Antidiabetic Effect of Piper Sarmentosum: A Systematic Review

Introduction: Diabetes mellitus (DM) is an endocrine, metabolic syndrome and has reached pandemic proportions worldwide. The multifactorial pathology results in the patient to including lifelong drug therapy for treatment. Alternative medicines such as traditional remedies using plant herbs to treat various diseases are common in most countries. Piper sarmentosum extracts have been as a traditional medicine to treat various diseases. The plant has abundant phytochemical properties such as alkaloids and flavonoids exhibiting pharmacological activities such as antidiabetic effects, antioxidant, anti-inflammatory, and anticancer. This paper aims to appraise the data into a comprehensive systematic review on the antidiabetic effect of P. sarmentosum and it’s potential in managing DM. Methods: This systematic review used the PRISMA method with searches in three electronic databases such as SCOPUS, PUBMED and WEB OF SCIENCE in November 2021. Six articles were included based on the inclusion criteria. Results: The results showed a hypoglycaemic effect in induced diabetic models. Piper sarmentosum extracts significantly reduces fasting blood glucose and reduces the risk of diabetes complications related to renal and cardiovascular system. In summary, a promising result regarding antidiabetic activity was found. Conclusion: This finding suggests that this plant has the potential to be used as an alternative therapy or pair along with other medications to treat DM.

[1]  Salman Mohammadi,et al.  Aloe vera and Streptozotocin-Induced Diabetes Mellitus , 2022, Revista Brasileira de Farmacognosia.

[2]  Erum Shah Studies on antidiabetic herbal formulations available in the herbal stores of Karachi, Pakistan , 2022, Journal of Pharmacy & Pharmacognosy Research.

[3]  A. Bansal,et al.  Flavonoids, alkaloids and terpenoids: a new hope for the treatment of diabetes mellitus , 2022, Journal of Diabetes & Metabolic Disorders.

[4]  F. Greaves,et al.  NICE’s approach to measuring value , 2021, BMJ.

[5]  F. Geng,et al.  Citrus Flavonoids as Promising Phytochemicals Targeting Diabetes and Related Complications: A Systematic Review of In Vitro and In Vivo Studies , 2020, Nutrients.

[6]  J. Hsu,et al.  Effects of Non-insulin Anti-hyperglycemic Agents on Gut Microbiota: A Systematic Review on Human and Animal Studies , 2020, Frontiers in Endocrinology.

[7]  A. Azleen,et al.  Chemical constituents and bioactivity of Piper sarmentosum: a mini review , 2020 .

[8]  Yuan Tao,et al.  A Significant Association Between Rhein and Diabetic Nephropathy in Animals: A Systematic Review and Meta-Analysis , 2019, Front. Pharmacol..

[9]  M. Karagülle,et al.  Effects of drinking natural hydrogen sulfide (H2S) waters: a systematic review of in vivo animal studies , 2019, International Journal of Biometeorology.

[10]  K. Chua,et al.  Piper sarmentosum as an Antioxidant: A Systematic Review , 2018, Sains Malaysiana.

[11]  C. Kanaka-Gantenbein,et al.  Diabetic nephropathy in type 1 diabetes. , 2018, Minerva medica.

[12]  Jin Zhang,et al.  Advances in early biomarkers of diabetic nephropathy. , 2018, Revista da Associacao Medica Brasileira.

[13]  Yu Xu,et al.  Visceral adiposity is significantly associated with type 2 diabetes in middle‐aged and elderly Chinese women: A cross‐sectional study , 2017, Journal of diabetes.

[14]  D. Brazil,et al.  Diabetic Nephropathy: a Tangled Web to Unweave , 2017, Cardiovascular Drugs and Therapy.

[15]  P. Nisha,et al.  Quercetin, a Lead Compound against Type 2 Diabetes Ameliorates Glucose Uptake via AMPK Pathway in Skeletal Muscle Cell Line , 2017, Front. Pharmacol..

[16]  Sandeep M S,et al.  Influence of quercetin, naringenin and berberine on glucose transporters and insulin signalling molecules in brain of streptozotocin-induced diabetic rats. , 2017, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[17]  A. Arya,et al.  Modulation of Glucose Transporter Protein by Dietary Flavonoids in Type 2 Diabetes Mellitus , 2015, International journal of biological sciences.

[18]  Angelo Avogaro,et al.  Impact of diabetes on epidemiology, treatment, and outcomes of patients with heart failure. , 2015, JACC. Heart failure.

[19]  P. Hasanein,et al.  Role of naringenin in protection against diabetic hyperalgesia and tactile allodynia in male Wistar rats , 2014, Journal of Physiology and Biochemistry.

[20]  M. Rovers,et al.  SYRCLE’s risk of bias tool for animal studies , 2014, BMC Medical Research Methodology.

[21]  K. Thirumurugan,et al.  Naringenin inhibits α-glucosidase activity: a promising strategy for the regulation of postprandial hyperglycemia in high fat diet fed streptozotocin induced diabetic rats. , 2014, Chemico-biological interactions.

