among Egyptian overweight/obese pubertal girls
- Preference between serum homocysteine and urinary periostin as early predictive biomarkers of renal dysfunction among uncontrolled diabetics
- Mizaj assessment in multiple sclerosis patients based on Persian Medicine
- Immediate effects of the practise of Sheethali pranayama on heart rate and blood pressure parameters in healthy volunteers
- Effects of 12 sessions of steam bath intervention on spirometry parameters among healthy adult volunteers
- The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country
- “The immediate effect of neutral spinal compress on heart rate variability in hypertensive individuals”
- Effect of whole-body vibration after a resistance exercise bout on heart rate variability in hypertensive population
- Wet-cupping on calf muscles in polycystic ovary syndrome: a quasi-experimental study
- Auricular field nerve stimulation using the NSS-2 BRIDGE® device as an alternative to opioids following kidney donor surgery
- Evaluation of general body temperament and uterine dystemperament in amenorrhoea: a cross-sectional analytical study
- Short Communication
- Isolation, characterization, and antimicrobial activity of communic acid from Juniperus phoenicea
- Letter to the Editor
- Can silymarin ameliorate β-thalassemia major-induced osteopenia/osteoporosis?
- Case Reports
- Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report
- Psychogenic pseudo-myasthenic ptosis – management with ayurvedic medicines and Smriti meditation
- Education Forum
- Tongue stretching: technique and clinical proposal
- Simulation-based ventilatory training for the caregivers at primary and rural health care workers in Central India for dealing with COVID-19 pandemic: recommendations
Articles in the same Issue
- Frontmatter
- Reviews
- Swarna Prashana – faith in the embrace of research
- A review on the concept of aging in Ayurveda literature
- Ethno-pharmacology of Asaroon (Asarum europaeum L.) with special reference to Unani System of Medicine
- Is Trikatu an ayurvedic formulation effective for the management of flu-like illness? A narrative review
- The anti-cancer properties of neem (Azadirachta indica) through its antioxidant activity in the liver: its pharmaceutics and toxic dosage forms. A literature review
- The role of acupuncture for myofascial pain syndrome (MPS) in interventional pain management
- Research Articles
- Identification of phenolic compounds in the buds of Algerian Pistacia atlantica desf. Subsp. atlantica by antioxidant activity guided fractionation
- Optimization of water-based ultrasonic-microwave assisted extraction (UMAE) of bioactive compounds from Garcinia mangostana pericarp
- Proximate analysis, HPTLC finger print analysis and multi spectrometric analysis of Strychnos nux-vomica nuts
- Amelioration of sodium fluoride induced oxidative stress by Cynometra travancorica Bedd in mice
- The effects of saffron petals and damask rose petals on biochemical and inflammatory measurements
- Ethanolic extract of Achillea wilhelmsii C. Koch improves pulmonary function and inflammation in LPS-induced acute lung injury mice
- Interaction between properties of commercial Australian honey and saliva: in vitro exploratory study of a potential mechanism in the treatment of oral mucositis
- The potential of immature poken (Citrus reticulata) extract in the weight management, lipid and glucose metabolism
- Effect of the beta-adrenergic blockade on intestinal lactate production and glycogen concentration in dogs infused with hexoses
- Investigating the effect of the Teucrium polium aqueous extract on the liver of the streptozotocin-induced diabetic rats
- Synergistic effects of high-intensity interval training (HIIT) and intake of nettle on serum levels of chemerin and beta cells function in type 2 diabetic rats
- The effect of Cinnamomum cassia extract on oxidative stress in the liver and kidney of STZ-induced diabetic rats
- Protective role of Sterculia tragacantha aqueous extract on pancreatic gene expression and oxidative stress parameters in streptozotocin-induced diabetic rats
- Ameliorating activity of polyphenolic-rich extracts of Basella rubra L. leaves on pancreatic β-cell dysfunction in streptozotocin-induced diabetic rats
- Amelioration of related complications by the combined usage of Gymnadenia orchidis Lindl and pumpkin seed in type 2 diabetic mice
- The effect of Madhumeha Kusumakar Rasa – an Ayurved medicine – in insulin resistance
- Anti-obesity effects of the n-butanol fraction of the methanolic leaf extract of Artemisia campestris from Tunisian pharmacopeia in male Wistar rats
- Compensatory depression of arterial pressure and reversal of ECG abnormalities by Annona muricata and Curcuma longa in hypertensive Wistar rats
- Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions
- Clinical significance of serum gonadotropin and androgen levels among Egyptian overweight/obese pubertal girls
- Preference between serum homocysteine and urinary periostin as early predictive biomarkers of renal dysfunction among uncontrolled diabetics
- Mizaj assessment in multiple sclerosis patients based on Persian Medicine
- Immediate effects of the practise of Sheethali pranayama on heart rate and blood pressure parameters in healthy volunteers
- Effects of 12 sessions of steam bath intervention on spirometry parameters among healthy adult volunteers
- The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country
- “The immediate effect of neutral spinal compress on heart rate variability in hypertensive individuals”
- Effect of whole-body vibration after a resistance exercise bout on heart rate variability in hypertensive population
- Wet-cupping on calf muscles in polycystic ovary syndrome: a quasi-experimental study
- Auricular field nerve stimulation using the NSS-2 BRIDGE® device as an alternative to opioids following kidney donor surgery
- Evaluation of general body temperament and uterine dystemperament in amenorrhoea: a cross-sectional analytical study
- Short Communication
- Isolation, characterization, and antimicrobial activity of communic acid from Juniperus phoenicea
- Letter to the Editor
- Can silymarin ameliorate β-thalassemia major-induced osteopenia/osteoporosis?
- Case Reports
- Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report
- Psychogenic pseudo-myasthenic ptosis – management with ayurvedic medicines and Smriti meditation
- Education Forum
- Tongue stretching: technique and clinical proposal
- Simulation-based ventilatory training for the caregivers at primary and rural health care workers in Central India for dealing with COVID-19 pandemic: recommendations