Int J App Pharm, Vol 13, Issue 1, 2021, 124-128Original Article

DETERMINATION OF CARBOHYDRATES CONTENT IN GENTIANA CRUCIATA L. BY GC/MS METHOD

LILIIA BUDNIAK1*, LIUDMYLA SLOBODIANIUK2, SVITLANA MARCHYSHYN2, PAVLINA KLEPACH3, YANA HONCHARUK3

1Department of Pharmacy Management, Economics and Technology, І. Horbachevsky Ternopil National Medical University, Maidan Voli 1, 46001, Ternopil, Ukraine, 2Department of Pharmacognosy and Medical Botany, I. Horbachevsky Ternopil National Medical University, Maidan Voli 1, 46001, Ternopil, Ukraine, 3Department of Pharmacy, Bukovinian State Medical University, Theatralna sq. 2, 58002, Chernivtsi, Ukraine
Email: stoyko_li@tdmu.edu.ua

Received: 20 Sep 2020, Revised and Accepted: 20 Oct 2020


ABSTRACT

Objective: Thus, the aim of our research was to determine the qualitative composition and quantitative content of carbohydrates in the studied plant material with the prospect of its application as a medicinal plant raw material.

Methods: The carbohydrates of the herb of Gentiana cruciata L. determined by GC/MS method. Identification of monosaccharides was based on comparing their retention times with retention times of standards of the mass spectral library NIST 02. Quantification was done by using sorbitol added to the sample.

Results: The quantitative content of 4 free carbohydrates such as D-saccharose (38.39 mg/g), D-Pinitol (12.01 mg/g), D-glucose (10.05 mg/g) and D-fructose (1.69 mg/g) was established in the herb of Gentiana cruciata L. Also, this method established the qualitative composition and quantitative content of eight carbohydrates (monosaccharides and their derivatives after hydrolysis): D-glucose (29.66 mg/g), D-Pinitol (22.24 mg/g), L-arabinose (4.26 mg/g), D-galactose (3.55 mg/g), D-xylose (1.80 mg/g), L-rhamnose (1.49 mg/g), D-Dulcitol (0.76 mg/g) and D-mannose (0.44 mg/g).

Conclusion: The results of the study showed that carbohydrates from the Gentiana cruciata L. can be used as important resources of new ingredients for the pharmaceutical industry.

Keywords: Gentiana cruciata L., Carbohydrates, GC/MS, Herb


INTRODUCTION

The Gentianaceae family has 99 genera and about 1736 species (24 species grow in Ukraine), which are distributed mainly in subtropical and moderately warm regions of both hemispheres of Earth, and are also found in mountainous areas of the tropics [1, 2]. Many Gentians species are widely distributed in the Himalayas, Pyrenees and alpine mountains across Eurasia, with the largest species variety occurring on the Qinghai-Tibet Plateau [3-6]. In temperate latitudes and in the mountains, Gentianaceae is dominated by perennial, rarely annual plants; in subtropics and tropics the family is represented by shrubs, vines, small trees up to 5 m tall [1]. Plants of this family have a long history of usage, minor side effects, and high tolerability, regardless of the age of patients, and are the objects of interest in our society [7, 8]. The following genera belong to the Gentianaceae family: Gentiana L., Menyanthes L., Centaurium Hill., Swertia L., etc. The genus Gentiana L. is the largest genus of the family Gentianaceae, which includes more than 400 species [5]. The plants of the family Gentianaceae perform a major role in human lives because of their pharmacological (production of rich, specific secondary metabolites) and horticultural values (beauty of the flowers; transformation in shape and size of the leaves) [9, 10]. They accumulate flavonoids, xanthones, iridoids, secoiridoids and other metabolites, typical for exceptional species used in medicine [2, 11]. The major important substances responsible for the bioactivities of the Gentiana species are swertiamarin, gentiopicroside and loganic acid [12, 13]. The therapeutic values of Gentiana are extensive, including analgesic, antirheumatic, diuretic, anti-inflammatory, hypoglycemic and antipyretic properties [12, 14-16]. Many species of Gentiana are highly used in the world for their pharmaceutical purposes, Gentiana lutea L. in Europe, Gentiana kurroo Royle in Pakistan and India, Gentiana tibetica King in China [17-19]. Some Gentiana species are rare or endangered plants because of their usage by humans. But modern biotechnological methods in combination with in vitro cultures, offer alternative approaches to traditional cultivation methods, which leads to rapid micropropagation of Gentianaceae species, such as Gentiana cruciata L. [20, 21]. Gentiana cruciata L. owing to its blue flowers and easy cultivation, is popular in gardening [21]. Its aboveground and underground parts are the source of secoiridoid glycosides such as swertiamarine, sweroside and gentiopicroside [22-26]. There is established the pharmacological usage of Gentiana cruciata L., such as antimicrobial, anticholinesterase, hepatoprotective, antigenotoxic and antioxidant [27]. Its root has been used for its sedative and stomachic effects in folk medicine. Besides, it stimulates the production of white blood cells [28, 29]. Fatma Senol and other Turkish scientists have established the inhibitory effect of ethyl acetate extract of Gentiana cruciata L. root on butyrylcholinesterase, which is contained in structures located mostly outside the central nervous system [30]. Its choleretic activity was also experimentally established [31]. Based on this review, it is apparent that Gentiana cruciata L. should get more attention as the source of bioactive compounds and phytocompounds. Considering the lack of study of carbohydrates, their definition in Gentiana cruciata L. is relevant. Accordingly, the aim of our research was to determine the qualitative composition and quantitative content of carbohydrates in the studied plant material with the prospect of its application as medicinal plant raw material.

