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Bioorganic & Medicinal Chemistry Letters 27 (2017) 40–44

Contents lists available at ScienceDirect

Bioorganic & Medicinal Chemistry Letters


journal homepage: www.elsevier.com/locate/bmcl

Anthraquinones from Morinda longissima and their insulin mimetic


activities via AMP-activated protein kinase (AMPK) activation
Phi-Hung Nguyen a,1, Hong Seok Choi a, Thi Kim Quy Ha b, Ji Yeon Seo b, Jun-Li Yang b, Da-Woon Jung c,
Darren R. Williams c, Won-Keun Oh b,⇑
a
College of Pharmacy, Chosun University, Gwangju 501-759, Republic of Korea
b
Korea Bioactive Natural Material Bank, Research Institute of Pharmaceutical Sciences, College of Pharmacy, Seoul National University, Seoul 08826, Republic of Korea
c
New Drug Targets Laboratory, School of Life Sciences, Gwangju Institute of Science and Technology, 1 Oryong-Dong, Buk-Gu, Gwangju 500-712, Republic of Korea

a r t i c l e i n f o a b s t r a c t

Article history: AMP-activated protein kinase (AMPK) activators are known to increase energy metabolism and to reduce
Received 28 August 2016 body weight, as well as to improve glucose uptake. During for searching AMPK activators, a new anthra-
Revised 19 October 2016 quinone, modasima A (10), along with eighteen known analogues (1–9 and 11–19) were isolated from an
Accepted 14 November 2016
ethanol extract of the roots of Morinda longissima Y. Z. Ruan (Rubiaceae). Using the fluorescent tagged
Available online 15 November 2016
glucose analogues, 2-(N-(7-nitrobenz-2-oxa-1,3-diazol-4-yl)amino)-2-deoxy-D-glucose (2-NBDG), insu-
lin mimetics were screened with compounds 1–19 in 3T3-L1 adipocytes. Among them, compounds 2,
Keywords:
8 and 10 enhanced significantly glucose uptake into adipocytes and up-regulated the phosphorylated
Morinda longissima
Anthraquinone
AMPK (Thr172) whereas the glucose uptake enhancing activities of compounds 2, 8 and 10 were abrogated
AMP-activated protein kinase (AMPK) by treatment of compound C, an AMPK inhibitor. Taken together, these anthraquinones showed the
Glucose uptake potential action as insulin mimetic to improve glucose uptake via activation of AMPK.
Ó 2016 Elsevier Ltd. All rights reserved.

