The pharmacology, pharmacokinetics, and toxicity of spinosin: A mini review

Spinosin, a natural flavone-C-glycoside that is mainly isolated from the seeds of Ziziphus jujuba Mill. var. spinosa. It exerts the effects to ameliorate the neurological disorders, such as hypnosis effects, improvement of cognitive function, sedation effects, and anxiolytic effects, as well as anti-melanogenic effect, cardioprotective effects, and anti-cancer activity. However, the insufficient basic research, unclear mechanisms, and poor bioavailability may limit the prospects of spinosin in clinical utilization. In this review, we comprehensively summarized the latest information on the pharmacology, pharmacokinetics, toxicity, and NMR characteristic of spinosin, to evaluate its potential therapeutic for clinical application, hoping to provide some rational perspective for the innovative agent development and usage of spinosin in future.

Introduction

Spinosin, (PubChem CID: 24771055, CAS No.: 72,063-39-9, MW: 608.5 g/mol), with the molecular formula of C₂₈H₃₂O₁₅, is a natural flavone-C-glycoside that mainly exists in dried and ripe seeds of Ziziphus jujuba Mill. var. spinosa (ZJS) (Figure 1) (Wu et al., 2011). Recently, spinosin has also been isolated from Cayaponia tayuya (Vell.) Cogn (Aquila et al., 2009), Passiflora edulis Sims (Zucolotto et al., 2009), Leonurus japonicus Houtt. (Liu et al., 2018), and so on.

FIGURE 1

FIGURE 1. Pharmacological summary of spinosin.

In traditional Chinese medicine (TCM), ZJS is sweet and sour in flavor, neutral in nature, and belongs to the liver, gallbladder, and heart meridians (Chinese pharmacopoeia, 2020). ZJS possesses the functions of nourishing the heart and liver, calming the mind and nerves, and condensing sweat and producing fluid that has been widely used for hypnosis, palpitations, dreams, sweating, and thirst (Chinese pharmacopoeia, 2020). It also has been widely used as an herb in the preparations of Chinese material medica to treat insomnia and anxiety for its main sedative and hypnotic effects. ZJS contains several groups of bioactive components including flavonoids, saponins, alkaloids, and fatty acids (Jiao et al., 2017), and saponins and flavonoids are the main effective components of sedation and hypnosis. Jujuboside A, jujuboside B, and spinosin are major components of total saponins and total flavones, respectively (Zhu et al., 2015). Spinosin is a C-glycoside flavonoid isolated from the ethanol extract of ZJS’s dried seeds (Huang et al., 2014), as one of the main bioactive components of ZJS, numerous explorations of the pharmacological effects of it have been reported, such as hypnosis effects (Wang et al., 2008, 2010, 2012; Wang et al., 2016a), improvement of cognitive function (Jung et al., 2014; Ko et al., 2015; Xu et al., 2020), anxiolytic effect (Wang and Yan, 2022), inhibition of melanin synthesis (Moon et al., 2019), and antioxidant effects (Zhang et al., 2020a).

Pharmacology research is crucial for the efficient and rational development of drugs, such as elucidating their mechanism, developing new usage of existing drugs, improving their efficacy, and reducing the toxicity of the medicine. The pharmacokinetic (PK) behavior of drugs plays an essential role in their pharmacological actions. The alterations of pharmacokinetic parameters may affect the drug’s therapeutic efficacy (Ma et al., 2012). Detailed toxicological data are the basis for risk assessment. The use of accurate and reliable toxicological data is the first step in hazard identification (Qu and Song, 2021). To better utilize the medicinal resource of spinosin, we discussed the research on spinosin in various research fields in the recent years covering its pharmacology, pharmacokinetics, and toxicology in this review.

Pharmacology

Hypnosis effects

The seeds of ZJS are used as a traditional herbal drug for the treatment of insomnia (Tsai et al., 2019). The potentiating sleep effect of spinosin was investigated in pentobarbital-treated (45 mg/kg, i.p.) mice. The results showed that pretreatment with spinosin (10 and 15 mg/kg) enhanced hypnotic effects, while using spinosin alone did not work. Further studies found that co-administration of spinosin (5 mg kg, p.o.) and 5-HTP (2.5 mg kg, i.p.) significantly reduced sleep latency and lengthened the sleep duration time (Wang et al., 2008). The aforementioned research suggested the regulation effect of the 5-HT system in pentobarbital-induced sleep.