MATERIALS AND METHODS

Plant materials

The herb of Gentiana cruciata L. was collected in Western Ukraine, at the territory of Volove, Ternopil region (N 49°21’13.0” E 26°05’24.1”) during the flowering period in 2017. The herb was authenticated by professor Svitlana Marchyshyn (TNMU, Ternopil, Ukraine). A voucher specimen no. 135 is kept at the Department of Pharmacognosy and Medical Botany, TNMU, Ternopil, Ukraine. The study plant material was dried using conventional method and stored in paper bags in a dry place [32].

Chemicals and standards

All standards of polysaccharides were of analytical grade (≥ 99% purity). Standards of polysaccharides including D-fructose (Fru), D-xylose (Xyl), D-glucose (Glc), D-mannose (Man), D-arabinose (Ara), L-rhamnose (Rha), D-galactose (Gal), D-ribose (Rib), D-saccharose (Sac), D-sorbitol were obtained from Sigma-Aldrich Chemical Co. (St. Louis, MO, USA).

Sample preparation, gas chromatography coupled with mass spectrometry (GC/MS) determination of carbohydrates

The monosaccharides composition of Gentiana cruciata L. herb was determined by GC/MS method on gas chromatograph Agilent 6890N with 5973inert mass detector (Agilent Technologies, USA). Samples were analyzed on a capillary column HP-5MS of 30 m in length and an internal diameter of 0.25 mm, a thickness of the stationary phase is 0.25 μm. Firstly, we set up an oven temperature at 160 °C and held for 8 min, then raised to 240 °C at the rate of 5 °C/min and kept at this point for 6 min. At a constant flow rate of 1.2 sm3/min Helium was used as the carrier gas. Detection was performed in the SCAN mode at the width range of 38–400 m/z.

Extraction of free monosaccharides. 0.5 mg of methanol solution with internal standard (sorbitol) was added to 500 mg of powdered raw materials. The extraction was performed at the ultrasonic water bath at 80 °C for 4 h.

Extraction and hydrolysis of bonded monosaccharides. For the extraction of bonded monosaccharides or monosaccharides after hydrolysis 500 mg of the powdered herb of the Gentiana cruciata L. was placed into the flask and added 5 ml of 2 M trifluoroacetic acid. Hydrolysis was performed under 100 °C for 6 h. 2 ml of obtained hydrolysate was evaporated and was added 2 ml of an internal standard.

To obtain acetylated aldonitriles. 2 ml of the extract was evaporated to dryness and was added 0.3 ml of derivatization reagent (32 mg/ml of hydroxylamine hydrochloride in pyridine/methanol (4:1, v/v)). The extract was incubated at 75 °C for 25 min. To the samples was subsequently added 1 ml of acetic anhydride and incubated at 75 °C for 15 min. 2 ml of dichloromethane was added and the excess of the derivatization reagents was removed by the double extraction with water and 1 M hydrochloric acid. The dichloroethane layer was dried and dissolved in 300 μl of the mixture of ethyl acetate/heptane (1:1, v/v).

