Original Scientific Article
Comparative effects of wild Hyperici herba and Hypericum perforatum L. Hairy root extracts on renal carbohydrate metabolism and oxidative stress in stz-induced diabetic rats
Elena Rafailovska * ,
Cvetanka Trifunovska ,
Elena Mirova ,
Oliver Tushevski ,
Sonja Gadzovska-Simic ,
Suzana Dinevska-Kjovkarovska ,
Biljana Miova

Mac Vet Rev 2026; 49 (2): i - x

10.2478/macvetrev-2026-0018

Received: 22 August 2025

Received in revised form: 13 February 2026

Accepted: 09 April 2026

Available Online First: 11 June 2026

Published on: 15 October 2026

Correspondence: Elena Rafailovska, elena.rafailovska@live.com
PDF HTML

Abstract

Chronic hyperglycemia-induced imbalances in renal carbohydrate metabolism and oxidative stress contribute to diabetic kidney complications, highlighting the urgent need for therapies targeting both pathways. This study evaluates nephroprotective effects of Hypericum perforatum L. extracts-wild Hyperici herba (HH) and hairy root (HR)-in streptozotocin-induced diabetic Wistar rats. Male Wistar rats received single intraperitoneal streptozotocin injection (45 mg/kg body weight) with diabetes confirmed by fasting blood glucose >15 mmol/L. Diabetic rats were treated with daily oral doses of HH or HR extracts for 14 consecutive days. Renal carbohydrate metabolism was assessed through glycogen content, glucose levels, glucose-6-phosphate content, glucose-6-phosphatase and glucose-6-phosphate dehydrogenase activities. Oxidative stress markers evaluated included catalase, superoxide dismutase, glutathione reductase, glutathione peroxidase activities, total glutathione levels, and malondialdehyde (MDA) content. Diabetes induced 1.56-fold renal glucose increase, 1.7-fold glycogen accumulation, 47.5% higher glucose-6-phosphatase activity, 39.4% lower glucose-6-phosphate dehydrogenase activity, 44% catalase reduction, and elevated MDA levels. Both extracts significantly improved these parameters; HH reduced glucose-6-phosphatase by 33.1%, restored dehydrogenase by 61.5%; HR showed superior effects (37.5% and 67.3% respectively) plus normalized glycogen and enhanced catalase above controls. Glibenclamide had limited effects. Xanthone-enriched HR extract demonstrated superior nephroprotection versus HH and glibenclamide through comprehensive restoration of carbohydrate metabolism and antioxidant defenses in diabetic nephropathy.

Keywords: xanthones, experimental diabetes, antioxidant defense, carbohydrate metabolism, kidney


