De la familia de las Dioscoreaceae, o ñames, que consiste en aproximadamente 10 géneros. Se trata de viñas trenzadas, con rizomas o raíces tuberosas, nativa de regiones tropicales o templadas.
Dioscorea villosa es un ñame medicinal mencionado en las farmacopeas inglesas, americanas, chinas y japonesas. Las diversas variedades de Dioscorea tienen indicaciones similares.
Partes usadas: rizomas, raíces
Presione la Botella para conocer la planta
Uso histórico: Dioscorrea ha sido usada en Mexico desde las épocas de los Aztecas, como tratamiento analgésico del reumatismo y dolores articulares, y en Centroamérica para el alivio de la dismenorrea y dolores del parto. Ha sido utilizada tradicionalmente para los cólicos biliares y náusea del embarazo y para las contracciones espasmódias.
Esta planta fue conocida por los antiguos médicos como un relajante general, quienes consideraron que relajaba el sistema nervioso autónomo, y por ello la indicaron para el tratamiento de afecciones intestinales.
Hace algunos años, el aislamiento de la progesterona era un proceso complicado y sumamente costoso. En 1936, investigadores japoneses aíslan un nuevo principio activo –la Diosgenina- desconocido hasta ese momento. En 1938, el Dr. Rusell Marker, en un viaje a México observó que las mujeres nativas ingerían la raíz de una planta para el tratamiento de las enfermedades femeninas y logra aislar la Diosgenina del Ñame salvaje mexicano, demostrando además que este principio, en contacto con ácido clorhídrico, se transforma en una molécula de progesterona idéntica a la progesterona humana.
Las saponinas esteroideas de Dioscorea villosa constituyeron la fuente original de dioscina, que se utilizaba para producir los anticonceptivos orales y otras hormonas esteroideas. Debido a que la dioscina ni la diosgenina se podían patentar, la industria farmacéutica cambió la fórmula química e inició la producción de progestinas (progestágenos), sustancias que, a diferencia de la progesterona natural, pueden causar numerosos efectos secundarios adversos.
Principios activos:
Sus sapogeninas esteroideas son los principales principios activos. Se trata de glicósidos esteroideos que luego de ser ingeridos, pierden su molécula sacárida, dejando libre a la sapogenina (aglicona) diosgenina.
La diosgenina es extraída de la planta como un proceso para la manufactura de hormonas esteroideas. Uno de los métodos es tratar las raíces con ácidos para producir la hidrólisis de los glucósidos y las sapogeninas.
Aunque no ha sido demostrado con precisión, aparentemente los ácidos gástricos hidrolizan los glicósidos, liberando la diosgenina a nivel gástrico. La diosgenina puede convertirse en ecdysona, pregnenolona, y progesterona.
Dioscina (C 45 H 72 O 16 ):
Dioscorina
Diosgenina (C 27 H 42 O 3 ): (25R)-Spirost-5-en-3-beta-ol.
También contiene sales y minerales, como: aluminio , calcio , cromo , cobalt o, hierro , selenio , sílice , sodio , estaño , zinc , magnesio , manganeso , fósforo y potasio .
Vitaminas: ácido ascórbico, beta-caroteno, niacina, riboflavina y tiamina.
Carbohidratos, grasas, proteínas y fibras.
Semejanza entre la Progesterona y la Diosgenina:
Actividad farmacológica de la L-Canavanina:
Acciones
1) Antioxidante
2) Precursor hormonal:
La diosgenina puede convertirse en ecdysona, pregnenolona, y progesterona.
3) Antitumoral:
La diosgenina inhibe la proliferación celular inhibiendo la mitosis, por activación del gen supresor p53.
Además, tiene acción pro-apoptótica e inductora de la diferenciación celular, que se explica porque:
Provoca el colapso del potencial de membrana mitocondrial y un aumento de los niveles de Ca2+ intracelular. Esto estimula la producción de Apoptosis-Inducing-Factor y, además, activa a la Fosfolipasa A2 citosólica. Esta activa el metabolismo del ácido araquidónico, conduciendo a la sobreexpresión de la COX2 y sobreproducción de prostaglandina E2 a à apoptosis.
Regula las proteínas pro-apoptóticas (Bax) y las anti-apoptóticas (Bcl-2 y Bcl-xL), produciéndose activación de las caspasas 3 y 9 y fragmentación del ADN.
4) Tratamiento de la osteoporosis:
Activa la proliferación y diferenciación de osteoblastos, incrementando su acción. Disminuye la pérdida de masa ósea. Aparentemente, la diosgenina promueve la angiogénesis en células pre-osteoblásticas.
5) Acción colerética:
Aumenta la síntesis de colesterol por activación de la HMGCoA reductasa, sin embargo, debido a que aumenta el flujo biliar y la excreción de colesterol biliar, los niveles séricos de colesterol no se ven afectados.
6) Hipoglicemiante:
Aparentemente aumenta la actividad de la ATPasa Ca(2+) dependiente en la región proximal del intestino delgado. Otro mecanismo propuesto es por el aumento de DHEA.
7) Hipotensor:
Sus principios activos principales tienen actividad inhibidora de la enzima convertidora de angiotensina (IECA).
Efectos adversos: En algunos casos puede producir diarrea. Se considera que esta planta es segura en todos los trimestres del embarazo y ha sido utilizada tradicionalmente para las náuseas que acompañan la gestación y para la prevención de los partos prematuros.
Dioscorea villosa y enfermedades "femeninas"
En 1993, el Dr. John Lee, en California, establece que una serie de síntomas y condiciones de la mujer se relacionan con la dominancia estrogénica, en otras palabras, un aumento de la relación estrógenos/progesterona.
La dominancia estrogénica, causada por los estrógenos adicionados a muchos alimentos, ciclos anovulatorios propios de la pre-menopausia, menopausia o tratamientos médicos basados en estrógenos o anticonceptivos orales se relaciona con:
Envejecimiento. Osteoporosis
Enfermedades Autoinmunes, alergias
Cáncer de mama, endometrio, útero
Sensibilidad y dolor mamario, Enfermedad fibroquística mamaria
Displasia cervical, miomatosis uterina
Síndrome pre-menstrual
Disminución de la libido, insomnio, depresión, fatiga, irritabilidad, pérdida de la memoria, cambios humor
Acumulación grasa, retención hídrica.
