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Comparative study of the hypocholesterolemic, antidiabetic effects of four agro-waste Citrus peels cultivars and their HPLC standardization

ABSTRACT

Citrus is an economically important fruit for Egypt, but its peel also is one of the major sources of agricultural waste. Due to its fermentation, this waste causes many economic and environmental problems. Therefore it is worthwhile to investigate ways to make use of this citrus waste generated by the juice industry. This study was aimed to explore the hypocholesterolemic, antidiabetic activities of four varieties of citrus peels agrowastes, to isolate the main flavonoids in the active fractions and to quantify them by HPLC method for nutraceutical purposes. All the tested samples of the agro-waste Citrus fruits peels showed significant decrease in cholesterol, triacylglyceride and glucose. The most decrease in cholesterol level was observed by mandarin peels aqueous homogenate and its hexane fraction (59.3% and 56.8%, respectively) reaching the same effect as the reference drug used (54.7%). Mostly, all samples decrease triacylglyceride (by 36%–80.6%) better than the reference drug used (by 35%), while, glucose was decreased (by 71.1%–82.8 and 68.6%–79.6%, respectively) mostly by the aqueous homogenates (except lime) and alcoholic extracts (except mandarin) of Citrus fruits peels better than the reference drug used (by 68.3%). All the isolated pectin, from the four cultivars, has significant effect on the three parameters. The comparative HPLC rapid quantification of nobiletin in the different by-product citrus varieties hexane fractions revealed that nobiletin is present in higher concentration in mandarin (10.14%) than the other species. Nobiletin and 4′,5,7,8-tetramethoxy flavone were isolated from mandarin peels hexane fraction by chromatographic fractionation. This is the first report of the comparative HPLC quantification of nobiletin and biological studies of different citrus peels species as agro-waste products. Based on these results, we suggest the possibility that Citrus fruits peels may be considered as an antidiabetic and hypocholesterolemic nutraceutical product.

Keywords:
Agro-waste Citrus peels; Anti-diabetic; HPLC quantification; Hypocholesterolemic; Pectin; Polymethoxyflavone

Introduction

One of the most important popular threat factors for coronary heart disease, heart attack and stroke is the high cholesterol (AHA, 2014AHA, 2014. Why Cholesterol Matters, http://www.heart.org/HEARTORG/Conditions/Cholesterol/WhyCholesterolMatters/Why-Cholesterol-Matters_UCM_001212Article.jsp#.V4ttqtJ97cc [updated 2016 April 1; cited 2014 April 21].
http://www.heart.org/HEARTORG/Conditions...
). Large amount of fruit peels are pitched as waste from fruit processing industry in spite of the well declared biological activities of these peels compared to other discarded portions. Among the fruits, Citrus fruits which its yield is approximated as 80 million tons per year are regarded as precious healthy diet since its nutrients boost haleness and guard against chronic disease (Gnanasaraswathi et al., 2014Gnanasaraswathi, M., Lakshmipraba, S., Rajadurai jesudoss, R.P., Abhinayashree, M., Fathima Beevi, M., Aarthi Lakshmipriya, V., Kamatchi, S., 2014. Potent anti-oxidant behaviour of citrus fruit peels and their bactericidal activity against multi drug resistant organism Pseudomonas aeruginosa. J. Chem. Pharm. Sci. 2, 139-144.). Huge amounts of scraps are produced yearly, following juice manufacturing, from about one third of Citrus fruits (Li et al., 2006Li, S., Lo, C.Y., Ho, C.T., 2006. Hydroxylated polymethoxyflavones and methylated flavonoids in sweet orange (Citrus sinensis) peel. J. Agric. Food Chem. 54, 4176-4185.). Citrus peels, which constitute the main residue, contain more bioactive compounds than do juices (Bocco et al., 1998Bocco, A., Cuvelier, M.E., Richard, H., Berset, C., 1998. Antioxidant activity and phenolic composition of citrus peel and seed extract. J. Agric. Food Chem. 46, 2123-2129.; Gorinstein et al., 2001Gorinstein, S., Martin-Belloso, O., Park, Y.S., Haruenkit, R., Lojek, A., Ciz, M., 2001. Comparison of some biochemical characteristics of different citrus fruits. Food Chem. 74, 309-315.) and are a suitable provenance of pectin (Sakai and Okushima, 1980Sakai, T., Okushima, M., 1980. Microbial production of pectin from citrus peel. Appl. Environ. Microbiol. 39, 908-912.). While citrus peels exhibit potent antioxidant, antimicrobial, anti-inflammatory activities (Murakami et al., 2000Murakami, A., Nakamura, Y., Ohto, Y., Yano, M., Koshiba, T., Koshimizu, K., 2000. Suppressive effects of citrus fruits on free radical generation and nobiletin, an anti-inflammatory polymethoxyflavonoid. Biofactors 12, 187-192.; Lin et al., 2011Lin, Y., Vermeer, M.A., Bos, W., van Buren, L., Schuurbiers, E., Miret-Catalan, S., Trautwein, E.A., 2011. Molecular structures of citrus flavonoids determine their effects on lipid metabolism in HepG2 cells by primarily suppressing ApoB secretion. J. Agric. Food Chem. 59, 4496-4503.; Dhanavade et al., 2011Dhanavade, M.J., Jalkute, C.B., Ghosh, J.S., Sonawane, K.D., 2011. Study antimicrobial activity of lemon (Citrus lemon L.) peel extract. Brit. J. Pharmacol. Toxicol. 2, 119-122.) and have a reverse relationship with the coronary heart disease incidence by its potency in decreasing plasma cholesterol level (Bok et al., 1999Bok, S.H., Lee, S.H., Park, Y.B., Bae, K.H., Son, K.H., Jeong, T.S., Choi, M.S., 1999. Plasma and hepatic cholesterol and hepatic activities of 3-hydroxy-3-methyl-glutaryl-CoA reductase and acyl CoA: cholesterol transferase are lower in rats fed citrus peel extract or a mixture of citrus bioflavonoids. J. Nutr. 129, 1182-1185.; Wilcox et al., 2001Wilcox, L.J., Borradaile, N.M., de Dreu, L.E., Huff, M.W., 2001. Secretion of hepatocyte apoB is inhibited by the flavonoids, naringenin and hesperetin, via reduced activity and expression of ACAT2 and MTP. J. Lipid Res. 42, 725-734.; Whitman et al., 2005Whitman, S.C., Kurowska, E.M., Manthey, J.A., Daugherty, A., 2005. Nobiletin, a citrus flavonoid isolated from tangerines, selectively inhibits class A scavenger receptor-mediated metabolism of acetylated LDL by mouse macrophages. Atherosclerosis 178, 25-32.; Lee et al., 2011Lee, Y.S., Cha, B.Y., Saito, K., Choi, S.S., Wang, X.X., Choi, B.K., Yonezawa, T., Teruya, T., Nagai, K., Woo, J.T., 2011. Effects of a Citrus depressa Hayata (Skiikuwasa) extract on obesity in high-fat diet-induced obese mice. Phytomedicine 18, 6648-6654.; Assini et al., 2013Assini, J.M., Mulvihill, E.E., Huff, M.W., 2013. Citrus flavonoids and lipid metabolism. Curr. Opin. Lipidol. 24, 34-40.), pectin is useful in medical purpose, in which it aids in decreasing serum cholesterol level, dislodging heavy metal ions from the body, equilibrating blood pressure and assisting in weight reduction (Tang et al., 2011Tang, P.-Y., Kek, T.-S., Gan, C.-Z., Hee, C.-Y., Chong, C.-H., Woo, K.-K., 2011. Yield and some chemical properties of pectin extracted from the peels of Dragon fruit [Hylocereus polyrhizus (Weber) Britton and Rose]. Philipp. Agric. Sci. 94, 307-311.).

