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<article article-type="research-article" dtd-version="1.0" xml:lang="ko" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">jnh</journal-id>
<journal-title-group>
<journal-title>Journal of Nutrition and Health</journal-title>
<abbrev-journal-title>J Nutr Health</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">2288-3886</issn>
<issn pub-type="epub">2288-3959</issn>
<publisher>
<publisher-name>The Korean Nutrition Society</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.4163/jnh.2014.47.1.167</article-id>
<article-id pub-id-type="publisher-id">jnh-47-167</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Study of the mechanisms underlying increased glucose absorption in <italic>Smilax china</italic> L. leaf extract-treated HepG2 cells&#x2217;</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Kang</surname><given-names>Yun Hwan</given-names></name>
<xref ref-type="aff" rid="aff1-jnh-47-167"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Kim</surname><given-names>Dae Jung</given-names></name>
<xref ref-type="aff" rid="aff1-jnh-47-167"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Kim</surname><given-names>Kyoung Kon</given-names></name>
<xref ref-type="aff" rid="aff2-jnh-47-167"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Lee</surname><given-names>Sung Mee</given-names></name>
<xref ref-type="aff" rid="aff2-jnh-47-167"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name name-style="western" xml:lang="en"><surname>Choe</surname><given-names>Myeon</given-names></name>
<xref ref-type="aff" rid="aff1-jnh-47-167"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2-jnh-47-167"><sup>2</sup></xref>
</contrib>
<aff id="aff1-jnh-47-167"><label>1</label>Well-being Bioproducts RIC, Kangwon National University, Chuncheon 200&#x2013;701, <country>Korea</country></aff>
<aff id="aff2-jnh-47-167"><label>2</label>Department of Bio-Health Technology, Kangwon National University, Chuncheon 200&#x2013;701, <country>Korea</country></aff>
</contrib-group>
<pub-date pub-type="ppub">
<month>01</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>01</month>
<year>2014</year>
</pub-date>
<volume>47</volume>
<issue>3</issue>
<fpage>167</fpage>
<lpage>175</lpage>
<history>
<date date-type="received">
<day>26</day><month>02</month><year>2014</year></date>
<date date-type="rev-recd">
<day>18</day><month>03</month><year>2014</year></date>
<date date-type="accepted">
<day>22</day><month>04</month><year>2014</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2014 The Korean Nutrition Society</copyright-statement>
<copyright-year>2014</copyright-year>
<license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<sec>
<title>Purpose</title>
<p>Previous studies have shown that treatment with <italic>Smilax china</italic> L. leaf extract (SCLE) produces antidiabetic effects due to &#x03B1;-glucosidase inhibition. In this study, we examined the mechanism underlying these antidiabetic effects by examining glucose uptake in HepG2 cells cultured with SCLE. Methods: Glucose uptake and glucokinase activity were examined using an assay kit. Expression of glucose transporter (GLUT)-2, GLUT-4, and HNF-1&#x03B1; was measured by RT-PCR or western blot. Results: Treatment with SCLE resulted in enhanced glucose uptake in HepG2 cells, and this effect was especially pronounced when cells were cultured in an insulin-free medium. SCLE induced an increase in expression of GLUT-2 but not GLUT-4. The increase in the levels of HNF-1&#x03B1;, a GLUT-2 transcription factor, in total protein extract and nuclear fraction suggest that the effects of SCLE may occur at the level of GLUT-2 transcription. In addition, by measuring the change in glucokinase activity following SCLE treatment, we confirmed that SCLE stimulates glucose utilization by direct activation of this enzyme. Conclusion: These results demonstrate that the potential antidiabetic activity of SCLE is due at least in part to stimulation of glucose uptake and an increase in glucokinase activity, and that SCLE-stimulated glucose uptake is mediated through enhancement of GLUT-2 expression by inducing expression of its transcription factor, HNF-1&#x03B1;.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<kwd><italic>Smilax china</italic>. L</kwd>
