Inhibitory Effects of Siegesbeckia orientalis Extracts on Advanced Glycation End Product Formation and Key Enzymes Related to Metabolic Syndrome

Metabolic syndrome typically includes Type 2 diabetes associated with hyperglycemia, central obesity, dyslipidemia and hypertension. It is highly related to oxidative stress, formation of advanced glycated end products (AGEs) and key enzymes, such as carbohydrate digesting enzymes like pancreatic α-amylase and intestinal α-glucosidase, pancreatic lipase and angiotensin I-converting enzyme (ACE). This study used an in vitro approach to assess the potential of four extracts of Siegesbeckia orientalis linne on key enzymes relevant to metabolic syndrome. In this research, S. orientailis was firstly extracted by ethanol. The ethanol extract (SE) was then partitioned sequentially with hexane, ethyl acetate and methanol, and these extracts were named SE-Hex, SE-EA and SE-MeOH, respectively. The experimental results showed that SE-EA had the highest total phenolic content (TPC, 76.9 ± 1.8 mg/g) and the total flavonoids content (TFC, 5.3 ± 0.3 mg/g). This extract exhibited the most significant antioxidant activities, including DPPH radical-scavenging capacity (IC50 = 161.8 ± 2.4 μg/mL), ABTS radical-scavenging capacity (IC50 = 13.9 ± 1.5 μg/mL) and reducing power. For anti-glycation activities, SE-EA showed the best results in the inhibition of AGEs, as well as inhibitory activities against α-glucosidase (IC50 = 362.3 ± 9.2 μg/mL) and α-amylase (IC50 = 119.0 ± 17.7 μg/mL). For anti-obesity activities, SE-EA indicated the highest suppression effect on pancreatic lipase (IC50 = 3.67 ± 0.52 mg/mL). Finally, for anti-hypertension activity, SE-EA also demonstrated the strongest inhibitory activity on ACE (IC50 = 626.6 ± 15.0 μg/mL). Close relationships were observed among the parameters of TPC, antioxidant activities, inhibitory activities on α-amylase, α-glucosidase, lipase and ACE (R > 0.9). Moderate correlations were found among the parameters of TFC, antioxidant activities, and suppression of dicarbonyl compounds formation (R = 0.5–0.9). Taken together these in vitro studies reveal the therapeutic potential of SE-EA extract in the prevention and treatment of metabolic disorders.

suppress the growth and metastasis of endometrial cancer cells [30,31]. Additionally, S. orientalis extracts possess significant anti-inflammatory, anti-hyperuricemic and analgesic activities [32,33]. However, to our best knowledge, the effects of S. orientalis extracts on metabolic syndrome, such as Type 2 diabetes-linked hyperglycemia and related cardiovascular complications, have not yet been reported in the literature. Based on the above rationale, the objective of this study was to evaluate the potential of S. orientalis extracts in the prevention or management of metabolic syndrome complications with their in vitro bioactivities.

Total Polyphenol and Flavonioid Content of S. orientalis Extracts
Abundant literature has reported that the phenolic compounds and flavonoids in vegetables, fruits and herbal medicines can scavenge free radicals and display high correlations with the antioxidation, antiglycemic activity, and inhibitory activities on α-amylase and α-glucosidase [34][35][36]. Polyphenols and flavonoids possess a protective effect on microvascular complications, such as kidney disease, chronic wounds, and other symptoms caused by oxidative stress. These ingredients have been considered in managing hyperglycemia and hypertension related to Type 2 diabetes [37][38][39]. Recently, a large amount of data from clinical and epidemiological studies has elucidated that polyphenols and flavonoids have received considerable interest for their roles in the prevention or treatment of various chronic diseases [40][41][42][43].
Numerous reports state that phenolic compounds extracted from some plants can be applied as part of a healthy diet to prevent diabetes. These phenolic compounds sources include fruit peels of Nepheliuml appaceum [44], and leaves of Psidium guajava Linn [45], Peltophorum pterocarpum [46], Syzygium aqueum [47] and Lithocarpus polystachyus Rehd [48]. For S. orientalis, Nguyen et al. [33] reported that its anti-hyperuricemic and anti-inflammatory effects related to the content of phenolic components, identified as caffeic acid analogues and flavonones.
In this study, the aerial parts of S. orientalis were firstly extracted by ethanol and this ethanol extract (SE) was then partitioned sequentially with n-hexane, ethyl acetate and methanol to give the corresponding n-hexane extract (SE-Hex), ethyl acetate extract (SE-EA) and methanol extract (SE-MeOH), respectively. The total polyphenols content (TPC) and total flavonoids content (TFC) of these four extracts of S. orientalis were then measured ( Figure 1). Among the extracts, the SE-EA contained the highest TPC (76.9 ± 1.8 mg/g) and TFC (5.3 ± 0.3 mg/g), followed by SE (31.7 ± 0.5 mg/g and 4.1 ± 0.3 mg/g), SE-MeOH (15.7 ± 0.4 mg/g and 1.9 ± 0.1 mg/g), and SE-Hex (13.7 ± 0.2 mg/g and 0.4 ± 0.3 mg/g).
Molecules 2017, 22,1785 3 of 18 extracts possess significant anti-inflammatory, anti-hyperuricemic and analgesic activities [32,33]. However, to our best knowledge, the effects of S. orientalis extracts on metabolic syndrome, such as Type 2 diabetes-linked hyperglycemia and related cardiovascular complications, have not yet been reported in the literature. Based on the above rationale, the objective of this study was to evaluate the potential of S. orientalis extracts in the prevention or management of metabolic syndrome complications with their in vitro bioactivities.