A plentiful source of polyhydroxyl flavonoids, such as hesperidin, neohesperidin and naringin, are the citrus peels which are also the unique source of polymethoxyflavones with high content such as nobiletin, tangeretin and sinesetin (Li et al., 2006Li, S., Lo, C.Y., Ho, C.T., 2006. Hydroxylated polymethoxyflavones and methylated flavonoids in sweet orange (Citrus sinensis) peel. J. Agric. Food Chem. 54, 4176-4185.; Londoño et al., 2010Londoño, J., Lima, V., Lara-Guzman, O.J., Gil, A., Beatriz, T., Pasa, C., Arango, G.J., Ramirez-Pineda, J.R., 2010. Clean recovery of antioxidant flavonoids from citrus peel: optimizing an aqueous ultrasound-assisted extraction method. Food Chem. 119, 81-87.). In previously in vivo studies, lower doses of citrus polymethoxylated flavones (PMF) can decrease plasma cholesterol level more than that of flavanones (Morin et al., 2008Morin, B., Nichols, L.A., Zalasky, K.M., Davis, J.W., Manthey, J.A., Holland, L.J., 2008. The citrus flavonoids hesperetin and nobiletin differentially regulate low density lipoprotein receptor gene transcription in HepG2 liver cells. J. Nutr. 138, 1274-1281.) and modulated lipid metabolism in cells and animals (Lee et al., 2011Lee, Y.S., Cha, B.Y., Saito, K., Choi, S.S., Wang, X.X., Choi, B.K., Yonezawa, T., Teruya, T., Nagai, K., Woo, J.T., 2011. Effects of a Citrus depressa Hayata (Skiikuwasa) extract on obesity in high-fat diet-induced obese mice. Phytomedicine 18, 6648-6654.). Two polymethoxylated citrus flavonoids, tangeretin and nobiletin, moderately inhibited both cholesterol (CH) and triacylglyceride (TG) synthesis, while weaker effects were reported by other PMF (e.g., sinensetin) and non-PMF (e.g., hesperetin and naringenin). Hence, attention should be paid for their proper extraction as potential compounds and check their suitability as therapeutics. This will increase the aggregate value of the industrial waste.

Our study was carried out on four agro-waste Citrus peels species cultivated in Egypt, after previously exploring their peels oil benefits (Abd-Elwahab et al., 2016Abd-Elwahab, S.M., El-Tanbouly, N.D., Moussa, M.Y., Abdel-Monem, A.R., Fayek, N.M., 2016. Antimicrobial and antiradical potential of four agro-waste Citrus peels cultivars. J. Essent. Oil Bearing Plants 19, 1932-1942.), [mandarin (Citrus reticulata Blanco cv. Egyptian), sweet orange (Citrus sinensis (L.) Osbeck cv. Olinda Valencia), white grapefruit (C. paradisi Macfad. cv. Duncan) and lime (C. paradisi aurantiifolia (Christm.) Swingle cv. Mexican)], Rutaceae, to evaluate and compare their hypocholesterolemic and anti-diabetic activities as agro-waste products, to isolate the main flavonoids in the active fractions and to quantify them by HPLC method for nutraceutical purposes to facilitate the conversion of this waste into high value-added products, thus allowing it to be a recycled component of functional food material.

Material and methods

Plant material

Samples of the fresh fully mature ripe citrus fruit peels [mandarin (Citrus reticulata Blanco cv. Egyptian), sweet orange (C. sinensis (L.) Osbeck cv. Olinda Valencia), white grapefruit (C. paradisi Macfad. cv. Duncan) and lime (C. aurantiifolia Swingle cv. Mexican)], Rutaceae, were identified by Citrus department, Horticultural Institute, Ministry of Agriculture, Giza, Egypt and voucher specimens numbers 14-7-2016-I, 14-7-2016-II, 14-7-2016-IV and 14-7-2016-III, respectively, were deposited at the Museum of the Pharmacognosy Department, Faculty of Pharmacy, Cairo University, Egypt. The material were collected in February 2011 (for sweet orange), September 2011 (for lime), 2nd half of December 2011 (for grapefruit) and 2nd half of January 2012 (for mandarin), from the private orchard of El-Mazloom company for horticulture production at 78 km Cairo-Ismailia road.

Preparation of extracts and isolation of pectin

Preparation of a citrus peels aqueous homogenates: the aqueous homogenates were prepared by mixing 1.5 g of fresh peel of each species with 100 ml distilled water in a blender, stored in bottle and kept in refrigerator (2–5 ºC) until used.

Preparation of a citrus peels alcoholic extracts: the alcoholic extracts were prepared by percolating 200 g of fresh peel with 80% methanol (600 ml), filtered off and the resulting extracts were evaporated under reduced pressure.