Caída del cabello
Cefaleas
Aumento coagulabilidad
Infertilidad
Hemorragias uterinas disfuncionales
Ovarios poliquísticos
Durante la menopausia, la producción de estrógenos disminuye pero nunca desaparece, ya que las glándulas suprarenales continúan su producción. Por otra parte, al cesar la ovulación los niveles de progesterona disminuyen significativamente, debido a la ausencia del cuerpo lúteo. Por estos motivos se ha postulado que los síntomas de la menopausia no son causados por deficiencia estrogénica sino por un desequilibrio entre los niveles de estrógenos y progesterona.
Durante varias décadas el tratamiento de los síntomas causados por la menopausia se ha fundamentado en la terapia de reemplazo hormonal a base de estrógenos conjugados de origen equino, químicamente diferentes y de mayor potencia que los estrógenos humanos, compuestos que, además de incrementar la relación estrógenos/progesterona, se han relacionado con mayores riesgos de padecer neoplasias de mama, útero y ovarios. Debido a sus efectos adversos, los progestágenos tampoco constituyen la alternativa terapéutica ideal para los síntomas y condiciones causadas por la dominancia estrogénica.
Al ingerir cápsulas con Ñame salvaje mexicano, el ácido clorhídrico gástrico convierte la Diosgenina a progesterona natural, bioquímicamente idéntica a la progesterona humana. De esta manera disminuye la relación estrógenos/progesterona y con ello muchos de los síntomas y enfermedades relacionadas a la dominancia estrogénica.
Indicaciones:
En vista de los efectos protectores, la ausencia de efectos secundarios y los riesgos elevados de padecer osteoporosis, neoplasias de mama, útero y ovarios, resulta razonable recomendar que toda mujer mayor de 40 años ingiera Ñame salvaje mexicano diariamente.
El Ñame salvaje adaptogénico se distingue de los demás por poseer la mayor concentración de diosgenina. Una cápsula de Ñame adaptogénico contiene 175 mg de extracto de diosgenina al 400%, además de 225 mg de polvo del Ñame Salvaje lo cual equivale a un total de 925 mg de la planta, que representa el triple de lo que contienen la mayor parte de los preparados existentes en el mercado.
Se recomienda ingerir dos cápsulas tres veces por día, con cada comida.
Contraindicaciones:
Hipersensibilidad a alguno de sus componentes.
No debe ser administrado durante el embarazo o cuando se sospeche su existencia. No suministrar a niños.
Reacciones adversas:
Uno de los más importantes aspectos de Ñame salvaje mexicano es su carencia total de efectos adversos, incluso cuando se utiliza por períodos prolongados. Considerando que miles de mujeres han utilizado esta fórmula, es sorprendente la ausencia de reportes sobre molestias gastrointestinales, diarrea o reacciones alérgicas.
La toxicidad debida a sobredosis de Ñame salvaje mexicano es prácticamente desconocida. La presión arterial, parámetros hemáticos o hepáticos no se modifican con su uso.
Referencias
1: Mol Pharmacol. 2005 Jul 5. Diosgenin induces HIF-1 activation and angiogenesis through estrogen receptor-related PI3K/Akt and p38 MAPK pathways in osteoblasts.
Yen ML , Su JL , Chien CL . National Taiwan University and National Taiwan University Hospital.
Diosgenin, extracted from the root of Wild Yam (Dioscorea villosa), has been reported to demonstrate tremendous opportunity for medical application. Vascular endothelial growth factor-A (VEGF-A) plays an important role in bone-related angiogenesis, a critical process occurring during bone formation and fracture healing. Here we examine whether diosgenin is able to induce VEGF-A expression as well as to promote angiogenesis in osteoblasts. For murine MC3T3-E1 preosteoblast-like cells, VEGF-A mRNA and protein expression appeared to be significantly elevated in response to diosgenin in a concentration-dependent fashion. Conditioned media prepared from cells treated with diosgenin induced strong angiogenic activity in either in vitro or ex vivo angiogenesis assay. Furthermore, diosgenin treatment increased the stability and activity of HIF-1alpha protein. Inhibition of HIF-1alpha activity by transfection with DN-HIF-1alpha significantly diminished diosgenin-mediated VEGF-A up-regulation. The use of pharmacological inhibitors or genetic inhibition revealed that both the PI3K/Akt and p38 signalling pathways were potentially required for diosgenin-induced HIF-1 activation and subsequent VEGF-A up-regulation. Of interest, estrogen receptor binding assay revealed that diosgenin has the strong ability to replace [(3)H]-estradiol bind to estrogen receptor (IC(50):10 nM). In addition, the specific estrogen receptor antagonists ICI 182,780 and tamoxifen were noted to be able to strongly inhibit the diosgenin-induced src kinase-dependent Akt and p38 MAPK activation. Taken together, such results provide evidence that diosgenin up-regulates VEGF-A and promotes angiogenesis in preosteoblast-like cells by a HIF-1alpha-dependent mechanism involving the activation of src kinase, p38 MAPK and Akt signalling pathways via estrogen receptor.
2: Anal Sci. 2005 May;21(5):561-4.
Electrochemical study of breast cancer cells MCF-7 and its application in evaluating the effect of diosgenin.
Li J , Liu X , Guo M . State Key Laboratory of Chemo/Biosensing and Chemometrics, College of Chemistry and Chemical Engineering, Hunan University, Changsha, P R. China.
The electrochemical behavior of breast cancer cells was studied on a graphite electrode by cyclic voltammetry (CV) and potentiometric stripping analysis (PSA). In both cases, only one oxidative peak at approximately +0.75 V was observed. The peak area in PSA was used to study the growth of the cells and the effect of diosgenin on MCF-7 cells. The results showed that diosgenin can effectively inhibit the viability and proliferation of the breast cancer cells.
3: Anal Biochem. 2004 Dec 15;335(2):267-78.
Diosgenin dose-dependent apoptosis and differentiation induction in human erythroleukemia cell line and sedimentation field-flow fractionation monitoring.
Leger DY , Liagre B , Cardot PJ . Laboratoire de Biochimie, Biomolecules et cibles cellulaires tumorales, Universite de Limoges, Faculte de Pharmacie, Limoges Cedex, France.
