Weight loss and blood glucose levels at the beginning and end of the experiment in diabetic-taflan (DLO) and diabetic (DG) groups were shown in Fig 1. In diabetic rats,
Laurocerasus officinalis Roem (Taflan) fruit was used to determine the effects on some biochemical parameters. According to the data, a significant weight loss and changes in blood glucose levels were observed in the DG and DLO. When these levels are examined, the weight loss seen in DG is considerably higher than that of the DLO (approximately 2 times). Blood glucose levels were found as 9.17% and 54.2% in DG and DLO, respectively (
P<0.05). Although weight loss among the clinical signs and symptoms of diabetes appears in both groups, the rate observed in the DLO is relatively moderate than DG. Moreover, when the blood glucose levels were taken into consideration, the values obtained from this group showed a significant improvement in the DLO (-54.2%). According to both weight loss and blood glucose level results, taflan extract have a positive effect for treatment of DLO.
The results of MDA, nitrite-nitrate, ascorbic acid and catalase levels obtained from the blood samples were presented in Fig 2. Free radicals, defined as compounds that have one or more non-shared electrons in their outer orbit, show reactive properties and act on many components of the cells (lipid, protein, carbohydrates and DNA
etc). This reaction proceeds by chaining off a hydrogen atom or electron from unsaturated fatty acids. The peroxyl radicals, which are formed from reaction between conjugated dienes and oxygen, cause the chain reactions. Finally, cyclic peroxides and endoperoxides occur. Malondialdehyde (MDA) is one of the end products of lipid peroxidation and is an important indicator of lipid peroxidation (
Yegin and Mert, 2013). Obtained data showed that the highest and lowest MDA levels were determined in the DG (2.41 nmol/mL) and LO (1.88 nmol/mL), respectively (
P<0.05). In addition, MDA levels at the other two groups were found as 1.94 nmol/mL for CG and 1.96 nmol/mL for DLO. These results indicated that taflan could cause a significant improvement based on the MDA levels.
Depending on the oxidation state of the nitrogen element, nitrogen oxides can be found at five different molecule forms as to be NO, NO
2-, NO
2, NO
3- and N
2O. Nitrogen oxide (NO) is the molecule with the highest biological activity among these five nitrogen oxides and is not present as NO- radicals in biological environments. Due to the high reactivity of NO
- radicals in aqueous systems and air-liquid interface environments, it immediately converts to nitrite and nitrate products. Now days, studies that can show the relationship between DM and iNOS are generally focused on endothelial nitric oxide synthetase (eNOS) which has an effect on vasodilatation and is released from vascular endothelial cells and platelets. The cardiovascular system is the first system affected by DM
and researchers often focus on this mechanism. NO’s measurable stable end products are nitrite and nitrate, so their values can be measured in biological fluids (
Pan, 2009). The highest nitrite and nitrate levels measured in our serum samples were found in DG (2.02 and 11.46 ppm), while the lowest levels were determined in LO (1.84 and 6.72 ppm) (
P<0.05). Nitrite and nitrate levels in the CG and DLO were 1.92 and 6.91 ppm and 1.97 and 9.29 ppm, respectively (
P<0.05). These results show that nitrite-nitrate levels are significantly increased in diabetic rats. These levels are quite low in rats given taflan.
Ascorbic acid (AA) is an antioxidant vitamin that cannot be synthesized in human body, but dissolves in blood, tissues and water phase of the cell. The antioxidant properties of ascorbic acid are enhanced in the presence of other reducing agents such as reduced glutathione (GSH) and nicotinamide adenine dinucleotide (NAD). Disruption of glutathione metabolism and decrease in AA levels are among the causes of insufficiency of antioxidant defence in diabetes. The need for AA has been shown to increase in experimental diabetic rats (
Özer and Gönül, 2006). In our experience, a similar result has emerged. The highest and lowest serum levels were seen to be in the TG (29.47 µg/mL) and in the DG (24.43 µg/mL), respectively (
P<0.05). Serum ascorbic acid levels in the other groups were found as 28.03 µg/mL for CG and 27.70 µg/mL for DLO (
P<0.05). These results showed that ascorbic acid levels were negatively affected in the DG and there was no significant change in the treated groups. In fact, ascorbic acid levels in the healthy and LO were higher than in the CG.