Preparation of a Citrus peels hexane extracts: part of the previously prepared alcoholic extract residue (10 g) for each Citrus fruits peels were suspended separately in distilled water (30 ml), then extracted with n-hexane and the resulting hexane extracts were evaporated under reduced pressure.

Isolation of pectin from citrus peels: each species of fresh citrus peels (50 g) was boiled with known volume of distilled water (100 ml), decanted, cooled to room temperature (25 ºC) and then four volumes of absolute ethanol (400 ml) was added to precipitate the pectin, kept in refrigerator (2–5 ºC) for two days and then filtered to obtain pectin which is freeze dried and stored in desiccators until used.

Citrus peels alcoholic and hexane extracts residues and the isolated pectins (1.5 g of each) were mixed with 100 ml distilled water (1.5%), stored in bottle and kept in refrigerator (2–5 ºC) until used.

Materials

For biological study

Pure cholesterol powder analytical grade (C75209) and bile salts powder (48305) were purchased from Sigma Chemical Co., St. Louis, USA. Metformin (Cidophage®): Chemical Industries Development Co. (CID Co.), Giza, Egypt, as an anti-diabetic reference drug. Atorvastatin 5 mg (Lipitor®): Pfizer Company, Cairo, Egypt, as a hypolipidemic reference drug.

For chromatographic study

Silica gel 60 (89943 Fluka) for column chromatography and precoated silica gel plates 60 F254 for TLC were obtained from Sigma-Aldrich Co. LLC and Merck Millipore Corporation, Germany, respectively. Acetonitrile (34860), methanol (34860) and phosphoric acid (79606) of HPLC grade were purchased from Sigma Chemical Co., St. Louis, USA. 1H-(300 MHz) NMR spectra were recorded on Varian Mercury apparatus at 25 ºC using TMS as an internal standard and chemical shifts were given in δ values.

Isolation of polymethoxyflavones

The air dried powdered mandarin peels (850 g) were macerated in 75% alcohol (2× 3 l) at room temperature and the alcohol extract was evaporated under vacuum, to obtain a yellowish brown residue (233 g). This residue was suspended in distilled water (500 ml) and then fractionated with hexane (250× 3 ml), to yield 5 g residue after evaporation under reduced pressure. The latter was chromatographed on silica gel column; gradient elution was carried out using hexane containing 10% stepwise increments of acetone till 100% acetone. Fractions, 100 ml each, were collected to yield 40 fractions and subjected to TLC on pre-coated silica gel plates, using solvent systems chloroform: methanol (98:2). Fractions (17–20) eluted with hexane:acetone (6:4) showed a major spot that appears yellow in UV at λ365 nm and gave a yellow color with p-anisaldehyde spray reagent, ammonia and aluminum chloride. These fractions were pooled together and the solvent was evaporated under reduced pressure to yield compound 1 as a yellow powder (1.5 g). Fractions (29–32) eluted with hexane: acetone (3:7) showed a major spot that appears yellow in UV at λ365 nm and gave a yellow color with p-anisaldehyde spray reagent, ammonia and aluminum chloride. These fractions were pooled together and the solvent was evaporated under reduced pressure to yield compound 2 as a yellow powder (0.75 g).

HPLC analysis

HPLC analyses were performed using Agient Technologies 1200 series; consisting of G1322A Degasser (serial No. JP94172767), G1311A Quat pump (serial No. DE62972789), G1314B VWD (serial No. DE71365992) and G1328B Man. inj. (serial No. DE60561522). The wavelength used for the quantification of the flavanones glycosides with the UV detector was 325 nm. The chromatographic separation was carried out on LiChrosher(R) 100 RP-18 endcapped (5 µm) column. LiChroCART(R) 250-4 HPLC-Cartridge, Agilent Technologies, Part No. 79925ODE-584, Cartridge No. 031399 and Sorbent Lot No. L010077333.

The end-capped column was held at 37 ºC and the flow rate was set at 1 ml/min. The chosen mobile phase was as that used by Sun et al. (2010)Sun, Y., Wang, J., Gu, S., Liu, Z., Zhang, Y., Zhang, X., 2010. Simultaneous determination of flavonoids in different parts of Citrus reticulata ‘Chachi’ fruit by high performance liquid chromatography-photodiode array detection. Molecules 15, 5378-5388. but with little modification as following: the mobile phase consisted of two solvents; 90% phosphoric acid (0.3%) (A) and 10% acetonitrile (B). The solvent gradient in volume ratios was as follows: 10–40% B over 1 min. The solvent gradient was maintained at 40% B for 1 min, increased to 45% B over 18 min, and to 100% B over 2 min, then maintained at 100% B for 7 min. The injection volume was 20 µl. Analyses were performed at least three times and only mean values were reported.

The four tested Citrus peels hexane extracts were prepared at a concentration of 2 mg/ml and filtered on Ekicrodisc®3.Acro LC (3 mm diameter, 0.45 µm, HPLC certified, LOT No. A10422144 P/N E031) before use. The isolated standard nobiletin was prepared at a stock concentration of 500 µg/ml. Calibration standard sample was prepared by appropriate dilutions with methanol from the stock solutions and filtered on Ekicrodisc®3.Acro LC before use. Calibration curves were obtained by plotting the peak area of the standard versus its concentrations (0.92 < R 2 < 0.99). Concentrations of the nobiletin in samples were determined by application of the obtained standard curve.

Experimental animals and protocols

Male Wistar strain rats weighing 150–160 g, aged three months, utilized for assessment of the different pharmacological effects, were supplied from the Research Institute of Ophthalmology. They were individually housed six per cage (320 cm × 180 cm × 160 cm) under standardized temperature (25–28 ºC), humidity (50–60%) and light (12 h light/dark cycles with the light on at 7 a.m. and had free access to tap water and food pellets conditions. They were fed the standard laboratory diet as shown in Table 1.

Table 1
Ingredient composition of the diet fed to rats.

