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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">GYA</journal-id>
<journal-title-group>
<journal-title>Grasas y Aceites</journal-title>
</journal-title-group>
<issn pub-type="epub">0017-3495</issn>
<publisher>
<publisher-name>Consejo Superior de Investigaciones Cientificas</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">GYA201813_e243-1104172</article-id>
<article-id pub-id-type="doi">10.3989/gya.1104172</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title><italic>In vivo</italic> correlation of olive leaves extract on some oxidative stress markers in streptozotocin-induced diabetes mellitus in rats</article-title>
<trans-title-group xml:lang="es">
<trans-title>Acci&#x00F3;n de extractos de hojas de olivo sobre marcadores del estr&#x00E9;s oxidativo en diabetes mellitus inducida por estreptozotocina en ratas</trans-title>
</trans-title-group>
<alt-title alt-title-type="running-head"><italic>In vivo</italic> correlation of olive leaves extract on some oxidative stress markers in streptozotocin-induced diabetes mellitus in rats</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Afify</surname>
<given-names>A.M.R.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>El-Beltagi</surname>
<given-names>H.S.</given-names>
</name>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fayed</surname>
<given-names>S.A.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>El-Ansary</surname>
<given-names>A.E.</given-names>
</name>
</contrib>
</contrib-group>
<aff>Biochemistry Dept, Faculty of Agriculture, Cairo University, P.O. 12613, Gamma st., Giza, Cairo- Egypt</aff>
<author-notes>
<corresp id="cor1"><label>&#x002A;</label>Corresponding author: <email xlink:href="helbeltagi@agr.cu.edu.eg">helbeltagi@agr.cu.edu.eg</email></corresp>
<fn>
<p><bold>ORCID ID</bold>: Afify AMR <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0001-8096-7649">https://orcid.org/0000-0001-8096-7649</ext-link>, El-Beltagi HS <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0003-4433-2034">https://orcid.org/0000-0003-4433-2034</ext-link>, Fayed SA <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0002-3449-6679">https://orcid.org/0000-0002-3449-6679</ext-link>, El-Ansary AE <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0003-0585-1229">https://orcid.org/0000-0003-0585-1229</ext-link></p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>69</volume>
<issue>1</issue>
<elocation-id content-type="doi">10.3989/gya.1104172</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>10</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>12</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2018 CSIC</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License.</license-p>
</license>
</permissions>
<abstract>
<title>SUMMARY</title>
<p>Diabetes mellitus type two (T2DM) is one of the most extensive diseases in the world. Herbal therapy remains a possible adjunct therapy to sustain better glycemic control and reduce complications arising from diabetes. In order to evaluate the curative impacts of olive leaf extract (OLE) on streptozotocin (STZ)-induced diabetic rats, twenty-four Wistar male adult rats were divided into four equal groups; control, diabetic control (45 mg/kg STZ), normal rats treated with OLE (17.8 mg/kg b.wt.), and diabetic rats treated with OLE (45 mg/kg STZ + 17.8 mg/kg b.wt.). The OLE extract was investigated for <italic>in vitro</italic> antioxidant activity using the DPPH<sup>&#x2022;</sup> assay. The phenolic, tannin, and flavonoid contents were determined. The activity of GPX, SOD, and GSH in RBC lysate, CAT in plasma and MDA in serum were measured. The OLE prevented the decrease in GSH and kept MDA around the normal range in the treated diabetic rats. The current study suggests that OLE might be used safely to ameliorate T2DM and its accompanying oxidative stress.</p>
</abstract>
<trans-abstract xml:lang="es">
<title>RESUMEN</title>
<p><bold><italic>Acci&#x00F3;n de extractos de hojas de olivo sobre marcadores del estr&#x00E9;s oxidativo en diabetes mellitus inducida por estreptozotocina en ratas</italic></bold>. La diabetes mellitus tipo dos (DM2) es una de las enfermedades m&#x00E1;s extensas en el mundo. La terapia con hierbas sigue siendo una terapia complementaria para mantener un mejor control de la glucemia y reducir las complicaciones de la diabetes. Con el fin de evaluar los efectos curativos del extracto de hojas de olivo (OLE) en ratas diab&#x00E9;ticas inducidas por estreptozotocina (STZ), veinticuatro ratas Wistar machos adultos se dividieron en cuatro grupos iguales; control, control diab&#x00E9;tico (45 mg/ kg STZ), ratas normales tratadas con OLE (17.8 mg/kg b.wt) y ratas diab&#x00E9;ticas tratadas con OLE (45 mg / kg STZ + 17.8 mg / kg b.wt.). El extracto OLE se investig&#x00F3; para determinar la actividad antioxidante in vitro usando ensayos DPPH<sup>&#x2022;</sup>. Se determinaron los fenoles, los taninos y el contenido de flavonoides. Se midi&#x00F3; la actividad de GPX, SOD y GSH en lisado de RBC, CAT en plasma y MDA en suero. El OLE evit&#x00F3; la disminuci&#x00F3;n de GSH y mantuvo MDA alrededor del rango normal en las ratas diab&#x00E9;ticas tratadas. El estudio actual sugiere que OLE podr&#x00ED;a utilizarse de forma segura para mejorar la DM2 y el estr&#x00E9;s oxidativo que le acompa&#x00F1;a.</p>