To limit or stop cancer spreading, one of the most prevalent strategies is to induce cancer cell death. Differentiation therapy and apoptosis induction are two ways to achieve this goal. Sedimentation field-flow fractionation (SdFFF) has been described as an effective tool for cell separation, respecting integrity and viability. Because SdFFF takes advantage of intrinsic properties of eluted cells (size, density, shape), we studied the capacity of SdFFF to monitor specific biophysical modifications that occurred during cellular apoptosis or differentiation induction. Then, we used, as an in vitro cellular model of apoptosis and differentiation, diosgenin dose-dependent induction in the polyvalent human erythroleukemia cell line. Two other chemicals were used: phorbol myristate acetate (differentiation inducer) and staurosporine (apoptosis inducer). Our results demonstrated a correlation between SdFFF elution profile changes and induction of effective biological processes. Thus, after acquisition of a reference profile, SdFFF could be used alone to follow chemically induced biological events, suggesting many different applications such as testing series of molecules, evaluation of new cellular/biological models used in different life science fields, or sorting purified populations with the aim of better understanding mechanisms of induced cellular events.
4 : Cancer Chemother Pharmacol. 2005 Jan;55(1):79-90. Diosgenin induces cell cycle arrest and apoptosis in human leukemia K562 cells with the disruption of Ca2+ homeostasis.
Liu MJ , Wang Z , Ju Y . Department of Biological Sciences and Biotechnology, Tsinghua University, Beijing, People's Republic of China.
PURPOSE: Diosgenin is a steroidal sapogenin with estrogenic and antitumor properties. In order to elucidate the mechanism of its antiproliferative activity, we investigated its effects on the cell cycle and apoptosis in human chronic myelogenous leukemia K562 cells. METHODS: Cell viability was assessed via an MTT assay. Apoptosis was investigated in terms of nuclear morphology, DNA fragmentation, and phosphatidylserine externalization. Cell cycle analysis was performed via PI staining and flow cytometry (FCM). Western blotting and immunofluorescence methods were used to determine the levels of p53, cell cycle-related proteins and Bcl-2 family members. FCM was also used to estimate the changes in mitochondrial membrane potential (MMP), intracellular Ca2+ concentration and reactive oxygen species (ROS) generation. RESULTS: Cell cycle analysis showed that diosgenin caused G2/M arrest independently of p53. The levels of cyclin B1 and p21Cip1/Waf1 were decreased, whereas cdc2 levels were increased. Subsequent apoptosis was demonstrated with the dramatic activation of caspase-3. A dramatic decline in intracellular Ca2+ concentration was observed as an initiating event in the process of cell cycle arrest and apoptosis, which was followed by the hyperpolarization and depolarization of MMP. Generation of ROS was observed in the progression of apoptosis. The antiapoptotic Bcl-2 and Bcl-xL proteins were downregulated, whereas the proapoptotic Bax was upregulated. CONCLUSIONS : Diosgenin inhibits K562 cell proliferation via cell cycle G2/M arrest and apoptosis, with disruption of Ca2+ homeostasis and mitochondrial dysfunction playing vital roles.
5 : Acta Pharmacol Sin. 2004 Aug;25(8):1077-82.
Diosgenin induces apoptosis in HeLa cells via activation of caspase pathway.
Hou R , Zhou QL , Wang BX . China-Japan Research Institute of Medical and Pharmaceutical Sciences, Shenyang Pharmaceutical University, Shenyang, China.
AIM: To investigate the mechanism of diosgenin-induced HeLa cell apoptosis. METHODS: HeLa cell growth was measured by MTT method. Apoptosis was detected by electron microscopy and agarose gel electrophoresis. Ratio of apoptotic cells was measured by APO-BRDU kit. Cell cycle distribution and changes of mitochondrial membrane potential were monitored by flow cytometry. Caspase activities were assayed by caspase apoptosis detection kit. Western blot analysis was used to evaluate the level of mitochondrial Bcl-2 expression. RESULTS: Diosgenin inhibited HeLa cell growth. HeLa cells treated with diosgenin showed typical characteristics of apoptosis including the morphological changes and DNA fragmentation. Caspase family inhibitor (z-VAD-fmk), caspase-9 inhibitor (Ac-AAVALPAVLLALLAPLEHD-CHO), and caspase-3 inhibitor (z-DEVD-fmk) partially prevented diosgenin-induced apoptosis, but not caspase-8 inhibitor (z-IETD-fmk) and caspase-10 inhibitor (z-AEVD-fmk). Diosgenin caused reduction of mitochondrial membrane potential and down-regulated Bcl-2 expression. CONCLUSION: Diosgenin induced HeLa cell apoptosis through caspase pathway.
6 : Cancer Epidemiol Biomarkers Prev. 2004 Aug;13(8):1392-8.
Diosgenin, a steroid saponin of Trigonella foenum graecum (Fenugreek), inhibits azoxymethane-induced aberrant crypt foci formation in F344 rats and induces apoptosis in HT-29 human colon cancer cells.
Raju J , Patlolla JM , Swamy MV . Division of Nutritional Carcinogenesis, Institute for Cancer Prevention, American Health Foundation Cancer Center, Valhalla, NY, USA.
Trigonella foenum graecum (fenugreek) is traditionally used to treat disorders such as diabetes, high cholesterol, wounds, inflammation, and gastrointestinal ailments. Recent studies suggest that fenugreek and its active constituents may possess anticarcinogenic potential. We evaluated the preventive efficacy of dietary fenugreek seed and its major steroidal saponin constituent, diosgenin, on azoxymethane-induced rat colon carcinogenesis during initiation and promotion stages. Preneoplastic colonic lesions or aberrant crypt foci (ACF) were chosen as end points. In addition, we assessed the mechanism of tumor growth inhibition of diosgenin in HT-29 human colon cancer cells. To evaluate the effect of the test agent during the initiation and postinitiation stages, 7-week-old male F344 rats were fed experimental diets containing 0% or 1% fenugreek seed powder (FSP) or 0.05% or 0.1% diosgenin for 1 week and were injected with azoxymethane (15 mg/kg body weight). Effects during the promotional stage were studied by feeding 1% FSP or 0.1% diosgenin 4 weeks after the azoxymethane injections. Rats were sacrificed 8 weeks after azoxymethane injection, and their colons were evaluated for ACF. We found that, by comparison with control, continuous feeding of 1% FSP and 0.05% and 0.1% diosgenin suppressed total colonic ACF up to 32%, 24%, and 42%, respectively (P < or = 0.001 to 0.0001). Dietary FSP at 1% and diosgenin at 0.1% fed only during the promotional stage also inhibited total ACF up to 33% (P < or = 0.001) and 39% (P < or = 0.0001), respectively. Importantly, continuous feeding of 1% FSP or 0.05% or 0.1% diosgenin reduced the number of multicrypt foci by 38%, 20%, and 36% by comparison with the control assay (P < or = 0.001). In addition, 1% FSP or 0.1% diosgenin fed during the promotional stage caused a significant reduction (P < or = 0.001) of multicrypt foci compared with control. Dietary diosgenin at 0.1% and 0.05% inhibited total colonic ACF and multicrypt foci formation in a dose-dependent manner. Results from the in vitro experiments indicated that diosgenin inhibits cell growth and induces apoptosis in the HT-29 human colon cancer cell line in a dose-dependent manner. Furthermore, diosgenin induced apoptosis in HT-29 cells at least in part by inhibition of bcl-2 and by induction of caspase-3 protein expression. On the basis of these findings, the fenugreek constituent diosgenin seems to have potential as a novel colon cancer preventive agent.
