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(Journal of Nutrition. 1999;129:1214-1222.)
© 1999 The American Society for Nutritional Sciences


Nutrient Interactions and Toxicity

Fecal Steroid Excretion Is Increased in Rats by Oral Administration of Gymnemic Acids Contained in Gymnema sylvestre Leaves1

Yumiko Nakamura2, Yukari Tsumura, Yasuhide Tonogai and Tadashi Shibata

Division of Food Chemistry, National Institute of Health Sciences, Osaka Branch, 1-1-43, Hoenzaka, Chuo-ku, Osaka, 540-0006, Japan

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Gymnemic acids are the saponins with a triterpenoid structure contained in Gymnema sylvestre leaves and have the hypoglycemic effects. In spite of the cholesterol-binding properties of saponins, the effect of gymnemic acids on cholesterol metabolism has not been elucidated to date. We investigated the effects of gymnemic acids on fecal steroid excretion in rats. Three kinds of extracts from Gymnema sylvestre leaves, extract (GSE), acid precipitate (GSA) and column fractionate (GSF), of which the gymnemagenin (an aglycone of gymnemic acids) concentrations are 58.87, 161.6, and 363.3 mg/g respectively, were used for the experiments. These were administered to rats orally at the dose of 0.05–1.0 g/kg for 22 d. Rats were given free access to water and nonpurified diet without cholesterol, and the differences in fecal excretion of steroids and gymnemic acids were investigated. Although there were no significant effects of GSE, GSA and GSF decreased body weight gain and food intakes in a dose-dependent manner (P < 0.01). GSF (1.0 g/kg) significantly increased fecal excretion of neutral steroids and bile acids in a dose-dependent manner (P < 0.05), especially those of cholesterol and cholic acid (CA)-derived bile acids. The increases in fecal steroid excretion of cholesterol, total neutral steroids, total bile acids and CA-related bile acids were acute and significantly correlated with fecal gymnemagenin levels (r2 = 0.2316–0.9861, P < 0.05). These results demonstrated for the first time that a high dose of gymnemic acids increases fecal cholesterol and CA-derived bile acid excretion. Further studies are needed to clarify the effect of gymnemic acids on cholesterol metabolism.


KEY WORDS: • gymnemic acids • fecal excretion • cholesterol • bile acids • gymnemagenin • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Gymnema sylvestre R. Br. (Asclepiadaceae) is a large tropical liana native to central and western India and can be also found in tropical Africa and in Australia (Stöcklin 1969Citation ). This plant has been used in Ayurvedic medicine (Suttisri et al. 1995Citation ) for the treatment of diabetes mellitus (Dixit and Pandey 1984Citation , Gupta 1961Citation , Jain and Sharma 1967Citation , Reddy et al. 1989Citation ), eye diseases (Dixit and Pandey 1984Citation ), snake bite (Nagaraju and Rao 1990Citation , Shanmugasundaram et al. 1983Citation ) and mycosis of toes (Reddy et al. 1989Citation ).

Gymnema sylvestre leaves or their extracts have been widely used as health foods in tea bags, tablets, beverages and confectioneries in recent years in Japan. The users of these health foods often expect weight reduction or improvement of diabetes because of their ability to suppress the taste of sweetness and inhibit glucose absorption (Nakamura 1988Citation , Ueno 1997Citation ).

The constituents which effectively work on diabetes in Gymnema sylvestre leaves are gymnemic acids (Murakami et al. 1996Citation , Stöcklin 1969Citation ) and conduritol A (Fijimoto et al. 1991Citation , Miyatake et al. 1993Citation , Yamashita et al. 1991Citation ). Gymnemic acids are saponins with a triterpenoid structure (Fig. 1Citation ).More than 10 kinds of gymnemic acid and related compounds were isolated (Suttisri et al. 1995Citation ). Murakami et al. (1996)Citation reported the contents of each gymnemic acid in leaves to be 0.0050–0.012%. Because of the difficulty and tediousness of the isolation of each gymnemic acid, the extract of Gymnema sylvestre leaves was used to study the physiological effects of gymnemic acids.



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Figure 1. Chemical structures of gymnemagenin and gymnemic acids (adapted from Suttisri et al. 1995Citation ).