Total Polyphenol and Flavonioid Content of S. orientalis Extracts
Abundant literature has reported that the phenolic compounds and flavonoids in vegetables, fruits and herbal medicines can scavenge free radicals and display high correlations with the antioxidation, antiglycemic activity, and inhibitory activities on α-amylase and α-glucosidase [34][35][36]. Polyphenols and flavonoids possess a protective effect on microvascular complications, such as kidney disease, chronic wounds, and other symptoms caused by oxidative stress. These ingredients have been considered in managing hyperglycemia and hypertension related to Type 2 diabetes [37][38][39]. Recently, a large amount of data from clinical and epidemiological studies has elucidated that polyphenols and flavonoids have received considerable interest for their roles in the prevention or treatment of various chronic diseases [40][41][42][43].
Numerous reports state that phenolic compounds extracted from some plants can be applied as part of a healthy diet to prevent diabetes. These phenolic compounds sources include fruit peels of Nepheliuml appaceum [44], and leaves of Psidium guajava Linn [45], Peltophorum pterocarpum [46], Syzygium aqueum [47] and Lithocarpus polystachyus Rehd [48]. For S. orientalis, Nguyen et al. [33] reported that its anti-hyperuricemic and anti-inflammatory effects related to the content of phenolic components, identified as caffeic acid analogues and flavonones.
In this study, the aerial parts of S. orientalis were firstly extracted by ethanol and this ethanol extract (SE) was then partitioned sequentially with n-hexane, ethyl acetate and methanol to give the corresponding n-hexane extract (SE-Hex), ethyl acetate extract (SE-EA) and methanol extract (SE-MeOH), respectively. The total polyphenols content (TPC) and total flavonoids content (TFC) of these four extracts of S. orientalis were then measured ( Figure 1). Among the extracts, the SE-EA contained the highest TPC (76.9 ± 1.8 mg/g) and TFC (5.3 ± 0.3 mg/g), followed by SE (31.7 ± 0.5 mg/g and 4.1 ± 0.3 mg/g), SE-MeOH (15.7 ± 0.4 mg/g and 1.9 ± 0.1 mg/g), and SE-Hex (13.7 ± 0.2 mg/g and 0.4 ± 0.3 mg/g).

Antioxidant Effects
Uncontrolled production of oxygen free radicals has a variety of adverse pathological effects on many diseases including aging, diabetes, cardiovascular disease, cancer, and atherosclerosis. An excessive formation of free radicals may lead to the occurrence of oxidative stress. Increasing evidence reveals that increased oxidative stress is related to diabetes and cardiovascular disease

