Spirulina (Arthrospira) is a cyanobacteria considered to be a blue-green microalga that has historically been consumed by North Africans and Mexicans because of its nutritional value, containing 60–70% protein by dry weight and bioactive compounds (Neyrinck, Taminiau et al. 2017). The currently preferred name for the genus Spirulina is Arthrospira, while spirulina is referring generically to biomass preparations of the microalga. Arthrospira species are abundant in tropical and subtropical areas with carbonate and bicarbonate-rich alkaline water bodies (Richmond and Hu 2013). They contain high concentrations of antioxidants (β-carotene and phycocyanin), minerals (K, Na, Ca, Mg, Fe, Zn), vitamins (tocopherols), eight essential amino acids, PUFAs (especially γ-linolenic acid (ALA, 18:3 n-6)), and phenolic compounds (Neyrinck, Taminiau et al. 2017). Nowadays, spirulina is used as a nutritional dietary supplement, mainly due to its anti-inflammatory activity, and its intake is recommended for individuals with pathologies and conditions such as arterial hypertension, IR and diabetes among others.
References
Neyrinck, A.M.; Taminiau, B.; Walgrave, H.; Daube, G.; Cani, P.D.; Bindels, L.B.; Delzenne, N.M. Spirulina protects against hepatic inflammation in aging: An Effect related to the modulation of the gut microbiota? Nutrients 2017, 9, 2, doi:10.3390/nu9060633.
Richmond, A.; Hu, Q. Handbook of microalgal culture: Applied phycology and biotechnology; 2013; pp. xvi + 719 pp.-xvi + 719 pp.
In vivo studies indicate that Arthrospira maxima and platensis, as well as other microalgae, exert their anti-obesity effects via the reduction of both adipogenesis in white adipose tissue (WAT) and lipogenesis in WAT and brown adipose tissue (BAT). They increase lipolysis in WAT, lipid oxidation in WAT and skeletal muscle, and also thermogenesis and mitochondriogenesis in WAT, BAT, and skeletal muscle [19]. An ethanolic extract of A. maxima (150 or 450 mg/kg/day) reduced body weight, both subcutaneous and visceral adipose tissue, blood fasting glucose and lipid concentrations in mice fed a high-fat (HF) diet [20]. These changes were associated with lower protein expression of factors related to adipogenesis and higher expression of proteins related to adenosine 5′-monophosphate-activated protein kinase-α (AMPKα)-induced adipose browning [20]. In rats, the administration of dried A. maxima (62.5, 125, or 250 mg/kg) also reduced weight gain and the elevated WAT index induced by an HF diet, and it attenuated the changes related to metabolic alterations, including serum adiponectin, leptin, tumor necrosis factor α (TNF-α), glucose, insulin, and the lipid profile. These effects of A. maxima appear to be associated with activation of the AMPK pathway and sirtuin 1 (SIRT1) in mesenteric adipose tissue and skeletal muscle, leading to the suppression of lipid synthesis [21].
Another species, A. platensis, modulates dysbiosis, intestinal inflammation, and gut permeability in rats fed an HF diet. When administered as 3% of feed, it counteracted the dysbiotic changes triggered by the HF diet, namely the increased populations of Proteobacteria and Firmicutes. A. platensis also decreased inflammatory cytokines and the expression of myeloid differentiation factor 88 (MyD88), toll-like receptor 4 (TLR4), and NF-κB p65, as well as that of tight junction proteins in the intestinal mucosa (ZO-1, Occludin, and Claudin-1) [22]. A recent meta-analysis of 12 clinical trials analyzed the effect of spirulina supplementation on anthropometric indexes [23]. Spirulina was found to reduce body weight and waist circumference as well as body mass index when supplementation lasted for more than 12 weeks. The authors therefore suggest that spirulina may be used as an adjuvant treatment for obesity [23].
