<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2013.1396</article-id>
<article-id pub-id-type="publisher-id">mmr-07-05-1607</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Protective effects of <italic>Lagerstroemia speciosa</italic> on 3-morpholinosydnonimine (SIN-1)-induced oxidative stress in HIT-T15 pancreatic &#x003B2; cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SONG</surname><given-names>JIA-LE</given-names></name><xref rid="af1-mmr-07-05-1607" ref-type="aff">1</xref><xref rid="fn1-mmr-07-05-1607" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHAO</surname><given-names>XIN</given-names></name><xref rid="af1-mmr-07-05-1607" ref-type="aff">1</xref><xref rid="af2-mmr-07-05-1607" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-07-05-1607"/></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>QIANG</given-names></name><xref rid="af2-mmr-07-05-1607" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>TING</given-names></name><xref rid="af3-mmr-07-05-1607" ref-type="aff">3</xref><xref rid="fn1-mmr-07-05-1607" ref-type="author-notes">&#x0002A;</xref></contrib></contrib-group>
<aff id="af1-mmr-07-05-1607">
<label>1</label>Department of Food Science and Nutrition, Pusan National University, Busan 609-735, Republic of Korea</aff>
<aff id="af2-mmr-07-05-1607">
<label>2</label>Department of Biological and Chemical Engineering, Chongqing University of Education, Chongqing 400067, P.R. China</aff>
<aff id="af3-mmr-07-05-1607">
<label>3</label>Research Center for Nutrition and Food Safety, The Third Military Medical University, Chongqing Key Laboratory of Nutrition and Food Safety, Chongqing 400038, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-07-05-1607">Correspondence to: Dr Xin Zhao, Department of Biological and Chemical Engineering, Chongqing University of Education, No. 9 Xuefu Main Street, Nan&#x02019;an, Chongqing 400067, P.R. China, E-mail: <email>zhaoxin@pnu.edu</email></corresp><fn id="fn1-mmr-07-05-1607">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>26</day>
<month>03</month>
<year>2013</year></pub-date>
<volume>7</volume>
<issue>5</issue>
<fpage>1607</fpage>
<lpage>1612</lpage>
<history>
<date date-type="received">
<day>15</day>
<month>11</month>
<year>2012</year></date>
<date date-type="accepted">
<day>19</day>
<month>03</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Reactive oxygen species (ROS)-induced pancreatic &#x003B2; cell death affects insulin secretion and is important in the pathogenesis of diabetes. <italic>Lagerstroemia speciosa</italic>, a traditional folk medicine, has been used for t he prevention and treatment of diabetes. However, whether <italic>Lagerstroemia speciosa</italic> has a cytoprotective effect on pancreatic &#x003B2; cells remains to be elucidated. The present study aimed to investigate the cytoprotective effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on 3-morpholinosydnonimine (SIN-1)-induced oxidative damage in Syrian hamster pancreatic insulinoma HIT-T15 cells. The HIT-T15 cells were first treated with SIN-1 (50 &#x003BC;M) for 24 h and then co-incubated with LWE for 48 h. SIN-1 significantly decreased HIT-T15 cell viability (P&lt;0.05); however, LWE did not exert a significant cytotoxic effect and increased the viability of HIT-T15 cells in a dose-dependent manner. To further investigate the protective effects of LWE on SIN-1-induced oxidative stress in HIT-T15 cells, the cellular levels of ROS, lipid peroxidation and endogenous antioxidant enzymes, including superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GSH-px), were determined. LWE decreased the intracellular levels of ROS and lipid peroxidation, and increased the activities of antioxidant enzymes. These results suggest that LWE has a cytoprotective effect against SIN-1-induced oxidative stress in HIT-T15 cells through the inhibition of lipid peroxidation, a decrease in ROS levels and an increase in antioxidant enzyme activity. In addition, LWE increased insulin secretion in SIN-1-treated HIT-T15 cells. Our results suggested that LWE were effective in the treatment of diabetes. Further studies are required to study the anti-diabetic molecular mechanism in a cell model.</p></abstract>
<kwd-group>
<kwd><italic>Lagerstroemia speciosa</italic></kwd>
<kwd>pancreatic &#x003B2; cell</kwd>
<kwd>cell viability</kwd>
<kwd>reactive oxygen species</kwd>
<kwd>insulin secretion</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Diabetes mellitus has become an increasingly important public health problem worldwide. However, the etiology of diabetes mellitus has not yet been fully elucidated. Reactive oxygen species (ROS)-induced oxidative stress is known to be important in the pathogenic process of diabetes mellitus. ROS that are particularly responsible for oxidative stress include superoxide (O<sub>2</sub><sup>&#x02212;</sup>), hydroxyl radical (<sup>&#x02022;</sup>OH), singlet oxygen (<sup>1</sup>O<sub>2</sub>), hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), nitric oxide (NO) and peroxynitrite (ONOO<sup>&#x02212;</sup>) (<xref rid="b1-mmr-07-05-1607" ref-type="bibr">1</xref>). Oxidative stress may induce the dysfunction of pancreatic &#x003B2; cells, decreased insulin secretion (<xref rid="b2-mmr-07-05-1607" ref-type="bibr">2</xref>) and the development of diabetic complications, including retinopathy, nephropathy, neuropathy and vascular damage (<xref rid="b3-mmr-07-05-1607" ref-type="bibr">3</xref>,<xref rid="b4-mmr-07-05-1607" ref-type="bibr">4</xref>). Generally, various antioxidative compounds exist in mammalian cells, including low-molecular mass antioxidants such as glutathione (GSH), uric acid, vitamin C, vitamin E and various endogenous antioxidant enzymes against oxidative stress. It is widely accepted that superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GSH-px) are three important endogenous antioxidant enzymes for the protection of living organs against ROS-induced oxidative stress. Among these antioxidant enzymes, SOD catalyzes the dismutation of O<sub>2</sub><sup>&#x02212;</sup> into H<sub>2</sub>O<sub>2</sub>, which may be transformed into H<sub>2</sub>O and O<sub>2</sub> by CAT. GSH-px is crucial for removing lipid hydroperoxides and reducing free H<sub>2</sub>O<sub>2</sub> to water (<xref rid="b1-mmr-07-05-1607" ref-type="bibr">1</xref>).</p>
