SUPPLEMENTARY MATERIAL Protective effects of grape seed extract fractions with different degrees of polymerisation on blood glucose, lipids, and hepatic oxidative stress in diabetic rats Zhaoxia WUa*, Siyao SHENa, Jiaqian JIANGb, Dehong TANa, Donghua JIANGa, Bing BAIa, Xiyun SUNa and Shichen FUa a College of Food Science, Shenyang Agricultural University, Shenyang, Liaoning Province 110866, China b College of Animal Science & Veterinary Medicine, Shenyang Agricultural University, Shenyang, Liaoning Province 110866, China The purpose of this study was to evaluate the effect of grape seed procyanidin (GSPE) fractions with different degrees of polymerisation (DP) on blood glucose, lipids, and hepatic oxidative stress in diabetic rats. Diabetic rats received a daily oral supplement of GSPE with different DPs for six weeks. During this period, blood glucose, body weight, and food intake were assessed weekly. At the end of the experiment, serum lipid and hepatic oxidative stress were assessed compared to rats that did not receive GSPE. GSPE significantly decreased blood glucose, serum lipids, and hepatic oxidative stress. Moreover, these effects were significantly better in the groups administered the oligomeric rather than the polymeric forms. These results demonstrate that GSPE has a positive effect on diabetes in rats, and the oligomeric form of GSPE may be more protective than other forms. Keywords: procyanidins; antioxidation; diabetes; nitric oxide * Corresponding author. E-mail: wuzxsau@163.com 1. Experimental 1.1 Animal treatment Sixty adult male and female Sprague-Dawley rats were obtained from Liaoning Changsheng Biotechnology Co. LTD (Benxi, Liaoning Province, China), each weighing 180-220 g. The animals were housed individually in stainless steel cages with wire mesh floors, and the temperature was maintained at 22-24°C with 60-70% relative humidity on a 12-h light/dark cycle. The rats had ad libitum access to food and tap water. For at least three days prior to the experiment, all of the rats were fed the same basal diet, which consisted of common forage. The rats were divided into two groups: a nondiabetic normal group (n = 10) fed common forage and a high-energy group (n = 50) fed high-energy forage, which was prepared by adding 20% sucrose (w/w), 18% lard (w/w), and 3% yolk to the basal diet. The rats were grouped according to their body weight (BW) to ensure an average BW ranging from 202.6 g to 204.8 g in each group. All high-energy diet rats were fed for four weeks and then intraperitoneally injected with STZ (30 mg/kg BW) that was dissolved in sodium citrate buffer (0.1 mol·L-1, pH 4.5). Of these animals, 31 with fasting blood glucose levels >11.1 mmol/L 72 h after the STZ injection were considered to be successfully modelled and included in the experiment. They were divided into five groups: the diabetic model group (DM, seven rats), metformin hydrochloride group (MH, six rats), oligomeric GSPE group (DO, six rats; DP = 3.2), polymeric GSPE 1 group (PG1, six rats; DP = 6.5), and polymeric GSPE 2 group (PG2, six rats; DP = 11.8). The grouping was again conducted in a manner to ensure an average BW ranging from 336.2 g to 351.9 g in each group. For six weeks, the rats in the MH group received a daily oral supplement of 200 mg·kg-1 metformin, while the rats in the DO, PG1, and PG2 groups received 150 mg·kg-1 GSPE with DP = 3.2, 6.5, and 11.8, respectively. The DM rats were considered the control group and orally received 150 mg·kg-1 tap water. All of the animals were fed common forage. During this six-week period, blood glucose, body weight, and 24-h food intake were monitored. Blood glucose was measured by the glucose oxidase method. At the end of the experiments, serum lipid and hepatic oxidative stress were assessed. 1.2 Materials The grape seed extract was provided by JF-NATURAL Company (Tianjin, China). The fractions with different DP were obtained according to the protocol outlined in Figure S4, Protocol for the fractionation of grape seed extract according to the degree of polymerisation. The average DP of GSPE has been identified previously by spectrophotography (Yuelin et al. 2009). The DP values of fraction (F)0 to F5 were 3.0, 3.2, 6.5, 9.4, 11.8, and 15.1, respectively. According to our experimental design, as well as in consideration of the production ratio of each fraction and the appropriate gradient of DP for each treatment group, F1, F2, and F4 fractions were used for this experiment. 1.3 Blood glucose assay In fasted animals, 400 mL·L-1 glucose solution (2 g·kg-1·BW) was administered by gavage, and blood was sampled from the tail vein 0, 30, 60, and 120 min after gavage. The blood glucose content was measured using a test kit (Nanjing JianCheng Bioengineering Institute, Nanjing, China; Accu-chek Active Blood Glucose Monitoring Meter, Roche Diagnostic Gmbh, Mannheim, Germany) based on the glucose oxidase method. 