References

1. Hovind, P., Rossing, P., Tarnow, L., Smidt, U.M., Parving, H.H. (2001). Progression of diabetic nephropathy. Kidney Int. 59(2): 702-709.https://doi.org/10.1046/j.1523-1755.2001.059002702.x PMid:11168952
2. Gnudi, L., Coward, R.J.M., Long, D.A. (2016). Diabetic nephropathy: perspective on novel molecular mechanisms. Trends Endocrinol Metab. 27(11): 820-830. https://doi.org/10.1016/j.tem.2016.07.002 PMid:27470431
3. Meyer, C., Woerle, H.J., Dostou, J.M., Welle, S.L.,  Gerich, J.E. (2004). Abnormal renal, hepatic, and muscle glucose metabolism following glucose ingestion in type 2 diabetes. Am J Physiol Endocrinol Metab. 287(6): E1049-1056. https://doi.org/10.1152/ajpendo.00041.2004 PMid:15304374
4. Kang, J., Dai, X.S., Yu, T.B., Wen, B., Yang, Z.W. (2005). Glycogen accumulation in renal tubules, a key morphological change in the diabetic rat kidney. Acta Diabetol. 42(2): 110-116. https://doi.org/10.1007/s00592-005-0188-9 PMid:15944846
5. Miranda-Díaz, A.G., Pazarín-Villaseñor, L., Yanowsky-Escatell, F.G., Andrade-Sierra, J. (2016). Oxidative stress in diabetic nephropathy with early chronic kidney disease. J Diabetes Res. 2016, 7047238. https://doi.org/10.1155/2016/7047238 PMid:27525285 PMCid:PMC4971321
6. Sakashita, M., Tanaka, T., Inagi, R. (2021). Metabolic changes and oxidative stress in diabetic kidney disease. Antioxidants 10(7): 1143. https://doi.org/10.3390/antiox10071143 PMid:34356375 PMCid:PMC8301131
7. Jha, J.C., Banal, C., Chow, B.S.M., Cooper, M.E., Jandeleit-Dahm, K. (2016). Diabetes and kidney disease: role of oxidative stress. Antioxid Redox Signal. 25(12): 657-684. https://doi.org/10.1089/ars.2016.6664 PMid:26906673 PMCid:PMC5069735
8. Vodošek Hojs, N., Bevc, S., Ekart, R., Hojs, R. (2020). Oxidative stress markers in chronic kidney disease with emphasis on diabetic nephropathy. Antioxidants (Basel). 9(10): 925. https://doi.org/10.3390/antiox9100925 PMid:32992565 PMCid:PMC7600946
9. Nahrstedt, A., Butterweck, V. (2010). Lessons learned from herbal medicinal products: the example of St. John’s wort (perpendicular). J Nat Prod. 73(5): 1015-1021. https://doi.org/10.1021/np1000329 PMid:20408551
10. Orčić, D.Z., Mimica-Dukić, N.M., Francišković, M.M., Petrović, S.S., Jovin, E.Đ. (2011). Antioxidant activity relationship of phenolic compounds in Hypericum perforatum L. Chem Cent J. 5, 34. https://doi.org/10.1186/1752-153X-5-34 PMid:21702979 PMCid:PMC3132159
11. Cakir, M., Duzova, H., Baysal, I., Ceren Gül, C., Kuşcu, G., Kutluk, F., et al. (2017). The effect of Hypericum perforatum on kidney ischemia/ reperfusion damage. Ren Fail. 39(1): 385-391. https://doi.org/10.1080/0886022X.2017.1287734 PMid:28209087 PMCid:PMC6014337
12. Silva, B.A., Ferreres, F., Malva, J.O., Dias, A.C.P. (2005). Phytochemical and antioxidant characterization of Hypericum perforatum alcoholic extracts. Food Chem. 90, 157-167. https://doi.org/10.1016/j.foodchem.2004.03.049 
13. Salem, M.B., Morsi, E.A., El-Wakil, E.A., El-Lakkany, N.M. Abou-Shousha, T., Abdel- Hady, H. (2023). HPLC fingerprinting/GC-MS analysis, and efficacy of Hypericum perforatum against cisplatin induced hepato-renal toxicity in mice with insights into the TXNIP/NLRP3 pathway. J Appl Pharm Sci. 13(19): 37-47. https://doi.org/10.7324/JAPS.2023.6683 
14. Bayramoglu, G., Bayramoglu, A., Engur, S., Senturk, H., Ozturk, N., Colak, S. (2014). The hepatoprotective effects of Hypericum perforatum L. on hepatic ischemia/reperfusion injury in rats. Cytotechnology. 66(3): 443-448. https://doi.org/10.1007/s10616-013-9595-x PMid:23794084 PMCid:PMC3973799
15. Abd El Motteleb, D.M., Abd El Aleem, D.I. (2017). Renoprotective effect of Hypericum perforatum against diabetic nephropathy in rats: Insights in the underlying mechanisms. Clin Exp Pharmacol Physiol. 44(4): 509-521. https://doi.org/10.1111/1440-1681.12729 PMid:28079268
16. Chandramohan, R., Pari, L., Rathinam, A., Sheikh, B.A. (2015). Tyrosol, a phenolic compound, ameliorates hyperglycemia by regulating key enzymes of carbohydrate metabolism in streptozotocin induced diabetic rats. Chem Biol Interact. 229, 44-54. https://doi.org/10.1016/j.cbi.2015.01.026 PMid:25641191