The number of patients with type 2 diabetes (T2D) has been and type 2 diabetes treatment so far.7 Some synthetic small mole-
increasing worldwide due to the upsurge in obesity that was cules and natural products have been reported to mimic the action
caused by sedentary lifestyles and high calorie foods.1 The AMP- of insulin and promote glucose uptake in cell culture and animal
activated protein kinase (AMPK), a heterotrimeric functional models of diabetes.8 Therefore, it is a need to search for new
enzyme complex, plays a key role in metabolic control and regulat- anti-diabetic agents that can mimic insulin.
ing cellular energy homeostasis.2 The AMPK activation on the The genus Morinda (Rubiaceae) comprising about 80 species
phosphorylation of Thr172 at the catalytic a subunit3 can be regu- was found in tropical regions worldwide, including vines, shrubs,
lated by calmodulin-dependent protein kinase kinases (CaMKKs) or trees with aggregated fruits being fleshy or dry. M. citrifolia
and serine/threonine kinase (LKB1), which are two upstream (Noni) is regarded as an important herb plant in Hawaiian, and
kinases, and also can be positively influenced by the intracellular has been utilized throughout the Pacific Polynesia for a long time.9
AMP/ATP ratio.4 The activated AMPK is able to regulate lipid home- M. longissima among these species is closely related to M. citrifolia
ostasis, and this function has been regarded as a promising strat- in phytotaxonomy,10 but there are not many reports on phyto-
egy for the treatment of type 2 diabetes due to the strong chemical and biological investigations of this plant. 2-NBDG assay
association between the deregulation of the fatty acid metabolism suggested that an ethanol extract of the roots of M. longissima
and the development of insulin resistance.5 In addition, it has been could improve glucose uptake in 3T3-L1 adipocytes. This observa-
reported the potential of some downstream targets of AMPK in tion and a recent discovery of four potential insulin mimetics from
glucose uptake regulation, such as reducing ectopic lipid accumu- M. citrifolia promoted us to search new insulin mimetics from
lation for improving insulin sensitivity, suppressing hepatic M. longissima.11 Herein we will describe the isolation and structure
glucose production in the liver, and stimulating glucose uptake in elucidation of these constituents and their potential on glucose
the muscle.6 Insulin is the only available agent for both type 1 uptake and their biological effects on AMPK activation.
Bioassay-guided fractionation of the active ethanol extract of
the roots of M. longissima by column chromatography (silica gel,
⇑ Corresponding author.
RP-C18, and prep-HPLC) resulted in the isolation of 19 anthraqui-
E-mail address: wkoh1@snu.ac.kr (W.-K. Oh).
1
Present address: Institute of Natural Products Chemistry, Vietnam Academy of none derivatives (1–19), including a new that were named moda-
Science and Technology (VAST), 18-Hoang Quoc Viet, Cau Giay, Ha Noi, Viet Nam. sima A (10) (Fig. 1).12

http://dx.doi.org/10.1016/j.bmcl.2016.11.034
0960-894X/Ó 2016 Elsevier Ltd. All rights reserved.
P.-H. Nguyen et al. / Bioorganic & Medicinal Chemistry Letters 27 (2017) 40–44 41

O R1 O R1 O OCH3
R2
O O

R3 R2 O
O O O
8
7 R1 = R 2 = OCH3
1 R1 = OH, R2 = R 3 = H
13 R1 = OCH 3, R2 = OH
2 R1 = H, R 2 = CH3, R3 = H
16 R1 = R 2 = OH
3 R1 = R 3 = OCH3 , R 2 = CH3
5'
4 R1 = OH, R2 = CH3 , R 3 = H O OH
8 1' 2'
5 R1 = OH, R2 = CH3 , R 3 = OCH3 12 13 1
O R1 9 O
6 R1 = R 2 = OH, R 3 = OCH 3 A C 6'
10
11 R1 = R 3 = OH, R 2 = CH 3 OR 3 5
11 14
4
OCH3
12 R1 = H, R 2 = CH 3, R3 = OH O
14 R1 = H, R 2 = CH3, R3 = OCH 3 R2 10
17 R1 = OCH 3, R2 = R 3 = OH O
9 R 1 = R2 = OH, R3 = CH2 CH2 CH2CH 3
18 R1 = OCH 3, R2 = CH3 , R 3 = OH
15 R 1 = OCH3 , R 2 = OH, R 3 = CH2CH3
19 R1 = OCH 3, R2 = CH2 OH, R 3 = OH

Fig. 1. Chemical structures of compounds 1–19 from the roots of Morinda longissima.