Antioxidant Effects
Uncontrolled production of oxygen free radicals has a variety of adverse pathological effects on many diseases including aging, diabetes, cardiovascular disease, cancer, and atherosclerosis. An excessive formation of free radicals may lead to the occurrence of oxidative stress. Increasing evidence reveals that increased oxidative stress is related to diabetes and cardiovascular disease [3,49]. Therefore, removing the excess free radicals is necessary to keep the balance of the free radicals.
In this study, the antioxidant effects of S. orientalis extracts were evaluated by DPPH radical scavenging activity, ABTS radical cation scavenging capacity, and reducing power. For all extracts examined, within the concentration range tested, raising the concentration increased radicals scavenging activity. The IC 50 values of DPPH and ABTS scavenging activities of different extracts were calculated (Figure 2A,B). The DPPH scavenging activities declined in the order of SE-EA (IC 50 = 161.8 ± 2.4 µg/mL) > SE (IC 50 = 346.6 ± 34.7 µg/mL) > SE-MeOH (IC 50 = 533.4 ± 16.5 µg/mL) > SE-Hex (IC 50 = 896.7 ± 9.6 µg/mL). For comparison, the IC 50 values of DPPH scavenging activities of catechin, which was used as the positive control, was 6.8 ± 0.8 µg/mL. The ABTS scavenging activities followed the order of SE-EA (IC 50 = 13.9 ± 1.5 µg/mL) > SE-MeOH (IC 50 = 35.7 ± 2.6 µg/mL) > SE (IC 50 = 49.1 ± 3.5 µg/mL), whereas SE-Hex showed only small ABTS scavenging activity. The IC 50 of the positive control, BHT, was 2.3 ± 0.2 µg/mL. Figure 2C shows the reducing power of S. orientalis extracts using the potassium ferricyanide reduction method. The reducing power of SE-EA increased significantly with increasing concentration of samples. However, compared to the positive control, ascorbic acid, the reducing power of S. orientalis extracts was relatively low. Thus, S. orientalis extracts had high free radical scavenging activity, but low reducing power.  [3,49]. Therefore, removing the excess free radicals is necessary to keep the balance of the free radicals.
In this study, the antioxidant effects of S. orientalis extracts were evaluated by DPPH radical scavenging activity, ABTS radical cation scavenging capacity, and reducing power. For all extracts examined, within the concentration range tested, raising the concentration increased radicals scavenging activity. The IC50 values of DPPH and ABTS scavenging activities of different extracts were calculated (Figure 2A,B). The DPPH scavenging activities declined in the order of SE-EA (IC50 = 161.8 ± 2.4 μg/mL) > SE (IC50 = 346.6 ± 34.7 μg/mL) > SE-MeOH (IC50 = 533.4 ± 16.5 μg/mL) > SE-Hex (IC50 = 896.7 ± 9.6 μg/mL). For comparison, the IC50 values of DPPH scavenging activities of catechin, which was used as the positive control, was 6.8 ± 0.8 μg/mL. The ABTS scavenging activities followed the order of SE-EA (IC50 = 13.9 ± 1.5 μg/mL) > SE-MeOH (IC50 = 35.7 ± 2.6 μg/mL) > SE (IC50 = 49.1 ± 3.5 μg/mL), whereas SE-Hex showed only small ABTS scavenging activity. The IC50 of the positive control, BHT, was 2.3 ± 0.2 μg/mL. Figure 2C shows the reducing power of S. orientalis extracts using the potassium ferricyanide reduction method. The reducing power of SE-EA increased significantly with increasing concentration of samples. However, compared to the positive control, ascorbic acid, the reducing power of S. orientalis extracts was relatively low. Thus, S. orientalis extracts had high free radical scavenging activity, but low reducing power. The antioxidant activities of many edible plant, fruits and vegetables increase as the TPC or TFC increases [50,51]. Table 1 shows the correlation coefficients (R) of various antioxidation activities of extracts with their respective TPC and TFC. Strong linear correlations existed between the reciprocal of IC50 value of DPPH and ABTS scavenging activity and reducing power with their respective TPC (R = 0.925-0.993), and mild correlations between these three bioactivities with TFC (R = 0.794-0.907). Additionally, the correlations between these three antioxidant activities were also good (R = 0.828-0.953). The antioxidant activities of many edible plant, fruits and vegetables increase as the TPC or TFC increases [50,51]. Table 1 shows the correlation coefficients (R) of various antioxidation activities of extracts with their respective TPC and TFC. Strong linear correlations existed between the reciprocal of IC 50 value of DPPH and ABTS scavenging activity and reducing power with their respective TPC (R = 0.925-0.993), and mild correlations between these three bioactivities with TFC (R = 0.794-0.907). Additionally, the correlations between these three antioxidant activities were also good (R = 0.828-0.953). Table 1. Correlations between antioxidant, anti-AGEs formation, anti-hyperglycemic, antihyperlipidemia and antihypertension activities in S. orientalis extracts with their respective total polyphenols (TPC) and total flavonoids (TFC) contents.

Inhibitory Effects on AGEs Formation
Endogenous AGE formation contributes to the progression of pathogenesis associated with metabolic syndrome complications and aging [14,15]. The formation of Amadori products occurs at the early stage of non-enzymatic glycation. In the present study, the amount of Amadori products was analyzed by the reduction reaction with NBT and the colored product was detected at 530 nm. Figure 3A shows that the glycated-BSA caused an increase of optical density at 530 nm along the incubation time. The formation of Amadori products was inhibited by S. orientalis extracts. The inhibitory effects followed the order of SE > SE-Hex > SE-MeOH > SE-EA. The suppression rate of these extracts at the 7th day were 24.9%, 18.8%, 17.2% and 15.6%, respectively.
Dicarbonyl compounds can induce the cross-linking of proteins and produce around 45-50% of all the AGEs [52]. Figure 3B indicates that the amount of dicarbonyl compounds formed raised with increasing incubation time. The formation of dicarbonyl compounds was significantly attenuated by S. orientalis extracts. The inhibitory activity was in the order of SE-EA > SE-Hex > SE > SE-MeOH. O day 7, the suppression rate of these extracts were 61.9%, 47.3%, 46.5% and 28.2%, respectively.