 
Gymnemic acids have various physiological effects (Hiji 1993Citation ). They suppress taste sensitivity to sweetness (Diamant et al. 1965Citation , Kurihara 1969Citation , Warren and Pfaffmann 1959Citation ), inhibit intestinal glucose absorption (Hirata et al. 1992bCitation , Yoshioka 1986Citation ) and lower plasma glucose (Abe 1993Citation , Hirata 1992Citation , Hirata et al. 1992aCitation , Kurata 1987Citation , Murakami et al. 1996Citation , Yoshioka et al. 1985Citation ) and insulin levels (Abe 1993Citation , Hirata 1992Citation , Hirata et al. 1992aCitation ). Gymnemic acids change glucose utilization patterns and enzyme activities in experimentally-induced diabetic animals (Kato 1994Citation , Shanmugasundaram et al. 1983Citation ), inhibit glucose-stimulated gastric inhibitory peptide secretion in rats (Fushiki et al. 1992Citation ). Gymnemic acids also have an antieurodontic effect (Miyoshi et al. 1987Citation ). There are few reports about the effect of gymnemic acids on a lipid metabolism. Terasawa et al. (1994)Citation reported that the serum triglyceride and total cholesterol concentration tended to be slightly lower in obese but not in lean rats receiving long-term administration of a water extract of Gymnema sylvestre. Ikemitsu (1990)Citation reported that the intraperitoneal injection of gymnemic acids at a dose of 25 mg/kg had no effect on serum concentrations of total cholesterol, free cholesterol, triglycerides or free fatty acids.

Saponins are defined as "any of numerous plant glycosides characterized by foaming in water, and by producing hemolysis when water solutions are injected into the bloodstream" (Price et al. 1987Citation ). Generally, saponins have characteristic properties such as hemolytic activity, cholesterol-binding properties and bitterness (Price et al. 1987Citation ).

The decreases in serum and hepatic cholesterol by ingestion of various saponins were reported in animals fed a high-cholesterol diet. Previous reports showed a cholesterol-lowering effect with an unknown saponin in chickens (Griminger and Fisher 1958Citation ) and with quillaja saponin and soybean saponin in rats (Oakenfull et al. 1984Citation ), and with Ginseng saponin (Yamamoto et al. 1983bCitation ). Story et al. (1984)Citation indicated the lowering of serum and hepatic cholesterol and triglycerides alfalfa saponin in hyperlipidemic persons.

Changes in fecal steroid excretion due to ingestion various saponins were reported. Elevated fecal excretion of neutral steroids but not bile acids was reported in rats administered soybean saponin (Oakenfull et al. 1984Citation ). Elevations in fecal excretion of neutral steroids and bile acids were reported in rats administered quillaja saponin (Oakenfull et al. 1984Citation ), a saponin of unknown origin (Oakenfull et al. 1979Citation ) and Ginseng saponin (Yamamoto et al. 1983aCitation ), in pigs administered soapwort saponin (Topping et al. 1970Citation ), in healthy men given a synthetic saponin tiqueside (Harris et al. 1997Citation ), and in monkeys administered alfalfa saponins (Malinow et al. 1981Citation ). However, Calvert et al. (1980)Citation reported that soybean saponins do not affect fecal excretion of neutral steroids and bile acids. Malinow et al. (1981)Citation reported that alfalfa saponins decreased the percentage distributions of fecal deoxycholic acid (DCA) and lithocholic acid (LCA). The increase in percentages of the fecal primary bile acids by a saponin of unknown origin (Oakenfull et al. 1979Citation ) and those of primary bile acids and chenodeoxycholic acid (CDCA)-derived bile acids by quillaja saponin and soybean saponin (Oakenfull et al. 1984Citation ) were reported in rats.

Malinow et al. (1981)Citation found inhibition of cholesterol absorption in monkeys by alfalfa saponins. Tiquesides inhibited cholesterol absorption but not bile acid absorption in hamsters (Harwood et al. 1993Citation ). Tiquesides also inhibited cholesterol absorption in hyperlipidemic patients (Harris et al. 1997Citation ). Bile acids form large mixed micelles with soybean saponins, quillaia saponins and soapwort saponins and aggregate in aqueous solutions, which cause a decrease in cholate absorption in the small intestine (Oakenfull 1986Citation , Sidhu and Oakenfull 1986Citation ). Fenugreek saponins reduce bile acid absorption in the rat everted sac (Stark and Madar 1993Citation ). Thus, the effects of saponins on the reduction in serum and hepatic lipids concentrations and the increase in fecal neutral steroids and bile acid excretion seem to be related to the interaction of saponins with cholesterol and bile acids in the intestinal tract.