The 5-HT1A receptor, a subtype of 5-HT receptors, plays an important role in the modulation of sleep and wakefulness. A deeper study revealed that spinosin (15 mg/kg, i.g.) lengthened the REM sleep time and increased the slow-wave sleep (SWS) mode in rats. A 5-HT_1A antagonist, the p-MPPI, reduced sleep latency and increased total sleep time and NREM sleep time. Conversely, a 5-HT_1A receptor agonist, the 8-OH-DPAT, reduced the NREM sleep, REM sleep, and SWS time in pentobarbital-treated rats. Spinosin could reverse the 8-OH-DPAT-induced reductions in the aforementioned sleep periods, suggesting spinosin may serve as an antagonist on the postsynaptic 5-HT_1A receptors (Wang et al., 2010). Further studies showed spinosin could potentiate pentobarbital-induced loss of righting reflex (LORR) in mice, and verified the antagonist of spinosin on presynaptic 5-HT_1A autoreceptor (Wang et al., 2012). Another research indicated that spinosin (20 mg/kg, i.p.) can increase the non-rapid eye movement (NREM) time and shorten the sleep latency time in the active phase of mice by antagonizing the 5-HT_1A receptor (Wang et al., 2016a).

Those results indicated that spinosin is an inhibitor on both somatodendritic 5-HT_1A autoreceptors and postsynaptic 5-HT_1A heteroreceptors, and this ingredient may be used as a potential drug for the treatment of hypnosis.

Improvement of cognitive function

Alzheimer’s disease (AD) is a neurodegenerative disease with the characteristics of memory deterioration, cognitive function reduction, and behavioral impairments (Chu et al., 2012). The hallmark of AD is hippocampal synaptic dysfunction, which is becoming a potential target for the AD therapy.

Spinosin exerted the neuroprotective effects on cholinergic blockade-induced memory impairment in mice by extending the latency time in the passive avoidance task, lengthening the swimming time, and increasing the expression levels of phosphorylated extracellular signal-regulated kinases and cAMP response element-binding proteins in the hippocampus (Jung et al., 2014). Further research revealed that spinosin increased the number of immature neurons in the dentate gyrus region of the hippocampus and the neuronal cell propagation, and stimulated the neurons’ differentiation by the ERK-CREB-BDNF signaling pathway. The results indicated that spinosin can be used for the treatment of neurological cognitive dysfunction or psychiatric disorders (Lee et al., 2016).

The amyloid-β_1-42 (Aβ_1-42)–induced mouse model was used to evaluate the activities and mechanisms of spinosin in the treatment of AD. Spinosin improves the memory impairment induced by amyloid Aβ_(1–42) oligomer in mice verified by the passive avoidance task and the Y-maze task, decreasing the GFAP or OX-42 in the hippocampus, reducing the number of activated microglia and astrocytes, and enhancing the choline acetyltransferase (ChAT) expression (Ko et al., 2015). Spinosin attenuated the long-term potentiation (LTP), which is the indicator that reflects learning and memory, by the improved plasmin level in hippocampi of 5XFAD mice induced by Aβ (Cai et al., 2020).

Numerous studies have revealed that neuroinflammation play a critical role in the occurrence and development of AD. Anti-inflammation has been considered to be one of the significant ways to improve or even treat AD. Spinosin has been reported to alleviate cognitive impairment by improving the neurotrophic factor (BDNF) and Bcl-2, decreasing the level of MDA, and inhibiting the inflammatory factor IL-6 in the brain (Xu et al., 2019). Another research showed that spinosin inhibited the expression of COX-2 and Bax protein caused by Aβ_25-35, and improved the proportion of LTP. The conclusion suggested the repairment of spinosin on the learning and memory impairment induced by Aβ_25-35 was mainly by inhibiting the inflammatory response (Du, 2021).

The oxidative stress is often accompanied by the occurrence of AD (Cervellati et al., 2016). Reactive oxygen species (ROS), including hydrogen peroxide (H₂O₂), hydroxyl radical (OH•), and superoxide anions (O₂), is the major source of oxidative stress, which contributes to proteins, lipids, and DNA oxidation in brain tissues. p38MAPK is sensitive to stressful stimuli such as ROS and is related to the development process of AD. Spinosin showed the inhibitory effect on the intracellular ROS production induced by H₂O₂ in N2a cells. The in-depth mechanism research indicated spinosin inhibited Aβ_(1–42) production, decreased Tau phosphorylation, and improved synaptic structural plasticity induced by H₂O₂ through inhibiting the p38MAPK activation (Xu et al., 2020).

In addition, spinosin inhibited the production and accumulation of Aβ_1-42 through influencing the amyloid precursor protein (APP) parade, by activating the antioxidative Nrf2/HO-1 pathway (Zhang et al., 2020c).