Hypercholesterolemia was induced by feeding the male Wistar rats with standard laboratory diet mixed with 1% cholesterol and 0.25% bile salts powders from the diet weight (Berrougui et al., 2003Berrougui, H., Ettaib, A., Herrera-Gonzalez, M.D., Alvarez de Sotomayor, M., Bennani-Kabchi, N., Hmamouchi, M., 2003. Hypolipidemic and hypocholesterolemic effect of argan oil (Argania spinosa L.) in Meriones shawi rats. J. Ethnopharmacol. 89, 15-18.; Owens, 2006Owens, D., 2006. Spontaneous, surgically and chemically induced models of disease. In: Suckow, M.A., Weisbroth, S.H., Franklin, C.L. (org.). The Laboratory Rats. 2nd ed. Elsevier Academic Press, USA. pp. 711–732.). Blood samples were taken at the eighth week of experiment and then centrifuged at 715 × g force for 10 min for biochemical analyses of plasma parameters. The clear plasma was separated and divided into three portions to measure the plasma glucose, triacylglyceride and cholesterol levels by using specific kits. The separated plasma was stored at -80 ºC until analysis. This was carried out according to Odetola et al. (2006)Odetola, A.A., Akinloye, O., Egunjobi, C., Adekunle, W.A., Ayoola, A.O., 2006. Possible antidiabetic and antihyperlipidaemic effect of fermented Parkia biglobosa (JACQ) extract in alloxan-induced diabetic rats. Clin. Exp. Pharmacol. Physiol. 33, 808-812. and Owens (2006)Owens, D., 2006. Spontaneous, surgically and chemically induced models of disease. In: Suckow, M.A., Weisbroth, S.H., Franklin, C.L. (org.). The Laboratory Rats. 2nd ed. Elsevier Academic Press, USA. pp. 711–732.. Untreated model (high fat diet) and the negative control: received daily 0.1 ml of distilled water orally beside standard laboratory diet.

Treated model groups (16 groups): administered 0.1 ml of the corresponding extract or pectin or aqueous homogenate orally beside standard laboratory diet.

Biochemical plasma analyses

Plasma glucose, TG and total cholesterol levels were determined by enzymatic methods using commercial assay kits (glucose kits, triacylglyceride kits and total cholesterol kits) according to the manufacturer's protocols, purchased from Biodiagnostic Company (Egypt). Specto UV–vis Double Beam PC, 8 scanning auto cell, UVD-3200 (LABOMED, Inc.) was used for evaluation of anti-diabetic and hypocholesterolemic activities by measurement of the color intensity at 515–520 nm.

Statistical analysis

All the data were expressed as the mean ± standard error of the mean (SEM). The statistical significance of differences between the mean values for the treatment groups was analyzed by one-way analysis of variance (ANOVA) followed by Post Hoc test and Bonferroni (Snedecor and Cochran, 1982Snedecor, G.W., Cochran, W.G., 1982. Statistical Methods, 10th ed. University Press, Iowa State, USA, p. 91.) using the SPSS software (SPSS Inc., Chicago, USA). A value of p < 0.05 was considered statistically significant for analysis. Correlation analysis was carried out and R-square values were reported.

Results and discussion

The percentage yield of peels and pectin obtained from different agro-waste peels

Both white grapefruit and mandarin have the highest percentage yield of fresh peels, recording 25.81% and 23.31% respectively, while lower yield was observed for the other two remaining tested Citrus fruits, sweet orange and lime, recording the same result 18%. Upon drying the peels, all the Citrus fruits show nearby results; 5.80% in white grapefruit to 7.19% in lime fruits. All the isolated pectin from the tested agro-waste peels occurs as a white powder. Sweet orange have the highest content of pectin (21.33%) followed by lime (19.7%) and grapefruit (11.66%), while mandarin have the lowest pectin contents (9.14%). Our results showed a variation from the previously reported ones, Rouse and Crandall (1976)Rouse, A.H., Crandall, P.G., 1976. Nitric acid extraction of pectin from citrus peel. Proc. Fla. State Hort. Soc. 89, 166-168. reported 8.15% pectin yield in fresh ground Valencia orange peels and 6.35% in Duncan grapefruit peels extracted with nitric acid. Both Liu et al. (2001)Liu, Y., Ahmed, H., Luo, Y., Gardiner, D.T., Gunasekera, R.S., McKeehan, W.L., Patil, B.S., 2001. Citrus pectin: characterization and inhibitory effect on fibroblast growth factor-receptor interaction. J. Agric. Food Chem. 49, 3051-3057. and Sakai and Okushima (1980)Sakai, T., Okushima, M., 1980. Microbial production of pectin from citrus peel. Appl. Environ. Microbiol. 39, 908-912. recorded 3.68% and 0.4% for Marrs and Navel orange peel, respectively, and 2.99% and 0.2% for Marsh and Navel grapefruit peel, respectively, prepared by classical hot acid procedure and water extraction. While the pectin yields of sweet orange and mandarin extracted by the addition of sulphuric acid was 43.7% and 37.3%, respectively (Wang et al., 2008Wang, Y.C., Chuang, Y.C., Hsu, H.W., 2008. The flavonoid, carotenoid and pectin content in peels of citrus cultivated in Taiwan. Food Chem. 106, 277-284.). Therefore, the pectin yield depends not only on the species and/or cultivars but also on the method used for preparation.

Identification of the isolated Citrus flavonoid

The structure of the isolated compound (1) was identified as nobiletin [2-(3,4-dimethoxyphenyl)-5,6,7,8-tetramethoxy-4H-1-benzopyran-4-one] by comparing its physical and spectral data with the reported ones (Dandan et al., 2007Dandan, W., Jian, W., Xuehui, H., Ying, T., Kunyi, N., 2007. Identification of polymethoxylated flavones from green tangerine peel (Pericarpium Citri Reticulatae Viride) by chromatographic and spectroscopic techniques. J. Pharmaceut. Biomed. 44, 63-69.; Johann et al., 2007Johann, S., Oliveira, V.L., Pizzolatti, M.G., Schripsema, J., Braz-Filho, R., Branco, A., Smania, A., 2007. Antimicrobial activity of wax and hexane extracts from Citrus spp. peels. Mem. Inst. Oswaldo Cruz 102, 681-685.). Compound 1: colorless needles; C21H22O8; EI/MS m/z (70 ev) 402 [M]+, 387 [M-CH3]+; mp. 137–138 ºC; IR γmax (KBr cm-1): 2943.7, 2839.7, 1645.9, 1592.2, 1520.1, 1462.5, 1370.7, 1277.7, 1016.2, 840.7, 803.4; 1H NMR (300 Hz, DMSO) δ: 7.63 (1H, dd, J = 8.7 and 2.1 Hz, H-6′), 7.53 (1H, d, J = 2.1 Hz, H-2′), 7.14 (1H, d, J = 8.7 Hz, H-5′), 6.83 (1H, s, H-3), 4.02, 3.97 (each 3H, s, OMe), 3.88, 3.85, 3.84, 3.78 (12H, overlapped, 4 × OMe).