Compound 10 was isolated as a yellowish amorphous powder. methyl-9,10-anthraquinone (4),17 rubiadin-3-methyl ether (5),17
Its molecular formula of C21H22O5 was determined from a HREIMS 1,2-dihydroxy-3-methoxy-anthraquinone (6),17 1,3-dimethoxy-2-
peak at m/z 354.1465 [M]+ (calcd for C21H22O5, 354.1467). The IR methoxymethylanthraquinone (7),17 1-methoxy-20 ,20 -dimethyl-
spectrum suggested the presence of hydroxy (3331 cm1), unsatu- dioxine-(50 ,60 :2,3)-anthraquinone (8),18 lucidin-x-butyl ether
rated carbonyl (1670 cm1), and olefinic (1565 cm1) functionali- (9),18 rubiadin (11),13 3-hydroxy-2-methylanthraquinone (12),13
ties. The UV absorptions at kmax 242, 281, 336, and 352 nm and 1-methoxy-3-hydroxy-2-methoxymethylanthraquinone (13),13
the 13C NMR signals at dC 181.4 and 183.9 implied a 9,10-anthra- 2-methoxy-3-methyl-anthraquinone (14), 19
damnacanthol-x-
quinone structure.13 The 1H NMR spectrum showed two aromatic ethyl ether (15),20 lucidin-x-methyl ether (16),20 1-methoxy-2,3-
broad doublets at dH 8.17 (1H, br d, J = 7.6 Hz, H-5) and 8.23 (1H, dihydroxy-anthraquinone (17),20 rubiadin-1-methyl ether (18),20
br d, J = 7.2 Hz, H-8), and two broad triplets at dH 7.86 (1H, br t, and damnacanthol (19).20
J = 7.6 Hz, H-6) and 7.89 (1H, br t, J = 7.2 Hz, H-7), which indicated All of the isolates (1–19) were evaluated for their potential on
a typical A2B2 aromatic system. The above observations together glucose metabolism and insulin mimetic action. 2-NBDG has been
with an aromatic singlet proton at dH 7.59 (1H, s, H-4) indicated used as a fluorescent glucose analog widely used for monitoring
that 10 was an anthraquinone with a tri-substituted C-ring. A phe- glucose uptake in cells, and it was established to be a useful
nolic hydroxyl group demonstrated a proton signal at dH 13.2 in the reagent for discovering insulin mimetic compounds.21 Herein we
1
H NMR spectrum measured in CDCl3, which was due to the forma- examined the stimulatory effects of compounds 1–19 on 2-NBDG
tion of a hydrogen bond between this hydroxyl group and C(9)@O uptake in 3T3-L1 adipocyte cells by using an in vitro assay (2-NBDG
group. This analysis indicated that a hydroxyl group was located at assay).22 The 3T3-L1 adipocytes were chosen for this assay as fat
the peri position to the C-9 carbonyl group.14 An oxygenated represents one of the major body tissues that is sensitive to insulin.
methylene (dH 4.76, 2H, s, H2-10 ) was bond to C-2 based on HMBC 3T3-L1 fibroblasts were induced to differentiate into adipocytes,23
correlations from H-10 (dH 4.76) to C-1 (dC 163.9), C-2 (dC 126.8), and then isolated compounds were treated to the differentiated