Identification of monosaccharides was based on comparing their retention times with retention times of standards of the mass spectral library NIST 02. Quantification was done by using sorbitol added to the sample [33-36].

The number of carbohydrates in mg/g was calculated according to the following equation:

Where: Sx–is a peak area of each monosaccharide or disaccharide;

Minst–is a mass of the internal standard;

Sinst–is a peak area of the internal standard;

m–is a mass of plant material [37].

Statistical analysis

The assays were carried out three times. The obtained results were expressed as mean values and standard deviation. Values were determined using the Statistica v 10.0 (StatSoft I nc.) program. The level of significance was set at *p<0.05 for all statistical analyses.

RESULTS AND DISCUSSION

The GC/MS method determined the qualitative composition and quantitative content of carbohydrates. Free carbohydrates in the herb of the Gentiana cruciata L. included D-saccharose (D-Sac), D-fructose (D-Fru), D-glucose (D-Glc) and D-Pinitol (fig. 1).

Fig. 1: GC/MS chromatogram of free carbohydrates of Gentiana cruciata L. herb

Table 1: The content of monosaccharides, their derivatives after hydrolysis and free carbohydrates of Gentiana cruciata L

The name of the carbohydrate The content of the carbohydrate, mg/g x¯±Δ x¯, n=3, P<0.05
Free carbohydrates
L-rhamnose
L-arabinose
D-mannose
D-glucose 10.05±0.13
D-galactose
D-xylose
D-fructose 1.69±0.04
D-Pinitol 12.01±0.21
D-Dulcitol
D-Sorbitol internal standard
D-saccharose 38.39±0.35

Note: — not found.

Fig. 2: GC/MS chromatogram of monosaccharides and their derivatives after hydrolysis of Gentiana cruciata L. herb

In this analyzed material, after acidic hydrolysis and derivatization with acetylated aldononitriles, L-rhamnose (L-Rha), L-arabinose (L-Ara), D-mannose (D-Man), D-glucose (D-Glc), D-galactose (D-Gal), D-xylose (D-Xyl), D-Pinitol, D-Dulcitol were identified too (fig. 2).

The quantitative content of carbohydrates is presented in table 1.

The GC/MS method identified 4 free carbohydrates of the herb of Gentiana cruciate L. (fig. 1). Free carbohydrate D-saccharose was presented in the studied raw material in the greatest amount 38.39 mg/g. Saccharose is a disaccharide that is produced only by plants and is a substrate for fructan synthesis [38]. It is an easily assimilated macronutrient that provides a quick source of energy to the body [39]. Also, the GC/MS method identified 8 carbohydrates (monosaccharides and their derivatives after hydrolysis) of Gentiana cruciata L. herb (fig. 2).

A simple monosaccharide D-glucose was present in the herb of Gentiana cruciata L. in the greatest amount, 29.66 mg/g. Glucose is a source of energy for many organisms, from bacteria to humans. The brain is very demanding in terms of energy metabolism [40]. Its functions, such as cognitive learning, memory and thinking, are interlinked to the efficient utilization of glucose [41, 42]. Red blood cells and neurons have a big energy demand too [43].

Pinitol, chemically known as 3-O-methyl-D-chiro-inositol, was the second for the amount among monosaccharides and their derivatives after hydrolysis and free carbohydrates [44]. D-Pinitol’s content in Free State was 12.01 mg/g and in the bonded state 22.24 mg/g. It protects the plant from adverse environmental conditions, among them water lack and a great level of salinity [45]. Moreover, D-pinitol helps to lower plasma glucose levels, promote the lipid profile, has antidiabetic and antioxidant effects [46, 47]. Also, the protective effect against the dangerous aftermath of oxidative stress suffered by the renal and hepatic tissues in mamma cancer was established [48]. D-pinitol’s anti-tumor effect against 7,12-dimethylbenzanthracene (DMBA)-initiated carcinogenesis has been investigated in vivo and found lower tumor growth by modulating hormones and interleukins and stimulation apoptosis in cancer cells due to inhibition of necrosis factor-α [34].