Gymnemic acids are saponins that have a bitter and astringent taste and exert hemolytic activity when administered intravenously to rats (Yoshioka et al. 1989Citation ). In spite of the possibility that gymnemic acids may affect cholesterol metabolism as described above, there has been no information about their effect on fecal steroid excretion to date. Therefore, we investigated the effect of gymnemic acids on fecal steroid excretion in rats. Because very intricate and tedious steps are required to isolate individual gymnemic acids, we used the three kinds of extract from G. sylvestre leaves with different gymnemic acids concentrations in this study.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Materials.

Cholesterol, 5{alpha}-cholestane, 5ß-cholanic acid, lithocholic acid (LCA),3 deoxycholic acid (DCA), chenodeoxycholic acid (CDCA), hyodeoxycholic acid (HDCA) and cholic acid (CA) were purchased from GL Sciences Inc. (Tokyo, Japan). Coprostanone was purchased from Sigma Chemical Co. (St. Louis, MO). Coprostanol, nordeoxycholic acid (norDCA), 5-Cholenic acid 3ß-ol, isolithocholic acid (ILCA), isodeoxycholic acid (IDCA), murodeoxycholic acid (MDCA), 6-keto lithocholic acid (6KLCA), 12-keto lithocholic acid (12KLCA), {alpha}-muricholic acid ({alpha}MCA), ß-muricholic acid (ßMCA), {omega}-muricholic acid ({omega}MCA), 7-keto deoxycholic acid (7KDCA), and 12-keto chenodeoxycholic acid (12KCDCA) were purchased from Steraloids, Inc. (Wilton, NH). Derivative reagents for gas chromatography (GC) analysis, hexafluoroisopropanol and trifluoroacetic acid anhydride, were purchased from GL Sciences Inc. Ion-exchanged and redistilled water or distilled water for HPLC was used throughout the experiments. Acetonitrile and ethanol used for analysis were of HPLC grade. Other reagents were of the analytical grade.

Choloylglycine hydrolase (EC 3.5.1.24, 1500 unit) was purchased from Sigma Chemical Co. Commercial kits for the determination of serum lipids were purchased from Wako Pure Chemical Industries (Osaka, Japan). Sep-pakR C18 plus cartridge column was purchased from Waters Corporation (Milford, MA). Fused silica capillary columns DB-210 (0.25 mm i.d. x 30 m, film thickness 0.25 µm or 0.5 µm) were purchased from J&W Scientific (Folsom, CA). HPLC column Wakosil 5C18 HG (4.6 mm i.d. x 150 mm) was purchased from Wako Pure Chemical Industries.

Gymnema sylvestre extract (GSE, concentrations of gymnemic acids: 94 mg/g as gymnemic acids II or 58.87 mg/g as gymnemagenin), and G. sylvestre acid precipitates (GSA, concentrations of gymnemic acids: 258 mg/g as gymnemic acid II or 161.6 mg/g as gymnemagenin) were donated by Dai-Nippon Meiji Sugar Mfg. Co., Ltd. (Tokyo, Japan). Gymnemagenin (purity 90.4%) and G. sylvestre column fractionate (GSF, concentrations of gymnemic acids: 580 mg/g as gymnemic acids II or 363.3 mg/g as gymnemagenin) were donated by Maruzen Pharmaceuticals Co., Ltd. (Onomichi, Japan). Briefly, GSE is the ethanol/water extract of G. sylvestre leaves, GSA is the acid precipitate of GSE, and GSF is the column fractionate of GSA. Formulations of GSE, GSA and GSF were prepared before use. For each sample, 0.05–1.0 g was weighed, dissolved with hot water and adjusted to 5 mL. Each formulation was administered to rats at the dose of 5 mL/kg body weight.

Apparatus.