Sedative action

The sedative activities of spinosin were evaluated by the climbing test and caffeine-induced hyperactivity model in mice. The results revealed that the number of mice that could not climb the ladder was increased and the frequency of crossing the hole was decreased after spinosin (500 and 1,000 mg/kg) was given (i.p.) (Shin et al., 1978; Shin et al., 1981). Spinosin was injected into mice (15 mg/kg, i.p.), and then 90 min later their brains were isolated and used for immunohistochemical analysis. The results revealed that spinosin markedly decreased c-Fos expression in the lateral hypothalamic area (LHA) and locus coeruleus (LC), suggesting that inactivation of the LHA and LC neuronal was the mechanism of spinosin on sedation (Zhang et al., 2020a).

The anxiolytic effects

The anxiety disorder is one of the most common psychiatric disorders that affect the health of the general population. The anxiolytic effects of spinosin were evaluated by a plus maze, light/dark box test, and open field test in mice (Gu et al., 2018). Also, the results showed that spinosin exhibited the anxiolytic effects without influencing the spontaneous activity. Further research illustrated that the anxiolytic-like activity of spinosin can be prevented by flumazenil and WAY-100635, the antagonist of GABA_A receptor and 5-HT_1A receptor, respectively, which suggested its targets maybe GABA_A and 5-HT_1A receptors (Liu et al., 2015).

Skin-lightening effects

As tyrosinase is the key factor in melanin production, inhibiting the tyrosinase can be used for skin pigmentation. Spinosin showed tyrosinase inhibitory activity (IC₅₀ = 47 μM) and anti-melanogenesis effect (10, 20 μM) in B16F10 cells induced by αMSH- or UVB. The protein docking analysis further demonstrated that spinosin repressed the tyrosinase activity through the hydrogen bonds (Moon et al., 2019). This evidence suggested the potential of spinosin developed as a candidate for skin-lightening cosmetics.

Cardioprotective effects

The acute myocardial infarction (AMI) rat model was used to investigate the cardioprotective effects of spinosin and its analog 6‴-feruloyl-spinosin. As a result, pretreatment with spinosin lessened myocardial tissue injury, reduced the serum levels of cTnI and LDH, and promoted autophagy by increasing LC3B-II levels in AMI rats. The mechanism data suggested that spinosin worked by inhibiting the GSK3β, and activating the autophagy and the activity of the PGC-1α/Nrf2/HO-1 pathway (Gu et al., 2019).

Anti-colorectal cancer effects

The polyphenol extraction from ZJS (ZJSP, 0, 50, 100, 150, and 200 μg/ml) exhibited anti-colorectal cancer (CRC) activity by inhibiting HCT-116 cell growth, increasing cell apoptosis in the HCT-8 and HCT-116 cells, and enhancing the sensitivity of HCT-8FU cells for 5-FU. The AOM/DSS-induced CAC mice were used to evaluate the CRC effect and the results showed the ZJSP (100 and 200 mg/kg) reduced the CAC polyps, promoted the recovery of damaged organs (heart, liver, spleen, lung, kidney, and pancreas), and raised the early CRC markers (COX-II, EMR1, and Ki67) in CAC mice. Further isolation and RP-HPLC-MS/MS results indicated spinosin was the anti-CRC constituent in ZJSP (Shan et al., 2020). This study indicated the potential usage of spinosin as a natural agent against CRC. The details pharmacological activities of spinosin are depicted in Table 1 and Figure 1.

TABLE 1

TABLE 1. Pharmacology of spinosin.

Pharmacokinetics

The pharmacokinetic properties are the premise of preclinical and clinical research of drugs. It provides drug toxicity and clinical application information to screen the candidate agents in the process of innovative agent development. Nowadays, HPLC (Li et al., 2014) and HPLC/MS/MS (Liu et al., 2013) were used to investigate the pharmacokinetic parameters of spinosin in vivo with rats (Bao et al., 2013) and dogs (Lee et al., 2020). The rat oral administration of ZJS extract (20 g/kg) containing spinosin revealed the pharmacokinetic parameters with C_max at 224 ± 82 μg/L, T_max at 5.5 ± 0.6 h, and T_0.5 at 5.8 ± 0.9 h in rat plasma using the HPLC method (Li et al., 2003). The pharmacokinetic parameters of spinosin in ZJSP between the control group (NC) and insomnia model (IM) group were determined using the UPLC-MS method, and the results showed no significant differences between the two groups, but an increasing trend for CL and the decreasing trend for the AUC_0-t and AUC_0-∞ of spinosin in the IM group, which indicated the faster and poorer absorption of spinosin in the IM group (Du et al., 2020). The Yin-deficiency rats were given ZJS by gavage, spinosin was detectable in the small intestine, stomach, liver, brain, large intestine, spleen, lung, heart, kidney, and blood within 10 min, and it sustained for 240 min (Guo, 2014). The distribution studies revealed that spinosin could be detected in the rat liver, spleen, kidney, lung (Li et al., 2021; Li et al., 2007), gastrointestinal (Zhang et al., 2012), bile (Liu et al., 2013), and testis (Li et al., 2007). Zhang et al. (2015) reported that spinosin could permeate the blood–brain barrier, and reach various areas of the brain such as the corpus striatum, hippocampus, cerebrum, cerebellum, and olfactory region.