and C-3 (dC 163.5). In addition, a 1H-1H COSY experiment showed 3T3-L1 adipocytes with 2-NBDG.11,24 DMSO and insulin (01. lM)
an isopentyloxy group [dH 3.63 (2H, t, J = 6.8 Hz), 1.51 (1H, q, were used as negative and positive controls in this assay,
J = 6.4 Hz), 1.72 (1H, m), and 0.90 (6H, d, J = 6.4 Hz)], and it was respectively.
connected to C-10 from HMBC correlation between H-10 (dH 4.76) As shown in Fig. 3A, anthraquinones 2, 7–10, 12–14 and 17–18
and C-20 (dC 70.4). One methoxy group at dH 3.94 (3H, s) was significantly enhanced 2-NBDG uptake at a concentration of
located at C-3 due to a cross peak between this methoxy 10 lM. Compared with insulin, compounds 2 and 8 showed the
(dH 3.94) and C-3 (dC 163.5) in HMBC experiment (Fig. 2). most potent stimulatory activities. Detailed analysis of structure–
The above conclusion was also supported by the HMBC correla- activity relationships (SARs) of anthraquinones 1–19 indicated
tions from the aromatic singlet H-4 (dH 7.59, 1H) to C-2 (dC 126.8), the key role of the substitution at C-10 in their stimulatory effects
C-3 (dC 163.5), C-10 (dC 183.9), C-13 (dC 119.8), and C-14 (dC 137.7) on glucose uptake. Attachment of ether bond at C-10 gave the most
(Fig. 2). Thus, compound 10 was elucidated as 1-hydroxy-2- important positive influence on the 2-NBDG uptake, such as com-
((isopentyloxy)methyl)-3-methoxy-9,10-anthraquinone, and pounds 8–10. There are no functional groups attached to C-10 in
named modasima A.15 compounds 2–5, 11, 12, 14 and 18. Among them, compound 2
By detailed analysis and comparison of the spectroscopic and showed the strongest stimulatory effect on 2-NBDG uptake. This
optical rotation values with literature data, the known compounds observation indicated that more electronegative functionalities
were characterized to be 1-hydroxy-anthraquinone (1),16 tecto- (OH/OMe) in 9,10-anthraquinones may be responsible for decreas-
quinone (2),17 rubiadin-dimethyl ether (3),17 1-hydroxy-2- ing the stimulation on glucose uptake.
To confirm the transportation efficacy of 2-NBDG into the cells
O OH by compounds 2, 8 and 10, we further measured fluorescent sig-
nals in adipocytes after compound treatment using fluorescence
O microscopy. Compared to control group (treated with DMSO), com-
pounds 2, 8 and 10 showed higher intensity of fluorescent signals
OCH 3 from the adipocytes at a concentration of 10 lM (Fig. 3B), and
O these fluorescence intensities were as much as insulin (0.1 lM).
10
The results indicated the potential of compounds 2, 8 and 10 to
Fig. 2. Key HMBC ( 1 1
) and H– H COSY ( ) correlations for modasima A (10).
improve glucose uptake.
42 P.-H. Nguyen et al. / Bioorganic & Medicinal Chemistry Letters 27 (2017) 40–44