Shimadzu Model GC-14A gas chromatograph (Kyoto, Japan), equipped with a flame-ionization detector (FID), autosampler AOC-17A, and integrator C-R4A, was used for the determination of fecal steroids. Hewlett-Packard HP Series 1100 HPLC (Palo Alto, CA), equipped with a degasser G1322A, binary pump G1312A, thermostatted column compartment G1330A, autosampler G1329A, variable wavelength detector G1314A, and ChemStation, was used for the determination of gymnemagenin analysis. A Hitachi U-3210 spectrophotometer (Tokyo, Japan) was used for serum and hepatic lipid analysis.

Animals.

All the procedures involving animals were conducted in compliance with Japanese law (Bulletin of Prime Minister's Office No. 6, March 1980) and guidelines established by the National Institute of Health Sciences. Male rats of the Wistar-ST strain (4-wk-old) were purchased from Japan SLC, Inc. (Shizuoka, Japan) and kept in an air-conditioned room (23 ± 1°C, 50–60% humidity) lighted for 12 h/d (0700 to 1900). Rats were given free access to a commercial nonpurified diet (F-2, Funahashi Farm, Chiba, Japan) and water throughout the experiments. Composition of the diet was: moisture 7.67%, protein 20.22%, lipids 4.94%, fiber 3.66%, minerals 5.24%. The same lot of nonpurified diet was used in all experiments. The cholesterol concentration in the diet was 160.2 ± 15.8 µg/g (mean ± SEM, n = 6, determined by GLC), and no saponin was detected (n = 6, determined by HPLC). Rats weighing 134–154 g were used in Experiments 1–3, and those weighing 175–200 g were used in Experiment 4. Each group in Experiments 1–3 contained five rats, in Experiment 4, four rats.

In Experiment 1, GSE was administered orally at the doses of 0.1, 0.2, 0.5 and 1.0 g/kg for 22 d. In Experiment 2, GSA was administered orally at the doses of 0.05, 0.1, 0.5 and 1.0 g/kg for 22 d. In Experiment 3, GSF was administered orally at the doses of 0.05, 0.1, 0.5 and 1.0 g/kg for 22 d. Each sample was administered to individual rats between 0900 and 1100 h each day. Rats of the control group were administered water at 5 mL/kg body weight. Feces were collected on d 18–19 by housing each rat in a metabolic cage. Rats were food-deprived overnight on d 21. On d 22, rats were anesthetized with diethylether, and blood was collected by heart puncture. The liver was excised immediately after bleeding. To examine the effect of gymnemic acids on fecal steroid excretion more precisely, a single dose of GSF was administered to rats in Experiment 4. Four rats were administered GSF orally at a dose of 1.0 g/kg, and the fecal excretion patterns of steroids and gymnemic acids were investigated. Feces were collected on 0–1, 1–2 and 2–4 d from rats housed individually in metabolic cages.

Analysis of serum and hepatic lipids.

Serum concentrations of total cholesterol and high density lipoprotein-cholesterol were determined using the commercial kits. A portion of liver was homogenized with chloroform/methanol solution (2:1, vol/vol) and filtered. Adequate amounts of the filtrate (lipid extract) were mixed with sodium cholate solution and evaporated completely under the nitrogen stream, and total cholesterol in residues was determined using the commercial kits.

Analysis of fecal steroids.

Collected feces were dried at 60°C overnight and ground into a powder. Fecal neutral steroids and bile acids were analyzed by the methods of Grundy et al. (1965)Citation and Setchell et al. (1983)Citation with some modifications.

To a portion of the ground dried feces, 5{alpha}-cholestane, 5ß-cholanic acid and norDCA were added as internal standards. Lipids in the feces were extracted twice with ethanol and chloroform/methanol mixture (2:1, vol/vol), respectively, by sonication and reflux. Fractions of chloroform/methanol mixture and ethanol were collected and evaporated completely. Neutral lipids were extracted with n-hexane after the saponification with methanolic potassium hydroxide solution. Neutral steroids were determined by GC–FID using 5{alpha}-cholestane as an internal standard. After the removal of methanol by evaporation, the remaining fraction was neutralized with phosphoric acid, and applied to a Sep-pakR C18 plus cartridge column (Whitney and Thaler 1980Citation ) that had been pre-washed with methanol and water. The column was washed with water, and bile acids were eluted with methanol. The eluate was evaporated completely, redissolved with methanol and divided into two fractions. One portion of the divided sample was acidified with concentrated HCl, and the free bile acids were extracted with diethylether three times. For the other portion of the fraction, methanol was evaporated, and deconjugation was performed using choloylglycine hydrolase (EC 3.5.1.24) (Takikawa et al. 1982Citation ). Total bile acids were extracted with diethylether after the acidification with concentrated HCl. Free and total bile acids were derivatized to hexafluoroisopropyl ester-trifluoroacetyl (HFIP-TFA) derivatives (Imai and Tamura 1976Citation ) and determined by GC–FID using 5ß-cholanic acid and norDCA as an internal standard.