Inhibitory Effects on AGEs Formation
Endogenous AGE formation contributes to the progression of pathogenesis associated with metabolic syndrome complications and aging [14,15]. The formation of Amadori products occurs at the early stage of non-enzymatic glycation. In the present study, the amount of Amadori products was analyzed by the reduction reaction with NBT and the colored product was detected at 530 nm. Figure 3A shows that the glycated-BSA caused an increase of optical density at 530 nm along the incubation time. The formation of Amadori products was inhibited by S. orientalis extracts. The inhibitory effects followed the order of SE > SE-Hex > SE-MeOH > SE-EA. The suppression rate of these extracts at the 7th day were 24.9%, 18.8%, 17.2% and 15.6%, respectively.
Dicarbonyl compounds can induce the cross-linking of proteins and produce around 45-50% of all the AGEs [52]. Figure 3B indicates that the amount of dicarbonyl compounds formed raised with increasing incubation time. The formation of dicarbonyl compounds was significantly attenuated by S. orientalis extracts. The inhibitory activity was in the order of SE-EA > SE-Hex > SE > SE-MeOH. On day 7, the suppression rate of these extracts were 61.9%, 47.3%, 46.5% and 28.2%, respectively. The above data shows that S. orientalis extracts has slight inhibitory effects on Amadori products formation (from the NBT reduction analysis), but high inhibitory activity on dicarbonyl compound production (from the Girard-T assay). The non-enzymatic glycation reaction of protein for the formation of AGEs can be classified into three stages [52]. In the first stage, reducing sugars condense with the free amino groups of proteins to form Schiff bases, and then produce Amadori products. In the second stage, the Amadori products further react with dicarbonyl compounds such as glyoxal, glycolaldehyde and methylglyoxal. In the third stage, the dicarbonyl compounds react with amino groups to form AGEs. The experimental results of the present study illustrate that S. orientalis extracts can retard the glycation reaction, and its degree of inhibition of the latter stages was higher than the first stage.
Several studies reported that a good correlation exists between TPC, TFC, antioxidant activity and the inhibition of AGEs formation for some plants [16,44,52]. For S. orientalis extracts, only the correlations between TPC and reducing power with the suppression on dicarbonyl compounds production were high (R = 0.804 and 0.914, respectively), and others were insignificant (Table 1). Among the four extracts, SE-EA had high TPC, TFC, antioxidant activity, as well as high ability to inhibit the formation of glycation end products. The above data shows that S. orientalis extracts has slight inhibitory effects on Amadori products formation (from the NBT reduction analysis), but high inhibitory activity on dicarbonyl compound production (from the Girard-T assay). The non-enzymatic glycation reaction of protein for the formation of AGEs can be classified into three stages [52]. In the first stage, reducing sugars condense with the free amino groups of proteins to form Schiff bases, and then produce Amadori products. In the second stage, the Amadori products further react with dicarbonyl compounds such as glyoxal, glycolaldehyde and methylglyoxal. In the third stage, the dicarbonyl compounds react with amino groups to form AGEs. The experimental results of the present study illustrate that S. orientalis extracts can retard the glycation reaction, and its degree of inhibition of the latter stages was higher than the first stage.
Several studies reported that a good correlation exists between TPC, TFC, antioxidant activity and the inhibition of AGEs formation for some plants [16,44,52]. For S. orientalis extracts, only the correlations between TPC and reducing power with the suppression on dicarbonyl compounds production were high (R = 0.804 and 0.914, respectively), and others were insignificant (Table 1). Among the four extracts, SE-EA had high TPC, TFC, antioxidant activity, as well as high ability to inhibit the formation of glycation end products.

Inhibitory Effects on Carbohydrate-Hydrolyzing Enzymes
Type 2 diabetes is often caused by the inappropriate regulation of carbohydrate and lipid metabolism, leading to elevated postprandial blood sugar. The digestion of starch by pancreatic α-amylase and uptake of glucose by intestinal α-glucosidase would cause a sudden rise in blood glucose level, resulting in hyperglycemia in Type 2 diabetes patients. An effective strategy for Type 2 diabetes management is the inhibition on intestinal α-glucosidase and pancreatic α-amylase [53,54].