17. Tavakoli, F., Rafieiolhossaini, M., Ravash, R., Ebrahimi, M. (2020). Subject: UV-B radiation and low temperature promoted hypericin biosynthesis in adventitious root culture of Hypericum perforatum. Plant Signal Behav. 15(7): 1764184. https://doi.org/10.1080/15592324.2020.1764184 PMid:32419579 PMCid:PMC8570718
18. Kwiecień, I., Nicosia, N., Ekiert, H. (2021). Cultivation of Hypericum perforatum (St. John’s wort) and biotechnological approaches for improvement of plant raw material quality. In: H.M. Ekiert, K.G. Ramawat, J. Arora (Eds.), Medicinal plants: sustainable development and biodiversity (pp. 253-291). Cham: Springer https://doi.org/10.1007/978-3-030-74779-4_8 
19. Chaudhuri, K.N., Ghosh, B., Tepfer, D., Jha, S. (2006). Spontaneous plant regeneration in transformed roots and calli from Tylophora indica: changes in morphological phenotype and tylophorine accumulation associated with transformation by Agrobacterium rhizogenes. Plant Cell Rep. 25(10): 1059-1066. https://doi.org/10.1007/s00299-006-0164-z PMid:16609889
20. Stoilova, I., Gargova, S., Stoyanova, A., Ho, I. (2005). Antimicrobial and antioxidant activity of the polyphenol mangiferin. Herba Polonica. 51(1/2): 37-44.
21. Babujanarthanam, R., Kavitha, P., Pandian, M.R. (2009). Quercitrin, a bioflavonoid, improves glucose homeostasis in streptozotocin-induced diabetic tissues by altering glycolytic and gluconeogenic enzymes. Fundam Clin Pharmacol. 24(3): 357-364. https://doi.org/10.1111/j.1472-8206.2009.00771.x PMid:19689449
22. Sellamuthu, P.S., Arulselvan, P., Muniappan, B.P., Kandasamy, M. (2012). Effect of mangiferin isolated from Salacia chinensis regulates the kidney carbohydrate metabolism in streptozotocin-induced diabetic rats. Asian Pac J Trop Biomed. 2(3): S1583-1587. https://doi.org/10.1016/S2221-1691(12)60457-2 
23. Fang, Y., Su, T., Qiu, X., Mao, P., Xu, Y., Hu, Z., et al. (2016). Protective effect of alpha-mangostin against oxidative stress induced-retinal cell death. Sci Rep. 6, 21018. https://doi.org/10.1038/srep21018 PMid:26888416 PMCid:PMC4757868
24. Jaisupa, N., Moongkarndi, P., Lomarat, P., Samer, J., Tunrungtavee, V., Muangpaisan, W., et al. (2018). Mangosteen peel extract exhibits cellular antioxidant activity by induction of catalase and heme oxygenase-1 mRNA expression. J Food Biochem. 42, e12511. https://doi.org/10.1111/jfbc.12511 
25. Rafailovska, E, Xhemaili, E, Naumovska, Z, Gigopulu, O, Miova, B, Suturkova, L, Stefkov, G. (2025). Unlocking the antidiabetic potential of CBD: in vivo preclinical studies. Pharmaceuticals 18(4): 446. https://doi.org/10.3390/ph18040446 PMid:40283884 PMCid:PMC12030168
26. Rafailovska, E., Tushevski, O., Gadzovska-Simic, S., Dinevska-Kjovkarovska, S., Miova, B. (2022). Hypericum perforatum L. hairy root extracts regulation of glycemic, metabolic, serum enzyme and lipid profile in STZ induced diabetic rats. Mac Vet Rev. 45(1): 5-15. https://doi.org/10.2478/macvetrev-2021-0027 
27. Stalmans, W., Wulf, H.D., Hue, L., Hers, H.G. (1974). The sequential inactivation of glycogen phosphorylase and activation of glycogen synthetase in liver after the administration of glucose to mice and rats. Eur J Biochem. 41(1): 127-134. https://doi.org/10.1111/j.1432-1033.1974.tb03252.x PMid:4361283
28. Fiske, C.H., Subbarow, Y. (1925). The colorimetric determination of phosphorus. J Biol Chem. 66(2): 375-400. https://doi.org/10.1016/S0021-9258(18)84756-1 
29. Lowry, O.H., Rosenbrough, J.N., Farr, A.L., Randall, R.J. (1951). Protein measurement with the Folin phenol reagent. J Biol Chem. 193(1): 265-275. https://doi.org/10.1016/S0021-9258(19)52451-6 PMid:14907713 PMCid:PMC11896512
30. Keppler, D., Decker, K. (1974). Glycogen determination with amyloglucosidase. In: H.U. Bergmeyer (Ed.), Methods of enzymatic analysis, Vol. 3 (pp. 1127-1131). New York, NY, USA: Academic Press
31. Aebi, H. (1984). Catalase in vitro. Methods Enzymol. 105, 121-126. https://doi.org/10.1016/S0076-6879(84)05016-3 PMid:6727660
32. Marklund, S., Marklund, G. (1974). Involvement of the superoxide anion radical in the autoxidation of pyrogallol and a convenient assay for superoxide dismutase. Eur J Biochem. 47(3): 469 474. https://doi.org/10.1111/j.1432-1033.1974.tb03714.x PMid:4215654 PMCid:PMC10542938 
33. Zeb, A., Ullah, F. (2016). A simple spectrophotometric method for the determination of thiobarbituric acid reactive substances in fried fast foods. J Anal Methods Chem. 2016, 9412767. https://doi.org/10.1155/2016/9412767 PMid:27123360 PMCid:PMC4830699