</trans-abstract>
<kwd-group xml:lang="en">
<title>KEYWORDS</title>
<kwd>Antioxidant enzymes activity</kwd>
<kwd>Diabetes mellitus type two</kwd>
<kwd>Flavonoids</kwd>
<kwd>Olive leaves extract</kwd>
<kwd>Oxidative stress</kwd>
<kwd>Phenolics</kwd>
</kwd-group>
<kwd-group xml:lang="es">
<title>PALABRAS CLAVE</title>
<kwd>Actividad de enzimas antioxidantes</kwd>
<kwd>Diabetes mellitus tipo dos</kwd>
<kwd>Estr&#x00E9;s oxidativo</kwd>
<kwd>Extracto de hojas de olivo</kwd>
<kwd>Fen&#x00F3;licos Flavonoides</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<title>1. INTRODUCTION</title>
<p>Oxidative stress reflects an imbalance between free radical production and antioxidant defense mechanisms which results in the damaging of some molecules (El-Beltagi <italic>et al.</italic>, <xref ref-type="bibr" rid="cit0014">2017</xref>). Oxidative stress has been recorded to play a key role in the incidence and development of diabetes mellitus type two (T2DM) and consequently its complications. In diabetic subjects, disorders of the oxidative systems cause disequilibrium in endothelial function, which further causes inflammation (Ceriello <italic>et al</italic>., <xref ref-type="bibr" rid="cit0011">2013</xref>). Oxidative stress plays a vital role during the progression of diabetic nephropathy (El-Beltagi <italic>et al</italic>., <xref ref-type="bibr" rid="cit0015">2016</xref>). One of the risk elements in T2DM and its complications is oxidative stress. So, preventing oxidative stress could be an efficient way to assure an integrated management of T2DM (Adefegha and Oboh <xref ref-type="bibr" rid="cit0002">2016</xref>). The causes which led to hyperglycemia can be linked to a metabolic stress situation and deficient glucose circulation in insulin-targetted tissues such as liver, adipose tissue and skeletal muscle (Hadrich <italic>et al</italic>., <xref ref-type="bibr" rid="cit0016">2016</xref>).</p>
<p>Olive tree (<italic>Olea europaea</italic> L.) leaves have been broadly used in traditional therapy in European and Mediterranean countries as herbal teas, extracts, and powder. Olive leaf infusions and/or decoctions have been traditionally used to treat diabetes. The olive leaf has been recently accepted as a safe product in the category of food additives, permitted by the European Food Safety Authority (EFSA) (EFSA NDA Panel, <xref ref-type="bibr" rid="cit0013">2014</xref>). Promising results associated with the valuable effects of olive leaf extract on health related to the high quantity of phenolic compounds might inspire the industry to consider the value of olive leaves as a source of antioxidants for the production of medicines, cosmetics, and nutraceuticals (Afify <italic>et al</italic>., <xref ref-type="bibr" rid="cit0005">2017</xref>). Olive leaves were presented to be an abundant source of possibly valuable phytochemicals. Polyphenolic compounds play a key role in their biological effects. Olive leaf extract is a recognized source of oleuropein, its main efficient component that displayed various potential pharmaceutical properties such as antioxidant, anti-mutagen and anti-genotoxic characteristics (Hassen <italic>et al</italic>., <xref ref-type="bibr" rid="cit0017">2015</xref>).</p>
<p>The aim of the current research was to reveal the effect of an aqueous extract of olive leaves on the oxidative status accompanying T2DM, and therefore decrease the harmful effects of oxidative stress which are responsible for diabetes complications.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<title>2. MATERIALS AND METHODS</title>
<sec id="sec2.1">
<title>2.1. Materials</title>
<p>Streptozotocin was acquired from Sigma chemicals (St Louis, Mo, USA), at 97% purity. All other reagents used were of analytical grade.</p>
</sec>
<sec id="sec2.2">
<title>2.2. Methods</title>
<p>
<bold>
<italic>Preparation of olive aqueous extract</italic>
</bold>. An aqueous extract of olive leaves was prepared by washing dry leaves and cutting them into small pieces with a blender. Olive leaf powder (25 g) was soaked in 200 mL of distilled water and boiled for three minutes. The extract was collected and freeze dried on the same day; the fluid was about 195 mL. The extract was redissolved in distilled w&#x00E1;ter.</p>
<p>
<italic><bold>Diabetes induction</bold></italic>. T2DM was induced by intraperitoneally injecting a single dose of STZ per body weight (45 mg/kg b.wt.) dissolved in 0.01 M citrate buffer (pH 4.5) immediately before use. The rats had free access to food and water and were given a 5% glucose solution to drink overnight to encounter hypoglycaemic shock. The rats were checked daily for the presence of glycosuria. The rats were considered to be diabetic if glycosuria was present for 3 consecutive days. Three days after STZ injection, fasting blood samples were obtained and blood sugar was determined (&#x2265; 300 mg/dL).</p>
<p>
<bold>