7: Int J Oncol. 2004 Sep;25(3):555-62.
Diosgenin induces cell cycle arrest and apoptosis in HEL cells with increase in intracellular calcium level, activation of cPLA2 and COX-2 overexpression.
Many natural components of plant extracts are studied for their beneficial effects for health and particularly on carcinogenesis chemoprevention. In the present study, we investigated the effects of diosgenin on erythroleukemia HEL cells. Our results demonstrated that diosgenin induced G2/M arrest of cell cycle progression through p21 up-regulation in a p53-independent pathway and strong induction of apoptosis in HEL cells. Apoptosis induction was accompanied by an increase in Bax/Bcl-2 ratio, PARP cleavage and DNA fragmentation. Moreover, we showed for the first time that diosgenin provoked a collapse of mitochondrial membrane potential with an increase in intracellular calcium levels. It is well known that [Ca2+]i increase is one of the major activators of cytosolic PLA2. In our study, we demonstrated that diosgenin treatment induced cPLA2 activation through translocation to the cellular membrane. Moreover, arachidonic acid metabolism activation led to cyclooxygenase-2 (COX-2) but not lipoxygenase overexpression. Surprisingly, we observed a COX-2 up-regulation associated with apoptosis induction by diosgenin. These findings suggest that diosgenin has a potential chemopreventive effect; future studies should evaluate the mechanism of COX-2 activation during diosgenin-induced apoptosis in cancer cell lines.
8 : J Chromatogr B Analyt Technol Biomed Life Sci. 2004 Sep 5;808(2):255-62.
SdFFF monitoring of cellular apoptosis induction by diosgenin and different inducers in the human 1547 osteosarcoma cell line.
Corbiere C , Battu S , Liagre B . Laboratoire de Biochimie, Faculte de Pharmacie, Biomolecules et Cibles Cellulaires Tumorales, Universite de Limoges, Limoges Cedex, France.
Apoptosis is one of the most important phenomena of cellular biology. Sedimentation field flow fractionation (SdFFF) has been described as an effective tool for cell separation, respecting integrity and viability. Because SdFFF takes advantage of intrinsic properties of eluted cells (size, density, shape or rigidity), we investigated the capacity of SdFFF in monitoring the early and specific biophysical modifications which occurred during cellular apoptosis induction. Then, we used, as an in vitro cellular apoptosis model, the association between human 1547 osteosarcoma cells and diosgenin, a plant steroid known to induce apoptosis . Four other molecules were studied: hecogenin, tigogenin, staurosporine and MG132. Our results demonstrated a correlation between SdFFF elution profile changes (peak shape modification and retention ratio evolution) and effective apoptosis induction. For the first time, we demonstrated that SdFFF could be used to monitor apoptosis induction as early as 6 h incubation, suggesting different applications such as screening series of molecules to evaluate their ability to induce apoptosis, or sorting apoptotic cells to study apoptosis pathway.
9 : Cell Res. 2004 Jun;14(3):188-96.
Induction of antiproliferative effect by diosgenin through activation of p53, release of apoptosis-inducing factor (AIF) and modulation of caspase-3 activity in different human cancer cells.
Previously, we demonstrated that a plant steroid, diosgenin, altered cell cycle distribution and induced apoptosis in the human osteosarcoma 1547 cell line. The objective of this study was to investigate if the antiproliferative effect of diosgenin was similar for different human cancer cell lines such as laryngocarcinoma HEp-2 and melanoma M4Beu cells. Moreover, this work essentially focused on the mitochondrial pathway. We found that diosgenin had an important and similar antiproliferative effect on different types of cancer cells. In addition, our new results show that diosgenin-induced apoptosis is caspase-3 dependent with a fall of mitochondrial membrane potential, nuclear localization of AIF and poly (ADP-ribose) polymerase cleavage. Diosgenin treatment also induces p53 activation and cell cycle arrest in the different cell lines studied.
10 : Arthritis Res Ther. 2004;6(4):R373-83.
Diosgenin, a plant steroid, induces apoptosis in human rheumatoid arthritis synoviocytes with cyclooxygenase-2 overexpression.
In the present study, we have shown for the first time that a plant steroid, diosgenin, causes an inhibition of the growth of fibroblast-like synoviocytes from human rheumatoid arthritis, with apoptosis induction associated with cyclooxygenase-2 (COX-2) up-regulation. Celecoxib, a selective COX-2 inhibitor, provoked a large decrease in diosgenin-induced apoptosis even in the presence of exogenous prostaglandin E2, whereas interleukin-1beta, a COX-2 inducer, strongly increased diosgenin-induced apoptosis of these synoviocytes. These findings suggest that the proapoptotic effect of diosgenin is associated with overexpression of COX-2 correlated with overproduction of endogenous prostaglandin E2. We also observed a loss of mitochondrial membrane potential, caspase-3 activation, and DNA fragmentation after diosgenin treatment.
11 : Zhongguo Zhong Yao Za Zhi. 2002 Oct;27(10):777-9.
The antitumor activity of Diosgenin in vivo and in vitro
Wang LJ , Wang Y , Chen SW . Department of Pharmacology, Jilin Institute of Nature Medicine, Changchun, Jilin, China.
OBJECTIVE: To investigate the antitumor activity of Diosgenin in vivo and in vitro. METHOD: S-180, HepA, U14 and EAC transplant mice were given Diosgenin ig or i.p. everyday for 10 days, from the next day when they were inoculated in axilla. Tumor growth inhibit rates were calculated. Four kinds of cells, MCF, L929, A375-S2 and HeLa, were incubated respectively with Diosgenin in vitro. Tumor growth inhibit rates were also calculated. RESULT: In vivo, both ig and i.p., Diosgenin inhibited S-180, HepA, U 14 mice transplant tumor, the inhibit rates being 30%-50%, but it did not inhibit the EAC mice transplant tumor. In vitro, Diosgenin inhibited L929, HeLa, MCF cell growth, and IC50 were 1.2, 18.2, 19.8 micrograms.mL-1 respectively, but it did not significantly affect A375-S2 cells. CONCLUSION: Diosgenin has an obvious antitumor activity on S-180, HepA, U14 transplant mice in vivo and L929, HeLa, MCF cells in vitro.