<p>A number of drugs used in clinical diabetes mellitus treatment have been associated with side-effects, including gastrointestinal disturbances, edema, myocardial infarction and risk of cardiovascular disease (<xref rid="b5-mmr-07-05-1607" ref-type="bibr">5</xref>&#x02013;<xref rid="b8-mmr-07-05-1607" ref-type="bibr">8</xref>). To date, &gt;400 traditional plant treatments for diabetes mellitus have been identified (<xref rid="b9-mmr-07-05-1607" ref-type="bibr">9</xref>). The anti-diabetic components of these natural plants may constitute ancillary medication for diabetes treatment.</p>
<p><italic>Lagerstroemia speciosa</italic> (Lythraceae), also named banaba, is a tropical plant that grows in several parts of southeast Asia, including southern China, Vietnam, Malaysia and the Philippines. <italic>Lagerstroemia speciosa</italic> has been used as a traditional folk medicine for the treatment of diabetes and kidney-related diseases in the Philippines for ~1,000 years (<xref rid="b10-mmr-07-05-1607" ref-type="bibr">10</xref>,<xref rid="b11-mmr-07-05-1607" ref-type="bibr">11</xref>). A number of studies have reported that <italic>Lagerstroemia speciosa</italic> has antioxidant (<xref rid="b12-mmr-07-05-1607" ref-type="bibr">12</xref>,<xref rid="b13-mmr-07-05-1607" ref-type="bibr">13</xref>), anti-inflammatory (<xref rid="b13-mmr-07-05-1607" ref-type="bibr">13</xref>), anticancer (<xref rid="b14-mmr-07-05-1607" ref-type="bibr">14</xref>), anti-obesity (<xref rid="b15-mmr-07-05-1607" ref-type="bibr">15</xref>) and antidiabetic (<xref rid="b12-mmr-07-05-1607" ref-type="bibr">12</xref>,<xref rid="b16-mmr-07-05-1607" ref-type="bibr">16</xref>) activities. Tannic and triterpene acids are the main components of <italic>Lagerstroemia speciosa</italic> leaf extracts and have been shown to downregulate blood glucose and possess apparent antidiabetic properties <italic>in vivo</italic> and <italic>in vitro</italic>(<xref rid="b16-mmr-07-05-1607" ref-type="bibr">16</xref>&#x02013;<xref rid="b19-mmr-07-05-1607" ref-type="bibr">19</xref>).</p>
<p>The present study aimed to investigate the potential cytoprotective effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on 3-morpholinosydnonimine (SIN-1)-induced oxidative stress in HIT-T15 cells and to elucidate the underlying mechanisms involved in this process.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Plant extract preparation</title>
<p>Fresh <italic>Lagerstroemia speciosa</italic> leaves were purchased from a local market in Chongqing, China. LWE was prepared by boiling 160 g air-dried <italic>Lagerstroemia speciosa</italic> leaves in 1 l distilled water for 2 h, followed by ultracentrifugation at 30,000 &#x000D7; g for 30 min, filtration with a 0.4-&#x003BC;m filter, concentration by heat evaporation and freeze-drying. LWE was redissolved in dimethyl sulfoxide (DMSO) at a concentration of 50 mg/ml and stored at 4&#x000B0;C until future use.</p></sec>
<sec>
<title>Cell culture</title>
<p>Syrian hamster insulin-secreting HIT-T15 cells were obtained from the American Type Culture Collection (ATCC, Manassas, VA, USA). The cells were routinely maintained in RPMI-1640 medium supplemented with 10&#x00025; (v/v) fetal bovine serum (FBS) and 1&#x00025; penicillin-streptomycin in a humidified CO<sub>2</sub> incubator (model 3154; Forma Scientific, Inc., Marietta, OH, USA) with 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C.</p></sec>
<sec>
<title>Cell viability assay</title>
<p>Cell viability was assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) method. The cells were seeded in 96-well plates at a density of 5&#x000D7;10<sup>3</sup> cells/well. Following 24-h incubation, the cells were primarily treated with SIN-1 (50 &#x003BC;M) for 24 h and then incubated with LWE (1&#x02013;100 &#x003BC;g/ml) for 48 h. Next, 100 &#x003BC;l MTT reagent (final concentration, 0.5 mg/ml) was added to each well and the cells were incubated in a humidified incubator at 37&#x000B0;C to allow MTT to be metabolized. After 4 h, 100 &#x003BC;l DMSO was added to each well to dissolve formazan deposits. The absorbance of the samples was measured at a wavelength of 540 nm using a microplate reader (model 680; Bio-Rad, Hercules, CA, USA).</p></sec>
<sec>
<title>Determination of intracellular ROS</title>
<p>Intracellular ROS levels were measured using the fluorescent probe dihydrodichlorofluorescein (H<sub>2</sub>DCFDA). Following treatment, HIT-T15 cells were washed with calcium- and magnesium-free phosphate-buffered saline (PBS) and incubated in H<sub>2</sub>DCFDA (20 &#x003BC;M) containing serum- and phenol red-free Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) for 30 min. Following incubation, the medium was removed and cells were washed with PBS twice. Fluorescence was measured using a FLUOstar OPTIMA fluorescence plate reader (BMG Labtech, Ortenberg, Germany); excitation was read at 485 nm and emission at 535 nm. Relative ROS production (calculated as a percentage of the control) was expressed as the ratio of fluorescence in the treated samples over the response in the appropriate controls: (fluorescence<sub>treatment</sub>/fluorescence<sub>control</sub>) &#x000D7;100.</p></sec>
<sec>
<title>Lipid peroxidation levels</title>
<p>Lipid peroxidation was evaluated using a thiobarbituric acid reactive substance (TBARS) assay (<xref rid="b20-mmr-07-05-1607" ref-type="bibr">20</xref>). Briefly, the cultured cells were washed with cooled PBS, scraped into trichloroacetic acid (TCA; 2.8&#x00025;, w/v) and sonicated; total protein was determined using a bicinchoninic acid (BCA) assay. The suspension was mixed with 1 ml TBA (0.67&#x00025;, w/v) and 1 ml TCA (25&#x00025;, w/v), heated (30 min at 95&#x000B0;C) and centrifuged (22,000 &#x000D7; g; 10 min at 4&#x000B0;C). TBA reacted with the oxidative degradation products of lipids, yielding red complexes that absorbed at 535 nm. The level of TBARS was determined using a UV-2401PC spectrophotometer (Shimadzu, Kyoto, Japan).</p></sec>