1.4 Serum lipid assay The concentrations of TG, TC, LDL, and HDL were measured using an automatic biochemical analyser (GS300, Shenzhen Genius Electronics Co., LTD, Shenzhen, China). 1.5 Hepatic Oxidative stress assay Following the 6-week intervention, all of the rats received an intraperitoneal injection of 10% chloral hydrate solution (0.3 mL·100g-1) 16 h after commencing to fast. Rats were then sacrificed, and hepatic SOD, CAT, MDA, NO, GSH, GSH S-transferase (GSH-ST), and GSH peroxidase (GSH-Px) levels were measured using a homologous kit (Nanjing JianCheng Bioengineering Institute, China). 1.6 Statistical analysis All data are expressed as mean ± SD. The differences between groups were analysed using a one-way ANOVA and Tukey post hoc tests. P values < 0.05 were considered significant for multiple comparison. References Chedea VS, Braicu C, & Socaciu C. (2010). Antioxidant/prooxidant activity of a polyphenolic grape seed extract. Food Chemistry, 121,132–139. Cheng M, Gao HQ, Xu L, Li BY, Zhang H, Li XH. (2007). Cardioprotective effects of grape seed proanthocyanidins extracts in streptozocin induced diabetic rats. Journal of Cardiovascular Pharmacology, 50,503–509. Chis IC, Ungureanu MI, Marton A, Simedrea R, Muresan A, Postescu ID, Decea N. (2009). Antioxidant effects of a grape seed extract in a rat model of diabetes mellitus. Diabetes & Vascular Disease Researc, 6, 200–204. El-Alfy AT, Ahmed AA, & Fatani AJ. (2005). Protective effect of red grape seeds proanthocyanidins against induction of diabetes by alloxan in rats. Pharmaceutical Research, 52, 264–270. Kao YH, Hiipakka RA, & Liao S. (2000). Modulation of endocrine systems and food intake by green tea epigallocatechin gallate. Endocrinology, 141, 980–987. Kar P, Laight D, Rooprai HK, Shaw KM, Cummings M. (2009). Effects of grape seed extract in type 2 diabetic subjects at high cardiovascular risk: a double blind randomized placebo controlled trial examining metabolic markers, vascular tone, inflammation, oxidative stress and insulin sensitivity. Diabetic Medicine, 26, 526–531. Kim MJ, Ryu GR, Chung JS, Sim SS, Min DS, Rhie DJ, Yoon SH, Hahn SJ, Kim MS, Jo YH. (2003). Protective effects of epicatechin against the toxic effects of streptozotocin on rat pancreatic islets: in vivo and in vitro. Pancreas, 26, 292–299. Labarbe B, Cheyneir V, Brossaud F, Souquet JM, Moutounet M. (1999). Quantitative fractionation of grape proanthocyanidins according to their degree of polymerization. Journal of Agricultural and Food Chemistry, 47, 2719–2723. Matsumoto N, Ishigaki F, Ishigaki A, Iwashina H, Hara Y. (1993). Reduction of blood glucose levels by tea catechin. Bioscience Biotechnology and Biochemistry, 57, 525–527. Pinent M, Blay M, Bladé MC, Salvadó MJ, Arola L, Ardévol A. (2004). Grape seedderived procyanidins have an antihyperglycemic effect in streptozotocininduced diabetic rats and insulinomimetic activity in insulin-sensitive cell lines. Endocrinology, 145, 4985–4990. Shimizu M, Kobayashi Y, Suzuki M, Satsu H, Miyamoto Y. (2000). Regulation of intestinal glucose transport by tea catechins. Biofactors, 13, 61–65. Waltner-Law ME, Wang XL, Law BK, Hall RK, Nawano M, Granner DK. (2002). Epigallocatechin gallate, a constituent of green tea, represses hepatic glucose production. Journal of Biological Chemistry, 277, 34933–34940. Wild S, Roglic G, Green A, Sicree R, King H. (2004). Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care, 27, 1047–1053. Figures Figure S1. Changes in fasting blood glucose over a 6-week period, compared between control rats and diabetic model rats with varying levels of treatment, including grape seed extract supplementation of differing degrees of polymerisation Note: ND, nondiabetic normal group; DM, diabetic model group; DO, oligomeric proanthocyanidin group (degree of polymerisation [DP] = 3.2); PG1, polymeric proanthocyanidin group 1, (DP = 6.5); PG2, polymeric proanthocyanidin group 2 (DP = 11.8); MH, metformin hydrochloride group. Figure S2. Changes in body weight over a 6-week period, compared between control rats and diabetic model rats with varying levels of treatment, including grape seed extract supplementation of differing degrees of polymerisation Note: ND, nondiabetic normal group; DM, diabetic model group; DO, oligomeric proanthocyanidin group (degree of polymerisation [DP] = 3.2); PG1, polymeric proanthocyanidin group 1 (DP = 6.5); PG2, polymeric proanthocyanidin group 2 (DP = 11.8); MH, metformin hydrochloride group. Figure S3. Changes in 24-h food intake over a 6-week period, compared between control rats and diabetic model rats with varying levels of treatment, including grape seed extract supplementation of differing degrees of polymerisation Note: ND, nondiabetic normal group; DM, diabetic model group; DO, oligomeric proanthocyanidin group (degree of polymerisation [DP] = 3.2); PG1, polymeric proanthocyanidin group 1 (DP = 6.5); PG2, polymeric proanthocyanidin group 2 (DP = 11.8); MH, metformin hydrochloride group. Figure S4: Protocol for the fractionation of grape seed extract according to the degree of polymerisation.