12 : Biomed Sci Instrum. 2003;39:341-6.
Structural changes in the kidney associated with ovariectomy and diosgenin replacement therapy in adult female rats.
Tucci M , Benghuzzi H . University of Mississippi Medical Center, Jackson, MS, USA.
The use of over the counter progesterone creams is on the rise and is thought to be a safe and effective means for controlling menopausal symptoms. The active ingredient in these preparations is the compound diosgenin. Diosgenin, which is synthetically derived from wild yams, is converted to human progesterone, aldosterone, cortisol and estrogen through a series of enzymatic steps. The efficacy and safety of these products has not been fully investigated in vivo. The objective of this study was to supplement ovariectomized rats with sustained release of diosgenin for 47 days and evaluate its effect on kidney structure. A total of 15 animals were randomly divided into three equal groups. Animals in group I served as intact control, animals in groups II were ovariectomized and animals in group III were ovariectomized and supplemented with a TCPL capsule containing 500 mg of diosgenin. Blood and body weights were recorded weekly and at the end of 47 days kidneys were collected and analyzed morphometrically. The results indicated significant increases (p < 0.05) in the body weight of ovariectomized animals compared to control and diosgenin treated animals. Significant increases were observed in the kidney wet weights of ovariectomized animals. Further analysis of the kidneys showed remarkable changes in both the glomerular length and area in ovariectomized animals. The results suggest that diosgenin was able to protect the kidney from morphological changes associated with ovariectomy. The mechanism is most likely responsible for this protection is the conversion of diosgenin to progesterone .
13 : Hepatol Res. 2003 Mar;25(3):287-295.
Choleretic action of diosgenin is based upon the increases in canalicular membrane fluidity and transporter activity mediating bile acid independent bile flow.
Yamaguchi A , Tazuma S , Ochi H . First Department of Internal Medicine, Hiroshima University School of Medicine, Kasumi, Minami-ku, Hiroshima, Japan
It is known that diosgenin alters the lipid composition of hepatic plasma membranes as well as bile lipids. We recently reported that changes in the lipid composition of the canalicular membrane bilayer were associated with alterations of membrane fluidity. Therefore, the present study was performed to determine the effect of diosgenin on bile secretion, focusing on canalicular membrane composition, membrane fluidity, transporter expression, and transporter activity. METHODS: SD rats were fed a diet with or without diosgenin. Bile duct cannulation was done and the bile acid pool was depleted, followed by infusion of sodium taurocholate for 120 min to collect bile samples. Bile flow and the biliary output of cholesterol (Ch), phospholipids, bile salt, and total glutathione (GSH+GSSG) were estimated. Liver canalicular membrane vesicles (CMV) were prepared for the assessment of lipid composition, ATP-dependent transporters, and membrane fluidity. RESULTS: Bile flow, especially bile acid-independent fraction, was increased significantly by diosgenin. Biliary output of Ch and total glutathione were significantly increased by diosgenin. CMV fluidity and Mrp2 expression were increased by diosgenin. CONCLUSION: The fact that diosgenin increased bile flow and biliary cholesterol and glutathione output indicates a choleretic action along with enhancement of solute secretion. The increase of CMV fluidity and Mrp2 suggests that the choleretic action of diosgenin was based upon both the direct stimulation of transporter expression and indirect transporter activation by an increase of membrane fluidity.
14 : Int J Oncol. 2003 Apr;22(4):899-905.
Different contribution of apoptosis to the antiproliferative effects of diosgenin and other plant steroids, hecogenin and tigogenin, on human 1547 osteosarcoma cells.
Regulation of growth arrest and apoptosis are, in part, controlled by the tumor suppressor p53 after its phosphorylation which causes a determinant role in its functional activation. Moreover, PPAR regulate many functions such as proliferation and apoptosis. We compared the biological activity of diosgenin with hecogenin and tigogenin, plant steroids structurally close to diosgenin, on proliferation rate, cell cycle distribution and apoptosis in human 1547 osteosarcoma cells. We found that all three molecules have an antiproliferative effect but gel shift analysis demonstrated that none of the plant steroids transactivated PPAR in human 1547 osteosarcoma cells whereas these molecules induced NF-kappaB binding to DNA. Although these plant steroids have a very close structure, only diosgenin caused a cell cycle arrest associated with strong apoptosis . This biological action seems correlated with a large increase of p53 protein expression. This fact was showed by immunofluorescence analysis which confirmed that diosgenin strongly enhanced the activation of p53 in contrast to hecogenin and tigogenin actions.
15 : Biol Pharm Bull. 2002 Feb;25(2):193-6.
Apoptosis induced by dioscin in Hela cells.
Cai J , Liu M , Wang Z . Department of Biological Science and Biotechnology, Tsinghua University, Beijing, China.
Dioscin, a saponin extracted from the root of Polygonatum Zanlanscianense Pamp, markedly inhibited proliferation of Hela cells. The results indicated that Hela cells underwent apoptosis in dose- and time-dependent manners when treated with Dioscin. Caspase-3, -8 and -9 activities were also detected. The low enzymatic activity of caspase-8 and high activity of caspase-9 showed that the mitochondrial pathway was activated in apoptosis. The reduced expression of the survival protein Bcl-2 also confirmed this result. These studies may be significant in finding a new drug to treat human cervical cancer.
16 : FEBS Lett. 2001 Oct 12;506(3):225-30.
A plant steroid, diosgenin, induces apoptosis, cell cycle arrest and COX activity in osteosarcoma cells.
Cyclooxygenases (COXs) are key enzymes in the conversion of arachidonic acid into prostanoids which are involved in apoptosis and inflammation. Two distinct COXs have been identified: COX-1 which is constitutively expressed and COX-2 which is induced by different products such as tumor promoters or growth factors. Previously, we demonstrated that a plant steroid, diosgenin, was a new megakaryocytic differentiation inducer of human erythroleukemia cells. In our study, we investigated the effect of diosgenin on the proliferation rate, cell cycle distribution and apoptosis in the human osteosarcoma 1547 cell line. The effects of this compound were also tested on COX expression and COX activities. Diosgenin treatment caused an inhibition of 1547 cell growth with a cycle arrest in G1 phase and apoptosis induction. Moreover, we found a correlation between p53, p21 mRNA expression and nuclear factor-kappaB activation and we observed a time-dependent increase in PGE2 synthesis after diosgenin treatment.
