Mexican Plants Involved in Glucose Homeostasis and Body Weight Control: Systematic Review

Abstract

Background: Obesity is defined as abnormal or excessive fat accumulation, provoking many different diseases, such as obesity and type 2 diabetes. Type 2 diabetes is a chronic-degenerative disease characterized by increased blood glucose levels. Obesity and type 2 diabetes are currently considered public health problems, and their prevalence has increased over the last few years. Because of the high cost involved in the treatment of both diseases, different alternatives have been sought. However, the general population uses medicinal plants, in the form of tea or infusions, to treat different diseases. Therefore, traditional medicine using medicinal plants has been investigated as a possible treatment for type 2 diabetes and body weight control.

Aim of the study: The purpose of this review is to find medicinal plants used in Mexico that could exert their beneficial effect by regulating insulin secretion and body weight control.

Material and method: For the development of this review, Mexican plants used in traditional medicine to treat type 2 diabetes and body weight control were searched in PubMed, Google Scholar, and Scopus. The inclusion criteria include plants that presented a significant reduction in blood glucose levels and/or an increase in insulin secretion.

Results: We found 306 Mexican plants with hypoglycemic effects. However, plants that did not show evidence of an increase in insulin secretion were eliminated. Finally, only five plants were included in this review: Momordica charantia L. (melón amargo), Cucurbita ficifolia bouché (chilacayote), Coriandrum sativum L. (cilantro), Persea americana Mill. (aguacate) Bidens pilosa (amor seco), including 39 articles in total. Here, we summarized the plant extracts (aqueous and organic) that have previously been reported to present hypoglycemic effects, body weight control, increased secretion and sensitivity of insulin, improvement of pancreatic β cells, and glucose tolerance. Additionally, these effects may be due to different bioactive compounds present in the plants' extracts.

Conclusion: Both in vivo and in vitro studies are required to understand the mechanism of action of these plant extracts regarding insulin secretion to be used as a possible treatment for type 2 diabetes and body weight control in the future.

Keywords: body weight control; glucose homeostasis; insulin secretion; medicinal plants; type 2 diabetes.

Figure 1

Systematic review flowchart. Identification, eligibility, plants selection, and analysis, using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis).

Figure 2

Momordica charantia L. (melón amargo) plant. Published by Wikimedia Commons licensed by Creative Commons, reprinted from [21]. https://creativecommons.org/licenses/by-sa/3.0/legalcode, accessed on 10 March 2023.

Figure 3

Cucurbita ficifolia bouché (chilacayote) plant. Published by Wikimedia Commons licensed by Creative Commons, reprinted from [36]. https://creativecommons.org/licenses/by-sa/3.0/legalcode, accessed on 10 March 2023.

Figure 4

Coriandrum sativum L. (cilantro). Published by Wikimedia Commons, licensed by Creative Commons, reprinted from [46]. https://creativecommons.org/licenses/by-sa/4.0/legalcode, accessed on 10 March 2023.

Figure 5

Persea americana Mil. (aguacate) plant. Reprinted from [58].

Figure 6

Bidens pilosa (amor seco) plant. Published by Wikimedia Commons, licensed by Creative Commons, reprinted from [74]. https://creativecommons.org/licenses/by-sa/4.0/legalcode, accessed on 10 March 2023.