Catalase is a hemoprotein consisting of four hemoglobin groups, each of which contains Fe
+3 and is found in peroxisomes. H
2O
2 formed by superoxide dismutase (SOD) breaks down catalase peroxidases into oxygen and water. Glutathione peroxidase has a lower KM value against H
2O
2 than catalase. That is, H
2O
2 is degraded by glutathione peroxidase at low concentrations and catalase at high concentrations. Catalase activity is more intense in erythrocytes, liver and kidney. In a study of patients with type 2 diabetes, it was seen that serum catalase activity increased in patients with diabetes, which emphasized that may be due to a compensatory mechanism to protect the organism from lipid peroxidation (
Memiþoðullarý, 2005). Within this study, catalase activity was highest in LO (0.758 U/mL) and lowest in DG (0.286 U/mL) (
P<0.05). The catalase activities in the CG and DLO were found as 0.604 and 0.479 U/mL, respectively (
P<0.05). These results shows that catalase activity in diabetic rats decreased considerably, particularly in LO, which indicate a positive effect of taflan on catalase activity.
Lipid-bound sialic acid (LSA) and glutathione (GSH) results obtained from the blood samples are shown in Fig 3. In normal human serum, sialic acid is available in small amounts (1-3 µmol/L), mostly due to glycoproteins or glycolipids [total sialic acid (TSA), 1.5-2.5 mmol/L]. Studies have reported a relationship between serum TSA and cardiovascular mortality in the general population. In addition, circulating sialic acid concentration was found to be elevated in type 2 diabetics when compared to healthy non-diabetic individuals. Similar studies have shown a relationship between serum sialic acid levels of type 1 and 2 diabetic patients and between retinopathy and sialic acid levels in type 2 diabetic patients (
Ateş et al., 2009). In our diabetic groups, serum LSA levels were highest in DG (1.90 mmol/L) and lowest in LO (1.39 mmol/L) (
P<0.05). The values in the CG and DLO were found as 1.52 and 1.66 mmol/L, respectively (
P<0.05). According to these results, lipid-bound sialic acid levels were decreased in the diabetes group. LSA levels were determined as lower in the treated groups using taflan.
Antioxidant vitamins have an important role in regulation of insulin secretion. As a natural antioxidant, GSH and antioxidant vitamins can prevent the formation of free radicals which are complications of diabetes. Vitamin C and glutathione are responsible for protecting of cells against free radical damage in diabetes. Many protective systems are also available. Some studies have shown that the increase in HbA1c levels in diabetes increases lipid peroxidation. Vitamin C may reduce the increased glucose levels and oxidative damage in diabetes. It has been shown that erythrocyte GSH levels decrease in diabetic patients. In addition, GSH peroxidase activity was decreased and erythrocyte lipid peroxidation was increased in diabetics. Hepatic GSH levels in diabetic patients were also found to be normal or slightly decreased (
Cengiz and Cengiz, 2000). In the DG, GSH levels were lower than the other groups (14.86 mg/dL) (
P<0.05). In addition, GSH levels of the CG and LO were very similar (15.05 and 15.08 mg/dL) (
P<0.05). In the DLO, GSH levels were higher than the DG (15.02 mg/dL) (
P<0.05). According to the results, GSH levels decreased in the diabetes group. However, it can be said that the taflan has significant protective properties in the DLO.