Many novel dosage forms, such as solid dispersions, phospholipid complex solid dispersions and its solid lipid nanoparticles, obviously elevated solubility and bioavailability of spinosin, which effectively promoted the oral absorption of spinosin (Zhang et al., 2019; Yang et al., 2019).

The Caco-2 cell model was used to investigate the transport characteristics of spinosin, the results indicated that spinosin was transported through the intestinal mucosa via a passive diffusion at low concentration, while affected by P-glycoprotein (P-gp) at a high concentration with reduced absorption (Huang et al., 2016). Song et al. (2020) found the absorption mechanism of spinosin was energy-dependent monocarboxylate transporter (MCT)–mediated active transport, and the efflux process was mediated by P-gp and multidrug resistance protein (MRP), which may result in a decrease in bioavailability.

The UPLC-MS/MS was carried out to identify metabolites and evaluate the in vivo metabolic profile of spinosin. Three metabolites of I-phase were identified from blood and urine in depression model rats (Wang et al., 2016b). Eight I-phase metabolites of spinosin were detected in the human liver microsome incubation samples, and the cytochrome P450 enzyme was found to be the main metabolic enzyme involved in drug metabolism (Zhang et al., 2020b). Spinosin was degraded by rat intestinal bacteria in vitro and its metabolite was swertisin (Zhang et al., 2013). The main metabolic reactions of spinosin were decarbonylation and demethylation, hydroxylation, hydrolysis-desugar, and RDA.

The serum proteins, such as BSA and HSA, have the ability of binding with drugs, which play an important role in the drug metabolism. The results revealed that spinosin bound with BSA and HSA through Van der Waals force and hydrogen bond and then changed the Tyr and Trp residue microenvironments. The findings may explain the metabolism behaviors of spinosin in oxidation, intestinal hydrolysis, demethylation, and reduction (Wu et al., 2019). The pharmacokinetic studies on spinosin are shown in Table 2 and metabolites of spinosin are shown in Figure 2.

TABLE 2

TABLE 2. Pharmacokinetic information of spinosin.

FIGURE 2

FIGURE 2. Main metabolic pathways and metabolites of spinosin.

Toxicity

The toxicity of spinosin was studied by intraperitoneally injecting into mice with graded doses ranging from 200 mg/kg to 10 g/kg and there was no mortality of mice even at the highest dosage, which suggested the safety of spinosin (Shin et al., 1978).

Spinosin also did not exhibit cytotoxicity on HaCat, B16F10, and Hs27 cells at 20 μM (Moon et al., 2019). Spinosin had cytotoxicity in N2a/APP695 cells at 200 and 400 μM, but no cytotoxicity in N2a/WT cells at 400 μM (Zhang et al., 2020c). The cytochrome P450 participated in the drug metabolism process and mediated the drug–herb interactions, which have attracted much attention in recent years. The activation effects between CYP450 and drugs may increase the risk of drug application. One report indicated that spinosin exhibited inactive effects on CYP3A4 in human liver microsomes (Bai et al., 2020).

Spinosin, the main active C-glycoside constituent from ZJS, is highly consistent with pharmacological and toxicological properties of ZJS. The ZJS decoction was administered to mice at 15 g/kg by gavage, and no toxicity was observed in 48 h (Shen, 2011). The administration routes affected the drug’s toxicity. ZJS decoction and ethanolic extract of ZJS were injected intravenously into mice and the LD₅₀ values were determined as 14.3 ± 20.0 and 27.5 ± 2.4 g/kg, respectively. The same samples were orally administered to mice at the dosage of 340 g/kg, but no case of mortality was observed (Wang et al., 2009). The chickens were orally administered with ZJS solution at the dosages ranging between 2.5 and 20 g/(kg d) and the maximum tolerable dosage of ZJS solution was calculated as more than 20 g/(kg d), while the LD₅₀ was not determined. The experiments suggested that ZJS solution had no acute toxicity and no long-time toxicity (Li et al., 2010).

