ABSTRACT Culinary herbs and spices have been widely used for their hypoglycemic, lipid-lowering, and anti-
inflammatory activities. This study examined the physiologic activity of hydrophilic components using extracts of turmeric or
laurel leaf powder. Aqueous extracts of turmeric and laurel showed potent inhibitory activity against fructose-mediated
glycation with antioxidant ability against low-density lipoprotein (LDL) oxidation and radical scavenging activity. The
turmeric and laurel extracts had potent cholesteryl ester transfer protein (CETP) inhibitory ability (up to 23% and 40%
inhibition, respectively) at a final concentration of 10 mg=mL. The turmeric and laurel extracts inhibited the cellular uptake of
oxidized LDL into macrophages, which is the initial step in atherogenesis. For in vivo testing, zebrafish consumed a high
cholesterol diet (HCD) (final concentration, 4% [wt=wt]) with or without turmeric or laurel powder (final concentration, 10%
[wt=wt]). The turmeric and laurel groups had a 14% and 12% decrease, respectively, in the weight and height ratios compared
to the HCD group. The plasma total cholesterol level was significantly lower in the turmeric and laurel groups (48% and 28%
less, respectively, than in the HCD group). Plasma triglycerides were more markedly reduced in the turmeric and laurel groups
than in the HCD group (68% and 56% less, respectively, than the HCD group). In conclusion, the hydrophilic extracts of
turmeric and laurel potently suppressed the incidence of atherosclerosis via a strong antioxidant potential, prevention of
apolipoprotein A-I glycation and LDL phagocytosis, and inhibition of CETP. Consumption of turmeric and laurel extracts
exhibited hypolipidemic and antioxidant activities in a hypercholesterolemic zebrafish model.
KEY WORDS: atherosclerosis cholesteryl ester transfer protein laurel turmeric zebrafish
247
248 JIN ET AL.
vertebrates, there have been increasing numbers of reports Cupric ion-mediated low-density lipoprotein oxidation
on the use of zebrafish to investigate atherosclerosis,
In a 500-mL reaction volume, fresh human low-density
obesity, and diabetes.10 Those reports have raised the fea-
lipoprotein (LDL) (300 mg of protein) was incubated with
sibility of using zebrafish as an in vivo system to screen anti-
each extract (final concentration, 10 mg=mL) in the presence
atherosclerotic phytochemicals.
of 10 mM (final concentration) CuSO4 for up to 2 hours.
In the current report we have compared the blood
During the incubation time, the amount of conjugated dienes
glucose-lowering and anti-atherosclerotic activities of tur-
formed was monitored at 234 nm at 24.58C12 using a DU800
meric and laurel in vitro and in vivo using a hypercholes-
spectrophotometer equipped with a MultiTemp III thermo-
terolemic zebrafish model.
circulator. In order to verify the spectroscopic data, the oxi-
dized LDL samples were subjected to electrophoresis on
MATERIALS AND METHODS 0.5% agarose gel for a relative electromobility comparison.13
Materials Purification of apolipoprotein A-I
Culinary turmeric and laurel powders were purchased Human plasma was obtained from healthy male volun-
from Ottogi Co. (Anyang, Republic of Korea). Each herb teers at the Blood Bank of Yeungnam University Hospital
and spice powder (1 g) was extracted in 10 mL of water or (Daegu, Republic of Korea). Apolipoprotein (apo) A-I was
ethanol at ambient temperature for 2 hours and centrifuged purified from the human high-density lipoprotein (HDL)
(3,000 g, 10 minutes), the pellet was removed, and the su- fraction (1.063 < d < 1.225) using ultracentrifugation and
pernatant was lyophilized. The lyophilized extract powders column chromatography following the method described by
were weighed and dissolved again with water to obtain a Brewer et al.14 The purified apoA-I was lyophilized at
concentration of 1 mg=mL. 808C until use.