<italic>Animals</italic></bold>. Twenty-four male Wistar rats (120 &#x00B1; 10 g) were purchased from the animal house of Helwan station for experimental animals, Helwan, Egypt. The rats were retained in polyethylene cages in groups of 6 rats per cage in a controlled environment (25 &#x00B1; 2 &#x00B0;C, 50&#x2013;60% relative humidity and 12-hour light-dark cycle) for two weeks for adaptation. The rats were divided into four equal groups of 6 rats each. All experimental treatments were approved by Cairo University Ethics Committee for the Care and Use of Experimental Animals in Education and Scientific Research (CU-IACUC) and the approval number was CUIIS1616.</p>
<p>
<bold>
<italic>Experimental animal design</italic></bold>. The animals were randomly allocated into four groups as follows:</p>
<p>Group 1: normal control.</p>
<p>Group 2: diabetic control (45 mg/kg STZ).</p>
<p>Group 3: normal rats treated with olive leaves extract (17.8 mg/kg b.wt.).</p>
<p>Group 4: diabetic rats treated with olive leafs extract (17.8 mg/kg b.wt.). Olive leaf extract was dissolved in distilled water and then given by oral gavage administration five days a week during the study period (10 weeks). The dose was calculated as 20 mg oleuropein/kg b.wt. Throughout this period, the rats were fed on a diet (TD.94045 AIN-93G Purified Diet) and water. The vitamin mix (AIN-93-VX) (1%) and mineral mix (AIN-93G-MX] (3.5%).</p>
<p>
<bold>
<italic>Blood sample preparation</italic></bold>. Blood samples were collected from the orbital sinus under anesthesia as follows: ~ 3 mL in EDTA-coated tubes and ~ 2 mL in plain tubes, centrifuged at 3000 rpm for 10 min at 4 &#x00B0;C to get plasma and serum, respectively. The rats were sacrificed by cervical dislocation at the end of the study period.</p>
</sec>
<sec id="sec2.3">
<title>2.3. Phytochemical compound determination</title>
<sec id="s2c1">
<title>2.3.1. Determination of phenolic content</title>
<p>Phenolic content was determined by using Folin-Ciocalteu reagent according to Ainsworth and Gillespie (<xref ref-type="bibr" rid="cit0004">2007</xref>). Briefly, 0.1 mL of sample aqueous extracts were added to 0.2 mL of 10% Folin-Ciocalteu reagent and vortexed thoroughly and then 0.8 mL of Na<sub>2</sub>CO<sub>3</sub> (700 mM) were added into each tube and the assay tubes were incubated at room temperature for 2 h in the dark. Absorbance was measured at 765 nm. Gallic acid was used as reference standard. Results were expressed as mg of gallic acid equivalents (GAE)/g dry weight.</p>
</sec>
<sec id="s2c2">
<title>2.3.2. Determination of tannin content</title>
<p>The tannins contents of olive leaf extract were measured by the Folin-Denis method according to Saxena <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0026">2013</xref>). Accurately 0.5 g of the powdered olive leaf extract was moved to a 250 mL conical flask. Seventy-five mL water were added. The flask was heated gently and boiled for 30 min then centrifuged at 2000 rpm for 20 min. The supernatant was collected in a 100 mL volumetric flask and the volume was made up. One mL of the sample extract was transferred to a 100 mL volumetric flask containing 75 mL water. Five mL of Folin-Denis reagent were added; 10 mL of a Na<sub>2</sub>CO<sub>3</sub> (700 mM) solution was diluted to 100 mL with water and shaken well. The absorbance was read at 700 nm after 30 min. Tannic acid was used to prepare the standard curve. The color formed was determined at 500 nm using a Spectrophotometer. The results were expressed as mg of tannic acid equivalents (TAE)/g dry weight.</p>
</sec>
<sec id="s2c3">
<title>2.3.3. Determination of flavonoids content</title>
<p>Flavonoids were determined according to the method of Zhishen <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0031">1999</xref>). Olive leaf extract (0.4 mL) was added to 4 mL H<sub>2</sub>O. Then 0.3 mL 5% NaNO<sub>2</sub> were added. After 5 min, 0.3 mL 10% AlCl<sub>3</sub> were added. After six min, 2 mL NaOH (1 M) were added and the total volume was made up to 10 mL with distilled water. The pink color was measured at 510 nm against a blank reagent using Spectrophotometer. Rutin was used to prepare the standard curve. Flavonoid content was calculated as mg/100 g on a dry weight basis. The results were expressed as mg of rutin equivalents (RuE)/g dry weight.</p>
</sec>
</sec>
<sec id="sec2.4">
<title>2.4. Total antioxidant activity</title>
<sec id="s2d1">
<title>2.4.1. DPPH free radical scavenging assay</title>
<p>The antioxidant activity of olive leaf extract was determined according to the method reported by Brand-Williams <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0009">1995</xref>). Briefly, 2.4 mg of DPPH were dissolved in 100 mL methanol and 3.9 mL of this solution were added to 0.1 mL of olive leaf extract. The final concentration was 1.78 mg/mL and four dilutions were made; 1.424, 1.068 and 0.712 mg/mL. The mixture was shaken vigorously and allowed to stand in the dark for 30 min at room temperature. Then the absorbance was measured at 515 nm using a T80 PG UV/VIS Spectrophotometer. Methanol was used as a blank to zero the spectrophotometer and DPPH<sup>&#x2022;</sup> was the control. DPPH<sup>&#x2022;</sup> free radical scavenging activity was expressed as the inhibition percentage and was calculated from the equation:</p>