In the herb of Gentiana cruciata L. was defined as the lower content of L-arabinose 4.26 mg/g, D-galactose 3.55 mg/g, D-xylose 1.80 mg/g. Arabinose is a prevalent component of plant cell walls and is broadly distributed in the plant world. This pentose has the potential to be used as a nutrition additive to support good health and correct obesity [49]. Galactose is a physiological nutrient that is chemically a reducing carbohydrate. It can be combining with glucose and form the disaccharide lactose [50, 51]. Xylose or wood sugar has antifungal and antibacterial properties. This aldopentose particularly affects Candida species and gram-negative organisms. Xylose is contained in the embryos of most eatable plants. In contradistinction to saccharose, xylose supports the rise of ‘friendly flora’ in the bowel, thus rising absorption of all foods and strengthening the immune system to help fight diseases. In clinical medical practice, it is used as a diagnostic remedy to assess intestinal absorption [52]. The content of other carbohydrates is little.

CONCLUSION

In conclusion, the current results of GC/MS indicated the presence of certain carbohydrates in Gentiana cruciata L., that have important therapeutic activity, which corresponded to the information about the medicinal activity of this plant. The data revealed that four free monossacharide, such as D-saccharose, D-glucose, D-Pinitol, D-fructose, were present in the raw material. We also determined 8 carbohydrates after acidic hydrolysis and derivatization with acetylated aldononitriles. The main compounds identified in Gentiana cruciata L. herb were D-glucose (29.66 mg/g) and D-Pinitol (22.24 mg/g). Our findings suggest that polysaccharides from the Gentiana cruciata L. can be used as important resources of new ingredients of the pharmaceutical industry and could be used for the development of nutraceuticals and functional foods.

FUNDING

Nil

AUTHORS CONTRIBUTIONS

All the authors have contributed equally.

CONFLICTS OF INTERESTS

The authors declare no conflict of interest.

REFERENCES

  1. Marchyshyn SM, Stoiko LI, Pokotylo OO. Research of the chemical composition of some plants from Gentianaceae family. Med Clin Chem 2017;3:23-8.

  2. Tomiczak K, Mikula A, Niedziela A, Wojcik Lewandowska A, Domzalska L, Rybczynski JJ. Somatic embryogenesis in the family Gentianaceae and its biotechnological application. Front Plant Sci 2019;10:762.

  3. Mikula A, Skierski J, Rybczynski JJ. Somatic embryogenesis of Gentiana genus III. Characterization of three-year-old embryogenic suspensions of G. pannonica originated from various seedling explants. Acta Physiologiae Plantarum 2002;24:311-22.

  4. Hayta S, Akgun IH, Ganzera M, Bedir E, Gurel A. Shoot proliferation and HPLC-determination of iridoid glycosides in clones of Gentiana cruciata L. PCTOC 2011;107:175-80.

  5. Mirzaee F, Hosseini A, Jouybari HB, Davoodi A, Azadbakht M. Medicinal, biological and phytochemical properties of Gentiana species. J Tradit Complement Med 2017;7:400-8.

  6. Liang Hong Ni, Zhi-Li Zhao. A morphometric comparison of three closely related species of Gentiana (Gentianaceae), endemic to the region of the qinghai–tibet Plateau. Botany 2018;96:209-15.

  7. Darzuli N, Budniak L, Hroshovyi T. Selected excipients in oral solid dosage form with dry extract of Pyrola rotundifolia L. IJAP 2019;11:210-6.

  8. Slobodianiuk L, Budniak L, Marchyshyn S, Sinichenko A, Demydiak O. Determination of amino acids of cultivated species of the genus Primula L. Biointerface Res Appl Chem 2021;11:8969-77.

  9. Drobyk NM, Mel’nyk VM, Hrytsak LR, Kravets NB, Konvalyuk II, Twardovska MO, et al. Establishment and analysis of tissue and fast-growing normal root cultures of four Gentiana L. species, rare highland medicinal plants. Biopolym Cell 2018;34:461-76.

  10. Rybczynski J, Wojcik A. The effect of L-glutamine on the genetic transformation of embryogenic cell suspensions of gentian species (Gentiana lutea L., Gentiana cruciata L., and Gentiana kurroo royle) using agrobacterium tumefaciens. BioTechnologia 2019;100:5-18.