<kwd>anti-diabetic activity</kwd>
<kwd>glucose uptake</kwd>
<kwd>glucose transporter</kwd>
<kwd>glucokinase.</kwd>
</kwd-group>
</article-meta>
</front>
<back>
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<sec sec-type="display-objects">
<title>Figures and Tables</title>
<fig id="f1-jnh-47-167" position="float">
<label>Fig. 1.</label>
<caption xml:lang="en"><p>Concentration-dependent effects of SCLE on HepG2 cell growth. Cell viability was analyzed using the Cell Counting Kit-8 (CCK-8) assay kit. Each bar is the Mean &#x00B1; SD, derived from three independent experiments.</p></caption>
<graphic xlink:href="jnh-47-167f1.tif"/>
</fig>
<fig id="f2-jnh-47-167" position="float">
<label>Fig. 2.</label>
<caption xml:lang="en"><p>Induction of glucose uptake following <italic>Smilax china</italic> L. leaf extract (SCLE) treatment. HepG2 cells were incubated for 20 min in a KRPH buffer containing SCLE (0.25 mg/ml). The 2-deoxyglucose (2-DG) assay was performed 20 min later, as detailed in &#x201C;Methods.&#x201D; The 2DG uptake was expressed in pmol in normal and insulin conditions. Results are presented as the Mean &#x00B1; SD of three independent experiments. &#x2217;&#x2217;: p &#x003C; 0.01, Normal control versus Normal &#x002B; SCLE.</p></caption>
<graphic xlink:href="jnh-47-167f2.tif"/>
</fig>
<fig id="f3-jnh-47-167" position="float">
<label>Fig. 3.</label>
<caption xml:lang="en"><p>Measurement of GLUT-2, &#x2212;4 mRNA expression. A: Effect of a <italic>Smilax china</italic> L. leaf extract (SCLE) treatment on GLUT-2 mRNA expression in HepG2 cells. B: Effect of SCLE treatment on GLUT-4 mRNA in HepG2 cells. Values are the Mean &#x00B1; SD of triplicate determinations. &#x2217;: p &#x003C; 0.05, N versus N &#x002B; SCLE, &#x2217;&#x2217;: p &#x003C; 0.01, H versus H &#x002B; SCLE. L: Low glucose levels (1 mM) N: Normal glucose levels (5 mM) H: High glucose levels (25 mM).</p></caption>
<graphic xlink:href="jnh-47-167f3.tif"/>
</fig>
<fig id="f4-jnh-47-167" position="float">
<label>Fig. 4.</label>
<caption xml:lang="en"><p>Measurement of GLUT-2 protein expression. Time-dependent effects (at 0 h, 24 h, and 48 h) of treatment with a <italic>Smilax china</italic> L. leaf extract (SCLE) on GLUT-2 expression in HepG2 cells cultured with 5 mM or 25 mM glucose. Values are the Mean &#x00B1; SD of triplicate determinations. &#x2217;: p &#x003C; 0.05, &#x2217;&#x2217;: p &#x003C; 0.01 compared with 0 h N: Normal glucose levels (5 mM) H: High glucose levels (25 mM).</p></caption>
<graphic xlink:href="jnh-47-167f4.tif"/>
</fig>
<fig id="f5-jnh-47-167" position="float">
<label>Fig. 5.</label>
<caption xml:lang="en"><p>Measurement of HNF-1&#x03B1; mRNA and protein expression. A: Effect of a <italic>Smilax china</italic> L. leaf extract (SCLE) on HNF-1&#x03B1; mRNA expression in HepG2 cells. B: Effect of SCLE treatment on HNF-1&#x03B1; protein expression in HepG2 cells. Values are Mean &#x00B1; SD of triplicate determinations. &#x2217;: p &#x003C; 0.05, N versus N &#x002B; SCLE, &#x2217;&#x2217;: p &#x003C; 0.01, H versus H &#x002B; SCLE N: Normal glucose levels (5 mM) H: High glucose levels (25 mM).</p></caption>
<graphic xlink:href="jnh-47-167f5.tif"/>
</fig>
<fig id="f6-jnh-47-167" position="float">
<label>Fig. 6.</label>
<caption xml:lang="en"><p>Measurement of HNF-1&#x03B1; expression in nucleus fraction. Effect of <italic>Smilax china</italic> L. leaf extract (SCLE) on HNF-1&#x03B1; protein expression in HepG2 cell fractions. Values are Mean &#x00B1; SD of triplicate determination. &#x2217;&#x2217;: p &#x003C; 0.01 comparing cytoplasm and nucleus. N: Normal glucose level (5 mM).</p></caption>
<graphic xlink:href="jnh-47-167f6.tif"/>
</fig>
<fig id="f7-jnh-47-167" position="float">
<label>Fig. 7.</label>
<caption xml:lang="en"><p><italic>In vitro</italic> assay to evaluate glucokinase activity. Effect of treatment with a <italic>Smilax china</italic> L. leaf extract (SCLE) on glucokinase (GK) from <italic>Bacillus stearothermophilus</italic>. Values are the Mean &#x00B1; SD of triplicate determinations. &#x2217;&#x2217;: p &#x003C; 0.01, control versus SCLE (0.25 mg/ml).</p></caption>
<graphic xlink:href="jnh-47-167f7.tif"/>
</fig>