<sec>
<title>Antioxidant enzyme activity</title>
<p>HIT-T15 cells grown in a 10-cm cell culture dish were co-incubated with SIN-1 (50 &#x003BC;M) for 24 h and then treated with LWE (2.5&#x02013;50 &#x003BC;g/ml) for 48 h for further assessment. The cells were washed with PBS, removed by scraping and centrifuged, and the resulting cell pellet was stored at &#x02212;80&#x000B0;C. Cell pellets were thawed, resuspended in 300 ml cold lysis buffer (PBS and 1 mM EDTA), homogenized and centrifuged (22,000 &#x000D7; g; 10 min at 4&#x000B0;C). The resulting supernatants were used for activity measurements. CAT activity (U/mg protein) was assessed according to the method described by Nelson and Kiesow (<xref rid="b21-mmr-07-05-1607" ref-type="bibr">21</xref>), in which the disappearance of the substrate H<sub>2</sub>O<sub>2</sub> was measured spectophotometrically at 240 nm. SOD activity (U/mg protein) was assayed using a modified auto-oxidation of pyrogallol method (<xref rid="b22-mmr-07-05-1607" ref-type="bibr">22</xref>). One unit of SOD activity was defined as the amount of enzyme that inhibited the auto-oxidation rate of pyrogallol by 50&#x00025;. GSH-px activity (U/mg protein) was assayed according to the method described by Hafemen <italic>et al</italic>(<xref rid="b23-mmr-07-05-1607" ref-type="bibr">23</xref>). Protein contents were determined using the Bio-Rad protein assay kit according to the manufacturer&#x02019;s instructions.</p></sec>
<sec>
<title>Insulin secretion assay</title>
<p>Insulin secretion was measured using a radioimmunoassay (RIA) method. The cells were seeded at a density of 5&#x000D7;10<sup>5</sup> cells/well in a 96-well plate and primarily treated with SIN-1 (50 &#x003BC;M) for 24 h, followed by LWE (2.5&#x02013;50 &#x003BC;g/ml) for 48 h. To determine the level of insulin secreted, aliquots of samples (10 &#x003BC;l/well) were collected from the experimental medium at the indicated time points (48 h) and subjected to an insulin antiserum immunoassay within 5 min, according to the manufacturer&#x02019;s instructions (Linco Research, Inc., St. Charles, MO, USA). The absorbance was read at 450 and 590 nm using a model 680 microplate reader (Bio-Rad) and results were recorded.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the mean &#x000B1; SD. The differences between the mean values of individual groups were assessed using one-way ANOVA and Duncan&#x02019;s multiple range tests. P&lt;0.05 was considered to indicate a statistically significant difference. The SAS v9.1 statistical software package (SAS Institute, Inc., Cary, NC, USA) was used for analysis.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of LWE on SIN-1-induced oxidative damage in HIT-T15 cells</title>
<p>To investigate LWE-induced cytotoxicity, HIT-T15 cells were first treated with various concentrations of LWE (1&#x02013;100 &#x003BC;g/ml) for 48 h and the cell viability was determined using an MTT assay. Treatment with LWE at doses of 1&#x02013;50 &#x003BC;g/ml at 37&#x000B0;C for 48 h did not cause significant cytotoxicity and cell viability was &gt;80&#x00025;. A dose of 100 &#x003BC;g/ml LWE induced cell damage (cell viability, 76&#x00025;; <xref rid="f1-mmr-07-05-1607" ref-type="fig">Fig. 1</xref>). Based on these results, concentrations of 2.5&#x02013;50 &#x003BC;g/ml LWE were used for further assessment. As shown in <xref rid="f2-mmr-07-05-1607" ref-type="fig">Fig. 2</xref>, SIN-1 (50 &#x003BC;M) significantly induced cell death in HIT-T15 cells. However, following treatment with various concentrations of LWE, the cell viability increased in a dose-dependent manner.</p></sec>
<sec>
<title>Effects of LWE against SIN-1-induced intracellular ROS levels in HIT-T15 cells</title>
<p>To investigate the protective effects of LWE in SIN-1-treated HIT-T15 cells, the intracellular ROS levels were determined using the fluorescent probe H<sub>2</sub>DCFDA. As shown in <xref rid="f3-mmr-07-05-1607" ref-type="fig">Fig. 3</xref>, SIN-1 significantly increased ROS levels compared with those in the control cells. In the presence of SIN-1, LWE at doses of 2.5&#x02013;50 &#x003BC;g/ml significantly reduced ROS generation in a dose-dependent manner. The intracellular ROS levels were 203.2&#x000B1;14.6, 194.3&#x000B1;9.9, 188.3&#x000B1;9.8, 178.3&#x000B1;7.5 and 175.7&#x000B1;10.8&#x00025; when the cells were treated with 2.5, 5, 10, 25 and 50 &#x003BC;g/ml LWE, respectively. Treatment with the same concentrations of LWE alone did not significantly increase the intracellular ROS levels (date not shown). These results suggest that LWE is a free radical scavenger.</p></sec>
<sec>
<title>Effects of LWE on lipid peroxidation in SIN-1-treated HIT-T15 cells</title>
<p>Free radical- and ROS-induced oxidative damage has been strongly associated with the lipid peroxidation of cell membranes and increased levels of malondialdehyde (MDA), which is a biomarker of cell membrane lipid peroxidation. As shown in <xref rid="f4-mmr-07-05-1607" ref-type="fig">Fig. 4</xref>, SIN-1 significantly increased the level of MDA (1.23&#x000B1;0.10 nmol/mg protein) compared with that in the control cells (0.33&#x000B1;0.05 nmol/mg protein). LWE at doses of 2.5&#x02013;50 &#x003BC;g/ml significantly reduced MDA levels in a dose-dependent manner. The MDA levels were 0.91&#x000B1;0.15, 0.87&#x000B1;0.05, 0.79&#x000B1;0.05, 0.69&#x000B1;0.01 and 0.58&#x000B1;0.02 nmol/mg protein when the cells were treated with 2.5, 5, 10, 25 and 50 &#x003BC;g/ml LWE, respectively.</p></sec>
<sec>
<title>Effects of LWE on the activity of antioxidant enzymes in SIN-1-treated HIT-T15 cells</title>