  11. Aberham A, Pieri V, Croom EMJr, Ellmerer E, Stuppner H. Analysis of iridoids, secoiridoids and xanthones in Centaurium erythraea, Frasera caroliniensis and Gentiana lutea using LC-MS and RP-HPLC. J Pharm Biomed Anal 2011;54:517-25.

  12. Huang SH, Vishwakarma RK, Lee TT, Chan HS, Tsay HS. Establishment of hairy root lines and analysis of iridoids and secoiridoids in the medicinal plant Gentiana scabra. Bot Stud 2014;55:17.

  13. Xu Y, Li Y, Maffucci KG, Huang L, Zeng R. Analytical methods of phytochemicals from the genus Gentiana. Molecules 2017;22:2080.

  14. Sezik E, Aslan M, Yesilada E, Ito S. Hypoglycaemic activity of Gentiana olivieri and isolation of the active constituent through bioassay-directed fractionation techniques. Life Sci 2005;76:1223-38.

  15. Chen L, Wang HB, Sun XL, Sun W. Study on the analgesic and anti-inflammatory activities of gentiopicroside. NPRD 2008;20:903-6.

  16. Wani BA, Ramamoorthy D, Rather MA, Arumugam N, Qazi AK, Majeed R, et al. Induction of apoptosis in human pancreatic MiaPaCa-2 cells through the loss of mitochondrial membrane potential (ΔΨm) by Gentiana kurroo root extract and LC-ESI-MS analysis of its principal constituents. Phytomedicine 2013;20:723-33.

  17. Qureshi RA, Gilani S, Ashraf M. Ethnobotanical studies with special reference to plants phenology at sudhan gali and ganga chotti hills (District Bagh, A. K.). EJEAFChe 2007;6:2207-15.

  18. Behera M, Raina R. Gentiana kurroo royle–a critically endangered bitter herb. Int J Med Arom Plants 2012;2:22-9.

  19. Zhao ZL, Dorje G, Wang ZT. Identification of medicinal plants used as Tibetan Traditional Medicine Jie-Ji. J Ethnopharmacol 2010;132:122-6.

  20. Hosokawa K, Oikawa Y, Yamamura S. Mass propagation of ornamental gentian in liquid medium. Plant Cell Reports 1998;17:747-51.

  21. Tomiczak K, Sliwinska E, Rybczynski JJ. Comparison of the morphogenic potential of five Gentiana species in leaf mesophyll protoplast culture and ploidy stability of regenerated calli and plants. PCTOC 2016;126:319-31.

  22. Mihailovic V, Katanic J, Misic D, Stankovic V, Mihailovic M, Uskokovic A, et al. Hepatoprotective effects of secoiridoid-rich extracts from Gentiana cruciata L. against carbon tetrachloride induced liver damage in rats. Food Function 2014;5:1795-803.

  23. Szucs Z, Danos B, Nyiredy Sz. Comparative analysis of the under-ground parts of Gentiana species by HPLC with diode-array and mass spectrometric detection. Chromatographia 2002;56:S19-23.

  24. Mihailovic V, Misic D, Matic SD, Mihailovic M, Stanic S, Vrvic M, et al. Comparative phytochemical analysis of Gentiana cruciata L. roots and aerial parts, and their biological activities. Industrial Crops Products 2015;73:49-62.

  25. Tomiczak K. Molecular and cytogenetic description of somatic hybrids between Gentiana cruciata L. and G. tibetica king. J Appl Genetics 2020;61:13-24.

  26. Huang S, Vishwakarma R, Lee T, Chan H, Tsay H. Establishment of hairy root lines and analysis of iridoids and secoiridoids in the medicinal plant Gentiana scabra. Bot Stud 2014;55:17.

  27. Olennikov DN, Gadimli AI, Isaev JI, Kashchenko NI, Prokopyev AS, Kataeva TN, et al. Caucasian Gentiana species: untargeted LC-MS metabolic profiling, antioxidant and digestive enzyme inhibiting activity of six plants. Metabolites 2019;9:271.

  28. Ando H, Hirai Y, Fujii M, Hori Y, Fukumura M, Niiho Y, et al. The chemical constituents of fresh Gentian root. J Nat Med 2007;61:269-79.

  29. Hayta S, Gurel A, Akgun I, Altan F, Ganzera M, Tanyolac B, et al. Induction of Gentiana cruciata hairy roots and their secondary metabolites. Biologia 2011;66:618-25.

