Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome

Obesity is a global epidemic often associated with serious medical complications such as diabetes, hypertension and metabolic dysfunction-associated steatohepatitis. Considering the multifactorial nature of these diseases, medicinal plants could be a valuable therapeutic strategy as their phytoconst...

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Main Authors: Sara E.L. Tolouei, Rodrigo Marcon, Fabiana Cardoso Vilela, Cristina Setim Freitas, Melina Heller, Edineia Lemos de Andrade, Sergio José Macedo Júnior, Adara Áurea dos Santos, Ruth Fernandes Rocha, Guilherme Pasetto Fadanni, Naiani Ferreira Marques, Jarbas Mota Siqueira Júnior, João B. Calixto
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Pharmacological Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S1043661825000325
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author Sara E.L. Tolouei
Rodrigo Marcon
Fabiana Cardoso Vilela
Cristina Setim Freitas
Melina Heller
Edineia Lemos de Andrade
Sergio José Macedo Júnior
Adara Áurea dos Santos
Ruth Fernandes Rocha
Guilherme Pasetto Fadanni
Naiani Ferreira Marques
Jarbas Mota Siqueira Júnior
João B. Calixto
author_facet Sara E.L. Tolouei
Rodrigo Marcon
Fabiana Cardoso Vilela
Cristina Setim Freitas
Melina Heller
Edineia Lemos de Andrade
Sergio José Macedo Júnior
Adara Áurea dos Santos
Ruth Fernandes Rocha
Guilherme Pasetto Fadanni
Naiani Ferreira Marques
Jarbas Mota Siqueira Júnior
João B. Calixto
author_sort Sara E.L. Tolouei
collection DOAJ
description Obesity is a global epidemic often associated with serious medical complications such as diabetes, hypertension and metabolic dysfunction-associated steatohepatitis. Considering the multifactorial nature of these diseases, medicinal plants could be a valuable therapeutic strategy as their phytoconstituents interact with multiple and relevant biological targets. In this context, Ilex paraguariensis emerges as a potential alternative to treat obesity and associated metabolic diseases since several studies have demonstrated its anti-inflammatory, anti-obesity and anti-diabetic effects. We present a comprehensive and complete non-clinical investigation of the efficacy, safety and putative mechanisms of action of a standardized aqueous extract of I. paraguariensis (TI-076). We also describe a scalable preparation of TI-076 and demonstrate its long-term stability. TI-076 exhibits long-term stability and its major constituents are well absorbed orally in mice and rats. The five in vivo proofs of concept studies revealed that TI-076 reduced obesity, hyperglycaemia, blood pressure, liver fat accumulation, levels of serum insulin, leptin and cholesterol, food intake, inflammation and increased GLP-1 levels. The mechanisms through which TI-076 acts seem to involve the modulation of several genes associated with inflammation (Il1b, Nlrp3, Pparα and Pparγ), white adipose and liver metabolism (Cartpt, Mgll, Ramp3, Faah, Cck, Clps, Pparα and Pparγ), liver damage and fibrosis (Creb1, Col1a1 and Col3a1). Finally, TI-076 did not interact with CYP3A4 in vivo and proved to be safe. These findings strongly suggest that TI-076 holds great potential for clinical trials aimed at developing a safe phytomedicine for treating obesity and related metabolic diseases.
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spelling doaj-art-1df2746bb17148a8954d5a083ca9b01b2025-02-02T05:26:50ZengElsevierPharmacological Research1096-11862025-03-01213107607Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndromeSara E.L. Tolouei0Rodrigo Marcon1Fabiana Cardoso Vilela2Cristina Setim Freitas3Melina Heller4Edineia Lemos de Andrade5Sergio José Macedo Júnior6Adara Áurea dos Santos7Ruth Fernandes Rocha8Guilherme Pasetto Fadanni9Naiani Ferreira Marques10Jarbas Mota Siqueira Júnior11João B. Calixto12Centro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCentro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilCorresponding author.; Centro de Inovação e Ensaios Pré-Clínicos. Avenida Luiz Boiteux Piazza, 1302 Cachoeira do Bom Jesus, Florianópolis, Santa Catarina 88056-000, BrazilObesity is a global epidemic often associated with serious medical complications such as diabetes, hypertension and metabolic dysfunction-associated steatohepatitis. Considering the multifactorial nature of these diseases, medicinal plants could be a valuable therapeutic strategy as their phytoconstituents interact with multiple and relevant biological targets. In this context, Ilex paraguariensis emerges as a potential alternative to treat obesity and associated metabolic diseases since several studies have demonstrated its anti-inflammatory, anti-obesity and anti-diabetic effects. We present a comprehensive and complete non-clinical investigation of the efficacy, safety and putative mechanisms of action of a standardized aqueous extract of I. paraguariensis (TI-076). We also describe a scalable preparation of TI-076 and demonstrate its long-term stability. TI-076 exhibits long-term stability and its major constituents are well absorbed orally in mice and rats. The five in vivo proofs of concept studies revealed that TI-076 reduced obesity, hyperglycaemia, blood pressure, liver fat accumulation, levels of serum insulin, leptin and cholesterol, food intake, inflammation and increased GLP-1 levels. The mechanisms through which TI-076 acts seem to involve the modulation of several genes associated with inflammation (Il1b, Nlrp3, Pparα and Pparγ), white adipose and liver metabolism (Cartpt, Mgll, Ramp3, Faah, Cck, Clps, Pparα and Pparγ), liver damage and fibrosis (Creb1, Col1a1 and Col3a1). Finally, TI-076 did not interact with CYP3A4 in vivo and proved to be safe. These findings strongly suggest that TI-076 holds great potential for clinical trials aimed at developing a safe phytomedicine for treating obesity and related metabolic diseases.http://www.sciencedirect.com/science/article/pii/S1043661825000325Ilex paraguariensis extractObesityHigh-fat dietType 2 diabetes mellitusNonalcoholic steatohepatitisMetabolic dysfunction
spellingShingle Sara E.L. Tolouei
Rodrigo Marcon
Fabiana Cardoso Vilela
Cristina Setim Freitas
Melina Heller
Edineia Lemos de Andrade
Sergio José Macedo Júnior
Adara Áurea dos Santos
Ruth Fernandes Rocha
Guilherme Pasetto Fadanni
Naiani Ferreira Marques
Jarbas Mota Siqueira Júnior
João B. Calixto
Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome
Pharmacological Research
Ilex paraguariensis extract
Obesity
High-fat diet
Type 2 diabetes mellitus
Nonalcoholic steatohepatitis
Metabolic dysfunction
title Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome
title_full Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome
title_fullStr Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome
title_full_unstemmed Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome
title_short Preclinical development of a standardized extract of Ilex paraguariensis A.St.-Hil for the treatment of obesity and metabolic syndrome
title_sort preclinical development of a standardized extract of ilex paraguariensis a st hil for the treatment of obesity and metabolic syndrome
topic Ilex paraguariensis extract
Obesity
High-fat diet
Type 2 diabetes mellitus
Nonalcoholic steatohepatitis
Metabolic dysfunction
url http://www.sciencedirect.com/science/article/pii/S1043661825000325
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