<p><xref rid="f5-mmr-07-05-1607" ref-type="fig">Figs. 5</xref>&#x02013;<xref rid="f7-mmr-07-05-1607" ref-type="fig">7</xref> demonstrate the intracellular antioxidant enzyme activities with LWE in SIN-1-treated HIT-T15 cells. The activity of SOD was decreased with SIN-1 treatment (4.96&#x000B1;0.46 U/mg protein) compared with that in the control cells; however, this recovered to 5.39&#x000B1;0.83, 6.13&#x000B1;0.78, 7.19&#x000B1;0.26, 7.37&#x000B1;0.99 and 8.04&#x000B1;0.73 U/mg protein when the cells were treated with 2.5, 5, 10, 25 and 50 &#x003BC;g/ml LWE, respectively. Following treatment with SIN-1, cellular CAT was decreased (0.86&#x000B1;0.10 U/mg protein) compared with that in the control cells (1.83&#x000B1;0.21 U/mg protein). However, CAT activity was significantly increased (P&lt;0.05) following treatment with LWE (<xref rid="f6-mmr-07-05-1607" ref-type="fig">Fig. 6</xref>). Additionally, LWE reduced the SIN-1-induced decrease in GSH-px in HIT-T15 cells. The GSH-px activity was identified to be significantly increased from 1.93&#x000B1;0.17 to 2.63&#x000B1;0.17 U/mg protein when the cells were treated with LWE (<xref rid="f7-mmr-07-05-1607" ref-type="fig">Fig. 7</xref>).</p></sec>
<sec>
<title>Effects of LWE on insulin secretion in SIN-1-treated HIT-T15 cells</title>
<p>As shown in <xref rid="f8-mmr-07-05-1607" ref-type="fig">Fig. 8</xref>, SIN-1 significantly decreased insulin levels (2095.4&#x000B1;105.0 pg/ml) compared with those in the control cells (10236.7&#x000B1;98.9 pg/ml). Following treatment with 2.5, 5, 10, 25 and 50 &#x003BC;g/ml LWE, the insulin levels were 2433.7&#x000B1;34.5, 2824.2&#x000B1;150.3, 3565.4&#x000B1;223.3, 4730.9&#x000B1;140.3 and 5069.2&#x000B1;131.5 pg/ml, respectively. These results suggest that LWE treatment is effective in increasing pancreatic &#x003B2; cell survival and maintaining normal biological functions in ROS-induced diabetes.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>ROS-induced oxidative damage in pancreatic &#x003B2; cells is considered to be important in the pathological process of diabetes. A number of studies have shown that reducing ROS levels and treatment with antioxidants (including NAC, vitamin C and vitamin E) improved &#x003B2; cell structure and function <italic>in vitro</italic>(<xref rid="b24-mmr-07-05-1607" ref-type="bibr">24</xref>,<xref rid="b25-mmr-07-05-1607" ref-type="bibr">25</xref>). However, whether LWE protects pancreatic &#x003B2; cells against SIN-1-induced oxidative damage has not yet been elucidated. In the present study, we demonstrated that LWE protected HIT-T15 cells against ROS-induced cell damage. The cytoprotective effects of LWE were mainly mediated by increased intracellular antioxidant enzyme activity.</p>
<p>The results of this study clearly showed that LWE prevented SIN-1-induced cell death, as assessed using the MTT assay. Additionally, LWE alone was not significantly cytotoxic to cells at the concentrations used. Treatment with LWE was shown to have a significant protective effect, which may be attributed to the free radical scavenging activity of the extract.</p>
<p>To evaluate the role of free radicals in the protective activity of LWE, the effect of LWE on SIN-1-induced ROS generation was analyzed using the H<sub>2</sub>DCFDA assay. SIN-1 treatment alone significantly increased intracellular ROS generation. Following treatment with LWE, ROS generation was found to decline in a dose-dependent manner. This decrease in the SIN-1-induced ROS generation may account for the decline in the observed cytoprotective effect of LWE.</p>
<p>Lipid peroxidation is the most extensively investigated process induced by free radicals. ROS participate in the toxic actions that lead to apoptosis in insulin-producing cells (<xref rid="b26-mmr-07-05-1607" ref-type="bibr">26</xref>). In the present study, increased lipid peroxidation levels were observed in SIN-1-treated HIT-T15 cells. However, treatment with LWE resulted in a decrease in lipid peroxidation<italic>,</italic> indicating that oxidative stress-related damage was reduced in LWE-treated cells. The ability of LWE to reduce lipid peroxidation may be due to its function as a preventive antioxidant to scavenge initiating radicals.</p>
<p>The overproduction and consequently increased levels of free radicals may be scavenged by endogenous antioxidant enzymes, including SOD and GSH-px. In cells, SOD catalyzes the conversion of O<sub>2</sub><sup>&#x02212;</sup> to H<sub>2</sub>O<sub>2</sub>, and H<sub>2</sub>O<sub>2</sub> is further reduced to H<sub>2</sub>O by the activity of CAT or GSH-px. Pancreatic &#x003B2; cells have been reported to contain low levels of endogenous antioxidant enzymes, particularly GSH-px and CAT (<xref rid="b27-mmr-07-05-1607" ref-type="bibr">27</xref>). In the present study, SIN-1-treated HIT-T15 cells were shown to have decreased GSH-px and CAT activities, which may be due to the increased oxidative damage induced by SIN-1. However, LWE treatment caused an increase in the activity of these antioxidant enzymes in HIT-T15 cells, indicating that LWE reduced SIN-1-induced oxidative stress. A number of studies have reported that the overexpression of CuZnSOD had a protective effect in NO-induced human islets, INS-1 insulin-secreting cells (<xref rid="b28-mmr-07-05-1607" ref-type="bibr">28</xref>) and alloxan- and streptozotocin-induced diabetes (<xref rid="b29-mmr-07-05-1607" ref-type="bibr">29</xref>,<xref rid="b30-mmr-07-05-1607" ref-type="bibr">30</xref>). CAT has also exhibited a protective effect against H<sub>2</sub>O<sub>2</sub> and streptozotocin-induced oxidative stress <italic>in vivo</italic>(<xref rid="b31-mmr-07-05-1607" ref-type="bibr">31</xref>). Additionally, combinatorial overexpression of CAT and GSH-px has been shown to have a protective effect against ROS-induced oxidative stress through improving the activity of CuZnSOD or MnSOD (<xref rid="b32-mmr-07-05-1607" ref-type="bibr">32</xref>&#x02013;<xref rid="b35-mmr-07-05-1607" ref-type="bibr">35</xref>).</p>