The structure of the isolated compound (2) was identified as 4′,5,7,8-tetramethoxyflavone by comparing its physical and spectral data with the reported one (Uckoo et al., 2012Uckoo, R.M., Jayaprakasha, G.K., Patil, B.S., 2012. Chromatographic techniques for the separation of polymethoxyflavones from Citrus. In: Patil, B. (org.), Emerging Trends in Dietary Components for Preventing and Combating Disease, ACS Symposium Series, vol. 1093, American Chemical Society, Washington, DC, pp. 3–15 (Chapter 1).). Compound 2: colorless needles; C19H18O6; EI/MS m/z (70 ev) 342 [M]+, 327 [M-CH3]+, 311 [M-OCH3]+; mp. 141–142 ºC; 1H NMR (300 Hz, CDCl3) δ: 7.88 (1H, d, J = 8.7 Hz, H-2′ & 6′), 7.02 (1H, d, J = 8.4 Hz, H--3′ & 5′), 6.62 (1H, s, H-3), 6.44 (1H, s, H-8), 6.62 (1H, s, H-3), 4.02, 3.99, 3.96, 3.89 (each 3H, s, OMe). 13C NMR (75 Hz, CDCl3) δ: 176.37 (C-4), 162.37 (C-2), 160.28 (C-4′), 156.86 (C-9), 156.25 (C-7), 151.69 (C-5), 130.63 (C-8), 127.90 (C-6′), 127.66 (C-2′), 123.77 (C-1′), 114.84 (C-5′), 114.49 (C-3′), 108.52 (C-10), 106.31 (C-3), 93.44 (C-6), 61.02 (C of OMe at C8), 60.66 (C of OMe at C7), 55.90 (C of OMe at C5), 55.05 (C of OMe at C4′).


HPLC results

In the current study, the chromatographic profiles of different agro-waste citrus peels revealed that madarain hexane peel extact has the highest concentration of the isolated nobiletin (202.91 µg/ml ± 3.63; 10.14%), nearly more than twice that in sweet orange (73.15 µg/ml ± 3.08; 3.6%) and ten times as that in grapefruit (18.13 µg/ml ± 0.33; 0.9%). However, lime is nearly depleted of it (Table 2; Fig. 1). This is the first HPLC study comparing the percentage of nobiletin in these four new Egyptian citrus varieties.

Table 2
Mean concentraion and percentage of the isolated standard nobelitin in the four tested hexane citrus peels extracts.

Fig. 1
HPLC chromatogram at 325 nm of the four tested citrus peels hexane extracts (2 mg/ml) against the isolated standard nobiletin (0.5 mg/ml). [A, nobiletin; B, mandarin hexane extract; C, orange hexane extract; D, lime hexane extract; E, grapefruit hexane extract].

The anti-diabetic and hypocholesterolemic effects of the different agro-waste citrus peels

In general, all the tested samples (the alcoholic extracts, hexane extracts, isolated pectins and the aqueous homogenates) of the four tested agro-waste citrus peels had shown significant decrease in all the tested parameters (cholesterol, triacylglyceride and glucose) (Table 3; Fig. 2).

Table 3
The mean values (M ± SE) of the plasma cholesterol, triacylglyceride and glucose levels (mg/dl) of the control and model groups treated with alcoholic extracts, n-hexane extracts, isolated pectin and aqueous homogenates of the tested Citrus peels.

Fig. 2
Histogram representing the effect of the alcohol extracts, hexane extracts isolated pectin and aqueous homogenates of the four tested citrus peels on the plasma cholesterol, triacylglyceride and glucose levels in hypercholesterolemic rats. Reference drug for glucose is Metformin (20 mg/kg b.wt), for cholesterol and triacylglyceride is atorvastatin (5 mg/kg b.wt).

The alcoholic extract, hexane extract and aqueous homogenate of mandarin peels show the highest decrease (by 48.9%, 56.8% and 59.3%) in cholesterol level (77.5 ± 13.3, 65.5 ± 20.6 and 61.8 ± 17.6 mg/dl, respectively) equivalent to that of atorvastatin reference drug (68.7 ± 1.09 mg/dl [54.7%]). Mandarin alcohol peel extract was previously reported to improve blood cholesterol profile in dose dependant manner (Adelina et al., 2008Adelina, R., Supriyati, M.D., Nawangsari, D.A., Jenie, R.I., Meiyanto, E., 2008. Citrus reticulata's peels modulate blood cholesterol profile and increase bone density of ovariectomized rats. Indonesian J. Biotechnol. 13, 1092-1097.). The presence of the main bioactive components as flavanones (hesperetin, naringenin), flavone glycosides (hesperidin, naringin) and methoxylated flavones (PMF) in Citrus fruits (Manthey and Guthrie, 2002Manthey, J.A., Guthrie, N., 2002. Antiproliferative activities of citrus flavonids against six human cancer cell lines. J. Agric. Food Chem. 50, 5837-5843.) could clarify the hypocholesterolemic impacts of both alcoholic extracts and aqueous homogenates of the four tested agro-waste citrus peels as the existence of hesperidin and naringin, and their aglycones hesperetin and naringenin, have been accounted for lowering plasma and hepatic cholesterol and triacylglycerol by inhibiting these hepatic enzymes in experimental animals (Kim et al., 2003Kim, H.K., Jeong, T.S., Lee, M.K., Park, Y.B., Choi, M.S., 2003. Lipid-lowering efficacy of hesperetin metabolites in high-cholesterol fed rats. Clin. Chim. Acta 327, 129-137.) and regulating the fatty acid and cholesterol metabolism (Jung et al., 2006Jung, U.J., Lee, M.K., Park, Y.B., Kang, M.A., Choi, M.I., 2006. Effect of citrus flavonoids on lipid metabolism and glucose-regulating enzyme mRNA levels in type-2 diabetic mice. Int. J. Biochem. Cell Biol. 38, 1134-1145.).