Inhibitory Effects on Carbohydrate-Hydrolyzing Enzymes
Type 2 diabetes is often caused by the inappropriate regulation of carbohydrate and lipid metabolism, leading to elevated postprandial blood sugar. The digestion of starch by pancreatic α-amylase and uptake of glucose by intestinal α-glucosidase would cause a sudden rise in blood glucose level, resulting in hyperglycemia in Type 2 diabetes patients. An effective strategy for Type 2 diabetes management is the inhibition on intestinal α-glucosidase and pancreatic α-amylase [53,54].
As shown in Figure 4, the four extracts of S. orientalis exhibited inhibitory effects on α-glucosidase in a dose-dependent manner. The inhibition activity followed the order of SE-EA (IC50 = 362.3 ± 9.2 μg/mL) > SE-Hex (IC50 = 424.6 ± 11.6 μg/mL) > SE (IC50 = 429.3 ± 12.1 μg/mL), whereas the inhibitory activity of SE-MeOH was low (IC50 > 10,000 μg/mL). By comparison, the IC50 value of the positive control, acarbose, was 27.7 ± 0.5 μg/mL.   Figure 5). This opposite result may result from the difference in the chemical ingredients contained in each extract, rather than the difference in TPC or TFC.
Several studies have shown the good correlation between TPC and antiglycemic activity, as well as α-glucosidase and α-amylase [46,55,56]. From Table 1, the inhibitory ability of S. orientalis extracts on α-glucosidase correlated well with TPC, DPPH and ABTS scavenging activity, reducing power, and the suppression on dicarbonyl compounds production (R > 0.9). Due to the fact that the α-amylase inhibitory activity data was insufficient to calculate the correlations, we can only conclude that SE-EA had highest TPC, TFC, antioxidant activity and anti-AGEs formation activity, as well as possessed the most potent α-amylase and α-glucosidase inhibitory activity.   Figure 5). This opposite result may result from the difference in the chemical ingredients contained in each extract, rather than the difference in TPC or TFC.
Several studies have shown the good correlation between TPC and antiglycemic activity, as well as α-glucosidase and α-amylase [46,55,56]. From Table 1, the inhibitory ability of S. orientalis extracts on α-glucosidase correlated well with TPC, DPPH and ABTS scavenging activity, reducing power, and the suppression on dicarbonyl compounds production (R > 0.9). Due to the fact that the α-amylase inhibitory activity data was insufficient to calculate the correlations, we can only conclude that SE-EA had highest TPC, TFC, antioxidant activity and anti-AGEs formation activity, as well as possessed the most potent α-amylase and α-glucosidase inhibitory activity.

Inhibitory Effect on Lipase
Obesity is a key factor contributing to the metabolic syndrome. Inhibition of dietary lipid absorption through the suppression of pancreatic lipase activity is an effective approach to the management of obesity and hyperlipidaemia [18]. Figure 6 shows that the four S. orientalis extracts inhibited lipase activity dose-dependently. SE-EA extract exhibited the highest suppression activity on lipase (IC50 = 3.67 ± 0.52 mg/mL), followed by SE (IC50 = 6.04 ± 0.68 mg/mL). On the other hand, SE-Hex and SE-MeOH showed weak effects on lipase. By comparison, the IC50 value of the positive control, orlistat, was 0.064 ± 0.005 μg/mL. Several studies have reported that natural polyphenols could inhibit pancreatic lipase [18,57,58]. Table 1 demonstrates that the inhibitory effects on lipase of S. orientalis extracts correlated well with TPC, TFC, DPPH scavenging activity, reducing power, suppression of dicarbonyl compounds formation, and the inhibition activity on α-glucosidase (R = 0.813-0.985).

Inhibitory Effect on Lipase
Obesity is a key factor contributing to the metabolic syndrome. Inhibition of dietary lipid absorption through the suppression of pancreatic lipase activity is an effective approach to the management of obesity and hyperlipidaemia [18]. Figure 6 shows that the four S. orientalis extracts inhibited lipase activity dose-dependently. SE-EA extract exhibited the highest suppression activity on lipase (IC 50 = 3.67 ± 0.52 mg/mL), followed by SE (IC 50 = 6.04 ± 0.68 mg/mL). On the other hand, SE-Hex and SE-MeOH showed weak effects on lipase. By comparison, the IC 50 value of the positive control, orlistat, was 0.064 ± 0.005 µg/mL.

Inhibitory Effect on Lipase
Obesity is a key factor contributing to the metabolic syndrome. Inhibition of dietary lipid absorption through the suppression of pancreatic lipase activity is an effective approach to the management of obesity and hyperlipidaemia [18]. Figure 6 shows that the four S. orientalis extracts inhibited lipase activity dose-dependently. SE-EA extract exhibited the highest suppression activity on lipase (IC50 = 3.67 ± 0.52 mg/mL), followed by SE (IC50 = 6.04 ± 0.68 mg/mL). On the other hand, SE-Hex and SE-MeOH showed weak effects on lipase. By comparison, the IC50 value of the positive control, orlistat, was 0.064 ± 0.005 μg/mL. Several studies have reported that natural polyphenols could inhibit pancreatic lipase [18,57,58]. Table 1 demonstrates that the inhibitory effects on lipase of S. orientalis extracts correlated well with TPC, TFC, DPPH scavenging activity, reducing power, suppression of dicarbonyl compounds formation, and the inhibition activity on α-glucosidase (R = 0.813-0.985). Several studies have reported that natural polyphenols could inhibit pancreatic lipase [18,57,58]. Table 1 demonstrates that the inhibitory effects on lipase of S. orientalis extracts correlated well with TPC, TFC, DPPH scavenging activity, reducing power, suppression of dicarbonyl compounds formation, and the inhibition activity on α-glucosidase (R = 0.813-0.985). However, it is worth noting that the S. orientalis extracts had much higher inhibitory activity (lower IC 50 values) toward α-glucosidase and α-amylase than lipase. These results suggest that S. orientalis extracts can be an excellent source as antiglycemic inhibitors to manage postprandial blood glucose level, but have weak effects on the control of body weight and obesity.