17 : J Hepatol. 2001 Aug;35(2):164-9.
Regulation of biliary cholesterol secretion is independent of hepatocyte canalicular membrane lipid composition: a study in the diosgenin-fed rat model.
Nibbering CP , Groen AK , Ottenhoff R . Department of Gastroenterology, Gastrointestinal Research Unit, University Medical Center Utrecht, The Netherlands.
BACKGROUND/AIMS: Phosphatidylcholine (PC) and sphingomyelin (SM) are the major phospholipids on the outer leaflet of the hepatocyte canalicular membrane. Since cholesterol preferentially associates with SM in detergent-resistant microdomains, we hypothesized that canalicular membrane lipid composition could modulate secretion of the sterol into bile. METHODS: Male Wistar rats were fed for 10 days with a control diet with or without the plant sterol diosgenin (1% w/w) to induce biliary cholesterol hypersecretion. Thereafter, lipid compositions and phospholipid molecular species were determined in fistula bile and highly enriched canalicular membrane fractions. RESULTS: Despite four-fold higher biliary cholesterol output in diosgenin-fed rats, no differences were observed between canalicular membranes of diosgenin and control groups with respect to cholesterol/phospholipid ratios (0.58 vs 0.62), phospholipid classes and acyl chain compositions of SMs (16:0 > 24:1 > 24:0 > 22:0 > 18:0 > 23:0 > 20:0 > 24:2), or PCs (mainly diacyl 16:0-18:2, 16:0-20:4, 18:0-20:4, and 18:0-18:2). In contrast to canalicular PCs, bile contained more hydrophilic species (mainly diacyl 16:0-18:2 and 16:0-20:4), without differences between both groups. In vitro resistance of purified canalicular membrane fractions against detergents such as Triton X-100 and taurocholate was also similar in both groups. CONCLUSIONS: Diosgenin-induced biliary cholesterol hypersecretion occurs in the absence of changes of canalicular membrane lipids. Our data therefore do not support a major role of canalicular membrane lipid composition in regulation of biliary cholesterol secretion.
18 : Biomed Sci Instrum. 2001;37:281-6.
The use of estrogen, DHEA, and diosgenin in a sustained delivery setting as a novel treatment approach for osteoporosis in the ovariectomized adult rat model.
Higdon K , Scott A , Tucci M . School Health Related Professions, Dentistry, and Department of Orthopedics, University of Mississippi Medical Center, Jackson, MS, USA.
It is well established that the pattern of bone loss from the cortex in osteoporotic bone begins from the endosteal surface of the cortex, where there is enlargement of the medullary canal at the expense of the inner cortex. Bone loss does not occur at the periosteal surface. The objective of the following study was to induce osteoporosis in female rats by ovariectomy, followed by treatment with sustained delivery of Diosgenin (DG), dehydroepiandrosterone (DHEA), or estrogen (E) after clinical signs of osteoporosis. Female Sprague Dawley rats were divided randomly into five groups containing four rats/group. Rats comprising group 1 were left intact and served as a control group. Animals in groups 2-5 were ovariectomized (OVX) and, after a 14 day delay to allow for induction of osteoporosis, were implanted with TCPL capsules containing DG, DHEA, and E, respectively. The experiment was ceased after 33 days of treatment, at which time the vital and reproductive organs for each group were collected, weighed, and analyzed histomorphometrically for differences. Further analysis of the progression of osteoporosis in the experimental animals was obtained by performing x-ray analysis of each group on a semi-weekly basis. By collecting and analyzing the femurs from each animal, we were also able to obtain important information about the histologic changes associated with osteoporosis (left femur), as well as data regarding the effects of osteoporosis on the mechanical strength of bone via three point bending analysis (right femur). The data generated by this study revealed important information as to the efficacy and safety of the alternative treatments DHEA, E, and DG for osteoporosis. First, histomorphometric analysis revealed that treatment with DHEA, E, and DG reduced the endosteal perimeter and cortical area to values very similar to controls (intact). Second, results of the bending stress and modulus in OVX and treated animals were not statistically different from the intact control animals, which suggests that the material properties of the bone were unaltered. Third, there is an increase in total body weight associated with OVX that is reduced to control levels after replacement therapy. Finally, OVX also resulted in reproductive tissue atrophy, which was reversed by all three of the treatment regimens in this study. These data suggest that bone loss after OVX can be significantly reduced by supplementation with sustained levels of DHEA, Estrogen, and Diosgenin without jeopardizing other body organs.
19 : Biomed Sci Instrum. 2000;36:171-6.
TCPL drug delivery system: the effects of synthetic DHEA and Diosgenin using an ovariectomized rat model.
Dehydroepiandrosterone (DHEA) has been shown in numerous studies to exhibit a host of benefits at the vital and reproductive organ levels. However, the use of naturally occurring DHEA is hindered by its inability to survive the first-pass metabolic process of the liver. One possible alternative means that deserves consideration is the administration of DHEA's precursor, namely, Diosgenin (DG). The specific objectives of this investigation were: 1) to deliver DHEA and DG at sustained levels by Tri-Calcium Phosphate Lysine (TCPL) drug delivery systems using ovariectomized (OVX) adult rats as a model, and 2) to evaluate the biochemical and histopathological changes associated with the sustained delivery of DHEA and DG. A total of 30 adult female rats were used in this investigation. The animals were further divided into 8 groups. Groups 1 and 2 animals served as intact control groups while each rat in groups 3-8 was ovariectomized (sham (33), n = 3 [group 3], sham (47), n = 4 [group 4]). Groups 5 and 6 were implanted with DHEA (group 5) and DG (group 6) loaded TCPL capsules immediately following the OVX procedure. Groups 7 and 8 were implanted with DHEA (group 7) and DG (group 8) loaded capsules 14 days following OVX. Surgical aseptic technique was employed according to standard laboratory protocols. Maliondialdehyde (MDA) and hormonal levels were measured from serum, collected semi-weekly, during the entire investigation (for 47 days) and X-rays were performed weekly. Pap smears were collected daily for 47 days to assess endometrial changes associated with DHEA and DG treatment. Following sacrifice (at day 33 for groups 1, 3, 5, and 6 and at day 47 for groups 2, 4, 7, and 8), routine H and E staining was conducted for histopathological evaluation of the reproductive and vital organs. Results of this investigation demonstrated: 1) OVX resulted in an increase in total body weight, and the use of DHEA and DG returned the body weight to near normal levels as compared to the intact control groups, 2) TCPL capsules delivered DHEA and DG at a sustained level during the 47 day study, 3) serum levels of MDA are as follows: DG > DHEA = OVX > control for the 33 day phase and OVX > DG > DHEA > control for the 47 day phase, 4) no significant changes were observed in total wet weights, as well as the morphology of the spleen, kidney, adrenal, heart, liver, and lung tissues, 5) OVX resulted in an atrophy and non-keratinization trend in the reproductive tissues, and sustained delivery of DHEA and DG showed no remarkable change in these tissues, 6) the use of sustained delivery of DHEA and DG resulted in higher weights of uteri compared to the OVX group. In conclusion, this study provided more information regarding the interrelationship between DHEA and DG, and the physiological responses encountered when they are administered continuously using the adult OVX rat as a model.