Ingredient analysis
Glycation of apoA-I
The major ingredients of each extract were analyzed by
ApoA-I glycation was determined according to the
gas chromatography=mass spectrometry using an Agilent
method of McPherson et al.,15 with a slight modification
(Palo Alto, CA, USA) 6890 (GC=59751 MSD) instrument
using human apoA-I.16 In brief, the purified lipid-free apoA-
equipped with an HP-INNOWAX column (cross-linked
I (10 mg=mL) was incubated with 250 mM d-fructose
polyethylene glycol, 60 m0.25 mm0.25 mm). In brief,
(Sigma, St. Louis, MO, USA) in 200 mM potassium phos-
volatile gas (2 mL) was taken from the headpace sampler at
phate=0.02% sodium azide buffer (pH 7.4) for up to 90
808C after a 30-minute agitation and injected into the gas
hours under gas with air containing 5% CO2. Glycated
chromatograph. The injection temperature was 2508C. The
apoA-I samples were dialyzed extensively against PBS and
helium gas flow rate through the column was 1 mL=minute.
sterilized by filtration. The extent of glycation and its inhi-
The column temperature was held isothermally at 408C for 2
bition by treatment with extract were determined from
minutes, then raised at 58C=minute to 2308C, and held
reading the fluorometric intensity (FI) at 370 nm (excitation)
isothermally for 10 minutes. Ions were generated by a 70-kV
and 440 nm (emission) using the following formula, as de-
electron impact and recorded over the 50–650 m=z mass
scribed previously:16,17
range.
% inhibition ¼
Ferric reducing ability of plasma assay
sample FI background FI
The ferric reducing ability (FRA) was determined using 100 · 1
negative control FI background FI
the method described by Benzie and Strain.11 In brief, the
FRA reagents were freshly prepared by mixing 25 mL of where sample FI ¼ apoA-I (10 mg=ml; 82 mL) þ fructose
0.2 M acetate buffer (pH 3.6), 2.5 mL of 10 mM 2,4,6, (final concentration, 250 mM; 8 mL) þ extract in ethanol or
tripyridyl-s-triazine (Fluka Chemicals, Buchs, Switzer- water (final concentration, 10 or 100 mg=mL; 10 mL),
land), and 2.5 mL of 20 mM FeCl3 6H2O. The antioxidant background FI ¼ apoA-I, and negative control FI ¼ apoA-
activities of the water extracts were then estimated by I þ fructose þ water or ethanol.
measuring the increase in absorbance induced by the
generated ferrous ions. The freshly prepared FRA reagent
Purification of LDL and its oxidation
(300 mL) was mixed with equally diluted extract, which
was dialyzed extensively against phosphate-buffered sa- LDL (1.019 mg=dL < d < 1.063 mg=dL) was purified
line (PBS), after which the FRA was determined by from human plasma, which was obtained from the Blood
measuring the absorbance at 593 nm every 20 seconds Bank of Yeungnam University Medical Center, by ultra-
over a 10-minute period at 258C using a DU800 spectro- centrifugation according to a standard protocol.18 Oxidized
photometer (Beckman Coulter, Fullerton, CA, USA) LDL (oxLDL) was produced by incubating an LDL
equipped with a MultiTemp III thermocirculator (Amer- (1.019 mg=dL < d < 1.063 mg=dL) fraction with CuSO4
sham, Uppsala, Sweden). (final concentration, 10 mM) for 4 hours at 378C. The oxLDL
HYPOLIPIDEMIA AND 1,8-CINEOLE ENRICHMENT 249
was then filtered (pore size, 0.2 mm) and analyzed using a After feeding for 5 weeks, blood (2 mL) was drawn from
thiobarbituric acid-reactive substances assay to determine the hearts of adult fish, combined with 5 mL of PBS-EDTA
the extent of oxidation, as described previously.19 (final concentration, 1 mM), and then collected in EDTA-
treated tubes. The plasma (40 mL) was obtained by centri-
Cholesteryl ester transfer assay fugation after pooling the blood from 10 zebrafish. Plasma
total cholesterol (TC), HDL-cholesterol, and triglycerides
A reconstituted HDL as a cholesteryl ester (CE) donor (TG) were determined using commercial assay kits (Wako
containing apoA-I and cholesteryl oleate was synthesized in Pure Chemical, Osaka, Japan). Glutamic oxaloacetic trans-
accordance with the method described by our research aminase (GOT) and glutamic pyruvic transaminase (GPT)
group20,21 with trace amounts of [3H]cholesteryl oleate concentrations were measured using a commercially avail-
(TRK886, 3.5 mCi=mg of apoA-I; GE Healthcare, Boston, able assay kit (Asan Pharmaceutical, Hwasung, Republic of
MA, USA). Human plasma (0.05 mL) and LDL (0.05 mL, Korea). The CETP activity and FRA of zebrafish plasma
0.25 mg=mL) were used as CE transfer protein (CETP) and were compared between the groups. Aliquots of hepatic
CE acceptor sources, respectively. Each equally diluted tissue (50 mg of liver in 0.5 mL of PBS) from each group
extract (final concentration, 0.01 mL) was used as a CETP were homogenized for 3 minutes (150 rpm) in an ice bath
inhibitor. CETP inhibition was calculated as follows: using a tissue homogenizer (Euro-ST, Eurostar, IKA-
Werke, Staufen, Germany). After a brief centrifugation
sample cpm blank cpm
% inhibition ¼ 100 · 1 (10,000 g) and protein determination using the Bradford
control cpm blank cpm reagent (Bio-Rad, Hercules, CA, USA), equally diluted
supernatants (0.05 mL) were used as an antioxidant source
where sample is extract treated as an inhibitor source, con- in the FRA assay.