Spirulina biomass as well as the different extracts obtained from it have shown potential as antidiabetic agents. While studies that focus on the prevention of diabetes are scarce, a recent review summarized studies in which spirulina was tested in humans presenting different MS factors [24]. In one study, ingestion of 2–6 g of spirulina per day resulted in an improvement in insulin sensitivity and a reduction in glycated hemoglobin (HbA1c), although other studies did not show any detectable effect [24]. Studies in animal models have also shown an effect of spirulina on metabolic risk factors. A. platensis was found to counteract hyperglycemia and hyperlipidemia induced by alloxan in mouse [25] and rat [26,27] models of T1DM [28]. Moreover, A. platensis (5% in the diet) counteracted renal injury and oxidative stress in alloxan-induced diabetic rats [29]. A. platensis also showed antidiabetic effects in streptozotocin (STZ)-injected rats [30,31,32]; animals injected with STZ are also models of T1DM [28]. A. platensis (500 mg/kg body weight, 2 months) significantly decreased serum glucose, HbA1c, and malondialdehyde (MDA) levels and significantly increased the serum insulin concentration and the activity of antioxidant enzymes, as well as normalizing their mRNA gene expression and inducing upregulation of the gluconeogenic enzyme pyruvate carboxylase (PC), the pro-apoptotic factor Bax and caspase-3 (CASP-3), and TNF-α gene expression [31]. The authors suggested that the antioxidant, anti-inflammatory, and anti-apoptotic properties of spirulina might be due to its polyphenolic components. In an HF diet/low-dose STZ (HFD/STZ) rat model of diabetes, oral doses of A. platensis (250, 500 or 750 mg/kg body weight) for 30 days were shown to ameliorate levels of fasting blood glucose, insulin, and hepatic enzymes [32]. A. platensis also influenced the serum lipid profile and exhibited an anti-inflammatory effect via TNF-α and adiponectin modulation, in turn, probably mediated by the sterol regulatory element-binding transcription factor-1c (SREBP-1c) [32].
Arthrospyra contains a variety of bioactive components that may contribute to its beneficial effects on diabetes-associated alterations (hyperglycemia, hyperlipidemia, inflammation, and oxidative stress) acting through different mechanisms. The biomass of a typical industrial preparation of spirulina contains 71.7 g protein, 8.5 g fat, 3.0 g fiber, 16.2 g phycocyanin, and 477.0 mg carotenoids per 100 g dry weight [33]. It has been suggested that the dietary fiber and bioactive peptides are primarily responsible for the protection against IR it provides [34].
Phycobilins are secondary pigments in microalgae that capture light energy while protecting microalgae from harmful radiation [58]. Phycocyanin, a blue pigment biosynthesized by Arthrospyra, was found to protect insulin-producing pancreatic islets from alloxan injury in mice at doses of 100 and 200 mg/kg body weight [59]. It also reduced fasting blood glucose and glycosylated serum protein (GSP) levels, maintained the total antioxidative capacity, reduced TC levels and TAG levels in the serum and liver, increased the level of hepatic glycogen, and maintained glucokinase (GK) expression in the liver. The authors suggested that inhibition of the p53 pathway could be one of the mechanisms responsible for the protection provided by phycocyanin, as it decreased p53 expression in the pancreas at the mRNA level [59]. Phycocyanin may also exert its antidiabetic effect via the inhibition of both α-amylase and α-glucosidase, as suggested by molecular docking and in vitro testing [60]. Moreover, phycocyanin from A. platensis reduced plasma TC and LDL cholesterol as well as oxidative stress and NADPH oxidase expression induced by an atherogenic diet in hamsters, particularly when administered together with selenium [61]. The authors suggested that phycocyanin might prevent atherosclerosis.
β-Carotene extract obtained from A. platensis biomass presented antihyperglycemic activity in STZ-induced diabetic mice when given at a dose of 100 mg/kg body weight after 10 days of treatment [62].
This entry is adapted from the peer-reviewed paper 10.3390/nu13020563