34. Tusevski, O., Krstikj, M., Stanoeva, J.P., Stefova, M., Gadzovska Simic, S. (2018). Phenolic profile and biological activity of Hypericum perforatum L.: Can roots be considered as a new source of natural compounds? S Afr J Bot. 117, 301-310. https://doi.org/10.1016/j.sajb.2018.05.030  
35. Rafailovska, E., Tusevski, O., Simic, S.G., Panov, S., Petreska Stanoeva, J., Dinevska-Kjovkarovska, S., Miova, B. (2024). Regulation of carbohydrate metabolism and insulin secretion in diabetic rats following treatment with Hypericum perforatum L. hairy root aqueous methanol extract. Mac J Chem Chem Eng. 43(1): 75-86. https://doi.org/10.20450/mjcce.2024.2849 
36. Xu, Y., Osborne, B.W., Stanton, R.C. (2005). Diabetes causes inhibition of glucose-6-phosphate dehydrogenase via activation of PKA, which contributes to oxidative stress in rat kidney cortex. Am J Physiol Renal Physiol. 289(5): F1040-1047. https://doi.org/10.1152/ajprenal.00076.2005 PMid:15956780
37. Xu, Y., Zhang, Z., Hu, J., Stillman, I.E., Leopold, J.A., Handy, D.E., et al. (2010). Glucose‐6‐phosphate dehydrogenase‐deficient mice have increased renal oxidative stress and increased albuminuria. FASEB J. 24(2): 609-616. https://doi.org/10.1096/fj.09-135731 PMid:19805580 PMCid:PMC2812032
38. Tucker, P.S., Dalbo, V.J., Han, T., Kingsley, M.I. (2013). Clinical and research markers of oxidative stress in chronic kidney disease. Biomarkers 18(2): 103-115. https://doi.org/10.3109/1354750X.2012.749302 PMid:23339563
39. Rafailovska, E., Tushevski, O., Shijakova, K., Simic, S.G., Kjovkarovska, S.D., Miova, B. (2023). Hypericum perforatum L. extract exerts insulinotropic effects and inhibits gluconeogenesis in diabetic rats by regulating AMPK expression and PKCε concentration. J Ethnopharmacol. 302(Pt A): 115899. https://doi.org/10.1016/j.jep.2022.115899 PMid:36336219
40. Prince, P.S.M., Kamalakkannan, N. (2006). Rutin improves glucose homeostasis in streptozotocin diabetic tissues by altering glycolytic and gluconeogenic enzymes. J Biochem Mol Toxicol. 20(2): 96-102. https://doi.org/10.1002/jbt.20117 PMid:16615078
41. Patil, S.B., Gadad, P.C. (2023). Elucidation of intermolecular interactions between chlorogenic acid and glucose-6-phosphate translocase: A step towards chemically induced glycogen storage disease type 1b model. 3 Biotech. 13(7): 250. https://doi.org/10.1007/s13205-023-03661-5 PMid:37383953 PMCid:PMC10293498
42. Jakobs, S., Fridrich, D., Hofem, S., Pahlke, G., Gerhard, E. (2005). Natural flavonoids are potent inhibitors of glycogen phosphorylase. Mol Nutr Food Res. 50(1): 52-57. https://doi.org/10.1002/mnfr.200500163 PMid:16317787
43. Sahoo, B.K., Zaidi, A.H., Gupta, P., Mokhamatam, R.B., Raviprakash, N., Mahali, S.K., et al. (2015). A natural xanthone increases catalase activity but decreases NF-kappa B and lipid peroxidation in U-937 and HepG2 cell lines. Eur J Pharmacol. 764, 520-528. https://doi.org/10.1016/j.ejphar.2015.07.046 PMid:26209362
44. Costello, R.A., Nicolas, S., Shivkumar, A. (2023). Sulfonylureas. In StatPearls [Internet]. NCBI Bookshelf. Available at https://www.ncbi.nlm.nih.gov/books/NBK513225/ 
45. Elmalí, E., Altan, N., Bukan, N. (2004). Effect of the sulphonylurea glibenclamide on liver and kidney antioxidant enzymes of streptozotocin-induced diabetic rat models. Drugs R D. 5(4): 203-208. https://doi.org/10.2165/00126839-200405040-00003 PMid: 15230625
46. Pandarekandy, S.T., Sreejesh, P.G., Harikumaran Thampi, B.S., Sreekumaran, E. (2017). Hypoglycaemic effect of glibenclamide: a critical study on the basis of creatinine and lipid peroxidation in diabetic rats. Indian J Pharm Sci. 79(5): 768-777. https://doi.org/10.4172/pharmaceutical-sciences.1000290   


Copyright

©2026 Rafailovska E.This is an open-access article published under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

C
onflict of Interest Statement

The authors declared that they have no financial or non-financial conflict of interest regarding authorship and publication of this article.

Citation Information

Macedonian Veterinary Review. Volume 49, Issue 2, Pages i-x, e-ISSN 1857-7415, p-ISSN 1409-7621, DOI:  https://doi.org/10.2478/macvetrev-2026-0018