<p>In conclusion, the present study showed that LWE had protective activity against SIN-1-induced cell death in Syrian hamster HIT-T15 insulin-secreting cells. LWE effectively scavenged the products of SIN-1-induced intracellular ROS generation and reduced pancreatic &#x003B2; cell death through increasing the activity of intracellular antioxidant enzymes, including SOD, CAT and GSH-Px. LWE also promoted insulin secretion in SIN-1-treated HIT-T15 cells.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the Natural Science Foundation Project of CQ CSTC (No. CSTC2012jjA80002) and the Science and Technology Research Project of Chongqing Municipal Education Commission (No. KJ121504)</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-mmr-07-05-1607"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Halliwell</surname><given-names>B</given-names></name></person-group><article-title>Reactive species and antioxidants. Redox biology is a fundamental theme of aerobic life</article-title><source>Plant Physiol</source><volume>141</volume><fpage>312</fpage><lpage>22</lpage><year>2006</year></element-citation></ref>
<ref id="b2-mmr-07-05-1607"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Evans</surname><given-names>JL</given-names></name><name><surname>Goldfine</surname><given-names>ID</given-names></name><name><surname>Maddux</surname><given-names>BA</given-names></name><name><surname>Grodsky</surname><given-names>GM</given-names></name></person-group><article-title>Are oxidative stress-activated signaling pathways mediators of insulin resistance and beta-cell dysfunction?</article-title><source>Diabetes</source><volume>52</volume><fpage>1</fpage><lpage>8</lpage><year>2003</year></element-citation></ref>
<ref id="b3-mmr-07-05-1607"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rahimi</surname><given-names>R</given-names></name><name><surname>Nikfar</surname><given-names>S</given-names></name><name><surname>Larijani</surname><given-names>B</given-names></name><name><surname>Abdollahi</surname><given-names>M</given-names></name></person-group><article-title>A review on the role of antioxidants in the management of diabetes and its complications</article-title><source>Biomed Pharmacother</source><volume>59</volume><fpage>365</fpage><lpage>373</lpage><year>2005</year></element-citation></ref>
<ref id="b4-mmr-07-05-1607"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robertson</surname><given-names>RP</given-names></name><name><surname>Harmon</surname><given-names>JS</given-names></name></person-group><article-title>Diabetes, glucose toxicity, and oxidative stress: a case of double jeopardy for the pancreatic islet beta cell</article-title><source>Free Radic Biol Med</source><volume>41</volume><fpage>177</fpage><lpage>184</lpage><year>2006</year></element-citation></ref>
<ref id="b5-mmr-07-05-1607"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bell</surname><given-names>DS</given-names></name></person-group><article-title>Do sulfonylurea drugs increase the risk of cardiac events?</article-title><source>CMAJ</source><volume>174</volume><fpage>185</fpage><lpage>186</lpage><year>2006</year></element-citation></ref>
<ref id="b6-mmr-07-05-1607"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Home</surname><given-names>PD</given-names></name><name><surname>Pocock</surname><given-names>SJ</given-names></name><name><surname>Beck-Nielsen</surname><given-names>H</given-names></name><name><surname>Gomis</surname><given-names>R</given-names></name><name><surname>Hanefeld</surname><given-names>M</given-names></name><name><surname>Jones</surname><given-names>NP</given-names></name><name><surname>Komajda</surname><given-names>M</given-names></name><name><surname>McMurray</surname><given-names>JJ</given-names></name></person-group><collab>RECORD Study Group</collab><article-title>Rosiglitazone evaluated for cardiovascular outcomes - an interim analysis</article-title><source>N Engl J Med</source><volume>357</volume><fpage>28</fpage><lpage>38</lpage><year>2007</year></element-citation></ref>
<ref id="b7-mmr-07-05-1607"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Psaty</surname><given-names>BM</given-names></name><name><surname>Furberg</surname><given-names>CD</given-names></name></person-group><article-title>The record on rosiglitazone and the risk of myocardial infarction</article-title><source>N Engl J Med</source><volume>357</volume><fpage>67</fpage><lpage>69</lpage><year>2007</year></element-citation></ref>
<ref id="b8-mmr-07-05-1607"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nathan</surname><given-names>DM</given-names></name></person-group><article-title>Rosiglitazone and cardiotoxicity - weighing the evidence</article-title><source>N Engl J Med</source><volume>357</volume><fpage>64</fpage><lpage>66</lpage><year>2007</year></element-citation></ref>
<ref id="b9-mmr-07-05-1607"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bailey</surname><given-names>CJ</given-names></name><name><surname>Day</surname><given-names>C</given-names></name></person-group><article-title>Traditional plant medicines as treatments for diabetes</article-title><source>Diabetes Care</source><volume>12</volume><fpage>553</fpage><lpage>564</lpage><year>1989</year></element-citation></ref>
<ref id="b10-mmr-07-05-1607"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Garcia</surname><given-names>F</given-names></name></person-group><article-title>Distribution and deterioration of insulin-like principle in <italic>Lagerstroemia speciosa</italic> (banaba)</article-title><source>Acta Med Philippina</source><volume>3</volume><fpage>99</fpage><lpage>104</lpage><year>1941</year></element-citation></ref>
<ref id="b11-mmr-07-05-1607"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Klein</surname><given-names>G</given-names></name><name><surname>Kim</surname><given-names>J</given-names></name><name><surname>Himmeldirk</surname><given-names>K</given-names></name><name><surname>Cao</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name></person-group><article-title>Antidiabetes and anti-obesity activity of <italic>Lagerstroemia speciosa</italic></article-title><source>Evid Based Complement Alternat Med</source><volume>4</volume><fpage>401</fpage><lpage>407</lpage><year>2007</year></element-citation></ref>