NMR phenomenon

The interesting NMR phenomenon of spinosin was observed in 2000 (Gong et al., 2000). Both 1H and 13C NMR data of spinosin exhibited the partial carbons and protons signal splits appearance at room temperature (298 K), and doublet signals disappeared as the temperature rose to coalescence temperature (T_c 363 K). The results of the variable-temperature experiments suggested the presence of two rotational isomerisms at room temperature. Compared to the NMR data with compounds that have similar structures, only the constituents with 7-OCH₃ in the flavone-6-C-glycoside skeleton exhibited the aforementioned NMR signal pattern (Gong et al., 2000). The variable-temperature 1H NMR experiments explained that the high energy barrier about the C-6-C-1″ bonds prevents the interchange between rotamers at room temperature. The theoretical (MM2) calculations revealed the minimum energy of two conformations (energy difference ca 0.84 kJ/mol) and the separated energy barrier of ca 67 kJ/mol (Lewis et al., 2000). The finds were approved by many reports in analogs of spinosin, such as 6‴-feruloyl-spinosin, 6‴-acetyl-spinosin, and isovitexin-2″-O-arabinoside (Song et al., 2020; Zhou and Yan, 2021). The aforementioned NMR signal features can be used to quickly distinguish the chemical skeleton and analyze the structure of substituent position. The 1D NMR spectra of spinosin at 298 and 387 K are shown in Figure S1A-B.

Conclusion

This article reviewed the bioactivities and the mechanisms of spinosin (Table 1), its pharmacokinetics parameters (Table 2) and security, as well as characteristic NMR performance. However, many issues need to be further illustrated in further studies. First, a few reports on pharmacological activities and the reported bioactivities of spinosin mainly focused on the phenotypic aspect, but there is lack of an in-depth specific interpretation on the mechanism research. Therefore, it is extremely meaningful to explore the molecular mechanism of its biological activities. Second, the little existing evidence suggested the safety of spinosin in vitro and in vivo, but it is difficult to fully evaluate its security due to lack of research evidence. Hence, it is necessary to systematically evaluate its safety and toxicity in vitro and in vivo for the clinical application. Third, mice are also widely used for pharmacokinetic studies but there have been no relevant reported pharmacokinetic studies on spinosin. So, the comprehensive pharmacokinetic research about spinosin and ZJS in rodent models should be conducted in future.

Author contributions

FX and XK analyzed the data and drafted the manuscript. BL and GS gave valuable advice on manuscript writing and revision. FX, WC, JZ, and TM collected and analyzed many references.

Funding

This work was supported by the National Natural Science Foundation of China (No. 82173700); Science and Technology Planning Project of Guangzhou (No. 202102021213); the special foundation of Guangzhou Key Laboratory (No. 202002010004); Special Funds for State Key Laboratory of Dampness Syndrome of Chinese Medicine (No. SZ2021ZZ33).

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Supplementary material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphar.2022.938395/full#supplementary-material

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Glossary

5-HTP 5-hydroxytryptophan

AD Alzheimer’s disease

AMI acute myocardial infarction

APP amyloid precursor protein

Aβ_1-42 amyloid-β_1-42

BDNF brain-derived neurotrophic factor

BSA bovine serum albumin

CAC colitis-associated cancer

ChAT choline acetyltransferase

CL clearance

CRC colorectal cancer

cTnI cardiac troponin I

GABA_A γ-aminobutyric acid A

GSK3β glycogen synthase kinase-3β

HPLC high-performance liquid chromatography

HSA human serum albumin

IM insomnia model

LC locus coeruleus

LC3B-II microtubule-associated protein one light chain 3B-Ⅱ

LDH lactate dehydrogenase

LHA lateral hypothalamic area

LORR loss of righting reflex

LTP long-term potentiation

MCT monocarboxylate transporter

MDA malondialdehyde

MRP multidrug resistance protein

NC normal control

NMR nuclear magnetic resonance

NREM non-rapid eye movement

PCPA p-chlorophenylalanine

P-gp P-glycoprotein

PK pharmacokinetic

RDA Retro Diels–Alder reaction

REM rapid eye movement

ROS reactive oxygen species

SWS slow-wave sleep

TCM traditional Chinese medicine

ZJS Ziziphus jujuba Mill. var. spinosa

ZJSP polyphenols of Ziziphus jujuba Mill. var. spinosa