<disp-formula id="eq1">
<alternatives>
<mml:math id="M1" display='block'>
<mml:mrow>
<mml:mtext>DPPH radical scavenging activity(%)=</mml:mtext>
<mml:mfrac>
<mml:mrow>
<mml:mtext>Absorbance of control</mml:mtext>
<mml:mo>&#x2013;</mml:mo>
<mml:mtext>Absorbance of sample</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>Absorbance of sample</mml:mtext>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="GYA-201813_e243-1104172-e001.tif"/>
</alternatives>
</disp-formula>
<p>
<italic>
<bold>Biochemical analysis.</bold></italic> Blood samples were collected from orbital vinus under anesthesia as follows: 3 mL in EDTA-coated tubes and 2 mL in plain tubes, centrifuged at 3000 rpm for 10 min at 4 &#x00B0;C to get plasma for CAT and serum for MDA and RBCs for GPX, SOD, and GSH analysis, respectively. The rats were sacrificed by cervical dislocation at the end of the study period.</p>
</sec>
<sec id="s2d2">
<title>2.4.2. Determination of MDA (Malondialdehyde) activity</title>
<p>The estimation of lipid peroxide is a colorimetric reaction with TBA (thiobarbituric acid) and was carried out as illustrated by Uchiyama and Mihara (<xref ref-type="bibr" rid="cit0029">1978</xref>), the measured lipid peroxide is calculated as malondialdehyde.</p>
</sec>
<sec id="s2d3">
<title>2.4.3. Determination of GSH activity</title>
<p>Reduced glutathione was estimated according to the method of Beutler <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0007">1963</xref>).</p>
</sec>
<sec id="s2d4">
<title>2.4.4. Determination of SOD activity</title>
<p>Superoxide dismutase (SOD) was determined using the method of Nishikimi <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0020">1972</xref>) as follows: the reaction mixture consists of 1.0 mL buffer (pH 8.5), 0.1 mL nitroblue tetrazolium (NBT) and 0.1 mL NADH, mixed with 0.05 mL sample. The reaction was started by adding 0.01 mL phenazine methosulphate (PMS); then the increase in absorbance was read at wavelength 560 nm for five minutes.</p>
</sec>
<sec id="s2d5">
<title>2.4.5. Determination of CAT activity</title>
<p>Catalase activity (CAT) was determined using the method of Aebi (1983). The reaction mixture contained 0.05 mL sample, and 0.50 mLbuffer (pH 7.0). The reaction was initiated by adding H<sub>2</sub>O<sub>2</sub>, then the resulting color was read at wavelength 510 nm.</p>
</sec>
<sec id="s2d6">
<title>2.4.6. Determination of GPX activity</title>
<p>Briefly, 0.5 mL of supernatant, 0.2 mL of Tris buffer, 0.1 mL of sodium azide and 0.2 mL of ethylene diamine tetra acetic acid were mixed together. Then 0.2 mL of glutathione followed by 0.1 mL of H<sub>2</sub>O<sub>2</sub> were added to the mixture. The tubes were shaken well and incubated at 37 &#x00B0;C for 10 min beside a blank tube which contained all the reagents except the sample. The reaction was stopped after 10 min by adding 0.5 mL of 10% TCA. The tubes were centrifuged and the supernatant was used for the determination of glutathione.</p>
</sec>
</sec>
<sec id="sec2.5">
<title>2.5. Statistical analysis</title>
<p>Values are presented as means &#x00B1; SEM. Statistical analysis was carried out using the &#x201C;costat&#x201D; statistic computer program. Statistical analysis was based on One-way analysis of variance ANOVA followed by student-Newman Keuls test, and least significant difference (LSD) at P &#x003C; 0.05. A Pearson product-moment correlation coefficient was used to describe the relationships between enzymatic and non-enzymatic antioxidants.</p>
</sec>
</sec>
<sec id="sec3" sec-type="resutls|discussion">
<title>3. RESULTS AND DISCUSSION</title>
<sec id="sec3.1">
<title>3.1. Phytochemical compound contents</title>
<p>
<xref ref-type="table" rid="t0001">Table 1</xref> shows that the content of tannins in olive leaf extract was 21.59 &#x00B1; 1.25 mg TAE /g dry weight, while the phenolic content was 144.97 &#x00B1; 2.12 mg GAE /g dry weight and flavonoid content was 143.01 &#x00B1; 2.52 mg Ru/g dry weight. These results are consistent with the findings of Al-Marazeeq <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0006">2016</xref>), who found that the total quantity of polyphenols in the water extract of olive leaves was 158 mg GAE/g extract. However, the tannin content in our extract was much higher than reported by Al-Marazeeq <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0006">2016</xref>), who found that the tannin content was 8 mg GAE/g extract. The huge variance in tannins could be attributed to the cultivar difference. This explanation was supported by Brahmi <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0008">2013</xref>) who found significant differences in tannins among two cultivars of olives, representing 8.10 mg/g dry weight in cv. Chemlali and 20.47 mg/g dry weight in cv. neb jmel.</p>
<table-wrap id="t0001">
<label>Table 1</label>
<caption>
<p>Phytochemical contents in olive leaves extract</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left">Phytochemicals</th>