<ref id="b12-mmr-07-05-1607"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mishra</surname><given-names>Y</given-names></name><name><surname>Khan</surname><given-names>MSY</given-names></name><name><surname>Zafar</surname><given-names>R</given-names></name><name><surname>Agarwal</surname><given-names>SS</given-names></name></person-group><article-title>Hypoglycemic activity of leaves of <italic>Lagerstroemia speciosa</italic> (L) Pers</article-title><source>Indian J Pharmacol</source><volume>22</volume><fpage>174</fpage><lpage>176</lpage><year>1990</year></element-citation></ref>
<ref id="b13-mmr-07-05-1607"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Priya</surname><given-names>TT</given-names></name><name><surname>Sabu</surname><given-names>MC</given-names></name><name><surname>Jolly</surname><given-names>CI</given-names></name></person-group><article-title>Free radical scavenging and anti-inflammatory properties of <italic>Lagerstroemia speciosa</italic> (L)</article-title><source>Inflammopharmacology</source><volume>16</volume><fpage>182</fpage><lpage>187</lpage><year>2008</year></element-citation></ref>
<ref id="b14-mmr-07-05-1607"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Khan</surname><given-names>MT</given-names></name><name><surname>Lampronti</surname><given-names>I</given-names></name><name><surname>Martello</surname><given-names>D</given-names></name><name><surname>Bianchi</surname><given-names>N</given-names></name><name><surname>Jabbar</surname><given-names>S</given-names></name><name><surname>Choudhuri</surname><given-names>MS</given-names></name><name><surname>Datta</surname><given-names>BK</given-names></name><name><surname>Gambari</surname><given-names>R</given-names></name></person-group><article-title>Identification of pyrogallol as an antiproliferative compound present in extracts from the medicinal plant <italic>Emblica officinalis</italic>: effects on in vitro cell growth of human tumor cell lines</article-title><source>Int J Oncol</source><volume>21</volume><fpage>187</fpage><lpage>192</lpage><year>2002</year></element-citation></ref>
<ref id="b15-mmr-07-05-1607"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname><given-names>Y</given-names></name><name><surname>Unno</surname><given-names>T</given-names></name><name><surname>Ushitani</surname><given-names>M</given-names></name><name><surname>Hayashi</surname><given-names>K</given-names></name><name><surname>Kakuda</surname><given-names>T</given-names></name></person-group><article-title>Antiobesity activity of extracts from <italic>Lagerstroemia speciosa</italic> L. leaves on female KK-Ay mice</article-title><source>J Nutr Sci Vitaminol (Tokyo)</source><volume>45</volume><fpage>791</fpage><lpage>795</lpage><year>1999</year></element-citation></ref>
<ref id="b16-mmr-07-05-1607"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kakuda</surname><given-names>T</given-names></name><name><surname>Sakane</surname><given-names>I</given-names></name><name><surname>Takihara</surname><given-names>T</given-names></name><name><surname>Ozaki</surname><given-names>Y</given-names></name><name><surname>Takeuchi</surname><given-names>H</given-names></name><name><surname>Kuroyanagi</surname><given-names>M</given-names></name></person-group><article-title>Hypoglycemic effect of extracts from <italic>Lagerstroemia speciosa</italic> L. leaves in genetically diabetic KK-AY mice</article-title><source>Biosci Biotechnol Biochem</source><volume>60</volume><fpage>204</fpage><lpage>208</lpage><year>1996</year></element-citation></ref>
<ref id="b17-mmr-07-05-1607"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Kim</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name></person-group><article-title>An extract of <italic>Lagerstroemia speciosa</italic> L. has insulin-like glucose uptake-stimulatory and adipocyte differentiation-inhibitory activities in 3T3-L1 cells</article-title><source>J Nutr</source><volume>131</volume><fpage>2242</fpage><lpage>2247</lpage><year>2001</year></element-citation></ref>
<ref id="b18-mmr-07-05-1607"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Kim</surname><given-names>JK</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name></person-group><article-title>Tannic acid stimulates glucose transport and inhibits adipocyte differentiation in 3T3-L1 cells</article-title><source>J Nutr</source><volume>135</volume><fpage>165</fpage><lpage>171</lpage><year>2005</year></element-citation></ref>
<ref id="b19-mmr-07-05-1607"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>J</given-names></name><name><surname>Sun</surname><given-names>H</given-names></name><name><surname>Duan</surname><given-names>W</given-names></name><name><surname>Mu</surname><given-names>D</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name></person-group><article-title>Maslinic acid reduces blood glucose in KK-Ay mice</article-title><source>Biol Pharm Bull</source><volume>30</volume><fpage>2075</fpage><lpage>2078</lpage><year>2007</year></element-citation></ref>
<ref id="b20-mmr-07-05-1607"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fraga</surname><given-names>CG</given-names></name><name><surname>Leibovitz</surname><given-names>BE</given-names></name><name><surname>Tappel</surname><given-names>AL</given-names></name></person-group><article-title>Lipid peroxidation measured as thiobarbituric acid-reactive substances in tissue slices: characterization and comparison with homogenates and microsomes</article-title><source>Free Radic Biol Med</source><volume>4</volume><fpage>155</fpage><lpage>161</lpage><year>1988</year></element-citation></ref>
<ref id="b21-mmr-07-05-1607"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nelson</surname><given-names>DP</given-names></name><name><surname>Kiesow</surname><given-names>LA</given-names></name></person-group><article-title>Enthalpy of decomposition of hydrogen peroxide by catalase at 25 degrees C (with molar extinction coefficients of H<sub>2</sub>O<sub>2</sub> solutions in the UV)</article-title><source>Anal Biochem</source><volume>49</volume><fpage>474</fpage><lpage>478</lpage><year>1972</year></element-citation></ref>