GC conditions for steroid analysis were as follows: column, DB-210 (film thickness 0.25 µm for neutral steroids, 0.50 µm for bile acids); carrier gas, He 1.5 mL/min; column temperature, 60°C (2 min) -> 10°C/min -> 180°C -> 5°C/min -> 230°C for neutral steroids, 60°C (2 min) -> 10°C/min -> 235°C for bile acids; injection port and detector temperature, 250°C; detector, FID; injection method, splitless; injection volume, 2 µL.

Analysis of gymnemagenin.

Gymnemic acids precipitate in acidic solution (Suttisri et al. 1995Citation ). Therefore, we analyzed gymnemic acids as gymnemagenin, the aglycone of gymnemic acids, by its precipitation in the acidic solution followed by alkaline and an acid hydrolysis (Nakamura et al. 1997Citation , Yokota et al. 1994Citation ). Gymnemic acid content can be calculated as gymnemic acid II by multiplying by a coefficient of 1.5966 (809.00 molecular weight of gymnemic acid II)/506.70 (molecular weight of gymnemagenin) to the value of gymnemagenin (Yokota et al. 1994Citation ).

For analysis of fecal gymnemagenin in aqueous fractions, a portion of the ground dried feces was extracted with boiling water, filtered by suction and cooled to ambient temperature. The filtrate was acidified to pH 1 with concentrated HCl and centrifuged at 9,391 x g for 15 min at 4°C. The precipitate was dissolved in ethanol and filtered. The filtrate was evaporated and redissolved with 50% ethanol, and alkaline and acid hydrolyses were performed (Yokota et al. 1994Citation ). The hydrolyzed matter was adjusted to pH 7.5–8.5 and one-tenth was applied to a Sep-pakR C18 plus cartridge column pre-washed with methanol, ethanol and water. The column was washed with water, and gymnemagenin was eluted with ethanol. Gymnemagenin content was determined by HPLC (Yokota et al. 1994Citation ). Urinary and the serum gymnemagenin was determined by the above method after acidification to pH 1 with concentrated HCl.

For the determination of gymnemagenin in the lipid-soluble fraction, a portion of the ground dried feces was extracted with chloroform/methanol mixture (2:1, vol/vol), and neutral lipids were removed with n-hexane by the method described in the fecal steroid analysis section. The remained aqueous layer was centrifuged at 9,391 x g for 15 min at 4°C. Content of the gymnemic acids was determined as gymnemagenin by the method described above.

HPLC conditions for gymnemagenin analysis were as follows: column, Wakosil 5C18 HG; mobile phases, (A) acetonitrile/water/phosphoric acid 800:200:1 (vol/vol/vol), (B) water/phosphoric acid 1000:1 (vol/vol); a gradient program, (A) 25% (0 min) -> 75% (20 min) -> 100% (21–25 min) -> 25% (26 min); column oven temperature, 40°C; detector, UV {lambda}213 nm; injection volume, 20 µL.

Statistics.

Data are expressed as means ± SEM. Statistical analyses were performed by one-way ANOVA with subsequent Dunnett's multiple comparison test using the "Statlight" program (Yukms, Tokyo, Japan). Dose-response was examined by linear regression analysis after one-way ANOVA. Probability values lower than 0.05 were accepted as significant.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Effects of GSE, GSA and GSF on body weight gain, hepatic weight, food intakes, fecal dry weight and serum and hepatic lipids (Experiments 1–3).