The translocation of glucose transporter GLUT4 is essential for glucose uptake stimulation by anthraquinones from M. longsis-
inducible glucose uptake into the plasma membrane at muscle sima.28 The MTT assay was performed to test the cytotoxicity of
and adipocyte. This process mainly depends on the regulation of active compounds 8 and 10 using the differentiated 3T3-L1 and
two physiological pathways: the AMP-activated protein kinase C2C12 cells, respectively. The results demonstrated that com-
(AMPK) pathway and the insulin signaling pathway.25 In order to pounds 8 and 10 had no cytotoxicity at a concentration of 10 lM
investigate the underlining mechanism for the stimulation of for not only 2 h but also 24 h in C2C12 cells. In the case of differen-
2-NBDG uptake into the cells by the anthraquinones from M. tiated 3T3-L1 adipocytes, the results were shown similar tendency
longissima, we further evaluated the effects of compounds 2, 8 in C2C12 cells (see Supplementary Fig. S6). For the determination
and 10 on the AMPK pathway due to the key role of this pathway whether anthraquinones themselves have influence on 2-NBDG
in glucose uptake regulation during exercise or in response to some uptake, the fluorescence at excitation 450 nm and emission
anti-diabetic agents such as metformin and AICAR.25 To investigate 535 nm on cells were examined with compounds 8 and 10 at the
the effects of compounds on AMPK activation, we measured the same condition with or without 2-NBDG treatment. The fluores-
phosphorylation of AMPK on differentiated mouse C2C12 skeletal cence intensity was no significant changes in 3T3-L1 adipocytes
myoblasts.26 The results of Western blot analysis27 revealed that for indicating that anthraquinones themselves do not effect on
compounds 2, 8 and 10 significantly stimulated the phosphoryla- fluorescence excitation of 2-NBDG uptake assay (see Supplemen-
tion of AMPK at a concentration of 10 lM, whereas the total AMPK tary Fig. S7).
expression was not changed (Fig. 4A). In addition, increased phos- A number of 9,10-anthraquinones have been discovered from
phorylation of AMPK induced by compounds 2, 8 and 10 was abro- nature and a variety of biological activities have reported for them,
gated by pretreatment with compound C, an AMPK inhibitor including antioxidant, anticancer, anti-inflammatory, liver-protec-
(Fig. 4B). The activated AMPK is responsible for metabolic control tive, cytotoxic, and immunomodulatory effects.29 Emodin, a natu-
via phosphorylation of acetyl-CoA carboxylase (ACC), a down- ral anthraquinone compound, increased AMPK activity at a much
stream substrate of AMPK, and this function is strongly associated lower concentration than metformin, and also showed
with fatty acid oxidation. Thus, the phosphorylated ACC was mea- enhanced-GLUT4 translocation into the cells of myotube.
sured by binding with phosphorylated ACC antibody for under- Danthron from rhubarb was also reported on its AMPK activation
standing the AMPK action in ACC phosphorylation by Western in both HepG2 and C2C12 cells.30 However, there are not many
blot analysis. As shown in Fig. 4A, compounds 8 and 10 activated reports regarding AMPK activities of anthraquinone derivatives
phosphorylation of ACC, which were comparable to AICAR used and especially their SAR. In this study, some 9,10-anthraquinone
as a positive control in this assay. The results suggested that these derivatives isolated from M. longissima showed promising biologi-
anthraquinones improved the glucose uptake by regulating the cal effects on the glucose uptake and stimulation of AMPK
AMPK signaling pathway. As activated AMPK is able to inhibit lipid enzyme. Further investigation and optimization of these deriva-
synthesis, increase fatty acid oxidation, and improve insulin action, tives may enable the discovery of new drug candidates for the
AMPK pathway was suggested as a likely mechanism for the