<th align="center">Olive leaves extract</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Tannins (mg TAE/g dwt)</td>
<td align="center">21.59 &#x00B1; 1.25</td>
</tr>
<tr>
<td align="left">Phenolics (mg GAE/g dwt)</td>
<td align="center">144.97 &#x00B1; 2.12</td>
</tr>
<tr>
<td align="left">Flavonoids (mg RuE/g dwt)</td>
<td align="center">143.01 &#x00B1; 2.52</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values are represented as mean &#x00B1; SEM of triplicate determinations.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>At the same time, Sifaoui <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0027">2014</xref>) found that phenolic compounds in different varieties of <italic>O.</italic>
<italic>europaea</italic> leaves ranged from 46.809 mg GAE/g to 153.917 mg GAE/g of dry extract. The results found that flavenoid contents varied among species, in the range of 42.754 to 18.397 mg RuE/g of dry extracts (Sifaoui <italic>et al</italic>., <xref ref-type="bibr" rid="cit0027">2014</xref>). These findings are similar to those that reported by Stankovi&#x0107; <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0028">2017</xref>), who published that flavonoid content in the olive leaves from different cultivars varied between 52.40 and 129.39 mg of RuE/g dry weight. Stankovi&#x0107; <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0028">2017</xref>) found that the phenolic content of <italic>O. europaea</italic> L. leaves from different cultivars was in the range of 127.18&#x2013;314.69 mg of GAE/g and they concluded that the differences in polyphenolic contents between olive leaf varieties could be due to varietal and ecological influences.</p>
</sec>
<sec id="sec3.2">
<title>3.2. DPPH free radical scavenging activity of olive leaf extract</title>
<p>The antioxidant activity of olive leaf extract was measured using the DPPH method with four concentrations 0.712, 1.068, 1.424 and 1.78 mg/mL (<xref ref-type="table" rid="t0002">Table 2</xref>). The results revealed that the antioxidant activity of olive leaf extract was significantly time and concentration dependent. While our olive leaf extract&#x2019;s antioxidant activity was 62.54% for 0.712 mg/mL, Abaza <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0001">2011</xref>) found that the antioxidant activity of the 0.5 mg/mL water olive leaf extract was 20.83%.</p>
<table-wrap id="t0002">
<label>Table 2</label>
<caption>
<p>Antioxidant activity of olive leaves extract against DPPH free radical.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left">Concentration (mg/mL)</th>
<th colspan="2" align="center">Antioxidant activity (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left"/>
<td align="center">15 min</td>
<td align="center">30 min</td>
</tr>
<tr>
<td align="left">0.712</td>
<td align="center">57.46 &#x00B1; 0.025<sup>dB</sup>
</td>
<td align="center">62.54 &#x00B1; 0.026<sup>dA</sup>
</td>
</tr>
<tr>
<td align="left">1.068</td>
<td align="center">61.59 &#x00B1; 0.076<sup>cB</sup>
</td>
<td align="center">66.14 &#x00B1; 0.234<sup>cA</sup>
</td>
</tr>
<tr>
<td align="left">1.424</td>
<td align="center">65.98 &#x00B1; 0.025<sup>bB</sup>
</td>
<td align="center">70.64 &#x00B1; 0.130<sup>bA</sup>
</td>
</tr>
<tr>
<td align="left">1.78</td>
<td align="center">66.81 &#x00B1; 0.051<sup>aB</sup>
</td>
<td align="center">71.54 &#x00B1; 0.026<sup>aA</sup>
</td>
</tr>
<tr>
<td align="left">LSD 0.05</td>
<td align="center">0.16</td>
<td align="center">0.44</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values are represented as mean &#x00B1; SEM of triplicate determinations. The mean values with a different small letter within a column indicate significant differences (p &#x003C; 0.05). The mean values with a different capital letter within a row indicate significant differences (p &#x003C; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The antioxidant effect of extracts on DPPH free radical scavenging may be due to their hydrogen-donating capability, which decreases the stable olive leaf extract DPPH radical to the yellow DPPH-H. Antioxidants can capture the free radical chain of oxidation and form stable free radicals, avoiding further oxidation propagation (Xie <italic>et al</italic>., <xref ref-type="bibr" rid="cit0030">2015</xref>). The phenolic compound content was highly correlated with DPPH antioxidant values, but moderate to weak correlation was found between the flavonoid content value and radical scavenging activity (Sifaoui <italic>et al</italic>., <xref ref-type="bibr" rid="cit0027">2014</xref>). The reason for the antioxidant effect of olive leaf extract is the hydrolysis of oleuropein to hydroxytyrosol with the parallel increase in the antioxidant capacity of the extract and the synergistic effect of phenolic compounds in the olive leaf extract (Zafer and Filiz 2010).</p>