20 : Hepatology. 1998 Jul;28(1):129-40.
Effects of diosgenin, a plant-derived steroid, on bile secretion and hepatocellular cholestasis induced by estrogens in the rat.
Accatino L , Pizarro M , Solis N . Department of Gastroenterology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago de Chile.
Increased biliary secretion of cholesterol and lipid vesicles (unilamellae and multilamellae) induced by diosgenin (D), a plant-derived steroid, has cytoprotective effects in the rat liver subjected to obstructive cholestasis . In this study, our aims were to investigate the following: 1) the effects of D on the bile secretory process and on the cholestasis induced by estradiol-17beta-(beta-D-glucuronide) (E17G) or 17 alpha-ethynylestradiol (E) administration; 2) whether the potentially protective effects of D are related to D-induced increase of biliary cholesterol and lipid lamellae; and 3) whether D has other effects capable of modifying specific bile secretory processes or preventing the cholestatic effects of estrogens. Rats were fed a standard ground chow (control group) or chow containing D for 6 days. E17G was administered i.v. to control and D-fed rats and bile flow, bile salt output, and alkaline phosphatase excretion were examined. 17alpha-E was administered from days 4 to 6 to rats fed standard chow or chow plus D for 6 days and different functional parameters of the bile secretory process as well as the ultrastructure of hepatocytes and histochemistry of alkaline phosphatase and Mg2+-adenosine triphosphatase (ATPase) were examined. D-treatment markedly increased cholesterol and lamellar structures in bile and attenuated the acute cholestatic effects of E17G. D-feeding prevented the decrease of taurocholate maximum secretory rate and the increase of biliary alkaline phosphatase and Ca2+,Mg2+-EctoATPase (EctoATPase) excretion, as well as the increase of cholesterol/ phospholipids ratio, alkaline phosphatase activity, and EctoATPase content in canalicular plasma membranes induced by E. D-feeding did not prevent E-induced decrease of basal bile flow, bile salt, cholesterol, and phospholipid secretory rates nor the decrease of Na+,K+-ATPase activity and Na+-taurocholate cotransporting polypeptide (Ntcp) content in isolated sinusoidal membranes. Cholestatic alterations of canalicular domain were apparent in E-treated rats. D administration was also associated with changes of ultrastructure and histochemistry of hepatocytes. E-induced alterations in ultrastructure and acinar distribution and intensity of histochemical reaction of both enzymes were partially prevented by D-feeding. We conclude that D administration, in addition to inducing a marked increase of biliary cholesterol and lipid lamellar structures output, was associated to changes in hepatocyte morphology and plasma membrane composition, enzymes activity, and histochemistry. D-feeding attenuated the acute cholestatic effects of E17G. D-induced increase of bile cholesterol and lipid lamellae content was not apparent when D-fed rats received E. Despite this fact, D administration prevented some cholestatic effects of E, probably through different metabolic effects and/or direct membrane effects, not related to increased lipid lamellae excretion.
21 : Am J Physiol. 1997 Aug;273(2 Pt 1):G355-64.
Dietary diosgenin attenuates subacute intestinal inflammation associated with indomethacin in rats.
Yamada T , Hoshino M , Hayakawa T . First Department of Internal Medicine, Nagoya City University Medical School, Aichi, Japan.
We investigated the effects of dietary diosgenin (Dio), a plant-derived sapogenin, on indomethacin (Indo)-induced intestinal inflammation and alterations in bile secretion in rats. In anesthetized rats, bile secretion, intestinal inflammation, and blood chemistry were assessed 3 days after two subcutaneous injections of Indo given 24 h apart. Dio (> 80 mg.kg-1.day-1) pretreatment significantly inhibited weight and food intake decreases and intestinal inflammation. This protective effect was confirmed by examination of gross and histological findings and intestinal myeloperoxidase activity. Dio significantly increased biliary cholesterol (Chol) output and prevented the decreases in bile flow, bile acid output, and biliary alpha-muricholic acid and the increases in biliary hyodeoxycholic acid, deoxycholic acid, and hydrophobicity index of bile. Significantly more biliary Chol and phospholipids were present in macromolecules separate from bile acids and Indo in Dio-treated rats. Dio significantly increased the elimination constant of Indo and reduced plasma Indo levels at 3 and 12 h but did not influence biliary secretion of Indo for 3.5 h after injection. Although Dio dose-dependently attenuated subacute intestinal inflammation and normalized bile secretion in this model, it may also compromise the anti-inflammatory action of indo.
22 : Cancer Lett. 1995 Sep 4;96(1):133-40.
Changes in lipoxygenase activities in human erythroleukemia (HEL) cells during diosgenin-induced differentiation.
A human erythroleukemia (HEL) cell line was used as a model to study dynamic changes in human 12-, 15-, 5-lipoxygenases, five lipoxygenase activating protein (FLAP), and leukotriene A4 (LTA4) hydrolase gene expression during megakaryocytic differentiation induced by diosgenin (Beneytout, J.L., Nappez, C., Leboutet, M.J. and Malinvaud, G., Biochem. Biophys. Res. Commun., 207 (1995) 398-404). The study was performed at the transcriptional level: 12- and 5-lipoxygenase mRNAs, FLAP mRNA and LTA4 hydrolase mRNA were detected before and after diosgenin treatment in HEL cells while 15-lipoxygenase mRNA was undetected. When HEL cells were incubated with arachidonic acid, 5-, 12-, 15-hydroxyeicosatetraenoic acids (HETE) and LTC4 were synthesized. In contrast, the diosgenin treatment induced the suppression of 12-lipoxygenase activity and only 5-, 15-HETEs and LTC4 were synthesized.
23 : Biochim Biophys Acta. 1995 Mar 2;1255(1):77-81.
Fractionation of livers following diosgenin treatment to elevate biliary cholesterol.