Fig. 3. Effects of anthraquinones presented in M. longissima on glucose uptake in 3T3-L1 adipocytes. (A) Stimulatory effects of anthraquinones 1–19 on 2-NBDG uptake in
3T3-L1 adipocytes were measured by using a fluorescent glucose probe (2-NBDG). The test compounds (1–19) were treated at a concentration of 10 lM to the cells for
90 min. DMSO and insulin (0.1 lM) were treated to the cells as negative and positive controls, respectively. (B) Increment of 2-NBDG uptake in 3T3-L1 adipocytes by
compounds 2, 8 and 10 at a concentration of 10 lM for 90 min. Representative pictures were taken after compound treatment. Increased green fluorescent signals in the cells
were observed by the compound treatment indicating that 2-NBDG was transported into the cells.
P.-H. Nguyen et al. / Bioorganic & Medicinal Chemistry Letters 27 (2017) 40–44 43

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Fig. 4. Regulatory effects of compounds 2, 8 and 10 on the expressions of pAMPK Compounds 18 (62.1 mg) and 19 (50 mg) were isolated from Fr.3-4 (430 mg)
(Thr172) and pACC (Ser79) in C2C12 cells. (A) Stimulatory effects of compounds 2, 8 by repeated column chromatography over RP-C18 (4.5  50 cm; 150 lm
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compounds at 10 lM for 2 h and the expression of phosphorylated AMPK (Thr172) 336 (3.73), 352 (3.58) nm; IR (KBr) mmax 3331, 2927, 1670, 1565, 1299,
was analyzed by Western blotting. The compound C, an AMPK inhibitor, was 1109 cm1; HREIMS m/z 354.1465 [M]+, (calcd for C21H22O5, 354.1467); 1H
treated to the cells at 10 lM for 10 min. NMR (acetone-d6, 400 MHz): 7.59 (1H, s, H-4), 8.17 (1H, br d, J = 7.6 Hz, H-5),
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treatment of type-2 diabetes, obesity, and metabolic disorders by s, 3-OCH3); 13C NMR (acetone-d6, 100 MHz): 163.9 (C-1), 126.8 (C-2), 163.5 (C-
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70.48 (C-20 ), 39.8 (C-30 ), 26.2 (C-40 ), 23.3 (C-50 ), 23.3 (C-60 ), 63.5 (3-OCH3).
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23. Differentiation of 3T3-L1 to adipocytes: 3T3-L1 pre-adipocytes were maintained
for 48 h in Dulbecco’s modified Eagle’s medium (DMEM, Hyclone, GE
A. Supplementary data Healthcare Life Sciences, Little Chalfont, UK) supplemented with 100 U/mL of
penicillin (Hyclone) and 100 lg/mL of streptomycin (Hyclone) and 10% calf
serum (Hyclone) in an atmosphere of 5% CO2 at 37 °C. To differentiate 3T3-L1
1D (1H and 13C) and 2D (1H-1H COSY and HMBC) NMR spectra pre-adipocytes to adipocytes, the medium was replaced to fresh differentiating
for modasima A (10). These materials are available free of charge medium [DMEM supplemented with 1 lg/mL insulin (Roche Life Science, Basel,
Switzerland), 0.5 mM 3-isobutyl-1-metylzanthine (Sigma-Aldrich, St. Louis,
on the Internet at http://www.elsevier.com. Supplementary data Missouri, USA), 2 lg/mL dexamethasone (Sigma-Aldrich), 10% fetal bovine
associated with this article can be found, in the online version, at serum (FBS, Hyclone), 1 lM rosiglitazone (Sigma-Aldrich), 100 U/mL of
http://dx.doi.org/10.1016/j.bmcl.2016.11.034. penicillin (Hyclone), and 100 lg/mL of streptomycin (Hyclone)] every 2 days.
44 P.-H. Nguyen et al. / Bioorganic & Medicinal Chemistry Letters 27 (2017) 40–44

After observation of the differentiated adipocytes at 7th day, the cells were medium was replaced to DMEM supplemented with 5% horse serum. The
used for assays. medium was changed at interval of 48 h. After incubation with the test
24. Measurement of glucose uptake: The 2-(N-(7-nitrobenz-2-oxa-1,3-diazol-4-yl) compounds for 30 min, the C2C12 cells were lysed by using an EBC lysis buffer
amino)-2-deoxy-D-glucose (2-NBDG assay was performed following as containing 50 mM NaF, 0.5% nonidet-P40 (NP-40), 1 mM EDTA (pH 8.0),
reported in a previous paper with slight modifications.11 3T3-L1 cells were 120 mM NaCl, and 50 mM Tris-HCl (pH 7.6). By centrifugation for 15 min at
seeded into 24-well tissue culture plate (BD, Falcon, NJ, USA) at a density of 12,000 rpm at 4 °C, the cell debris was cleaned. A Bio-rad protein assay kit (Bio-
3  104 cells per each well. Cells were in glucose-free culture media supple- rad, CA, USA) was used to calculate the concentrations of proteins in the cell
mented with 10% FBS and 100 U/mL of penicillin and 100 lg/mL of strepto- lysates. Western blot analysis was carried out via anti-phosphospecific ACC
mycin for 2-NBDG in the presence or absence of test compounds. The media Ser79 and anti-phosphospecific AMPKa Thr172 (Cell signaling, MA, USA) by
was replaced to DMEM containing 50 lM 2-NBDG after 30 min. After 1 h, using about 30 lg of proteins. By using an enhanced chemiluminescence
adipocytes were washed twice using pre-warmed phosphate-buffered saline detection kit (Thermo Scientific, MA, USA) and a horseradish peroxidase-
(PBS) and lysed by treating with 70 lL of 0.1 M K3PO4, and 1% Triton X-100 in labeled anti-rabbit IgG immunoreactive antigen (Thermo Scientific) was
PBS for 10 min in the dark condition. 30 lL of DMSO was added, and the thus determined.
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