trol is without inhibitor, and cpm is counts per minute.
Enzyme-linked immunosorbent assay
Anti-atherosclerotic assay
For the sandwich enzyme-linked immunosorbent assay
THP-1 cells, a human monocytic cell line, were main- (ELISA) for the plasma interleukin-6 level, diluted primary
tained and differentiated into macrophages as described antibody (1:2,000) was coated onto a 96-well plate (Max-
previously.21 isorp 439454, Nunc, Roskilde, Denmark) overnight at 48C.
The differentiated and adherent macrophages were then As primary antibodies, mouse interleukin-6 monoclonal
rinsed with warm PBS and incubated with 400 mL of fresh antibody (sc53865, Santa Cruz Biotechnology, Inc., Santa
RPMI-1640 medium containing 1% fetal bovine serum, Cruz, CA, USA) was used. After incubation for 2 hours with
50 mL of oxLDL (1 mg of protein=mL in PBS), and 25 mL of the primary antibody, the well was washed extensively with
distilled water or each extract (final concentration, PBS containing 0.1% Tween-20. Then, the well was incu-
10 mg=mL) for 48 hours at 378C in a humidified incubator. bated with rabbit polyclonal antibody (diluted 1:2,000)
After incubation, the cells were washed with PBS three (sc7920, Santa Cruz Biotechnology) as secondary antibody
times and then fixed in 4% paraformaldehyde for 10 min- for 2 hours. Horseradish peroxidase-conjugated rabbit im-
utes. Next, the fixed cells were rinsed with 100% polypro- munoglobulin G antibody (sc2004) was purchased from
pylene glycol, stained with Oil red O staining solution Abcam (Cambridge, UK) and used as the tertiary antibody.
(0.67%), and then washed with distilled water. THP-1 A substrate reagent pack (DY999, R&D Systems, Minnea-
macrophage-derived foam cells were then observed and polis, MN, USA) was used for color development. Equally
photographed using a Nikon (Tokyo, Japan) Eclipse diluted (20-fold) plasma samples (20 mL) were used.
TE2000 microscope at 600 magnification.
Statistical analysis
In vivo test using hypercholesterolemic zebrafish
All data are expressed as mean SD values from at least
Zebrafish maintenance and procedures were approved by
three independent experiments with duplicate samples. The
the Committee of Animal Care and Use of Yeungnam
data were evaluated via one-way analysis of variance using
University (Gyeongsan, Republic of Korea). HCD contain-
SPSS version 14.0 software (SPSS, Chicago, IL, USA), and
ing 4% cholesterol (final concentration) was made by
the differences between the means were assessed using
soaking Tetrabit (47.5% crude protein, 6.5% crude fat,
Duncan’s multiple-range test. Statistical significance was
2.0% crude fiber, 10.5% crude ash, 29,770 IU=kg vitamin A,
defined as P < .05.
1,860 IU=kg vitamin D3, 200 mg=kg vitamin E, and
137 mg=kg vitamin C; Tetra GmbH, Melle, Germany) in a
diethyl ether solution of cholesterol (catalog number C- RESULTS
3045, Sigma). After ether evaporation, the HCD was mixed
Ingredient analysis
with powder of turmeric or laurel (final concentration, 10%
[wt=wt]). Each group (n ¼ 80) consumed the designated diet The major component in the aqueous extract of tumeric
(20 mg=day per fish). The zebrafish were maintained at was 1,8-cineole (approximately 67% of the total); minor
28 18C under a 14:10-hour light:dark cycle. components were tumerone, curcumene, and cymene, as
250 JIN ET AL.
FIG. 2. In vitro antioxidant ability of water extracts. (A) Comparison of reduction potential determined from ferric ion reduction ability between
turmeric and laurel extracts. (B) Radical scavenging activity determined from 2,2-diphenyl-1-picrylhydrazyl removal assay. Data are mean SD
values from three independent experiments performed in duplicate. Abs, absorbance.