The amounts of ascorbic acid, lycopene, β-carotene and vitamin E of taflan fruit (fresh and dried) used in the experiment are given in Table 2. Fruits and vegetables are rich sources of vitamin A, vitamin C, vitamin E, polyphenolic compounds and flavonoids
(Diplock et al., 1998). These compounds prevent free radical damage and reduce the risk of the chronic diseases. Therefore, the consumption of antioxidants from these sources is very useful in the prevention of cardiovascular diseases, especially atherosclerosis (
Hu, 2000). Ascorbic acid, which is found in plants, animals and unicellular organisms, is either synthesized or taken up by diet. Reptiles and old birds synthesize ascorbic acid in their own kidneys (
Stone, 1972). People, some other primates and guinea pigs are incapable of synthesizing ascorbic acid, so they need to get it regularly through diet (
Valpuesta and Botella, 2004). L-ascorbic acid is an antioxidant, which is a powerful reducing agent that readily converts to L-dehydrocorbic acid. L-dehydrocorbic acid also has vitamin C effect. This activity is lost by hydrolysis of the lactone ring of dehydroascorbic acid to diketogulonic acid. The ascorbic acid contents of both dry and wet samples of the taflan used in the experiment were determined as 334.09 and 340.37 mg/100 g, respectively (
P<0.05).
β-carotene is an organic compound and belongs to the terpenoid class. It is a strong orange-red colorant, which is abundant in fruits and vegetables. Its structure was discovered in 1930 and it is the precursor compound of vitamin A. β-carotene is converted to vitamin A in the small intestine mucosa with the help of β-carotene dioxigenase enzyme (
Van Arnum, 2000). β-carotene increases the risk of lung cancer and mortality in smoking patients. These results were seen in foods containing β-carotene sold as supplements, but not in foods that naturally containing β-carotene (
Russel, 2002). As ascorbic acid analysis, dry and wet β-arotene content of the samples were 462.35 and 321.58 mg/100 g, respectively (
P<0.05).
Lycopene is a bright red carotenoid pigment and is found in red fruits. Lycopene is the most common carotenoid found in the human body and is one of the most powerful antioxidants
(Giovannucci et al., 2002). Lycopene is the most powerful carotenoid that neutralizes singlet oxygen (Di
Mascio et al., 1989). Singlet oxygen is the ROS which is responsible for skin aging and many other factors. There is evidence that frequent use of lycopene reduces the risk of cardiovascular disease, prostate cancer, cancer types, diabetes, osteoporosis and even male infertility
(Bowen et al., 2002). The non-presecense of lycopene in both dry and wet samples was detected in this study.
Vitamin E is often found in the cell membrane and if it does not function, free radicals affect the membrane, DNA and other cell components. Vitamin E (a-tocopherol) is essential for normal reproduction, muscle functions and many other body functions. In the scientific literature, it was reported that, vitamin E reduces heart disease. It has been shown that the rate of heart disease in humans receiving vitamin E is halved
(Cross et al., 1987). α-tocopherol terminates free radical chain reactions by transferring the phenolic hydrogen to peroxidated polyunsaturated fatty acids. The resulting oxidation product is excreted by bile secretion conjugated with glucuronic acid over the hydroxyl group on the ring. Since a-tocopherol is excreted in this way, it cannot be reused and needs to be replaced. In addition to antioxidant activity, vitamin E also affects cell proliferation through some steps in the signal transduction mechanism. In addition, vitamin E has been shown to reduce the risk of developing many heart diseases (Hudson, 1990). The most important task of vitamin E is to protect the fatty acids in membrane lipids against attacks of oxygen free radicals. Mitochondria endoplasmic reticulum and plasma membrane phospholipids have a very high affinity for a-tocopherol. Tocopherols transfer a phenolic hydrogen to the free peroxide radical in a peroxidated unsaturated fatty acid. These are compounds consisting of seven types of tocopherols, which are formed by varying the location and number of -CH
3 groups bound to the aromatic tocol ring. The order of decreasing antioxidant activities of tocopherols follows delta, beta, gamma and alpha sequence
(Czinner et al., 1999). Vitamin E content could not be determined for dry and wet conditions of our sample.