Mostly, all the tested samples decrease TG (by 36.0–80.6%) (ranging from 150.9 ± 8.68 to 45.7 ± 16.35 mg/dl) better than the atorvastatin reference drug used (153.3 ± 1.95 mg/dl [35.0%]), while, glucose was decreased mostly by the aqueous homogenates (except lime) (by 71.1–82.8%) (ranging from 79.2 ± 27.4 to 46.9 ± 9.58 mg/dl) and alcoholic extracts (except mandarin) by (68.6–79.6%) (ranging from 86.0 ± 13.8 to 55.9 ± 17.5 mg/dl) of Citrus fruits peels better than the metformin reference drug used (86.7 ± 1.34 mg/dl [68.3%]).

Thus the observed anti-diabetic and hypocholesterolemic effects of the different agro-waste citrus peels extracts could be attributed to the presence of nobiletin (Tsutsumi et al., 2014Tsutsumi, R., Yoshida, T., Nii, Y., Okahisa, N., Lwata, S., Tsukayama, M., Hashimoto, R., Taniguchi, Y., Sakaue, H., Hosaka, T., Shuto, E., Skai, T., 2014. Sudachitin, a polymethoxylated flavone, improves glucose and lipid metabolism by increasing mitochondrial biogenesis in skeletal muscle. Nutr. Metab. 11, 1-14.) with the obvious decrease in cholesterol level in case of mandarin due to its highest percentage of nobiletin as revealed from HPLC analysis (Table 2). Previous studies on Citrus peels reported similar effects (Kurowska and Manthey, 2004Kurowska, E.M., Manthey, J.A., 2004. Hypolipidemic effects and absorption of citrus polymethoxylated flavones in hamsters with diet-induced hypercholesterolemia. J. Agric. Food Chem. 52, 2879-2886.; Nagata et al., 2010Nagata, E., Ichi, I., Kataoka, R., Matsushima, M., Adachi, N., Kitamura, Y., Sasaki, T., Kojo, S., 2010. Effect of nobiletin on lipid metabolism in rats. J. Health Sci. 56, 705-711.; Lee et al., 2014Lee, Y.S., Asai, M., Choi, S.S., Yonezawa, T., Teruya, T., Nagai, K., Woo, J.-T., Cha, B.-Y., 2014. Nobiletin prevents body weight gain and bone loss in ovariectomized C57BL/6J mice. Pharmacol. Pharm. 5, 959-965.; Tsutsumi et al., 2014Tsutsumi, R., Yoshida, T., Nii, Y., Okahisa, N., Lwata, S., Tsukayama, M., Hashimoto, R., Taniguchi, Y., Sakaue, H., Hosaka, T., Shuto, E., Skai, T., 2014. Sudachitin, a polymethoxylated flavone, improves glucose and lipid metabolism by increasing mitochondrial biogenesis in skeletal muscle. Nutr. Metab. 11, 1-14.) and contributed them to the presence of PMF like nobiletin which stimulates lipolysis in differentiated adipocytes, attenuated dyslipidemia through a reduction in VLDL-triacylglyceride secretion, prevented hepatic triacylglyceride accumulation, enhanced fatty acid B-oxidation (Mulvihill et al., 2011Mulvihill, E.E., Assini, J.M., Lee, J.K., Allister, E.M., Sutherland, B.G., Koppes, J.B., Sawyez, C.G., Edwards, J.Y., Telford, D.E., Charbonneau, A., St-Pierre, P., Marette, A., Huff, M.W., 2011. Nobiletin attenuates VLDL overproduction, dyslipidemia, and atherosclerosis in mice with diet-induced insulin resistance. Diabetes 60, 1446-1457.).

All the isolated pectin, from the four cultivars, has significant effect on the three tested parameters, with more pronounced decrease on triacylglyceride by 50.7–78.7% (ranging from 116.4 ± 12.4 to 50.3 ± 20.0 mg/dl) and little decrease on both cholesterol and glucose by 30–50.3% (ranging from 98.6 ± 29.8 to 75.4 ± 18.2 mg/dl) and 26–44.6% (ranging from 202.7 ± 11.4 to 151.9 ± 7.85 mg/dl), respectively. This was explained by the previously reported data that the viscosity-enhancing and gel forming properties of pectin could delay gastric emptying and possibly reduce the absorption rate in small intestine (de Escalada Pla et al., 2007de Escalada Pla, M.F., Ponce, N.M., Stortz, C.A., Gerschenson, L.N., Rojas, A.M., 2007. Composition and functional properties of enriched fiber products obtained from pumpkin (Cucurbita moschata Duchesne ex Poiret). LWT 40, 1176-1185.). Besides, pectin as a kind of soluble dietary fiber, lowers blood cholesterol levels and LDL cholesterol fraction without changing HDL cholesterol (Liu et al., 2006Liu, Y., Shi, J., Langrish, T.A.G., 2006. Water-based extraction of pectin from flavedo and albedo of orange peels. Chem. Eng. J. 120, 203-209.; Shaha et al., 2013Shaha, R.K., Punichelvana, Y.N.A.P., Afandi, A., 2013. Optimized extraction condition and characterization of pectin from kaffir lime (Citrus hystrix). Res. J. Agric. Forestry Sci. 1, 1-11.).

Since the aqueous homogenate is rich of both pectin and flavanoids (PMF), this could explain its well-pronounced effect in lowering cholesterol levels via modulating hepatic HMG-CoA levels, possibly by binding bile acids and increasing the turnover rate of blood and liver cholesterol (Marounek et al., 2007Marounek, M., Volek, Z., Synytsya, A., Copilova, J., 2007. Effect of pectin and amidated pectin on cholesterol homeostasis and cecal metabolism in rats fed a high-cholesterol diet. Physiol. Res. 56, 433-442.).

Conclusion

This is the first report about comparing positive effect of four new Egyptian varieties of agro-waste citrus peels extracts and their pectin on high-fat diet rats. The observed hypocholesterolemic and hypotriglycermic effect of the tested samples is directly proportional to their content of nobiletin. Other constituents rather than PMF also participate in the observed biological activities as lime exhibited certain activities although HPLC study revealed its depletion of these compounds. The aqueous homogenates of these agro-waste citrus peels can be used as anticholesterolemic and anti-diabetic drugs to save time and chemical consumption during extraction of these agro-waste products.

  • Ethical disclosures
    Protection of human and animal subjects. The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki).
    Confidentiality of data. The authors declare that no patient data appear in this article.
    Right to privacy and informed consent. The authors declare that no patient data appear in this article.