<p>Olive leaf extract showed marked antioxidant properties in the <italic>in vitro</italic> systems and exhibited a good bioavailability with 40% of the polyphenols being absorbed by the organism. These antioxidant properties were attributed to the phenolic metabolites that can preserve a strong antioxidant activity and show a significant antioxidant action <italic>in vivo</italic> (Martin-Vertedor <italic>et al.</italic>, <xref ref-type="bibr" rid="cit0019">2016</xref>). Moreover, Hayes <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0018">2011</xref>) proved that OLE is able to scavenge free radicals at physiological pH, therefore preventing the initiation and propagation of free-radical-mediated chain reactions which contribute to oxidative stress.</p>
<p>Martin-Vertedor <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0019">2016</xref>) revealed that the most abundant compound in the olive leaf extract was oleuropein. In fact, oleuropein represented more than 50% of the total recognized compounds in olive leaves,followed by hydroxytyrosol, then many other phenolics (Charoenprasert and Mitchell, <xref ref-type="bibr" rid="cit0012">2012</xref>). Oleuropein inhibitted the activities of free radicals and inhibitted oxidative stress in diabetic-induced rats (Qadir <italic>et al</italic>., <xref ref-type="bibr" rid="cit0022">2016</xref>). The potent antioxidant activity of olive leaf extract could be attributed to its high total polyphenolic compound content, and oleuropein (Salah <italic>et al</italic>., <xref ref-type="bibr" rid="cit0024">2012</xref>).</p>
</sec>
<sec id="sec3.3">
<title>3.3. Changes in MDA and GSH of normal and diabetic rats</title>
<p>The results in <xref ref-type="table" rid="t0003">Table 3</xref> revealed a significant increase in the MDA serum level of diabetic rats as compared to normal control rats (23.70 &#x00B1; 1.66 nmol/mL). Diabetic rats received olive leaf extract decreased MDA formation in serum to the level of 15.07 nmol/mL and this decrease was significant when compared to the normal control group (13.41 nmol/mL). <xref ref-type="table" rid="t0003">Table (3</xref>) shows the effect of olive leaf extract on GSH concentration in diabetic rats. The induction of diabetes resulted in a depletion of glutathione as shown in the diabetic control group (8.22 mg/dL) compared to normal control (13.55 mg/dL). However, the treatment of rats with olive leaf extract improved the GSH in diabetic rats treated with olive leaf extract (14.33 mg/dL).</p>
<table-wrap id="t0003">
<label>Table 3</label>
<caption>
<p>MDA in Serum and GSH in RBC lysate from normal, diabetic and treated groups.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="2">Groups</th>
<th colspan="2" align="center">MDA (nmol/mL)<hr/></th>
<th colspan="2" align="center">GSH (mg/dL)<hr/></th>
</tr>
<tr>
<th align="center">Zero time</th>
<th align="center">10 wees</th>
<th align="center">Zero time</th>
<th align="center">10 weeks</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Normal Control</td>
<td align="center">12.93 &#x00B1; 1.18<sup>aA</sup>
</td>
<td align="center">13.41 &#x00B1; 0.73<sup>bA</sup>
</td>
<td align="center">13.55 &#x00B1; 0.97<sup>aA</sup>
</td>
<td align="center">13.55 &#x00B1; 0.59<sup>bA</sup>
</td>
</tr>
<tr>
<td align="left">Diabetic Control</td>
<td align="center">12.43 &#x00B1; 1.14<sup>aB</sup>
</td>
<td align="center">23.70 &#x00B1; 1.66<sup>aA</sup>
</td>
<td align="center">13.78 &#x00B1; 0.80<sup>aA</sup>
</td>
<td align="center">8.22 &#x00B1; 0.89<sup>cB</sup>
</td>
</tr>
<tr>
<td align="left">Normal rats treated with OLE</td>
<td align="center">13.41 &#x00B1; 0.73<sup>aA</sup>
</td>
<td align="center">12.10 &#x00B1; 0.85<sup>bA</sup>
</td>
<td align="center">14.33 &#x00B1; 1.00<sup>aB</sup>
</td>
<td align="center">18.66 &#x00B1; 1.15<sup>aA</sup>
</td>
</tr>
<tr>
<td align="left">Diabetic rats treated with OLE</td>
<td align="center">12.10 &#x00B1; 0.85<sup>aA</sup>
</td>
<td align="center">15.07 &#x00B1; 0.25<sup>bA</sup>
</td>
<td align="center">13.00 &#x00B1; 0.33<sup>aA</sup>
</td>
<td align="center">14.33 &#x00B1; 0.58<sup>bA</sup>
</td>
</tr>
<tr>
<td align="left">LSD 0.05</td>
<td align="center">4.55</td>
<td align="center">3.29</td>
<td align="center">3.49</td>
<td align="center">2.73</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values are mean &#x00B1; SEM. Each group contains 6 rats. The mean values with a different small letter within a column indicate significant differences (p &#x003C; 0.05). The mean values with a different capital letter within a row indicate significant differences (p &#x003C; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>A negative correlation was noticed between GSH and hyperglycemia, which means that rising serum glucose reduced the antioxidant capacity (Qadir <italic>et al</italic>., <xref ref-type="bibr" rid="cit0022">2016</xref>). There is an inverse correlation which has been revealed among glucose level and enzymatic and non-enzymatic antioxidants (Qadir <italic>et al</italic>., <xref ref-type="bibr" rid="cit0022">2016</xref>). The consumption oleuropein-rich olive leaf extract reduced plasma MDA levels in subjects, which was associated with higher plasma levels of metabolites derived from oleuropein (Garcia-Villalba <italic>et al</italic>., 2014).</p>
</sec>
<sec id="sec3.4">
