Viable Lactobacillus Quadruple (Sichuan Yanyang Biotechnology)

Kal-1 is a polyherbal decoction of seven different natural ingredients, traditionally used in controlling sugar levels, inflammatory conditions particularly regulating metabolic and immunoinflammatory balance which are the major factors involved in obesity and related diseases. In the present study, we aimed to investigate the effect of Kal-1 (an abbreviation derived from the procuring source) on diet-induced obesity and type II diabetes using C57BL/6J mice as a model. The present study was performed with two experimental groups involving obese and prediabetic mice as study animals. In one, the mice were fed on high-fat with increased sucrose diet, and different amounts (5, 20, and 75 μL) of Kal-1 were administered with monitoring of disease progression over a period of 21 weeks whereas in the second group the mice were first put on the same diet for 21 weeks and then treated with the same amounts of Kal-1. A significant reduction in body weight, fat pads, fasting blood glucose levels, insulin levels, biochemical parameters, immunological parameters, and an array of pro- and anticytokines was observed in obese and diabetic mice plus Kal-1 than control (lean) mice fed on normal diet. In conclusion, Kal-1 has immunomodulatory potential for diet-induced obesity and associated metabolic disorders.

Globally, the incidence of obesity, metabolic syndrome, and diabetes (OMD) are continuously on the rise because of rapid changes in human life-style and dietary habits. Herbal extracts are of special interest in treating combination of these diseases because of their multipronged mode of action. The list of potential herbals to control metabolic diseases is ever-expanding. However, because of poor characterization and safety issues, these herbs face limitations for their clinical usage. This special issue is a collection of research and review articles on preclinical and clinical benefits of herbals in controlling OMD. This special issue contains 24 articles accepted from a total of 37 submissions consisting of 20 research articles, 3 review articles, and 1 clinical study. The research articles in this issue can be broadly divided into three disease categories—nonalcoholic steatohepatitis (NASH), obesity, and diabetic complications. Four articles of this special issue focus on evaluating the protective role of herbal extracts on NASH. The studies by X. R. Yang et al. “Effect of dietary cocoa tea (Camellia ptilophylla) supplementation on high-fat diet-induced obesity, hepatic Steatosis, and hyperlipidemia in mice” and H.-Y. Jung et al. “The Korean mistletoe (Viscum album coloratum) extract has an antiobesity effect and protects against hepatic steatosis in mice with high-fat diet-induced obesity” report the potential benefits of Camellia ptilophylla and Viscum album coloratum extracts against HFD-induced NASH. Another two articles evaluated protective effects of biherbal combination (S. miltiorrhiza, G. jasminoides and Grape Pomace, Omija Fruit) in ameliorating experimental NASH. This special issue also contains five articles that focus on antiobesity potential of herbal extracts. These detailed studies evaluated the benefits of 10 herbs and their potential mechanisms responsible in controlling obesity using experimental HFD-fed mice/rat in vivo and 3T3L1 preadipocyte in vitro models. Modulation of PPARγ was a key antiobesity mechanism of Artemisia iwayomogi, Codonopsis lanceolata, Populus balsamifera and its active component (salicortin), and beta-glucan-rich extract from Pleurotus sajor-caju (Fr.) Singer. H.-Y. Shin et al. reported an activation of AMP-activated protein kinase by extract of six herbal medicines (OB-1). In this special issue, 11 articles focus on the potential benefits of various herbal extracts/phytocompounds on diabetes-induced insulin resistance, nephropathy, retinopathy, cardiomyopathy, and inflammation. A. l. Al-Malki showed oat extract to be beneficial for diabetic nephropathy and retinopathy by modulating nuclear factor kappa B (NF-kB). Inhibition of aldose reductase activity by scopoletin ameliorated cataractogenesis in galactose-fed rats (J. Kim et al.). Boehmeria nivea extract (S. H. Kim et al.) and swertiamarin (T. P. Patel et al.) regulated experimental insulin resistance by modulating PPARγ. In another report, S. Kadan et al. evaluated effect of eight antidiabetic medicinal plants extracts on GLUT 4 translocation. The benefits of fisetin and an ayurvedic herbal formulation (Kal-1) on diabetes-induced inflammation was also reported. Further, quercetin was shown to preserve β-cell mass and function in fructose-fed hyperinsulinemic rats via modulating pancreatic akt/foxo1 activation. Berberine ameliorated glucose- and insulin-induced cardiomyocyte hypertrophy by modulating PPARα/NO. In an interesting article by S. E. Martinez et al. pharmacometrics of an antidiabetic compound, 3-methoxypterostilbene was reported. 3-Methoxypterostilbene inhibited α-glucosidase and α-amylase activity and exhibited approximately 50% bioavailability. Three review articles were also incorporated in this special issue. A review by Y. Liu et al. (recent updates on beneficial role of berberine in controlling NASH) provides detailed account on molecular regulation of lipid metabolism and NASH by berberine. In another review by C. D. Lorenzo et al. the use of in vitro and clinical approaches to assess the benefits of plant food supplements is critically discussed. The potential benefits of Kampo, a Japanese traditional medicine, in treating obesity was reviewed by J.-i Yamakawa et al. based on basic and clinical evidence. The only clinical study as a part of this special issue focuses on evaluating body weight lowering effects of herbal extract-THI (target herbal ingredient) on exercising healthy overweight humans following a two-month randomized double-blind, placebo-controlled trial. The study reports a significant reduction in body weight indicating its potential antiobesity effect. We envisage that this special issue will attract broad interest in the fields of obesity, metabolic syndrome, and type 2 diabetes and encourage the perusal of in-depth molecular and cellular mechanistic investigations into the use of natural products, in particular the herbal therapies for metabolic disorders and their complications.