One rat administered 1.0 g/kg of GSA and one administered 1.0 g/kg of GSF died on d 1–2. Hypertrophy of the stomach wall was observed in two other rats administered 1.0 g/kg of GSF, and those had smaller body weight gains. Body weight gain and food intakes decreased as the doses of GSA and GSF increased (Table 1,Citation P < 0.01), whereas GSE had no effect. A significantly lower than control body weight gain was observed in rats administered 1.0 g/kg of GSA and 0.5 or 1.0 g/kg of GSF. Significantly lower food intakes were observed in rats administered 1.0 g/kg of GSA (P < 0.05) and more than 0.1 g/kg of GSF compared to controls. No significant differences in relative liver weights or dry fecal weights were due to the administration of GSE, GSA or GSF. GSE, GSA and GSF did not affect serum total and HDL cholesterol (data not shown). Hepatic cholesterol was significantly lower than control only in the rats administered 0.5 or 1.0 g/kg of GSF.


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Table 1. Body weight, relative liver weight, food intake and dry weight of feces of rats administered Gymnema sylvestre extract (GSE),G. sylvestre acid precipitate (GSA) and G. sylvestre column fractionate (GSF) daily for 22 d1,2

 
Effects of GSF on fecal steroid excretion and gymnemagenin (Repeated administration, Experiment 3).

Because GSF contains the highest amounts of gymnemic acids, it was used to investigate in detail the effects of gymnemic acids on fecal steroid excretion. Excretions of cholesterol, coprostanone and total neutral steroids (total of cholesterol, coprostanol and coprostanone, which are the intestinal metabolites of cholesterol) increased in dose-dependent manners (Table 2,Citation P < 0.01). Significantly greater excretions of cholesterol and total neutral steroids and a significantly lower ratio of coprostanol/cholesterol were observed in the rats administered at least 0.1 g/kg of GSF (P < 0.05). Excretion of gymnemagenin in lipid-soluble and aqueous fractions increased in a dose-dependent manner (P < 0.001). Most of the fecal gymnemagenin was present in the lipid-soluble fraction rather than in the water-soluble fraction. No gymnemagenin was detected in the urine and serum even in rats administered 1.0 g/kg.


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Table 2. Fecal excretion of neutral steroids and gymnemagenin on d 18–19 in rats administered Gymnema sylvestre column fractionate (GSF) daily for 22 d (Experiment 3)1

 
Total bile acid and DCA excretions were significantly greater in the rats administered 1.0 g/kg of GSF than in controls (Table 3,Citation P < 0.05). Excretion of total bile acids, DCA, 6KLCA and the ratio of CA-derived bile acids/CDCA-derived bile acids increased (P < 0.05) but that of 5-cholenic acid 3ß-ol decreased (P < 0.01) in a dose-dependent manner.


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Table 3. Fecal excretion of bile acids on d 18–19 in rats administered Gymnema sylvestre column fractionate (GSF) daily for 22 d (Experiment 3)1

 
Effects of GSF on fecal steroid excretion and gymnemagenin (Single administration, Experiment 4).

A significant increase in the excretion of coprostanol, cholesterol and total neutral steroids (Table 4,Citation P < 0.01) and a significant decrease in the ratio of coprostanol/cholesterol (P < 0.05) were observed only from d 0–1 after administration of GSF. Within 3 d, 12.6% of the administered gymnemic acids were found as gymnemagenin. More than 84% of all gymnemagenin was found within 1 d, and more than 84.7% existed in the lipid-soluble fraction throughout the experimental period. Gymnemagenin was not detected in urine during the 4 d after administration.


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Table 4. Changes in the fecal excretions of neutral steroids and gymnemagenin as a function of time in rats administered a single dose of 1.0 g/kg of Gymnema sylvestre column fractionate (GSF) (Experiment 4)1

 
Significant change in fecal bile acid excretion was detected only from d 0–1 after administration of GSF (Table 5Citation ).Excretion of total bile acids (P < 0.01) and 12KLCA (P < 0.01), the ratio of CA-derived bile acids/CDCA-derived bile acids (P < 0.01) and primary bile acids (P < 0.05) increased, but LCA excretion decreased (P < 0.05) at d 0–1 compared to baseline (before administration). Ratios of free bile acids were 88.4–96.3%, and there was no significant change during the experimental period.