[22]  L. Teh,et al.  Review on the ethnomedicinal, phytochemical and pharmacological properties of Piper sarmentosum: scientific justification of its traditional use , 2013 .

[23]  R. Kasetti,et al.  Antidiabetic and antihyperlipidemic activity of Piper longum root aqueous extract in STZ induced diabetic rats , 2013, BMC Complementary and Alternative Medicine.

[24]  Srijit Das,et al.  Effect of Piper sarmentosum Extract on the Cardiovascular System of Diabetic Sprague-Dawley Rats: Electron Microscopic Study , 2012, Evidence-based complementary and alternative medicine : eCAM.

[25]  Hitoshi Shimano,et al.  Systematic Reviews and Meta ‐ and Pooled Analyses Comparisons of the Strength of Associations With Future Type 2 Diabetes Risk Among Anthropometric Obesity Indicators , Including Waist-to-Height Ratio : A Meta-Analysis , 2012 .

[26]  G. Heldmaier,et al.  The dietary flavonoids naringenin and quercetin acutely impair glucose metabolism in rodents possibly via inhibition of hypothalamic insulin signalling , 2012, British Journal of Nutrition.

[27]  Srijit Das,et al.  Histological changes in the heart and the proximal aorta in experimental diabetic rats fed with Piper sarmentsoum. , 2012, African journal of traditional, complementary, and alternative medicines : AJTCAM.

[28]  J. Xie,et al.  Naringin ameliorates metabolic syndrome by activating AMP-activated protein kinase in mice fed a high-fat diet. , 2012, Archives of biochemistry and biophysics.

[29]  J. Sterne,et al.  The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials , 2011, BMJ : British Medical Journal.

[30]  H. Bays Adiposopathy is "sick fat" a cardiovascular disease? , 2011, Journal of the American College of Cardiology.

[31]  R. Banerjee,et al.  Comparison of left ventricular mass in normotensive type 2 diabetes mellitus patients with that in the nondiabetic population , 2011, Journal of cardiovascular disease research.

[32]  H. Al-Mekhlafi,et al.  Changes in the vascular cell adhesion molecule-1, intercellular adhesion molecule-1 and c-reactive protein following administration of aqueous extract of piper sarmentosum on experimental rabbits fed with cholesterol diet , 2011, Lipids in Health and Disease.

[33]  A. Zulkhairi,et al.  Piper sarmentosum as an antioxidant on oxidative stress in human umbilical vein endothelial cells induced by hydrogen peroxide , 2010, Journal of Zhejiang University SCIENCE B.

[34]  A. Heagerty,et al.  Diabetic cardiomyopathy , 2009, Clinical science.

[35]  A. Azlina,et al.  Effects of Piper sarmentosum (kaduk) water extract on adiponectin and blood glucose levels in ovariectomy-induced obese rats , 2009 .

[36]  R. Hajjar,et al.  Role of resistin in cardiac contractility and hypertrophy. , 2008, Journal of molecular and cellular cardiology.

[37]  C. Napoli,et al.  Pomegranate juice protects nitric oxide against oxidative destruction and enhances the biological actions of nitric oxide. , 2006, Nitric oxide : biology and chemistry.

[38]  K. Miyake,et al.  Left ventricular dysfunction and remodeling in streptozotocin-induced diabetic rats. , 2006, Circulation journal : official journal of the Japanese Circulation Society.

[39]  N. Rakariyatham,et al.  Screening of antioxidant activity and antioxidant compounds of some edible plants of Thailand , 2005 .

[40]  F. Bedoya,et al.  N-Monomethyl-arginine and nicotinamide prevent streptozotocin-induced double strand DNA break formation in pancreatic rat islets , 1996, Experientia.

[41]  B. McEwen,et al.  Glucose transporter expression in the central nervous system: relationship to synaptic function. , 2004, European journal of pharmacology.

[42]  J. Altomonte,et al.  Fat depot-specific expression of adiponectin is impaired in Zucker fatty rats. , 2003, Metabolism: clinical and experimental.

[43]  M. Vasei,et al.  Antidiabetic effects of quercetin in streptozocin-induced diabetic rats. , 2003, Comparative biochemistry and physiology. Toxicology & pharmacology : CBP.

[44]  J. Hare,et al.  Disruption of Leptin Signaling Contributes to Cardiac Hypertrophy Independently of Body Weight in Mice , 2002, Circulation.

[45]  S. Kadota,et al.  Hypoglycemic effect of the water extract of Piper sarmentosum in rats. , 1998, Journal of ethnopharmacology.

[46]  G. Beck,et al.  Development and progression of renal disease in Pima Indians with non-insulin-dependent diabetes mellitus. Diabetic Renal Disease Study Group. , 1996, The New England journal of medicine.

[47]  D. Levy,et al.  Echocardiographic evidence for the existence of a distinct diabetic cardiomyopathy (the Framingham Heart Study). , 1991, The American journal of cardiology.

[48]  S. Ahmed,et al.  Evidence for cardiomyopathy in familial diabetes mellitus. , 1977, The Journal of clinical investigation.