251
252 JIN ET AL.
FIG. 3. Inhibition ability of cupric ion-mediated low-density lipoprotein (LDL) oxidation. (A) Continuous monitoring of conjugate diene level
by absorbance at 234 nm during copper-mediated oxidation in the presence of each extract of herbs and spices (final concentration, 10 mg=mL).
Data are mean SD values from three independent experiments performed in duplicate. (B) Relative electrophoretic mobility profiles of the LDL
(15 mg of protein) samples from the copper-mediated oxidation in the presence of each extract (final concentration, 10 mg=mL): lane 1, native
LDL; lane 2, LDL þ Cu2þ; lane 3, LDL þ Cu2þ þ turmeric; lane 4, LDL þ Cu2þ þ laurel.
However, the turmeric- and laurel-fed groups had lower greater lipid-stained area with a darker red intensity. In the
plasma CETP activity, with 47 5% and 37 4% CE presence of the same amount of oxLDL, turmeric- or laurel-
transfer, respectively, indicating that the in vitro inhibition treated cells (final concentration, 5 mg=mL) had a much
ability of turmeric and laurel was consistent with decreased smaller lipid-stained area and weaker intensity (Fig. 5C and
CE transfer activity in vivo. D, respectively). This result suggests that the putative in-
gredient in the extract could inhibit the early steps of foam
Cellular uptake of oxLDL into macrophages cell production, although turmeric extract-treated cells had
the lowest red intensity.
To determine whether or not the spice and herb could
inhibit the cellular uptake of oxLDL into macrophages, the
Hypolipidemic effect of turmeric in zebrafish
THP-1 cells were stained with Oil red O to evaluate
the degree of lipid or LDL uptake into cells that occurred in As shown in Table 2, the body weight of the HCD group
the presence of either turmeric or laurel after 48 hours of was increased by 11% compared to the normal group after 5
incubation. When compared to PBS-treated cells (Fig. 5A) weeks of feeding 4% cholesterol in the normal diet; the
as a control, oxLDL-treated cells (Fig. 5B) had a much plasma TC and TG levels of the HCD group were elevated
FIG. 4. Plasma cholesteryl ester transfer protein assay. (A) Cholesteryl ester transfer from 3H-high-density lipoprotein to LDL by human plasma
was inhibited by each water extract. (B) Cholesteryl ester (CE) transfer assay with pooled zebrafish plasma (0.02 mL) from each group. Data are
mean SD values from three independent experiments performed in duplicate. HC, high cholesterol diet group.
HYPOLIPIDEMIA AND 1,8-CINEOLE ENRICHMENT 253
3.5- and threefold higher, respectively, than the normal 1.7-fold compared to the normal group). The blood GOT
group. However, in contrast to the increase, the height was and GPT levels were elevated after the HCD diet (1.7- and
significantly decreased (up to 4%) compared to the normal 2.2-fold, respectively) compared with the normal group.
group (P < .002). The weight-to-height (in mg=cm) ratio These results indicate that increased cholesterol uptake
was increased 16% in the HCD group compared to the might be connected to an increase in plasma blood glucose
normal group. This result suggests that HCD might con- and inflammatory stress in the liver.
tribute to an increase in body weight, rather than height. The The turmeric-supplemented group had a 14% decrease in
plasma glucose level was also elevated by the HCD (up to the weight-to-height ratio compared to the HCD group,
FIG. 5. Cellular uptake of oxidized LDL (B) alone or treated with (C) turmeric or (D) laurel extract (final concentration, 5 mg=mL) compared
with (A) phosphate-buffered saline-treated cells. The extent of cellular uptake of lipids or LDL by macrophages was then compared by Oil red O
staining, as described in the text. Color images available online at www.liebertonline.com=jmf.
