Protective effects of Stevia rebaudiana extracts on beta cells in lipotoxic conditions

Acta Diabetol. 2022 Jan;59(1):113-126. doi: 10.1007/s00592-021-01793-9. Epub 2021 Sep 9.

Abstract

Aims: Stevia rebaudiana Bertoni leaf extracts have gained increasing attention for their potential protection against type 2 diabetes. In this study, we have evaluated the possible beneficial effects of Stevia rebaudiana leaf extracts on beta-cells exposed to lipotoxicity and explored some of the possible mechanisms involved.

Methods: Extracts, deriving from six different chemotypes (ST1 to ST6), were characterized in terms of steviol glycosides, total phenols, flavonoids, and antioxidant activity. INS-1E beta cells and human pancreatic islets were incubated 24 h with 0.5 mM palmitate with or without varying concentrations of extracts. Beta-cell/islet cell features were analyzed by MTT assay, activated caspase 3/7 measurement, and/or nucleosome quantification. In addition, the proteome of INS-1E cells was assessed by bi-dimensional electrophoresis (2-DE).

Results: The extracts differed in terms of antioxidant activity and stevioside content. As expected, 24 h exposure to palmitate resulted in a significant decrease of INS-1E cell metabolic activity, which was counteracted by all the Stevia extracts at 200 μg/ml. However, varying stevioside only concentrations were not able to protect palmitate-exposed cells. ST3 extract was also tested with human islets, showing an anti-apoptotic effect. Proteome analysis showed several changes in INS-1E beta-cells exposed to ST3, mainly at the endoplasmic reticulum and mitochondrial levels.

Conclusions: Stevia rebaudiana leaf extracts have beneficial effects on beta cells exposed to lipotoxicity; this effect does not seem to be mediated by stevioside alone (suggesting a major role of the leaf phytocomplex as a whole) and might be due to actions on the endoplasmic reticulum and the mitochondrion.

Keywords: Beta cells; Lipotoxicity; Proteomics; Stevia rebaudiana; Steviol glycosides.

MeSH terms

  • Antioxidants / pharmacology
  • Diabetes Mellitus, Type 2* / drug therapy
  • Flavonoids
  • Humans
  • Plant Extracts / pharmacology
  • Stevia*

Substances

  • Antioxidants
  • Flavonoids
  • Plant Extracts

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