Abstract
Levan is an exopolysaccharide of fructose primarily linked by β-(2→6) glycosidic bonds with some β-(2→1) branched chains. Due to its chemical properties, levan has possible applications in both the food and pharmaceutical industries. Bacillus subtilis is a promising industrial levan producer, as it ferments sucrose and has a high levan-formation capacity. A new strain of B. subtilis was recently isolated from Japanese food natto, and it has produced levan in large quantities. For future pharmaceutical applications, this study aimed to investigate the effects of levan produced by B. subtilis Natto, mainly as potential hypoglycemic agent, (previously optimized with a molecular weight equal to 72.37 and 4,146 kDa) in Wistar male rats with diabetes induced by streptozotocin and non-diabetic rats and to monitor their plasma cholesterol and triacylglycerol levels. After 15 days of experimentation, the animals were sacrificed, and their blood samples were analyzed. The results, compared using analysis of variance, demonstrated that for this type of levan, a hypoglycemic effect was not observed, as there was no improvement of diabetes symptoms during the experiment. However, levan did not affect any studied parameters in normal rats, indicating that the exopolysaccharide can be used for other purposes.
Keywords: Levan, Bacillus subtilis Natto, hypoglycemia
INTRODUCTION
Diabetes mellitus is a chronic disease with an increasingly growing incidence rate, leading to a high number of deaths. In addition to resulting in an increased plasma glucose level (34), diabetes results in an increase in the level of cholesterol (31), facilitating the development of cardiovascular disease (28). According to the World Health Organization (WHO) (29), more than 220 million people worldwide have diabetes. In 2004, an estimated 3.4 million people died from complications associated with diabetes. In 2008, diabetes was the underlying cause of 1.3 million deaths, and the global prevalence was estimated to be 9%. The WHO projects that diabetes deaths will double between 2005 and 2030, and the estimated costs in China alone will be US$558 billion in lost national income between the years 2006 and 2015 due to heart disease, stroke and diabetes alone.
Many of the currently marketed drugs have several side effects and limitations (14), which makes it necessary to study alternatives to these drugs. Recently, many natural and non-toxic polysaccharides isolated from bacteria, fungi and plants with potential applications against diabetes have been studied, including levan (4, 13, 30), oligosaccharide ROS (33), heteropolysaccharide protein (12), heteropolysaccharide CSP-1 (15), botryosphaeran (21) heteropolysaccharide PPSB (27), chitosan (17, 31) and acid polysaccharide LBP-1 (34).
Levan is an exopolysaccharide composed of fructose that is primarily linked by β-(2→6) glycosidic bonds with some β-(2→1) branch chains (11). It is synthesized by levansucrase (EC 2.4.1.10) in medium with a large quantity of sucrose (20). Levan presents a number of benefits that can be exploited, especially in the pharmaceutical industry, such as a hypoglycemic, hypocholesterolemic and anticarcinogenic agent; a blood plasma substitute; and an immunomodulator, immunostimulatory and anti-cytotoxic agent (1, 3, 4, 10, 22, 26, 32).
Among the microorganisms capable of synthesizing levan, Bacillus subtilis Natto, a nonpathogenic strain (23) that is used in the fermentation of Japanese food natto, has demonstrated great potential in converting sucrose into levan (24, 25).
Because levan is an easily accessible, non-toxic polymer with pharmaceutical potential, this study aimed to investigate the effects of levan produced by Bacillus subtilis Natto, mainly as potential hypoglycemic agent, in normal rats and with diabetes mellitus induced by a streptozotocin-diabetogenic drug.