254 JIN ET AL.
while the laurel group had a 12% decrease, even though the tively, in absorbance at 593 nm. These results suggest that
height was increased after 5 weeks of feeding (Table 2). the antioxidant ability of hepatic tissue was enhanced by the
The plasma TC level was significantly lowered in the tur- consumption of turmeric and laurel extracts, which are rich
meric and laurel groups (48% and 28% less, respectively, in 1,8-cineole.
than the HCD group). The plasma TG level was more mark-
edly reduced in the turmeric group than in the laurel group DISCUSSION
(68% and 56% less, respectively, than the HCD group).
The current study was designed to compare the physio-
Furthermore, the blood glucose level was 42–62% de-
logic activity of hydrophilic components of extracts of
creased in the turmeric and laurel groups compared to the
turmeric and laurel leaf powder. Herbs and spices, includ-
HCD group. The tumeric group had a 27% and 35% de-
ing turmeric and laurel, are used widely in Ayurvedic
crease in GOT and GPT, respectively. However, the laurel
medicine to treat cancer and metabolic disorders. The
group had an elevated GPT level compared to the HCD
physiologic effects of turmeric have focused on antitumor
group. Based on the ELISA determination, the plasma in-
activity.23 Curcumin, a yellow pigment substance and
terleukin-6 level of zebrafish (0.483 arbitrary units) was
component of turmeric, has been reported to have thera-
higher than human plasma (0.186 arbitrary units). Con-
peutic potential in cancer chemotherapy. However, the
sumption of turmeric and laurel caused a decrease in the
water-extracted fraction in this study did not contain cur-
plasma level (up to 43% and 18%), as shown in Table 2.
cumin (Table 1) because it is a hydrophobic substance.
These improvements in plasma lipids, glucose, and inflam-
Therefore, the results of the current study provide new in-
matory parameters suggest that consumption of turmeric
sight into the physiologic role for hydrophilic ingredients of
and=or laurel leaf powder is beneficial in treating metabolic
turmeric and laurel.
syndrome, which is associated with type 2 diabetes and
In the water extract of turmeric and laurel, 1,8-cineole
cardiovascular disease.
was the major ingredient (Table 1) and showed potent in-
hibitory activity against fructose-mediated glycation (Fig.
Antioxidant activity of zebrafish plasma and liver tissue
1). These results correlate well with fluorescence observa-
The FRA assay with pooled plasma of each group (20 mL) tions (Fig. 1A) and suggest that both turmeric and laurel
revealed that 5 weeks of feeding an HCD enhanced anti- extracts protect apoA-I from nonenzymatic glycation and
oxidant ability with a 25% increase in absorbance at 593 nm, multimerization. Although there have been many reports
whereas the normal group had an 8% decrease. Plasma from concerning the glycation effect of HDL from human plas-
the turmeric extract-fed group had the highest antioxidant ma,24 relatively few articles have been published regarding
ability, with up to a 77% increase in absorbance at 593 nm, the physiologic effect of apoA-I glycation. Our research
whereas the laurel-fed group had an 18% increase. group recently reported structural and functional changes of
Using homogenized hepatic juice (50 mL, 1.4 mg=mL), glycated apoA-I in lipid-free and lipid-bound states.25 By
the HCD-fed group had more enhanced antioxidant ability glycation, apoA-I lost several beneficial functions, including
with a 48% increase in absorbance at 593 nm, whereas the lipid-binding ability, ferric ion removal ability, and anti-
normal diet-fed group had a 25% increase. The turmeric- oxidant ability against copper-mediated LDL oxidation. The
and laurel-fed groups had 61% and 58% increases, respec- glycated apoA-I facilitated cellular uptake of oxLDL into
FIG. 6. Comparison of antioxidant ability between the treatment groups of zebrafish. (A) Ferric ion removal ability of plasma from each group.
(B) The homogenized hepatic tissue (50 mg of liver in 0.5 mL of phosphate-buffered saline [PBS]) equally diluted (1.4 mg=mL) from each group
was used as an antioxidant source. Data are mean SD values from three independent experiments performed in duplicate.
HYPOLIPIDEMIA AND 1,8-CINEOLE ENRICHMENT 255
macrophage cells and premature senescence in human der- AUTHOR DISCLOSURE STATEMENT
mal fibroblast cells.
All authors declare no competing financial interests exist.
The laurel extract had more potent ferric ion reducing
ability and radical scavenging activity than turmeric extract
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