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Table 5. Changes in the fecal excretion of bile acids as a function of time in rats administered 1.0 g/kg of Gymnema sylvestre column fractionate (GSF) with a single dose (Experiment 4)1

 
Correlation between fecal gymnemagenin and steroid excretions (Experiments 3 and 4).

Positive correlations were detected between fecal gymemagenin and fecal cholesterol (Table 6,Citation P < 0.01), total neutral steroids (P < 0.01), total bile acids (P < 0.05) and CA/CDCA ratios (P < 0.05) in rats that underwent both repeated (Experiment 3) and single administration (Experiment 4) of GSF. Positive correlations were detected between fecal gymnemagenin and coprostanone (P < 0.001) or DCA (P < 0.01) in rats administered repeatedly (Experiment 3), while there were positive correlations between fecal gymnemagenin and coprostanol (P < 0.01) or 12KLCA (P < 0.001) in rats administered a single dose of GSF (Experiment 4). No significant correlations were detected for other factors.


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Table 6. Correlation of fecal gymnemagenin and steroid excretion in rats administered Gymnema sylvestre column fractionate (GSF)1

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Gymnemic acids are the saponins with a triterpenoid structure which are contained G. sylvestre leaves. Hypoglycemic effects of gymnemic acids were reported (Dixit and Pandey 1984Citation , Gupta 1961Citation , Jain and Sharma 1967Citation , Reddy et al. 1989Citation , Suttisri et al. 1995Citation ). In spite of the cholesterol-binding properties of saponins, the effects of gymnemic acids on cholesterol metabolism were not elucidated. The present study demonstrated for the first time that a high dose of gymnemic acids increases fecal excretion of cholesterol and CA-derived bile acids in rats.

Body weight gain and food intakes decreased in a dose-dependent manner (P < 0.01) in the rats administered GSA and GSF (Table 1)Citation . The decrease in body weight gain may have been due to the decrease in food intake. Marquet et al. (1997)Citation considered that the amphiphilic characteristics of the molecules were responsible for their deleterious effects on the digestive tract. So, the hypertrophy of stomach wall in the rats administered 1.0 g/kg of GSF suggests that gymnemic acids may irritate the epithelium of the gastrointestinal tract. On the contrary, relative weight of the liver and fecal dry weight were not affected (Table 1)Citation .

There were no effects on the levels of serum total and HDL cholesterol due to gymnemic acids although hepatic total cholesterol was significantly lower in the rats administered 0.5 or 1.0 g/kg of GSF compared to the control group (data are not shown). These results may be caused by a normal diet (cholesterol concentration was 0.02%). In animals fed a high cholesterol diet, ingestion of various saponins decreases serum and hepatic cholesterol (Griminger and Fisher 1958Citation , Oakenfull et al. 1984Citation , Yamamoto et al. 1983bCitation ).

A high dose of GSF significantly changed fecal steroid excretions in rats that underwent repeated or single administrations (Tables 2Citation 3Citation 4Citation 5)Citation . Dose-dependency was observed in the increase of fecal excretion of cholesterol, total neutral steroids, DCA, 6KLCA, total bile acids and ratio of CA-derived bile acids/CDCA-derived bile acids (P < 0.05) and in the decrease of fecal coprostanol/cholesterol ratio and fecal 5-cholenic acid 3ß-ol excretion (P < 0.01) on d 18–19 in rats administered daily for 22 d (Tables 2Citation 3)Citation . Changes in fecal steroid excretion occurred within 1 d after GSF ingestion. There were significant increases in fecal excretion of coprostanol, cholesterol, total neutral steroids, 12KLCA, total bile acids, fecal CA-derived bile acids/CDCA-derived bile acids ratio and primary bile acids and a significant decrease in the fecal coprostanol/cholesterol ratio in rats from d 0–1 after administration of GSF 1.0 g/kg compared to baseline (Tables 4Citation and 5)Citation . Coprostanol is a major intestinal metabolite of cholesterol whereas DCA and 12KLCA are major secondary bile acids derived from CA in rats. The increase in fecal total bile acids excretion seems to be due to the increase in CA-derived bile acids excretion. These results indicate that a high dose of GSF increases fecal excretion of cholesterol and CA-derived bile acids.