<ref id="b22-mmr-07-05-1607"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Marklund</surname><given-names>S</given-names></name><name><surname>Marklund</surname><given-names>G</given-names></name></person-group><article-title>Involvement of the superoxide anion radical in the autoxidation of pyrogallol and a convenient assay for superoxide dismutase</article-title><source>Eur J Biochem</source><volume>47</volume><fpage>469</fpage><lpage>474</lpage><year>1974</year></element-citation></ref>
<ref id="b23-mmr-07-05-1607"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hafeman</surname><given-names>DG</given-names></name><name><surname>Sunde</surname><given-names>RA</given-names></name><name><surname>Hoekstra</surname><given-names>WG</given-names></name></person-group><article-title>Effect of dietary selenium on erythrocyte and liver glutathione peroxidase in the rat</article-title><source>J Nutr</source><volume>104</volume><fpage>580</fpage><lpage>587</lpage><year>1974</year></element-citation></ref>
<ref id="b24-mmr-07-05-1607"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robertson</surname><given-names>RP</given-names></name><name><surname>Harmon</surname><given-names>J</given-names></name><name><surname>Tran</surname><given-names>PO</given-names></name><name><surname>Tanaka</surname><given-names>Y</given-names></name><name><surname>Takahashi</surname><given-names>H</given-names></name></person-group><article-title>Glucose toxicity in beta-cells: type 2 diabetes, good radicals gone bad, and the glutathione connection</article-title><source>Diabetes</source><volume>52</volume><fpage>581</fpage><lpage>587</lpage><year>2003</year></element-citation></ref>
<ref id="b25-mmr-07-05-1607"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname><given-names>Q</given-names></name><name><surname>Law</surname><given-names>PK</given-names></name><name><surname>de Gasparo</surname><given-names>M</given-names></name><name><surname>Leung</surname><given-names>PS</given-names></name></person-group><article-title>Combination of the dipeptidyl peptidase IV inhibitor LAF237 &#x0005B;(S)-1-&#x0005B;(3-hydroxy-1-adamantyl)ammo&#x0005D;acetyl-2-cyanopyrrolidine&#x0005D; with the angiotensin II type 1 receptor antagonist valsartan &#x0005B;N-(1-oxopentyl)-N-&#x0005B;&#x0005B;2&#x02032;-(1H-tetrazol-5-yl)-&#x0005B;1,1&#x02032;-biphenyl&#x0005D;-4-yl&#x0005D;methyl&#x0005D;-L-valine&#x0005D; enhances pancreatic islet morphology and function in a mouse model of type 2 diabetes</article-title><source>J Pharmacol Exp Ther</source><volume>327</volume><fpage>683</fpage><lpage>691</lpage><year>2008</year></element-citation></ref>
<ref id="b26-mmr-07-05-1607"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lenzen</surname><given-names>S</given-names></name></person-group><article-title>Oxidative stress: the vulnerable beta-cell</article-title><source>Biochem Soc Trans</source><volume>36</volume><fpage>343</fpage><lpage>347</lpage><year>2008</year></element-citation></ref>
<ref id="b27-mmr-07-05-1607"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>H</given-names></name><name><surname>Ollinger</surname><given-names>K</given-names></name><name><surname>Brunk</surname><given-names>U</given-names></name></person-group><article-title>Insulinoma cells in culture show pronounced sensitivity to alloxan-induced oxidative stress</article-title><source>Diabetologia</source><volume>38</volume><fpage>635</fpage><lpage>641</lpage><year>1995</year></element-citation></ref>
<ref id="b28-mmr-07-05-1607"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moriscot</surname><given-names>C</given-names></name><name><surname>Pattou</surname><given-names>F</given-names></name><name><surname>Kerr-Conte</surname><given-names>J</given-names></name><name><surname>Richard</surname><given-names>MJ</given-names></name><name><surname>Lemarchand</surname><given-names>P</given-names></name><name><surname>Benhamou</surname><given-names>PY</given-names></name></person-group><article-title>Contribution of adenoviral-mediated superoxide dismutase gene transfer to the reduction in nitric oxide-induced cytotoxicity on human islets and INS-1 insulin-secreting cells</article-title><source>Diabetologia</source><volume>43</volume><fpage>625</fpage><lpage>631</lpage><year>2000</year></element-citation></ref>
<ref id="b29-mmr-07-05-1607"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kubisch</surname><given-names>HM</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Bray</surname><given-names>TM</given-names></name><name><surname>Phillips</surname><given-names>JP</given-names></name></person-group><article-title>Targeted overexpression of Cu/Zn superoxide dismutase protects pancreatic beta-cells against oxidative stress</article-title><source>Diabetes</source><volume>46</volume><fpage>1563</fpage><lpage>1566</lpage><year>1997</year></element-citation></ref>
<ref id="b30-mmr-07-05-1607"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kubisch</surname><given-names>HM</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Luche</surname><given-names>R</given-names></name><name><surname>Carlson</surname><given-names>E</given-names></name><name><surname>Bray</surname><given-names>TM</given-names></name><name><surname>Epstein</surname><given-names>CJ</given-names></name><name><surname>Phillips</surname><given-names>JP</given-names></name></person-group><article-title>Transgenic copper/zinc superoxide dismutase modulates susceptibility to type I diabetes</article-title><source>Proc Natl Acad Sci USA</source><volume>91</volume><fpage>9956</fpage><lpage>9959</lpage><year>1994</year></element-citation></ref>