Inhibitory Effect on ACE
ACE inhibitors have been widely developed to prevent angiotensin II production in cardiovascular diseases and to treat hypertension related to metabolic syndrome. Several herbal medicines and food plants have been claimed to be effective in inhibiting ACE [59][60][61][62].
As shown in Figure 7, all the four extracts of S. orientalis inhibited ACE activity dose-dependently. SE-EA showed the most significant effect (IC 50 = 626.6 ± 15.0 µg/mL), followed by SE (IC 50 = 1197.9 ± 26.4 µg/mL), whereas the other two extracts had only slight suppression activities. By comparison, the IC 50 value of the positive control, captopril, was 2.69 ± 0.11 ng/mL. The inhibition type of SE-EA and captopril on ACE was examined by the Lineweaver-Burk plot technique ( Figure 8). Table 2 summarized the kinetic type and the values of the related constants. Both of the SE-EA and captopril showed competitive inhibition type, i.e., the test samples competing with the substrate for binding to the active site of the enzyme. The K i value of captopril (1.0 × 10 −3 µg/mL) was much smaller than that of SE-EA (794.5 µg/mL) showing the drug has much stronger affinity to the ACE active site than SE-EA. However, it is worth noting that the S. orientalis extracts had much higher inhibitory activity (lower IC50 values) toward α-glucosidase and α-amylase than lipase. These results suggest that S. orientalis extracts can be an excellent source as antiglycemic inhibitors to manage postprandial blood glucose level, but have weak effects on the control of body weight and obesity.

Inhibitory Effect on ACE
ACE inhibitors have been widely developed to prevent angiotensin II production in cardiovascular diseases and to treat hypertension related to metabolic syndrome. Several herbal medicines and food plants have been claimed to be effective in inhibiting ACE [59][60][61][62].
As shown in Figure 7, all the four extracts of S. orientalis inhibited ACE activity dose-dependently. SE-EA showed the most significant effect (IC50 = 626.6 ± 15.0 μg/mL), followed by SE (IC50 = 1197.9 ± 26.4 μg/mL), whereas the other two extracts had only slight suppression activities. By comparison, the IC50 value of the positive control, captopril, was 2.69 ± 0.11 ng/mL. The inhibition type of SE-EA and captopril on ACE was examined by the LineweaverBurk plot technique (Figure 8). Table 2 summarized the kinetic type and the values of the related constants. Both of the SE-EA and captopril showed competitive inhibition type, i.e., the test samples competing with the substrate for binding to the active site of the enzyme. The Ki value of captopril (1.0 × 10 −3 μg/mL) was much smaller than that of SE-EA (794.5 μg/mL) showing the drug has much stronger affinity to the ACE active site than SE-EA.  From Table 1, except for the poor correlation with the inhibitory capabilities on Amadori products formation and α-glucosidase, the ACE suppression activity of S. orientalis extracts correlated well with all other parameters (R = 0.823-0.983).  From Table 1, except for the poor correlation with the inhibitory capabilities on Amadori products formation and α-glucosidase, the ACE suppression activity of S. orientalis extracts correlated well with all other parameters (R = 0.823-0.983).

Preparation of S. orientalis Extracts
Dry aerial parts of S. orientalis (9.3 kg) were crushed and soaked in 95% ethanol (47 L) for one day, and then extracted another two times with 47 L ethanol each. The extracted solutions were collected and filtered. The solvent was removed with a vacuum evaporator. The residue was then dried in a freeze-dryer. Total dry mass of this crude extract (SE) was 489 g, and the yield was 5.3%. The SE extract (50 g) was further extracted sequentially with n-hexane (SE-Hex), ethyl acetate (SE-EA) and methanol (SE-MeOH). The dry weights of SE-Hex, SE-EA and SE-MeOH were 19.2, 10.4 and 18.6 g, respectively. Accordingly, the yields of these three extracts from the SE extract were 38.4%, 20.8% and 37.2%, respectively.