<title>3.4. Changes in SOD, CAT, and GPX of normal and diabetic rats</title>
<p>Superoxide dismutase showed the lowest value (27.7 U/mL) in the diabetic control group (<xref ref-type="table" rid="t0004">Table 4</xref>). Olive leaf extract improved SOD levels in the treated diabetic group (31.40 U/mL) to be near the value of the normal control (35.9 U/mL) and normal rats which were treated with olive leaf extract (36.40 U/mL) (<xref ref-type="table" rid="t0004">Table 4</xref>).</p>
<table-wrap id="t0004">
<label>Table 4</label>
<caption>
<p>Effect of aqueous extract of olive leaves on SOD in RBC lysate, CAT in plasma and GPX in RBC lysate levels from STZ-induced diabetic rats.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="2">Groups</th>
<th colspan="2" align="center">SOD (U/mL)<hr/></th>
<th colspan="2" align="center">CAT (U/mL)<hr/></th>
<th colspan="2" align="center">GPX (U/mL)<hr/></th>
</tr>
<tr>
<th align="center">Zero time</th>
<th align="center">10 weeks</th>
<th align="center">Zero time</th>
<th align="center">10 weeks</th>
<th align="center">Zero time</th>
<th align="center">10 weeks</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Normal Control</td>
<td align="center">36.2 &#x00B1; 0.2<sup>aA</sup>
</td>
<td align="center">35.9 &#x00B1; 0.5<sup>aA</sup>
</td>
<td align="center">8.04 &#x00B1; 0.33<sup>aA</sup>
</td>
<td align="center">8.20 &#x00B1; 0.85<sup>aA</sup>
</td>
<td align="center">1426.58 &#x00B1; 74.88<sup>aA</sup>
</td>
<td align="center">1469.81 &#x00B1; 86.46<sup>aA</sup>
</td>
</tr>
<tr>
<td align="left">Diabetic Control</td>
<td align="center">35.4 &#x00B1; 0.2<sup>aA</sup>
</td>
<td align="center">27.7 &#x00B1; 2.7<sup>bB</sup>
</td>
<td align="center">7.49 &#x00B1; 0.51<sup>aA</sup>
</td>
<td align="center">4.07 &#x00B1; 0.36<sup>bB</sup>
</td>
<td align="center">1556.27 &#x00B1; 149.75<sup>aA</sup>
</td>
<td align="center">907.82 &#x00B1; 74.88<sup>cB</sup>
</td>
</tr>
<tr>
<td align="left">Normal rats treated with OLE</td>
<td align="center">36.2 &#x00B1; 0.4<sup>aA</sup>
</td>
<td align="center">36.4 &#x00B1; 0.1<sup>aA</sup>
</td>
<td align="center">7.94 &#x00B1; 0.44<sup>aA</sup>
</td>
<td align="center">7.62 &#x00B1; 0.41<sup>aA</sup>
</td>
<td align="center">1491.43 &#x00B1; 64.84<sup>aA</sup>
</td>
<td align="center">1642.73 &#x00B1; 86.00<sup>aA</sup>
</td>
</tr>
<tr>
<td align="left">Diabetic rats treated with OLE</td>
<td align="center">35.2 &#x00B1; 0.1<sup>aA</sup>
</td>
<td align="center">31.4 &#x00B1; 1.9<sup>abA</sup>
</td>
<td align="center">7.46 &#x00B1; 0.48<sup>aA</sup>
</td>
<td align="center">8.41 &#x00B1; 0.05<sup>aA</sup>
</td>
<td align="center">1426.58 &#x00B1; 129.69<sup>aA</sup>
</td>
<td align="center">1253.66 &#x00B1; 114.38<sup>bA</sup>
</td>
</tr>
<tr>
<td align="left">LSD 0.05</td>
<td align="center">0.97</td>
<td align="center">5.47</td>
<td align="center">1.68</td>
<td align="center">1.64</td>
<td align="center">464.85</td>
<td align="center">299.06</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values are mean &#x00B1; SEM. Each group contains 6 rats. The mean values with a different small letter within a column indicate significant differences (p &#x003C; 0.05). The mean values with a different capital letter within a row indicate significant differences (p &#x003C; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>In vivo effects of olive leaf extract on catalase levels in the plasma of rats were estimated. It was observed that the olive leaf extract exhibited a high level of catalase (8.41 U/mL) in the treated diabetic group compared to diabetic group and gave a value of 4.07 U/mL. The normal treated group was also low with the value 7.62 U/mL, but this decrease did not reach the statistically significant difference when correlated to the normal control 8.20 U/mL. The results presented in <xref ref-type="table" rid="t0004">Table (4</xref>) indicate that diabetes induction affects the GPX level. As expected from the GSH results, the GPX level falls dramatically in the diabetic group (907.82 U/mL) when compared to normal control group (1469.81 U/mL). The olive leaf extract retrieved the GPX value in the treated diabetic group with a value of 1253.66 U/mL. Exactly like the GSH results&#x2019; trend, the normal rats that received olive leaf extract showed the highest GPX value (1642.73 U/mL), significantly. The current findings are consistent with those reported by Park <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0021">2013</xref>) who showed that the concentrations of SOD were lower in the diabetic group than in the control group. Though the SOD level in their olive leaf extract-treated diabetic group tended to rise compared with the diabetic group. Also, the plasma CAT level was higher in the olive leaf-supplemented group than in the diabetic group. In addition, GPX activity was lower in the diabetic group than in the normal control group; however, GPX activity in the olive leaf-supplemented group was significantly higher than that in the diabetic group (Park <italic>et al</italic>., <xref ref-type="bibr" rid="cit0021">2013</xref>). The administration of olive leaf extract led to a reduction in the severe alterations of GSH and MDA in diabetic rats. These findings clearly showed that olive leaf extract plays a defensive role against oxidative stress damage in diabetic rats. In the Park <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0021">2013</xref>) study, treatment with olive leaves relieved oxidative stress through the elevation of plasma antioxidant enzymes; SOD and CAT levels were significantly lower in the diabetic control group and greater in animals from the olive leaf supplemented group.</p>