<ref id="b31-mmr-07-05-1607"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>B</given-names></name><name><surname>Moritz</surname><given-names>JT</given-names></name><name><surname>Epstein</surname><given-names>PN</given-names></name></person-group><article-title>Overexpression of catalase provides partial protection to transgenic mouse beta cells</article-title><source>Free Radic Biol Med</source><volume>27</volume><fpage>830</fpage><lpage>837</lpage><year>1999</year></element-citation></ref>
<ref id="b32-mmr-07-05-1607"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Amstad</surname><given-names>P</given-names></name><name><surname>Moret</surname><given-names>R</given-names></name><name><surname>Cerutti</surname><given-names>P</given-names></name></person-group><article-title>Glutathione peroxidase compensates for the hypersensitivity of Cu,Zn-superoxide dismutase overproducers to oxidant stress</article-title><source>J Biol Chem</source><volume>269</volume><fpage>1606</fpage><lpage>1609</lpage><year>1994</year></element-citation></ref>
<ref id="b33-mmr-07-05-1607"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lortz</surname><given-names>S</given-names></name><name><surname>Tiedge</surname><given-names>M</given-names></name></person-group><article-title>Sequential inactivation of reactive oxygen species by combined overexpression of SOD isoforms and catalase in insulin-producing cells</article-title><source>Free Radic Biol Med</source><volume>34</volume><fpage>683</fpage><lpage>688</lpage><year>2003</year></element-citation></ref>
<ref id="b34-mmr-07-05-1607"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lepore</surname><given-names>DA</given-names></name><name><surname>Shinkel</surname><given-names>TA</given-names></name><name><surname>Fisicaro</surname><given-names>N</given-names></name><name><surname>Mysore</surname><given-names>TB</given-names></name><name><surname>Johnson</surname><given-names>LE</given-names></name><name><surname>d&#x02019;Apice</surname><given-names>AJ</given-names></name><name><surname>Cowan</surname><given-names>PJ</given-names></name></person-group><article-title>Enhanced expression of glutathione peroxidase protects islet beta cells from hypoxia-reoxygenation</article-title><source>Xenotransplantation</source><volume>11</volume><fpage>53</fpage><lpage>59</lpage><year>2004</year></element-citation></ref>
<ref id="b35-mmr-07-05-1607"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mysore</surname><given-names>TB</given-names></name><name><surname>Shinkel</surname><given-names>TA</given-names></name><name><surname>Collins</surname><given-names>J</given-names></name><name><surname>Salvaris</surname><given-names>EJ</given-names></name><name><surname>Fisicaro</surname><given-names>N</given-names></name><name><surname>Murray-Segal</surname><given-names>LJ</given-names></name><name><surname>Johnson</surname><given-names>LE</given-names></name><name><surname>Lepore</surname><given-names>DA</given-names></name><name><surname>Walters</surname><given-names>SN</given-names></name><name><surname>Stokes</surname><given-names>R</given-names></name><name><surname>Chandra</surname><given-names>AP</given-names></name><name><surname>O&#x02019;Connell</surname><given-names>PJ</given-names></name><name><surname>d&#x02019;Apice</surname><given-names>AJ</given-names></name><name><surname>Cowan</surname><given-names>PJ</given-names></name></person-group><article-title>Overexpression of glutathione peroxidase with two isoforms of superoxide dismutase protects mouse islets from oxidative injury and improves islet graft function</article-title><source>Diabetes</source><volume>54</volume><fpage>2109</fpage><lpage>2116</lpage><year>2005</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-mmr-07-05-1607" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on the cell viability of HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-d</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g00.gif"/></fig>
<fig id="f2-mmr-07-05-1607" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on the cell viability of SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-f</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g01.gif"/></fig>
<fig id="f3-mmr-07-05-1607" position="float">
<label>Figure 3</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on intracellular ROS levels in SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-e</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. ROS, reactive oxygen species; SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g02.gif"/></fig>
<fig id="f4-mmr-07-05-1607" position="float">
<label>Figure 4</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on intracellular malondialdehyde (MDA) levels in SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-f</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g03.gif"/></fig>
<fig id="f5-mmr-07-05-1607" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on superoxide dismutase (SOD) levels in SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-d</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g04.gif"/></fig>
<fig id="f6-mmr-07-05-1607" position="float">
<label>Figure 6</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on catalase (CAT) levels in SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-d</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g05.gif"/></fig>
<fig id="f7-mmr-07-05-1607" position="float">
<label>Figure 7</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on glutathione peroxidase (GSH-px) levels in SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-e</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g06.gif"/></fig>
<fig id="f8-mmr-07-05-1607" position="float">
<label>Figure 8</label>
<caption>
<p>Effects of hot water extracts from <italic>Lagerstroemia speciosa</italic> leaves (LWE) on insulin levels in SIN-1-treated HIT-T15 pancreatic cells. Data are representative of three independent experiments and are expressed as the mean &#x000B1; SD. <sup>a-e</sup>Mean values with different letters on the bars are significantly different (P&lt;0.05) according to Duncan&#x02019;s multiple range test. SIN-1, 3-morpholinosydnonimine.</p></caption>
<graphic xlink:href="MMR-07-05-1607-g07.gif"/></fig></floats-group></article>