TPC and TFC Analysis [51]
To analyze TPC of each extract, an aliquot of the sample solution (150 µL) was mixed with 0.2 N Folin-Ciocalteu reagent (750 µL) and 7.5% sodium carbonate solution (600 µL). The mixture was held at room temperature for 30 min and the absorbance was read at 765 nm with a spectrophotometer (Ultrospec 2100 pro, GE Healthcare, Amersham, UK). A calibration curve was obtained using gallic acid as a standard. The TPC was expressed as milligrams of gallic acid equivalents per gram of dry extract.
To analyze TFC, an aliquot of sample solution (150 µL) was mixed with distilled water (600 µL), and 15% Na 2 CO 3 (37.5 µL). After standing at room temperature for 5 min, 10% AlCl 3 (75 µL) was added. Six minutes later, 1 N NaOH (250 µL) and distilled water (137.5 µL) were added. The absorbance of the solution was measured against a blank at 510 nm. A calibration curve was obtained using catechin as a standard. The TFC was expressed as milligrams of catechin equivalents per gram of dry extract.

Scavenging Activity on DPPH Radicals [51]
An ethanolic solution of DPPH (250 µL, 0.5 M) was mixed with sample solution (1.0 mL). After standing the solution in the dark for 30 min, the absorbance of the solution was measured against a control and a blank at 517 nm. The control was the measurement using ethanol to replace the sample solution in the reaction mixture. The blank was measured using ethanol to replace DPPH in the reaction mixture. The scavenging activity of the DPPH radicals with extract was calculated by the following equation: After conducting the measurements under different concentrations of sample solution, the IC 50 value, i.e., the concentration of sample required to cause 50% inhibition, was estimated from the plot of scavenging activity against the sample concentration. The IC 50 values were expressed as means ± sd (standard deviation) of the triplicate measurements.

Scavenging Activity on ABTS Radicals [70]
ABTS solution (7.4 mM) and potassium persulfate solution (2.6 mM) were mixed at a 1:1 volume ratio and kept for 12-16 h in darkness at room temperature. To this mixture solution (180 µL), different concentrations of sample solution or the reference standard BHT solution (20 µL) were added and incubated for 2 h at 37 • C in the dark. The absorbance of the reaction mixture was measured at 735 nm. The control was the measurement using ethanol to replace the sample solution in the reaction mixture: The IC 50 value was estimated from the plot of scavenging activity against the sample concentration. The IC 50 values were expressed as means ± sd of the triplicate measurements.

Nitroblue Tetrazolium (NBT) Reductive Assay
The glycated material solution (0.5 mL) and 0.3 mM NBT reagent (2.0 mL, in 0.1 M, pH 10.35 sodium carbonate buffer) were incubated at room temperature for 15 min, and the absorbance was measured at 530 nm against a blank.

Girard-T Assay
The glycated material solution (0.4 mL) was incubated with 0.5 M Girard's reagent T solution (0.2 mL) and sodium formate (3.4 mL, 0.5 M, pH 2.9) at room temperature for 1 h. Absorbance was monitored at 295 nm against a blank. A calibration curve was prepared using glyoxal as a standard.

Antiglycemic Assays [44]
3.6.1. Assay of α-Glucosidase Activity α-Glucosidase from S. cerevisiae was dissolved in 0.1 M phosphate buffer (pH 6.9). An aliquot of sample solution (100 µL), α-glucosidase solution (20 µL, 0.4 U/mL), DTT (20 µL, 1 mM) and PNPG (20 µL, 5 mM) were mixed and incubated at 37 • C for 15 min. The reaction was stopped with 0.2 M sodium carbonate (80 µL). The absorbance was determined at 400 nm using an ELISA reader (Model 550, Bio-Rad Laboratories, Hercules, CA, USA). The percentage inhibition was calculated as follows: where A Control is the absorbance from the test using phosphate buffer to replace the sample solution; A Sample is the absorbance from the sample solution; A Sample Blank is the absorbance from the test that sodium carbonate was added before the reaction and the same steps were performed; and A Blank is the absorbance from the test using phosphate buffer to replace the sample solution, sodium carbonate was added before the reaction and the same steps were conducted. The IC 50 value was estimated from the plot of percentage inhibition against the sample concentration. The IC 50 values were expressed as means ± sd of the triplicate measurements.

Assay of α-Amylase Activity
Porcine pancreatic α-amylase was dissolved in distilled water to give a concentration of 2 U/mL. Potato soluble starch solution (1%) was prepared in 20 mM phosphate buffer (pH 6.9). DNS solution was prepared with DNS (1 g), potassium sodium tartrate tetrahydrate (30 g) and 2 M NaOH in 100 mL of solution. In the assay, sample solution (80 µL) and α-amylase solution (40 µL) were added and incubated at room temperature for 10 min. Then starch solution (40 µL) was added and incubated at 37 • C for 10 min. Finally, DNS solution (80 µL) was added and the mixture was incubated at 95 • C for 10 min. The absorbance was monitored at 540 nm by ELISA reader. The percentage inhibition (as Equation (3)) and the IC 50 value were determined as described above.

