Anti-inflammatory activity of anthocyanin extract on diabetic and hypertensive patients
DOI:
https://doi.org/10.15587/2519-4852.2023.272061Keywords:
anthocyanin extract, diabetes mellitus, hypertension, inflammatory response, C-reactive protein, oxidative stressAbstract
Anthocyanins pigments are a major class of plant phenolic components, flavonoids. The distinctive purple or red colours of many fruits and vegetables are attributed to the presence of these flavonoids. They are highly water-soluble pigments and have been well known to possess general health-promoting characteristics.
The aim: This study aimed to evaluate the anti-inflammatory and antioxidant activity of anthocyanin extract. It also looked at how the extract consumption affected people with hypertension and diabetes in terms of lowering blood pressure and blood glucose levels and in preventing their complications, including oxidative stress and inflammatory status.
Material and method: The subjects included in the study were hypertensive and diabetic patients divided into control and test groups. Total reactive oxygen species concentrations and C-reactive protein levels were used to assess the oxidative stress and inflammatory status before and after consuming anthocyanin extract for thirty days using an enzyme-linked immunosorbent assay.
Results: The results revealed that consumption of anthocyanin extracts for 30 days did not significantly lower blood pressure or blood glucose levels in comparison to the control group and also when compared with day zero values. However, quantitative analysis of the C-reactive protein levels for the inflammatory status and the overall oxidative stress levels measurements demonstrated a significant decline compared to both the control group (placebo) and baseline values (day zero).
Conclusion: The findings highlighted the prophylactic, as anti-inflammatory, rather than the curative effects of anthocyanin extracts in preventing or delaying the complications associated with various chronic conditions, including hypertension and diabetes mellitus.
References
- Wangensteen, H., Bräunlich, M., Nikolic, V., Malterud, K. E., Slimestad, R., Barsett, H. (2014). Anthocyanins, proanthocyanidins and total phenolics in four cultivars of aronia: Antioxidant and enzyme inhibitory effects. Journal of Functional Foods, 7, 746–752. doi: https://doi.org/10.1016/j.jff.2014.02.006
- Chen, J., Xu, B., Sun, J., Jiang, X., Bai, W. (2021). Anthocyanin supplement as a dietary strategy in cancer prevention and management: A comprehensive review. Critical Reviews in Food Science and Nutrition, 62 (26), 7242–7254. doi: https://doi.org/10.1080/10408398.2021.1913092
- Norberto, S., Silva, S., Meireles, M., Faria, A., Pintado, M., Calhau, C. (2013). Blueberry anthocyanins in health promotion: A metabolic overview. Journal of Functional Foods, 5 (4), 1518–1528. doi: https://doi.org/10.1016/j.jff.2013.08.015
- Wallace, T. C., Giusti, M. M. (2015). Anthocyanins. Advances in Nutrition, 6 (5), 620–622. doi: https://doi.org/10.3945/an.115.009233
- Alberti, K. G. M. M., Zimmet, P. Z. (1998). Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO Consultation. Diabetic Medicine, 15 (7), 539–553. doi: https://doi.org/10.1002/(sici)1096-9136(199807)15:7<539::aid-dia668>3.0.co;2-s
- Ghaffari, S., Roshanravan, N. (2020). The role of nutraceuticals in prevention and treatment of hypertension: An updated review of the literature. Food Research International, 128, 108749. doi: https://doi.org/10.1016/j.foodres.2019.108749
- Sproston, N. R., Ashworth, J. J. (2018). Role of C-Reactive Protein at Sites of Inflammation and Infection. Frontiers in Immunology, 9. doi: https://doi.org/10.3389/fimmu.2018.00754
- Masheta, D. Q., Al-Azzawi, S. K. (2018). Antioxidant and Anti-Inflammatory Effects of Delphinidin on Glial Cells and Lack of Effect on Secretase Enzyme. IOP Conference Series: Materials Science and Engineering, 454, 012061. doi: https://doi.org/10.1088/1757-899x/454/1/012061
- Mauricio, D., Alonso, N., Gratacòs, M. (2020). Chronic Diabetes Complications: The Need to Move beyond Classical Concepts. Trends in Endocrinology & Metabolism, 31 (4), 287–295. doi: https://doi.org/10.1016/j.tem.2020.01.007