MATERIALS AND METHODS
Microorganism and culture media
The B. subtilis Natto strain was isolated from the Japanese food natto by the Department of Biochemistry and Biotechnology, and it was identified by the Tropical Culture Collection, André Tosselo Foundation, Campinas SP, Brazil. The strain was sub-cultured every 2 months and maintained at 4 °C in a medium containing 50 g.L-1 peptone, 30 g.L-1 meat extract and 20 g.L-1 agar. The inoculum medium contained 100 g.L-1 sucrose, 2 g.L-1 yeast extract, 2 g.L-1 KH2PO4, 1 g.L-1 (NH4)2SO4 and 0.5 g.L-1 MgSO4•7H2O (4). The fermentation medium contained 300 g.L-1 sucrose, 2 g.L-1 yeast extract, 1 g.L-1 KH2PO4, 3 g.L-1 (NH4)2SO4, 0.6 g.L-1 MgSO4•7H2O, 0.2 g.L-1 MnSO4 and 0.25 g.L-1 ammonium citrate (9, modify).
Levan production
The levan used in these experiments was produced by submerged fermentation, and its production conditions were previously optimized by statistical planning (19). The best productivity was obtained at 300 g.L-1 of sucrose, pH 8, with a temperature of 39.5 °C and a shaking speed of 100 rpm for 21 hours, which corresponded to 5.82 g L-1h-1 when using the fermentation medium described in the previous section. Levan obtained in optimized conditions was characterized by High-Performance Size Exclusion Chromatography (HPSEC). Two components were detected: peak 1 corresponded to a molecular weight of 4,146 kDa, which was equivalent to 5% of the sample, and peak 2 corresponded to 72.37 kDa, which was the majority component equivalent to 95% of the sample. To test its use as a hypoglycemic agent, levan was produced by fermentation on a larger scale using a 2000-mL Erlenmeyer flask with 500 ml of culture medium. The levan obtained was precipitated with absolute ethanol, dialyzed against deionized water, lyophilized and stored.
Preparation of levan solution
A solution of levan was prepared at 200 mg.kg-1 of animal body weight (32,5) in distilled water. The solution was subjected to flowing steam for 20 min, and after cooling, it was transferred to sterile containers for subsequent application.
Experimental animals
This work was conducted at the Department of Physiological Sciences (CIF) at the Center of Biological Sciences (CCB) in the State University of Londrina (UEL), and all experiments were approved by the Ethics Committee on Animal Experiments of UEL (EAEC - UEL) n°. 7/10, process n°. 1171/2010–08.
The animals were obtained from the Central Animal Vivarium at the State University of Londrina, Paraná, Brazil, and housed in 4 collective cages with controlled temperature and humidity (23 ± 2 °C and 60 ± 5 %) and a 12-h light:12-h dark cycle. They were given free access to water and food (Nivulab CR1, Nuvital ® - Apucarana, PR-Brazil). After one week, the animals were transferred to individual cages and randomly separated into 4 groups with five animals in each group: normal (N), normal + levan (N+Lev), diabetic (D) and diabetic + levan (D+Lev). All of the environmental conditions were maintained during the experimental period.
The levan solution was administered by gavage to the groups (N+Lev) and (D+Lev) at a dose of 200 mg.kg-1 body weight daily for 15 days, while groups (N) and (D) received distilled water. Weight gain, food intake measured in grams of food consumed per 100 g of body weight (g.100 g-1), and the rate of feed conversion efficiency (FCE) (the mass of the food eaten divided by the body mass gain) were analyzed over the 15 days of experimentation.
Preparation of diabetic rats
The rats were fasted for 12 h, and diabetes was induced by an i.m. injection of streptozotocin (STZ) (Sigma Chemical Co.) in a single dose of 65 mg.kg-1 body weight. The drug was dissolved in a freshly prepared 0.1 M citrate buffer (pH 4.5) according to Bolkent et al. (2). The normal animals, (N) and (N+Lev), received only citrate buffer. Two days after STZ injection, the glucose level in the urine was determined with a glucose oxidase assay, and the animals that had a value above 250 mg.dL-1 were considered diabetic.