Assay of Lipase Activity [72]
Porcine pancreas lipase was dissolved in Tris buffer (0.1 M, pH 7.5) at 10 mg/mL; then the supernatant was used after centrifugation at 4 • C, 3600 rpm for 5 min. The substrate solution was 1.6 mM p-nitrophenyl laurate containing 1% Triton X-100. In the assay, sample solution (50 µL) and lipase solution were mixed (50 µL), then substrate solution (100 µL) was added to start the reaction. The reaction was conducted at 37 • C for 30 min, and was heated at 85 • C for 5 min to terminate the reaction. After cooling to room temperature, the reaction mixture was centrifuged at 6000 rpm for 5 min. The absorbance of the supernantant was determined at 405 nm. The percentage inhibition (as Equation (3)) and the IC 50 value were determined as described above.

Assay of ACE Activity [73]
Sample solution (75 µL) was mixed with ACE solution (75 µL, 0.1 U/mL) and kept at 37 • C for 10 min. Then, 15 mM HHL substrate solution (100 µL in 50 mM sodium borate buffer containing 0.3 M NaCl at pH 8.3) were added and the solution was reacted at 37 • C for 30 min. The reaction was stopped by adding 1 N HCl (250 µL). The product, hippuric acid, was extracted with ethyl acetate (0.75 mL). After centrifugation at 3600 rpm for 5 min, supernantant (0.5 mL) was taken and the solvent was evaporated at 80 • C for 30 min. The residue was dissolved in distilled water (1 mL) and its absorbance was measured at 228 nm. The percentage inhibition (as Equation (3)) and IC 50 value were determined as described above. Since the extinction coefficient (K) of hippuric acid is 9.8 [73], the reaction rate of ACE (v) can be calculated by the following equation: where A is the absorbance measured after the reaction, and t is the reaction time. The enzymatic kinetic constants V m , K m and K i values were estimated by Lineweaver-Bruk double reciprocal plot of 1/v vs. 1/[HHL].

Analysis of Chemical Compositions by HPLC
The amounts of flavonoids were determined by a Shimadzu HPLC system (Shimadzu, Kyoto, Japan) equipped with a UV detector and a C18 column (5 µm, 250 mm × 4.6 mm; Supelco, Bellefonte, PA, USA), using a gradient of acetonitrile (solvent A) and 0.1% acetic acid in water (solvent B) as mobile solvents. The extracts were dissolved in methanol and filtered with a 0.22 µm filter. The solvent gradient consisted of 0-100 min (12-40% A) and 100-110 min (40-12% A). The flow rate was 1.0 mL/min, and the sample injection size was 20 µL. The detection was carried out at 345 nm. The compounds were identified by comparison of their retention time with those of reference compounds. Quantification was performed by the construction of standard curves obtained by linear regression using the Microsoft Excel software (Microsoft Inc., Redmond, WA, USA).

Statistical Analysis
All experiments were conducted for three to five independent replicates. The data are expressed in terms of means ± sd. Correlation between any two parameters was determined by the linearity of these two parameters and was expressed by the correlation coefficients (R). The experimental data were analyzed using Microsoft Excel.

Conclusions
This study provides insights into the potential of S. orientalis extracts to inhibit key enzymes relevant to metabolic syndrome, such as Type 2 diabetes-associated hyperglycemia, obesity and hypertension in connection with their phenolic contents, antioxidant activities and AGEs formation. Our results revealed that SE-EA extract exhibited good inhibitory activities on α-amylase, α-glucosidase, lipase and ACE, as well as highest DPPH, ABTS scavenging activities, reducing power and prevented the AGEs formation. This implies that SE-EA extract has the potential to be a therapeutic agent for the prevention or treatment of metabolic syndrome. Additionally, we observed that high correlations existed among the parameters of TPC, antioxidant activities, inhibitory activities on α-amylase, α-glucosidase, lipase and ACE (R > 0.9). Moderate correlations were found among the parameters of TFC, antioxidant activities, and suppression of dicarbonyl compounds formation (R = 0.5-0.9). While only slight or inversely relationships existed between the inhibitory effect on Amadori products formation and other activities.
To our knowledge, this is the first report on an evaluation of the feasibility of using S. orientalis extracts in the prevention or management of metabolic syndrome. Based on the above results, this study discloses a biochemical rationale for further animal and clinical studies on S. orientalis extracts. Further work is still needed to fully elucidate the details of in vivo inhibitory activities, the related mechanisms involved, and to examine its bioactive constituents.