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Peer-reviewedCC BYPharmaceuticals (Basel, Switzerland)

Plant-Derived Control of Postprandial Glycemia: α-Amylase, α-Glucosidase, and the Incretin-DPP-4 Interface.

8 affiliations
  1. 1Department of Neurology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  2. 2Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  3. 3Research Methodology Department, Faculty of Pharmacy, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  4. 4Drug Research Center, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  5. 5Department of Pharmacology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  6. 6Faculty of Medical and Behavioral Sciences, Constantin Brâncuși University of Târgu Jiu, 210185 Târgu Jiu, Romania.
  7. 7Department of Intensive Care and Anesthesia, Emergency County Hospital, 200642 Craiova, Romania.
  8. 8Department of Pediatric Surgery, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Abstract

Postprandial hyperglycemia can be modified before absorbed glucose reaches the circulation. Plant-derived compounds may slow starch hydrolysis through α-amylase and intestinal α-glucosidases, stimulate glucagon-like peptide-1 (GLP-1) release, or preserve incretin activity through dipeptidyl peptidase-4 (DPP-4) inhibition. This critical narrative review integrates these mechanisms around intestinal exposure, substrate selectivity, and human evidence. Flavonoids show structure-dependent and time-dependent inhibition of carbohydrate-hydrolyzing enzymes, but results vary markedly between yeast, rodent, and human enzyme systems. Iminosugar-rich mulberry preparations and thiosugar-containing Salacia extracts provide the strongest chemistry-to-clinic examples, including randomized trials that reduced postprandial glucose or HbA1c. Preclinical studies suggest that berberine may link bitter-taste-receptor-mediated GLP-1 secretion with local intestinal DPP-4 effects, whereas mangiferin, flavonol glycosides, anthocyanins, and food-derived peptides remain supported mainly by preclinical studies. In vitro potency alone is insufficient: meal composition, enzyme source, luminal concentration, metabolism, product standardization, gastrointestinal tolerance, and incretin measurements determine translational value. Candidate prioritization requires defined chemistry, achievable exposure, and product-specific human validation; acute effects do not establish durable benefit or human target engagement.

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BibTeX
@article{vasilica2026plantderived,
  title = {{Plant-Derived Control of Postprandial Glycemia: α-Amylase, α-Glucosidase, and the Incretin-DPP-4 Interface.}},
  author = {Pirscoveanu Denisa Floriana Vasilica and Diana-Maria Trasca and Adina Maria Kamal and Renata Maria Varut and Romeo Popa and Pluta Ion Dorin and Dirnu Rodica and Maria Stoica and Coanca Staicu Cristina Teodora and George-Alin Stoica},
  journal = {Pharmaceuticals (Basel, Switzerland)},
  year = {2026},
  month = sep,
  doi = {10.3390/ph19101546},
  url = {https://europepmc.org/article/MED/42943244},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Plant-Derived Control of Postprandial Glycemia: α-Amylase, α-Glucosidase, and the Incretin-DPP-4 Interface.
AU  - Pirscoveanu Denisa Floriana Vasilica
AU  - Diana-Maria Trasca
AU  - Adina Maria Kamal
AU  - Renata Maria Varut
AU  - Romeo Popa
AU  - Pluta Ion Dorin
AU  - Dirnu Rodica
AU  - Maria Stoica
AU  - Coanca Staicu Cristina Teodora
AU  - George-Alin Stoica
PY  - 2026
DA  - 2026/09/30
JO  - Pharmaceuticals (Basel, Switzerland)
DO  - 10.3390/ph19101546
UR  - https://europepmc.org/article/MED/42943244
AB  - Postprandial hyperglycemia can be modified before absorbed glucose reaches the circulation. Plant-derived compounds may slow starch hydrolysis through α-amylase and intestinal α-glucosidases, stimulate glucagon-like peptide-1 (GLP-1) release, or preserve incretin activity through dipeptidyl peptidase-4 (DPP-4) inhibition. This critical narrative review integrates these mechanisms around intestinal exposure, substrate selectivity, and human evidence. Flavonoids show structure-dependent and time-dependent inhibition of carbohydrate-hydrolyzing enzymes, but results vary markedly between yeast, rodent, and human enzyme systems. Iminosugar-rich mulberry preparations and thiosugar-containing Salacia extracts provide the strongest chemistry-to-clinic examples, including randomized trials that reduced postprandial glucose or HbA1c. Preclinical studies suggest that berberine may link bitter-taste-receptor-mediated GLP-1 secretion with local intestinal DPP-4 effects, whereas mangiferin, flavonol glycosides, anthocyanins, and food-derived peptides remain supported mainly by preclinical studies. In vitro potency alone is insufficient: meal composition, enzyme source, luminal concentration, metabolism, product standardization, gastrointestinal tolerance, and incretin measurements determine translational value. Candidate prioritization requires defined chemistry, achievable exposure, and product-specific human validation; acute effects do not establish durable benefit or human target engagement.
SN  - 1424-8247
ER  -