The diabetic rats used in this work, those in groups (D) and (D + Lev), were induced by the action of STZ, a broad-spectrum antibiotic originated from Streptomyces acromogenes, which destroys pancreatic β-cells, preventing the production of insulin and resulting in increased blood glucose concentration characteristic of type I diabetes (12). Therefore, the drug’s action prevents the recovery of the animals, and symptom improvement is observed only during treatment with compounds that can promote the reduction of metabolic disorders.
Evaluation of glucose, total cholesterol and triacylglycerol levels
After the last day of treatment (16th), the animals were fasted for 16 h and then sacrificed by decapitation. Blood was collected in heparinized tubes (Liquemine 5000 IU) and centrifuged at 7000 G for 30 min to separate the plasma. Immediately after centrifugation, plasma measurements were performed using the oxidase/peroxidase method with commercial kits (Biodiagnóstica®, PR) for glucose (Glucose Bioliquid), total cholesterol (Cholesterol Bioliquid) and triglyceride (Triglycerides Bioliquid) levels to evaluate the hypoglycemic activity of levan.
Statistical analysis
All values are expressed as the mean ± standard deviation (S.D.). Statistical significance was calculated by analysis of variance (ANOVA) followed by Student’s t-test. P < 0.05 was considered statistically significant.
RESULTS AND DISCUSSION
Analysis of glucose, total cholesterol and triacylglycerol levels in fasting blood
After fifteen days of experimentation, the levels of plasma glucose, total cholesterol and triacylglycerol were measured, and the results are shown in Table 1.
Table 1.
Groups | Glucose (mg.dL-1) | Total Cholesterol (mg.dL-1) | Triacylglycerol (mg.dL-1) |
---|---|---|---|
N | 111.64 ± 10.21(a) | 86.83 ± 18.87(a) | 100.03 ± 9.21(a) |
N + Lev | 116.11 ± 1.21(a) | 84.59 ± 11.57(a) | 84.61 ± 25.63(a) |
D | 434.75 ± 42.08(b) | 86.79 ± 16.69(a) | 564.87 ± 480.14(ab) |
D + Lev | 437.88 ± 74.14(b) | 115.45 ± 23.60(a) | 1,085.91± 407.14(b) |
Values are expressed as the mean ± S.D. (n = 5). The dose of levan was 200 mg.kg-1.
Means with different letters within a column are significantly different (p < 0.05).
The plasma glucose values observed in groups (N) and (N+Lev) did not differ statistically. Likewise, no difference was observed for the glucose level between the (D) and (D+Lev) groups. Based on these results, we can state that the levan produced by B. subtilis Natto used in this work did not act as a hypoglycemic agent because it did not reduce the glucose level of group (D+Lev) compared with group (D).
The total cholesterol levels did not differ statistically among the groups. The triacylglycerol level was significantly different between normal and diabetics rats, but within the groups, it was not different, as the standard deviation was in the same range, suggesting that the levan applied had neither hypocholesterolemic nor hypolipidemic effects. Although the statistical data show no difference between diabetic groups, the polymer unexpectedly increased the triacylglycerol levels in the (D+Lev) group. Therefore, the data obtained in this study do not agree with the results published by Yamamoto et al. (30), in which, despite the hypercaloric diet, they observed reductions in the levels of plasma cholesterol, triacylglycerol and glucose of 40%, 5% and 10%, respectively, when using a 1 or 5% composition of high-molecular weight levan (2000 kDa) in the feed they offered. These authors proposed that a possible unknown mechanism of entrapping sterols molecules by levan could lead to this lowering of cholesterol and triacylglycerol levels.
Kang et al. (13), using high-molecular weight levan at a concentration of 1, 5 and 10% in diets for obese rats, observed that levan acted as a hypolipidemic agent because it inhibited lipogenesis and stimulated lipolysis by increasing UPC gene transcription. Because body fat development and adipocyte hypertrophy were suppressed, leptin secretion decreased. This hormone has a link with insulin in the long-term regulation of homeostasis energy (6), which could lead to a drop in carbohydrate absorption. Furthermore, Chen et al. (4) used a β-fructan, which is similar to levan but with a lower molecular weight (3.2 and 4.29 kDa), and observed a 70% reduction in plasma glucose in rats, the same reduction promoted by the control, Rosiglitazone (anti-diabetic-drug), used for these studies. Contrary to the literature, the levan utilized in this work did not present any of these effects.