<p>The GPX level also tracked a similar trend to that of SOD and CAT levels which increased in the diabetic olive leaf treated group. These results suggest that olive leaf extract prompted a protecting effect by inducing the scavenging of ROS, thus decreasing diabetes-related complications. The antioxidant effect of olive leaf extract could be clarified on the basis that olive leaf extract induced the protein synthesis of antioxidant enzymes (Salah <italic>et al</italic>., <xref ref-type="bibr" rid="cit0025">2017</xref>).</p>
<p>Olive leaf extract has been ascribed with antioxidant, antihypertensive, hypoglycemic, hypocholesterolemic, anti-inflammatory, antiatherogenic, chemopreventive, anti-cancer properties and also against metabolic disorders (Bulotta <italic>et al</italic>., <xref ref-type="bibr" rid="cit0010">2014</xref>). The present results showthat endogenous antioxidants such as CAT, SOD, and GPX decreased while, MDA levels increased, which revealed that oxidative stress was reinforced in STZ-diabetic rats.</p>
</sec>
<sec id="sec3.5">
<title>3.5. Pearson correlation between antioxidant parameters</title>
<p>A Pearson product-moment correlation coefficient was computed to evaluate the relationship between different enzymatic and non-enzymatic antioxidant parameters. The results suggest that all the correlations were statistically significant.</p>
<p>The statistical analysis indicated that a strong negative correlation was found between both MDA and SOD (r2 = 0.62, p &#x2264; 0.05), and between MDA and GPX (r2 = 0.68, p &#x2264; 0.05) (<xref ref-type="fig" rid="f0001">Fig 1 A and B</xref>). In addition, a strong negative correlation was found between MDA and CAT (r2 = 0.58, p &#x2264; 0.05) and between MDA and GSH (r2 = 0.57, p &#x2264; 0.05) (<xref ref-type="fig" rid="f0001">Fig 1C and D</xref>). Park <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0021">2013</xref>) also found a negative correlation between GSH and MDA. El-Beltagi <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0015">2016</xref>) assumed that the depletion of GSH might be partly responsible for the elevated lipid peroxidation. On the other hand, a strong positive correlation was found between SOD and GPX (r2 = 0.53, p &#x2264; 0.05) (<xref ref-type="fig" rid="f0002">Fig 2 A</xref>). Park <italic>et al</italic>., (<xref ref-type="bibr" rid="cit0021">2013</xref>) verified a positive correlation among SOD and GPX. However, a weak positive correlation takes place between SOD and CAT (r2 = 0.31, p &#x2264; 0.05) (<xref ref-type="fig" rid="f0002">Fig 2 B</xref>).</p>
<fig id="f0001">
<label>Figure 1</label>
<caption>
<p>Correlation between: A. MDA (nmol/mL) and SOD (U/mL), B. MDA (nmol/mL) and GPX (U/mL), C. MDA (nmol/mL) and CAT (U/mL), D. MDA (nmol/mL) and GSH (mg/dL).</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="GYA-201813_e243-1104172-g001.tif"/>
</fig>
<fig id="f0002">
<label>Figure 2</label>
<caption>
<p>Correlation between: A. SOD (U/mL) and GPX (U/mL), B. SOD (U/mL) and CAT (U/mL).</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="GYA-201813_e243-1104172-g002.tif"/>
</fig>
<p>The present results demonstrated that olive leaf extract may have a direct promising application in the pharmaceutical field, due to the existence of bioactive compounds. Oleuropein and hydroxytyrosol, which are main polyphenolic constituents of olive leaves, restored the antioxidant distresses in diabetic rats. In the current study, it is difficult to make an overall assumption about structure-antioxidant activity relationships with the small number of antioxidant molecules under assessment. So, further research should be carried out to investigate the bioactive compounds in olive leaf extract which are responsible for its biological effects.</p>
</sec>
</sec>
<sec id="sec4" sec-type="conclusions">
<title>4. CONCLUSIONS</title>
<p>It could be concluded that Olive leaf extract had high antioxidant activity, and this activity was time-concentration dependent. Olive leaf extract showed a healing effect on the diabetic state by controlling oxidative stress in diabetic rats. Therefore, using olive leaf extract as a pharmaceutical product could be useful for diabetic individuals.</p>
</sec>
</body>
<back>
<ack>
<title>ACKNOWLEDGMENTS</title>
<p>The authors would like to show their appreciation to the Faculty of Agriculture, Cairo University, Department of Biochemistry, for continuing cooperation to support research that provided the facilities necessary to accomplish the most wanted objectives of this research.</p>
</ack>
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