- Olas, B. (2020). Probiotics, Prebiotics and Synbiotics – A Promising Strategy in Prevention and Treatment of Cardiovascular Diseases? International Journal of Molecular Sciences, 21 (24), 9737. doi: https://doi.org/10.3390/ijms21249737
- Tena, N., Martín, J., Asuero, A. G. (2020). State of the Art of Anthocyanins: Antioxidant Activity, Sources, Bioavailability, and Therapeutic Effect in Human Health. Antioxidants, 9 (5), 451. doi: https://doi.org/10.3390/antiox9050451
- Xie, L., Su, H., Sun, C., Zheng, X., Chen, W. (2018). Recent advances in understanding the anti-obesity activity of anthocyanins and their biosynthesis in microorganisms. Trends in Food Science & Technology, 72, 13–24. doi: https://doi.org/10.1016/j.tifs.2017.12.002
- Poulose, N., Raju, R. (2014). Aging and injury: alterations in cellular energetics and organ function. Aging and disease, 5 (2), 101–108. doi: https://doi.org/10.14336/ad.2014.0500101
- Butkeviciute, A., Abukauskas, V., Janulis, V., Kviklys, D. (2022). Phenolic Content and Antioxidant Activity in Apples of the ‘Galaval’ Cultivar Grown on 17 Different Rootstocks. Antioxidants, 11 (2), 266. doi: https://doi.org/10.3390/antiox11020266
- Vinson, J. A., Su, X., Zubik, L., Bose, P. (2001). Phenol Antioxidant Quantity and Quality in Foods: Fruits. Journal of Agricultural and Food Chemistry, 49 (11), 5315–5321. doi: https://doi.org/10.1021/jf0009293
- Rahman, M. M., Ichiyanagi, T., Komiyama, T., Hatano, Y., Konishi, T. (2006). Superoxide radical- and peroxynitrite-scavenging activity of anthocyanins; structure-activity relationship and their synergism. Free Radical Research, 40 (9), 993–1002. doi: https://doi.org/10.1080/10715760600815322
- Speer, H., D’Cunha, N. M., Alexopoulos, N. I., McKune, A. J., Naumovski, N. (2020). Anthocyanins and Human Health – A Focus on Oxidative Stress, Inflammation and Disease. Antioxidants, 9 (5), 366. doi: https://doi.org/10.3390/antiox9050366
- Al-azzawi, S., Masheta, D., Kadhim, R. (2022). Evaluation of vitamin D-deficiency effects on the incidence of uterine fibroids. Pharmaceutical Sciences Asia, 49 (4), 323–329. doi: https://doi.org/10.29090/psa.2022.04.22.051
- Duncan, B. B., Schmidt, M. I., Pankow, J. S., Ballantyne, C. M., Couper, D., Vigo, A. et al. (2003). Low-Grade Systemic Inflammation and the Development of Type 2 Diabetes. Diabetes, 52 (7), 1799–1805. doi: https://doi.org/10.2337/diabetes.52.7.1799
- Festa, A., D’Agostino, R., Tracy, R. P., Haffner, S. M. (2002). Elevated Levels of Acute-Phase Proteins and Plasminogen Activator Inhibitor-1 Predict the Development of Type 2 Diabetes. Diabetes, 51 (4), 1131–1137. doi: https://doi.org/10.2337/diabetes.51.4.1131
- Trayhurn, P., Beattie, J. H. (2001). Physiological role of adipose tissue: white adipose tissue as an endocrine and secretory organ. Proceedings of the Nutrition Society, 60 (3), 329–339. doi: https://doi.org/10.1079/pns200194
- Mahmoud, A. M., Hernández Bautista, R. J., Sandhu, M. A., Hussein, O. E. (2019). Beneficial Effects of Citrus Flavonoids on Cardiovascular and Metabolic Health. Oxidative Medicine and Cellular Longevity, 2019, 1–19. doi: https://doi.org/10.1155/2019/5484138
- Rothenbacher, D., Brenner, H., März, W., Koenig, W. (2005). Adiponectin, risk of coronary heart disease and correlations with cardiovascular risk markers. European Heart Journal, 26 (16), 1640–1646. doi: https://doi.org/10.1093/eurheartj/ehi340
- Talib, W. H., Abuawad, A., Thiab, S., Alshweiat, A., Mahmod, A. I. (2022). Flavonoid-based nanomedicines to target tumor microenvironment. OpenNano, 8, 100081. doi: https://doi.org/10.1016/j.onano.2022.100081
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Dhafir Qahtan Masheta, Shafq Kadhim Al-Azzawi, Sharara Fadhil Abbood

This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons Attribution 4.0 International License copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
3. Authors have the right to store the final accepted version of the article in an institutional, thematic, or any other repository to ensure visibility and accessibility.