Other published studies regarding the use of polymers composed of carbohydrates from plants (27, 33, 34), fungi (12, 15, 16, 21), bacteria (8) and crustaceans (17, 31) as hypoglycemic and hypocholesterolemic agents obtained a series of positive results involving reductions in plasma glucose levels, which ranged between 20 and 70%. Reductions in total plasma cholesterol levels that ranged between 20 and 80% and triacylglycerol level reductions that reached 38% were observed in mice and rats with diabetes induced by alloxan and STZ or in obese animals with hypercaloric diets.
Analysis of weight gain, food intake and feed conversion efficiency (FCE)
A higher food intake level and a decrease in feed conversion efficiency, in association with altered metabolic parameters, are factors that characterize the clinical symptoms of diabetes mellitus type I. Because β-cells can no longer produce insulin to uptake plasma glucose for further metabolism, the animals begin to lose weight (18). The analyses of weight gain, food intake and feed conversion efficiency were performed, and the results are shown in Table 2.
Table 2.
Groups | Body Weight Gain | Food Intake | Feed Conversion Efficiency (FCE) |
---|---|---|---|
N | 5.28 ± 6.08(a) | 10.21 ± 1.18(a) | 0.52 |
N + Lev | 5.08 ± 6.30(a) | 10.60 ± 1.24(a) | 0.48 |
D | 0.91 ± 9.90(b) | 18.27 ± 2.32(b) | 0.05 |
D + Lev | -0.40 ± 8.67(b) | 20.09 ± 2.20(b) | -0.02 |
Values are expressed as the mean ± S.D. (n = 5). The dose of levan was 200 mg.kg-1.
Means with different letters within a column are significantly different (p < 0.05).
In accordance with the metabolic parameters, there was no statistical difference between the groups (N) and (N+Lev) or between the groups (D) and (D+Lev) in weight gain, which represents one of the symptoms of clinical diabetes because the diabetic groups lost weight compared with the normal groups. Considering the means of food intake, once more, there was no difference observed between groups (N) and (N+Lev), which was expected, but groups (D) and (D+Lev) were significantly different (p < 0.05) from the normal groups; once these animals become diabetic, they are, generally, hyperphagic. The feed conversion efficiency was normal for both groups (N) and (N+Lev), while for (D) and (D+Lev), the rate was extremely low and became negative for the group (D+Lev).
Yao et al. (31) demonstrated that chitosan had a hypoglycemic effect; however, the polymer did promote changes in the treatment animal’s weight by the end of the experiment. However, Hwang et al. (12) and Miranda (21), using fungal polysaccharides, observed that in addition to the plasma glucose reduction, weight gain (66%) and increased feed conversion efficiency (100%) compared with control animals, the food intake of treatment animals approached that of the normal animals.
Factors that may have interfered in levan’s action as a hypoglycemic agent
Molecular weight can be one of the factors that contributed to levan derived from B. subtilis Natto not inducing hypoglycemic, hypocholesterolemic or hypolipidemic effects. Whereas levan used in this work had a majority component (95%) with a molecular weight equivalent to 72.37 kDa, Yamamoto et al. (30), Kang et al. (13) and Chen et al. (4) reported positive results that were achieved with a considerably higher (2000 kDa) or lower (3.2 and 4.29 kDa) molecular weight compound. The degree of branching of levan may have also influenced the results because the microorganism used in this work, as well as the conditions for levan production, were different in relation to the earlier studies. The dosage used (200 mg.kg-1 body weight) is consistent with the published literature. Higher concentrations increase the viscosity of the solution, hindering levan application in the animals.