The plant saponin, diosgenin, is known to induce a marked increase in biliary cholesterol/phospholipid ratio. We reasoned that putative biliary lipid supply vesicles might be similarly enriched with cholesterol. Seven-day diosgenin feeding to rats resulted in significantly increased biliary cholesterol and cholesterol/phospholipid ratio , but had no effect on total cholesterol or phospholipid content of the liver. Subcellular fractionation of livers showed no selective increase in any fraction (nuclear, mitochondrial, lysosomal, microsomal) of the homogenate. Further subfractionation of microsomal or nuclear (plasma membrane) fractions also showed no difference between control and diosgenin groups. Thus, no intracellular vesicle fraction has been identified with the provision of the enhanced biliary cholesterol and the results are discussed in terms of the possible involvement of cytosolic lipid-binding proteins as putative lipid carriers to the canalicular membrane as an alternative to the presence of the lipid in lipid supply vesicles.
24 : Biochem Biophys Res Commun. 1995 Feb 6;207(1):398-404.
A plant steroid, diosgenin, a new megakaryocytic differentiation inducer of HEL cells.
We investigated the effect of plant steroids 5 alpha-spirosten-3 beta-ol (diosgenin), 5 alpha-spirostan-3 beta-ol (tigogenin) and 5 alpha-spirostan-3 beta-ol-12-one (hecogenin) on the human erythroleukemia cell line (HEL TIB 180) and found that diosgenin addition to HEL cell cultures induces morphological and biochemical changes characteristic for megakaryocyte cells. Diosgenin-treated cells exhibit, at the ultrastructural level, increases in size in cytoplasmic and nuclear complexity. At the biochemical level, we demonstrated that diosgenin-treated HEL cells increased glycoprotein Ib (GpIb) expression as previously described in the megakaryocytic differentiation of HEL cells induced by nanomolar dose phorbol myristate acetate treatment.
25 : Biochem J. 1993 May 1;291 ( Pt 3):793-8.
Effect of diosgenin on biliary cholesterol transport in the rat.
Biliary cholesterol output in rats was stimulated over 3-fold by feeding diosgenin for 5 days, whereas biliary outputs of phospholipid and bile salts were not changed by diosgenin feeding. Isolating and perfusing the liver without bile salts resulted in a rapid and substantial decrease in biliary bile salt output; bile salt depletion abolished the diosgenin-induced increment in biliary cholesterol output, showing that the diosgenin-elevated biliary cholesterol output was bile-salt-dependent. Diosgenin treatment also produced a significant decrease in biliary alkaline phosphodiesterase I. Fresh bile obtained from control and diosgenin-fed rats was subjected to gel-permeation chromatography in order to separate different-sized biliary cholesterol carriers. Two major peaks of cholesterol were eluted, with cholesterol also being eluted between the peaks. The cholesterol peak eluted at the lower molecular mass (20-30 kDa) was observed in all bile samples. The higher-molecular-mass peak, which was eluted at the void volume, was not observed in all biles; control biles contained very little high-molecular-mass form of cholesterol, whereas biles from the diosgenin group contained up to 47% of cholesterol in the high-molecular-mass fraction. Diosgenin treatment produced a range of elevated biliary cholesterol values which positively correlated with the proportion of cholesterol contained in the high-molecular-mass fraction (r = 0.98). The results show that diosgenin induced a marked bile-salt-dependent increase in biliary cholesterol output and a shift in biliary cholesterol transport to higher-molecular-mass structures.
26: Int J Biochem. 1987;19(8):679-83.
In vivo and in vitro studies of hypocholesterolemic effects of diosgenin in rats.
There is evidence that diosgenin when given orally or parenterally decreases cholesterol plasma levels in rat, chicken and rabbits that have had a diet-induced hypercholesterolemia. 2. The per-oral administration of [3H]diosgenin yielded 12% of the given dose distributed throughout: liver, spleen, epididymal fat, brain and carcass of the rat. 3. In everted gut sacs, [3H]diosgenin was better absorbed than cholesterol. 4. In these tests diosgenin was recovered esterified from the tissues and the recovered cholesterol showed less esterification in the presence of diosgenin than in its absence.
27 : J Lipid Res. 1984 Mar;25(3):236-45.
Changes in biliary and fecal bile acids in mice after treatments with diosgenin and beta-sitosterol.
Diosgenin and beta-sitosterol (1% in diet) were administered to CRJ:CD-1 male mice for 15 days, in order to examine the changes in bile acid metabolism. There were some differences between diosgenin and beta-sitosterol in their effects on diet intake, liver weight, and plasma cholesterol level. However, both phytosterols caused no statistically significant changes in body weight gain, decreased cholesterol absorption to about one-third that observed in control mice, decreased liver cholesterol level, increased fecal excretion of cholesterol, and decreased fecal excretion of bile acids. Most of the increase in fecal excretion of cholesterol occurred 2 days after the start of feeding of phytosterols and gradually declined thereafter, but the levels on day 15 were nevertheless higher than those in the control mice. The fecal excretion of bile acids decreased progressively after the treatment with phytosterols. The decrease of bile acid derived from chenodeoxycholic acid was more predominant than the decrease of those derived from cholic acid, resulting in an increase of the cholic acid/chenodeoxycholic acid ratio. The biliary cholesterol, phospholipid, and bile acid mole % ratios and the lithogenic index were not changed, but the percentages of cholic acid and its related bile acids (the cholic acid group) to the total bile acids increased and those of the chenodeoxycholic acid group decreased after the treatments. The pool size of bile acids decreased in the mice given diosgenin but not in those given beta-sitosterol. Distribution of bile acids between the gallbladder and intestine was not altered by either phytosterol.
28 : Atherosclerosis. 1978 Mar;29(3):317-27.
Combined effects of clofibrate and diosgenin on cholesterol metabolism in rats.
Groups of male rats were fed various doses of clofibrate and diosgenin, both alone and in combination for 1 week. Clofibrate suppressed the diosgenin-induced increase in hepatic cholesterol synthesis but did not alter the effectiveness of diosgenin in reducing cholesterol absorption. Diosgenin did not affect the bioavailability of CPIB. Clofibrate reduced the diosgenin induced increase in biliary levels of cholesterol; none of the regimens altered biliary bile acids. The combination produced greater decreases in LDL cholesterol than did either compound alone; the diosgenin-induced elevation in HDL cholesterol was partially reversed by clofibrate. The data provide a basis for the combined use of clofibrate and diosgenin in the control of hyperlipoproteinemia.
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