Sauvaire et al. (1991)Citation indicated that the fenugreek saponins were in part (about 57%) hydrolyzed to sapogenin in the digestive tract of diabetic dogs. It is likely that the fecal gymnemagenin of rats in this study reflects the unchanged gymnemic acids because the hydrolysis or degradation of gymnemic acids may also occur in the digestive tract.

Changes in fecal steroid excretion seem to be compatible with the increase of fecal gymnemagenin. Significant correlations were detected between fecal gymnemagenin and fecal excretion of cholesterol, coprostanone or coprostanol (intestinal metabolites of cholesterol), total neutral steroids, DCA or 12KLCA (CA-derived bile acids), total bile acids, and ratios of fecal coprostanol/cholesterol and CA/CDCA (P < 0.05) in rats underwent repeated or single administration of GSF (Table 6)Citation . These correlations strongly suggest than interactions of gymnemic acids with steroids, especially with cholesterol and CA-derived bile acids, occur in the intestinal tract of rats.

The contribution of gymnemic acids to the change in fecal steroid excretion seems to be the same in lipid-soluble and aqueous fractions (Table 6)Citation . The fact that most of the gymnemagenin existed in the lipid-soluble fraction (Tables 2Citation and 4)Citation indicates that gymnemic acids might have an affinity to bind cholesterol and CA-derived bile acids rather than CDCA-derived acids and form the water-insoluble complexes. Changes in steroid excretion by GSF administration are acute (Tables 4Citation and 5)Citation . Therefore, the increase in fecal excretion of cholesterol and CA-derived bile acids due to GSF administration might be due to an interruption with the formation of micelles that contain cholesterol and bile acids in the gut and the following interference with absorption of cholesterol or reabsorption of bile acids.

We previously investigated the contents of gymnemagenin in health foods in Japan (Nakamura et al. 1997Citation ). Gymnemagenin intake from health foods was estimated as less than 1.23 mg/kg based on the assumption that the body weight of human is 50 kg (Nakamura et al. 1997Citation ). A significant increase in fecal neutral steroids excretion was observed in the rats administered more than 0.1 g/kg of GSF (Table 3)Citation , i.e., more than 36.33 mg/kg as gymnemagenin. Because of the bitter and astringent taste and sweetness-suppressing effect of gymnemic acids or G. sylvestre leaves' extract, it might be impossible to take a dose of gymnemic acids sufficiently high to increase fecal excretion of neutral steroids (more than 36.33 mg/kg as gymnemagenin).

We examined the effect of gymnemic acids on fecal steroid excretion in rats fed a normal diet. Different results may be obtained in hypercholesterolemic rats. Further studies including examination of the toxic effects of gymnemic acids are needed to clarify the effect of gymnemic acids on cholesterol metabolism.


    ACKNOWLEDGMENTS
 
We are indebted to Toshihiro Yokota at Maruzen Pharmaceuticals Co., Ltd. for his kind donation of gymnemagenin and G. sylvestre column fractionate. We are also indebted to Gaku Ueno for his kind donation of G. sylvestre extract and G. sylvestre acid precipitate.


    FOOTNOTES
 
1 Supported by Ministry of Health and Welfare of Japan grants. Back

3 Abbreviations used: CA, cholic acid; CDCA, chenodeoxycholic acid; DCA, deoxycholic acid; FID, flame-ionization detector; GC, gas chromatography; GSA, Gymnema sylvestre acid precipitate; GSC, Gymnema sylvestre column fractionate; GSE, Gymnema sylvestre extract; HDCA, hyodeoxycholic acid; HFIP-TFA, hexafluoroisopropyl ester-trifluoroacetyl; IDCA, isodeoxycholic acid; ILCA, isolithocholic acid; 6KLCA, 6-ketolithocholic acid; 12KLCA, 12-ketolithocholic acid; 7KDCA, 7-ketodeoxycholic acid; 12KCDCA, 12-ketochenodeoxycholic acid; LCA, lithocholic acid; MDCA, murodeoxycholic acid; {alpha}MCA, {alpha}-muriocholic acid; ßMCA, ß-muricholic acid; {omega}MCA, {omega}-muricholic acid; norDCA, nordeoxycholic acid. Back

Manuscript received July 20, 1998. Initial review completed September 23, 1998. Revision accepted February 23, 1999.


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