However, even without inducing the proposed effects, levan did not affect the bioenergetic metabolism of the animals, as no significant changes were observed between groups (N) and (N+Lev) or between groups (D) and (D+Lev). This finding demonstrates the possibly that levan did not interfere with homeostasis in general, which raises the possibility for its use for other purposes.
Finally, it is important to note that of the animals that received levan, groups (N+Lev) and (D+Lev), behaved calmer and less aggressive when handled as opposed to members of groups (N) and (D), which emitted stress behaviors such as biting, scratching and grunting, especially the diabetics. It can be inferred that levan contributed to a change in the behavior of these animals, but specific studies are necessary to prove this observation.
CONCLUSION
The levan used in this work had no effect as a hypoglycemic agent because it did not provide any improvement in diabetic animals during the experiment. It did not affect the metabolism in general, which attests to its legitimacy as a non-toxic compound that can be used for other purposes. Moreover, it is important to consider the behavioral changes observed in rats given levan; however, specific studies are needed to confirm this observation.
ACKNOWLEDGEMENTS
The authors are grateful to Capes-Brazil for the financial support provided for this work and to the Neuroendocrine Laboratory of Physiology and Metabolism (LaFINeM) at the Department of Physiologic Sciences in the State University of Londrina (UEL).
REFERENCES
- 1.Bekers M., Laukevics J., Karsakevich A., Ventina E., Kaminska E., Upite D., Vina I., Linde R., Scherbaka R. Levan-ethanol biosynthesis using Zymomonas mobilis cells immobilized by attachment and entrapment. Process Biochem. 2001;36:979–986. [Google Scholar]
- 2.Bolkent S., Yanardag R., Tabakoglu-Oguz A., Özsoy-Saçan Ö. Effects of chard (Beta vulgaris L. var. cicla) extract on pancreatic B cells in streptozotocin-diabetic rats: a morphological and biochemical study. J. Ethnopharmacol. 2000;73:251–259. doi: 10.1016/s0378-8741(00)00328-7. [DOI] [PubMed] [Google Scholar]
- 3.Calazans G.M.T., Lima R.C., França F.P., Lopes C.E. Molecular weight and antitumour activity of Zymomonas mobilis levans. Int. J. Biol. Macromol. 2000;27:245–247. doi: 10.1016/s0141-8130(00)00125-2. [DOI] [PubMed] [Google Scholar]
- 4.Chen X., Liu Y., Bai X., Wen L., Fang J., Ye M., Chen J. Hypoglycemic polysaccharides from the tuberous root of Liriope spicata. J. Nat. Prod. 2009;72:1988–1992. doi: 10.1021/np900346d. [DOI] [PubMed] [Google Scholar]
- 5.Cho E.J., Hwang H.J., Kim S.W., Oh J.Y., Baek Y.M., Choi J.W., Bae S.H., Yun J.W. Hypoglycemic effects of exopolysaccharides produced by mycelia cultures of two different mushrooms Tremella fuciformis e Phellinus baumii in ob/ob mice. Appl. Microbiol. Biotechnol. 2007;75:1257–1265. doi: 10.1007/s00253-007-0972-2. [DOI] [PubMed] [Google Scholar]
- 6.Dagogo J.S., Fanelli C., Parmore D., Brother J., Landt M. Plasma leptin and insulin relationship in obese and nonobese humans. Diabetes. 1996;45:695–698. doi: 10.2337/diab.45.5.695. [DOI] [PubMed] [Google Scholar]