References

  • Adelina, R., Supriyati, M.D., Nawangsari, D.A., Jenie, R.I., Meiyanto, E., 2008. Citrus reticulata's peels modulate blood cholesterol profile and increase bone density of ovariectomized rats. Indonesian J. Biotechnol. 13, 1092-1097.
  • AHA, 2014. Why Cholesterol Matters, http://www.heart.org/HEARTORG/Conditions/Cholesterol/WhyCholesterolMatters/Why-Cholesterol-Matters_UCM_001212Article.jsp#.V4ttqtJ97cc [updated 2016 April 1; cited 2014 April 21].
    » http://www.heart.org/HEARTORG/Conditions/Cholesterol/WhyCholesterolMatters/Why-Cholesterol-Matters_UCM_001212Article.jsp#.V4ttqtJ97cc
  • Abd-Elwahab, S.M., El-Tanbouly, N.D., Moussa, M.Y., Abdel-Monem, A.R., Fayek, N.M., 2016. Antimicrobial and antiradical potential of four agro-waste Citrus peels cultivars. J. Essent. Oil Bearing Plants 19, 1932-1942.
  • Assini, J.M., Mulvihill, E.E., Huff, M.W., 2013. Citrus flavonoids and lipid metabolism. Curr. Opin. Lipidol. 24, 34-40.
  • Berrougui, H., Ettaib, A., Herrera-Gonzalez, M.D., Alvarez de Sotomayor, M., Bennani-Kabchi, N., Hmamouchi, M., 2003. Hypolipidemic and hypocholesterolemic effect of argan oil (Argania spinosa L.) in Meriones shawi rats. J. Ethnopharmacol. 89, 15-18.
  • Bocco, A., Cuvelier, M.E., Richard, H., Berset, C., 1998. Antioxidant activity and phenolic composition of citrus peel and seed extract. J. Agric. Food Chem. 46, 2123-2129.
  • Bok, S.H., Lee, S.H., Park, Y.B., Bae, K.H., Son, K.H., Jeong, T.S., Choi, M.S., 1999. Plasma and hepatic cholesterol and hepatic activities of 3-hydroxy-3-methyl-glutaryl-CoA reductase and acyl CoA: cholesterol transferase are lower in rats fed citrus peel extract or a mixture of citrus bioflavonoids. J. Nutr. 129, 1182-1185.
  • Dandan, W., Jian, W., Xuehui, H., Ying, T., Kunyi, N., 2007. Identification of polymethoxylated flavones from green tangerine peel (Pericarpium Citri Reticulatae Viride) by chromatographic and spectroscopic techniques. J. Pharmaceut. Biomed. 44, 63-69.
  • Dhanavade, M.J., Jalkute, C.B., Ghosh, J.S., Sonawane, K.D., 2011. Study antimicrobial activity of lemon (Citrus lemon L.) peel extract. Brit. J. Pharmacol. Toxicol. 2, 119-122.
  • de Escalada Pla, M.F., Ponce, N.M., Stortz, C.A., Gerschenson, L.N., Rojas, A.M., 2007. Composition and functional properties of enriched fiber products obtained from pumpkin (Cucurbita moschata Duchesne ex Poiret). LWT 40, 1176-1185.
  • Gnanasaraswathi, M., Lakshmipraba, S., Rajadurai jesudoss, R.P., Abhinayashree, M., Fathima Beevi, M., Aarthi Lakshmipriya, V., Kamatchi, S., 2014. Potent anti-oxidant behaviour of citrus fruit peels and their bactericidal activity against multi drug resistant organism Pseudomonas aeruginosa J. Chem. Pharm. Sci. 2, 139-144.
  • Gorinstein, S., Martin-Belloso, O., Park, Y.S., Haruenkit, R., Lojek, A., Ciz, M., 2001. Comparison of some biochemical characteristics of different citrus fruits. Food Chem. 74, 309-315.
  • Johann, S., Oliveira, V.L., Pizzolatti, M.G., Schripsema, J., Braz-Filho, R., Branco, A., Smania, A., 2007. Antimicrobial activity of wax and hexane extracts from Citrus spp. peels. Mem. Inst. Oswaldo Cruz 102, 681-685.
  • Jung, U.J., Lee, M.K., Park, Y.B., Kang, M.A., Choi, M.I., 2006. Effect of citrus flavonoids on lipid metabolism and glucose-regulating enzyme mRNA levels in type-2 diabetic mice. Int. J. Biochem. Cell Biol. 38, 1134-1145.
  • Kim, H.K., Jeong, T.S., Lee, M.K., Park, Y.B., Choi, M.S., 2003. Lipid-lowering efficacy of hesperetin metabolites in high-cholesterol fed rats. Clin. Chim. Acta 327, 129-137.
  • Kurowska, E.M., Manthey, J.A., 2004. Hypolipidemic effects and absorption of citrus polymethoxylated flavones in hamsters with diet-induced hypercholesterolemia. J. Agric. Food Chem. 52, 2879-2886.
  • Lee, Y.S., Asai, M., Choi, S.S., Yonezawa, T., Teruya, T., Nagai, K., Woo, J.-T., Cha, B.-Y., 2014. Nobiletin prevents body weight gain and bone loss in ovariectomized C57BL/6J mice. Pharmacol. Pharm. 5, 959-965.
  • Lee, Y.S., Cha, B.Y., Saito, K., Choi, S.S., Wang, X.X., Choi, B.K., Yonezawa, T., Teruya, T., Nagai, K., Woo, J.T., 2011. Effects of a Citrus depressa Hayata (Skiikuwasa) extract on obesity in high-fat diet-induced obese mice. Phytomedicine 18, 6648-6654.
  • Li, S., Lo, C.Y., Ho, C.T., 2006. Hydroxylated polymethoxyflavones and methylated flavonoids in sweet orange (Citrus sinensis) peel. J. Agric. Food Chem. 54, 4176-4185.
  • Lin, Y., Vermeer, M.A., Bos, W., van Buren, L., Schuurbiers, E., Miret-Catalan, S., Trautwein, E.A., 2011. Molecular structures of citrus flavonoids determine their effects on lipid metabolism in HepG2 cells by primarily suppressing ApoB secretion. J. Agric. Food Chem. 59, 4496-4503.
  • Liu, Y., Ahmed, H., Luo, Y., Gardiner, D.T., Gunasekera, R.S., McKeehan, W.L., Patil, B.S., 2001. Citrus pectin: characterization and inhibitory effect on fibroblast growth factor-receptor interaction. J. Agric. Food Chem. 49, 3051-3057.