<fig id="f8-jnh-47-167" position="float">
<label>Fig. 8.</label>
<caption xml:lang="en"><p>Treatment with SCLE stimulates glucose absorption and utilization by increasing GLUT-2 mRNA expression and GK activity in HepG2 cells.</p></caption>
<graphic xlink:href="jnh-47-167f8.tif"/>
</fig>
<table-wrap id="t1-jnh-47-167" position="float">
<label>Table 1.</label>
<caption xml:lang="en"><p>PCR primer sequences</p></caption>
<table frame="hsides" rules="all">
<thead>
<tr>
<th valign="middle" align="center">Gene</th>
<th valign="middle" align="center">Primer</th>
<th valign="middle" align="center">Sequence (5&#x0027; &#x2192; 3&#x0027;)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="2">GLUT-2</td>
<td valign="middle" align="center">Forward</td>
<td valign="middle" align="left">GAT GAA CTG CCC ACA ATC TC</td>
</tr>
<tr>
<td valign="middle" align="center">Reverse</td>
<td valign="middle" align="left">CTG ATG AAA AGT GCC AAG TG</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">GLUT-4</td>
<td valign="middle" align="center">Forward</td>
<td valign="middle" align="left">GTT AAT CGG CAT TCT GAT CG</td>
</tr>
<tr>
<td valign="middle" align="center">Reverse</td>
<td valign="middle" align="left">GTG AAG ACT GTG TTG ACC AC</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">HNF-1&#x03B1;</td>
<td valign="middle" align="center">Forward</td>
<td valign="middle" align="left">GAA TGC ATC CAG AGA GGG GT</td>
</tr>
<tr>
<td valign="middle" align="center">Reverse</td>
<td valign="middle" align="left">GTG GAC CTT ACT GGG GGA GA</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">&#x03B2;-actin</td>
<td valign="middle" align="center">Forward</td>
<td valign="middle" align="left">ACA GGA AGT CCC TTG CCA TC</td>
</tr>
<tr>
<td valign="middle" align="center">Reverse</td>
<td valign="middle" align="left">AGG GAG ACC AAA AGC CTT CA</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t2-jnh-47-167" position="float">
<label>Table 2.</label>
<caption xml:lang="en"><p>PCR condition of each primer</p></caption>
<table frame="hsides" rules="all">
<thead>
<tr>
<th valign="middle" align="center">Gene</th>
<th valign="middle" align="center">Pre-denaturation</th>
<th valign="middle" align="center">Denaturation</th>
<th valign="middle" align="center">Annealing</th>
<th valign="middle" align="center">Extension</th>
<th valign="middle" align="center">Final extension</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center" rowspan="2">GLUT-2</td>
<td valign="middle" align="center" rowspan="2">94&#x2103; 5min</td>
<td valign="middle" align="center">94&#x2103; 30sec</td>
<td valign="middle" align="center">59&#x2103; 30sec</td>
<td valign="middle" align="center">72&#x2103; 30sec</td>
<td valign="middle" align="center" rowspan="2">72&#x2103; 5min</td>
</tr>
<tr>
<td valign="middle" align="center" colspan="3">26cycle</td>
</tr>
<tr>
<td valign="middle" align="center" rowspan="2">GLUT-4</td>
<td valign="middle" align="center" rowspan="2">94&#x2103; 5min</td>
<td valign="middle" align="center">94&#x2103; 30sec</td>
<td valign="middle" align="center">59&#x2103; 30sec</td>
<td valign="middle" align="center">72&#x2103; 30sec</td>
<td valign="middle" align="center" rowspan="2">72&#x2103; 5min</td>
</tr>
<tr>
<td valign="middle" align="center" colspan="3">30cycle</td>
</tr>
<tr>
<td valign="middle" align="center" rowspan="2">HNF-1&#x03B1;</td>
<td valign="middle" align="center" rowspan="2">94&#x2103; 5min</td>
<td valign="middle" align="center">94&#x2103; 30sec</td>
<td valign="middle" align="center">57&#x2103; 30sec</td>
<td valign="middle" align="center">72&#x2103; 30sec</td>
<td valign="middle" align="center" rowspan="2">72&#x2103; 5min</td>
</tr>
<tr>
<td valign="middle" align="center" colspan="3">25cycle</td>
</tr>
<tr>
<td valign="middle" align="center" rowspan="2">&#x03B2;-actin</td>
<td valign="middle" align="center" rowspan="2">94&#x2103; 5min</td>
<td valign="middle" align="center">94&#x2103; 30sec</td>
<td valign="middle" align="center">55&#x2103; 30sec</td>
<td valign="middle" align="center">72&#x2103; 30sec</td>
<td valign="middle" align="center" rowspan="2">72&#x2103; 5min</td>
</tr>
<tr>
<td valign="middle" align="center" colspan="3">18cycle</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</back>
</article>