- 7.Doelle H.W., Kirk L., Crittenden R., Toh H., Doelle M.B. Zymomonas mobilis: science and industrial application. Crit. Rev. Biotechnol. 1993;13:57–98. doi: 10.3109/07388559309069198. [DOI] [PubMed] [Google Scholar]
- 8.El-Gawad I.A.A., El-Sayed E.M., Hafez S.A., El-Zeini H.M., Saleh F.A. The hypocholesterolaemic effect of milk yoghurt and soy-yoghurt containing bifiodobacteria in rats fed on a cholesterol-enriched diet. Int. Dairy J. 2005;15:37–44. [Google Scholar]
- 9.Euzenat O., Guibert A., Combes D. Production of fructo oligosaccharides by levansucrase from Bacillus subtilis C4. Process Biochem. 1997;32(3):237–243. [Google Scholar]
- 10.Gupta S.K., Pal A.K., Sahu N.P., Dalvi R., Kumar V., Mukherjee S.C. Microbial levan in the diet of Labeo rohita Hamilton juveniles: effect on non-specific immunity and histopathological changes after challenge with Aeromonas hydrophila. J. Fish Dis. 2008;31:649–657. doi: 10.1111/j.1365-2761.2008.00939.x. [DOI] [PubMed] [Google Scholar]
- 11.Han Y.W., Clarke M.A. Production and characterization of microbial levan. J. Agric. Food Chem. 1990;38:393–396. [Google Scholar]
- 12.Hwang H.J., Kim S.W., Lim J.M., Joo J.H., Kim H.O., Kim H.M., Yun J.W. Hypoglycemic effect of crude exopolysaccharides produced by a medicinal mushroom Phellinus baumii in streptozotocin-induced diabetic rats. Life Sci. 2005;76:3069–3080. doi: 10.1016/j.lfs.2004.12.019. [DOI] [PubMed] [Google Scholar]
- 13.Kang S.A., Hong K., Jang K.H., Kim Y.Y., Choue R., Lim Y. Altered mRNA expression of hepatic lipogenic enzyme and PPAR alpha in rats fed dietary levan from Zymomonas mobilis. J. Nutr. Biochem. 2006;17:419–426. doi: 10.1016/j.jnutbio.2005.08.012. [DOI] [PubMed] [Google Scholar]
- 14.Kuzuya T., Nakagawa S., Satoh J., Kanazawa Y., Iwamoto Y., Kobayashi M., Nanjo K., Sasaki A., Seino Y., Ito C., Shima K., Nonaka K., Kadowaki T. Report of the Committee on the classification and diagnostic criteria of diabetes mellitus. Diabetes Res. Clin. Pract. 2002;55:65–85. doi: 10.1016/s0168-8227(01)00365-5. [DOI] [PubMed] [Google Scholar]
- 15.Li S.P., Zhang G.H., Zeng Q., Huang Z.G., Wang Y.T., Dong T.T.X., Tsim K.W.K. Hypoglycemic activity of polysaccharide, with antioxidation, isolated from cultured Cordyceps mycelia. Phytomedicine. 2006;13:428–433. doi: 10.1016/j.phymed.2005.02.002. [DOI] [PubMed] [Google Scholar]
- 16.Li H., Zhang M., Ma G. Hypolipidemic effect of the polysaccharide from Pholiota nameko. Nutr. 2010;26:556–562. doi: 10.1016/j.nut.2009.06.009. [DOI] [PubMed] [Google Scholar]
- 17.Liu J., Zhang J., Xia W. Hypocholesterolaemic effects of different chitosan samples in vitro and in vivo. Food Chem. 2008;107:419–425. [Google Scholar]
- 18.Luo Q., Cai Y., Yan J., Sun M., Corke H. Hypoglycemic and hypolipidemic effects and antioxidant activity of fruit extracts from Lycium barbarum. Life Sci. 2004;76:137–149. doi: 10.1016/j.lfs.2004.04.056. [DOI] [PubMed] [Google Scholar]
- 19.Melo I.R., Pimentel M.F., Lopes C.E., Calazans G.M.T. Application of fractional factorial design to levan production by Zymomonas mobilis. Bras. J. Microbiol. 2007;38:45–51. [Google Scholar]