  • Liu, Y., Shi, J., Langrish, T.A.G., 2006. Water-based extraction of pectin from flavedo and albedo of orange peels. Chem. Eng. J. 120, 203-209.
  • Londoño, J., Lima, V., Lara-Guzman, O.J., Gil, A., Beatriz, T., Pasa, C., Arango, G.J., Ramirez-Pineda, J.R., 2010. Clean recovery of antioxidant flavonoids from citrus peel: optimizing an aqueous ultrasound-assisted extraction method. Food Chem. 119, 81-87.
  • Manthey, J.A., Guthrie, N., 2002. Antiproliferative activities of citrus flavonids against six human cancer cell lines. J. Agric. Food Chem. 50, 5837-5843.
  • Marounek, M., Volek, Z., Synytsya, A., Copilova, J., 2007. Effect of pectin and amidated pectin on cholesterol homeostasis and cecal metabolism in rats fed a high-cholesterol diet. Physiol. Res. 56, 433-442.
  • Morin, B., Nichols, L.A., Zalasky, K.M., Davis, J.W., Manthey, J.A., Holland, L.J., 2008. The citrus flavonoids hesperetin and nobiletin differentially regulate low density lipoprotein receptor gene transcription in HepG2 liver cells. J. Nutr. 138, 1274-1281.
  • Mulvihill, E.E., Assini, J.M., Lee, J.K., Allister, E.M., Sutherland, B.G., Koppes, J.B., Sawyez, C.G., Edwards, J.Y., Telford, D.E., Charbonneau, A., St-Pierre, P., Marette, A., Huff, M.W., 2011. Nobiletin attenuates VLDL overproduction, dyslipidemia, and atherosclerosis in mice with diet-induced insulin resistance. Diabetes 60, 1446-1457.
  • Murakami, A., Nakamura, Y., Ohto, Y., Yano, M., Koshiba, T., Koshimizu, K., 2000. Suppressive effects of citrus fruits on free radical generation and nobiletin, an anti-inflammatory polymethoxyflavonoid. Biofactors 12, 187-192.
  • Nagata, E., Ichi, I., Kataoka, R., Matsushima, M., Adachi, N., Kitamura, Y., Sasaki, T., Kojo, S., 2010. Effect of nobiletin on lipid metabolism in rats. J. Health Sci. 56, 705-711.
  • Odetola, A.A., Akinloye, O., Egunjobi, C., Adekunle, W.A., Ayoola, A.O., 2006. Possible antidiabetic and antihyperlipidaemic effect of fermented Parkia biglobosa (JACQ) extract in alloxan-induced diabetic rats. Clin. Exp. Pharmacol. Physiol. 33, 808-812.
  • Owens, D., 2006. Spontaneous, surgically and chemically induced models of disease. In: Suckow, M.A., Weisbroth, S.H., Franklin, C.L. (org.). The Laboratory Rats. 2nd ed. Elsevier Academic Press, USA. pp. 711–732.
  • Rouse, A.H., Crandall, P.G., 1976. Nitric acid extraction of pectin from citrus peel. Proc. Fla. State Hort. Soc. 89, 166-168.
  • Sakai, T., Okushima, M., 1980. Microbial production of pectin from citrus peel. Appl. Environ. Microbiol. 39, 908-912.
  • Shaha, R.K., Punichelvana, Y.N.A.P., Afandi, A., 2013. Optimized extraction condition and characterization of pectin from kaffir lime (Citrus hystrix). Res. J. Agric. Forestry Sci. 1, 1-11.
  • Snedecor, G.W., Cochran, W.G., 1982. Statistical Methods, 10th ed. University Press, Iowa State, USA, p. 91.
  • Sun, Y., Wang, J., Gu, S., Liu, Z., Zhang, Y., Zhang, X., 2010. Simultaneous determination of flavonoids in different parts of Citrus reticulata ‘Chachi’ fruit by high performance liquid chromatography-photodiode array detection. Molecules 15, 5378-5388.
  • Tang, P.-Y., Kek, T.-S., Gan, C.-Z., Hee, C.-Y., Chong, C.-H., Woo, K.-K., 2011. Yield and some chemical properties of pectin extracted from the peels of Dragon fruit [Hylocereus polyrhizus (Weber) Britton and Rose]. Philipp. Agric. Sci. 94, 307-311.
  • Tsutsumi, R., Yoshida, T., Nii, Y., Okahisa, N., Lwata, S., Tsukayama, M., Hashimoto, R., Taniguchi, Y., Sakaue, H., Hosaka, T., Shuto, E., Skai, T., 2014. Sudachitin, a polymethoxylated flavone, improves glucose and lipid metabolism by increasing mitochondrial biogenesis in skeletal muscle. Nutr. Metab. 11, 1-14.
  • Uckoo, R.M., Jayaprakasha, G.K., Patil, B.S., 2012. Chromatographic techniques for the separation of polymethoxyflavones from Citrus. In: Patil, B. (org.), Emerging Trends in Dietary Components for Preventing and Combating Disease, ACS Symposium Series, vol. 1093, American Chemical Society, Washington, DC, pp. 3–15 (Chapter 1).
  • Wang, Y.C., Chuang, Y.C., Hsu, H.W., 2008. The flavonoid, carotenoid and pectin content in peels of citrus cultivated in Taiwan. Food Chem. 106, 277-284.
  • Whitman, S.C., Kurowska, E.M., Manthey, J.A., Daugherty, A., 2005. Nobiletin, a citrus flavonoid isolated from tangerines, selectively inhibits class A scavenger receptor-mediated metabolism of acetylated LDL by mouse macrophages. Atherosclerosis 178, 25-32.
  • Wilcox, L.J., Borradaile, N.M., de Dreu, L.E., Huff, M.W., 2001. Secretion of hepatocyte apoB is inhibited by the flavonoids, naringenin and hesperetin, via reduced activity and expression of ACAT2 and MTP. J. Lipid Res. 42, 725-734.

Publication Dates

  • Publication in this collection
    Jul-Aug 2017

History

  • Received
    20 July 2016
  • Accepted
    2 Jan 2017
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