- 20.Meng G., Fütterer K. Sctrutural framework of fructosyl transfer in Bacillus subtilis levansucrase. Nat. Struct. Biol. 2003;10:953–1041. doi: 10.1038/nsb974. [DOI] [PubMed] [Google Scholar]
- 21.Miranda C.C.B.O. Brasil: Londrina; 2006. Produção de botriosferana e avaliação de suas atividades mutagênica, antimutagênica, hipoglicemiante e hipocolesterolêmica; p. 185. (M.Sc. Dissertation. Departamento de Bioquímica e Biotecnologia. UEL) [Google Scholar]
- 22.Oliveira M.R., Silva R.S.S.F., Buzato J.B., Celligoi M.A.P.C. Study of levan production by Zymomonas mobilis using regional low-cost carbohydrate sources. Biochem. Eng. J. 2007;37:177–183. [Google Scholar]
- 23.Ryan K.J., Ray C.G. Sherris Medical Microbiology. 4th. New York: McGraw Hill; 2004. [Google Scholar]
- 24.Shih I.L., Yu Y.T., Shieh C.J., Hsieh C.Y. Selective Production and Characterization of Levan by Bacillus subtilis (Natto) Takahashi. J. Agric. Food Chem. 2005;53:8211–8215. doi: 10.1021/jf058084o. [DOI] [PubMed] [Google Scholar]
- 25.Shih I.L., Chen L.D., Wu J.Y. Levan production using Bacillus subtilis natto cells immobilized on alginate. Carbohydr. Polym. 2010;82:111–117. [Google Scholar]
- 26.Shu C.H., Lung M.Y. Effect of pH on the production and molecular weight distribution of exopolisaccharides by Antrodia camphorata in batch cultures. Process Biochem. 2004;39:931–937. [Google Scholar]
- 27.Tong H., Liang Z., Wang G. Structural characterization and hypoglycemic activity of a polysaccharide isolated from the fruit of Physalis alkekengi L. Carbohydr. Polym. 2008;71:316–323. [Google Scholar]
- 28.Tzang B.S., Yang S.F., Fu S.G., Yang H.G., Sun H.L., Chen Y.C. Effects of dietary flaxseed oil on cholesterol metabolism of hamsters. Food Chem. 2009;114:1450–1455. [Google Scholar]
- 29.World Health Organization. 2011. [Acessed 10 June 2011]. Media centre: Diabetes. Available at: http://www.who.int/mediacentre/factsheets/fs312/en/index.html. [Google Scholar]
- 30.Yamamoto Y., TakahashI Y., Kawano M., Iizuka M., Matsumoto T., Saeki S., Yamaguchi H. In vitro digestibility and fermentability of levan and its hypocholesterolemic effects in rats. J. Nutr. Biochem. 1999;10:13–18. doi: 10.1016/s0955-2863(98)00077-1. [DOI] [PubMed] [Google Scholar]
- 31.Yao H.T., Huang S.Y., Chiang M.T. A comparative study on hypoglycemic and hypocholesterolemic effects of high and low molecular weight chitosan in streptozotocin-induced diabetic rats. Food Chem. Toxicol. 2008;46:1525–1534. doi: 10.1016/j.fct.2007.12.012. [DOI] [PubMed] [Google Scholar]
- 32.Yoo S.H., Yoon E.J., Cha J., Lee H.G. Antitumor activity of levan polysaccharides from selected microorganisms. Int.l J. Biol. Macromol. 2004;34:37–41. doi: 10.1016/j.ijbiomac.2004.01.002. [DOI] [PubMed] [Google Scholar]
- 33.Zhang R., Zhou J., Jia Z., Zhang Y., Gu G. Hypoglycemic effect of Rehmannia glutinosa oligosaccharide in hyperglycemic and alloxan-induced diabetic rats and its mechanism. J. Ethnopharmacol. 2004;90:39–43. doi: 10.1016/j.jep.2003.09.018. [DOI] [PubMed] [Google Scholar]
- 34.Zou S., Zhang X., Yao W., Niu Y., Gao X. Structure characterization and hypoglycemic activity of a polysaccharide isolated from the fruit of Lycium barbarum. Carbohydr. Polym. 2010;80:1161–1167. [Google Scholar]