  30. Senol FS, Tuzun CY, Toker G, Orhan IE. An in vitro perspective to cholinesterase inhibitory and antioxidant activity of five Gentiana species and Gentianella caucasea. Int J Food Sci Nutr 2012;63:802-12.

  31. Pan Y, Zhao YL, Zhang J, Li WY, Wang YZ. Phytochemistry and pharmacological activities of the genus Gentiana (Gentianaceae). Chem Biodiversity 2016;13:107-50.

  32. Stoiko L, Kurylo K. Development of optimal technology of alcohol extract Centaurium erythraea Rafn. herb. Arch Balk Med Union 2018;53:523-8.

  33. Husak L, Dakhym I, Marchyshyn S, Nakonechna S. Determination of sugars and fructans content in Stachys sieboldii. Int J Green Pharm 2018;12:70-4.

  34. Stoiko L, Dakhym I, Pokotylo O, Marchyshyn S. Polysaccharides in Centaurium erythraea rafn. IJRAP 2017;2:252-5.

  35. Slobodianiuk L, Budniak L, Marchyshyn S, Basaraba R. Determination of amino acids and sugars content in Antennaria dioica gaertn. IJAP 2019;11:39-43.

  36. Chen Y, Xie MY, Wang YX, Nie SP, Li C. Analysis of the monosaccharide composition of purified polysaccharides in Ganoderma atrum by capillary gas chromatography. Phytochem Anal 2009;20:503-10.

  37. Marchyshyn SM, Kudria VV, Dakhym IS, Zarichanska OV. Research of carbohydrates from great burnet (Sanguisorba officinalis L.) rhizomes with roots and herb. Med Clin Chem 2018;1:93-9.

  38. Vijn I, Smeekens S. Fructan: more than a reserve carbohydrate? Plant Physiol 1999;120:351‐60.

  39. Khowala S, Verma D, Banik SP. Carbohydrates. In: Kankara M, Sharma NC, Sharma PC, Somani BL, Misra PC. editors. Biomolecules (Introduction, Structure and Functions). 6th ed. India: National Science Digital Library; 2008. p. 1-93.

  40. Van der Kooij M. The impact of chronic stress on energy metabolism. Mol Cellular Neurosci 2020;107:103525.

  41. Hayes AJ, Melrose J. Glycans and glycosaminoglycans in neurobiology: key regulators of neuronal cell function and fate. Biochem J 2018;475:2511-45.

  42. Sun FH, Cooper SB, Gui Z. Effects of carbohydrate and protein co-ingestion during short-term moderate-intensity exercise on cognitive function. J Sports Med Phys Fitness 2020;60:656-63.

  43. Navarro D, Abelilla JJ, Stein HH. Structures and characteristics of carbohydrates in diets fed to pigs: a review. J Animal Sci Biotechnol 2019;10:39.

  44. Christou C, Poulli E, Yiannopoulos S, Agapiou A. GC-MS analysis of D-pinitol in carob: syrup and fruit (flesh and seed). J Chromatogr B: Anal Technol Biomed Life Sci 2019;1116:60-4.

  45. Sanchez Hidalgo M, Leon Gonzalez AJ, Galvez Peralta M, Gonzalez Mauraza NH, Martin Cordero C. D-Pinitol: a cyclitol with versatile biological and pharmacological activities. Phytochem Rev 2020. DOI:10.1007/s11101-020-09677-6

  46. Owczarczyk Saczonek A, Lahuta LB, Ligor M, Placek W, Gorecki RJ, Buszewski B. The healing-promoting properties of selected cyclitols-a review. Nutrients 2018;10:1891.

  47. Tadele S, Girmay S. Quantification of bioactive constituent D-Pinitol in ethiopian soybean. Nat Prod Chem Res 2018;6:1-4.

  48. Lopez Sanchez J, Moreno D, Garcia Viguera C. D-pinitol, a highly valuable product from carob pods: Health-promoting effects and metabolic pathways of this natural super-food ingredient and its derivatives. AIMS Agric Food 2018;3:41-63.

  49. Yoon HS, Kim CH, Kim TJ, Keum I, Han NS. Novel functional sugar L-arabinose: its functionality, uses and production methods. Korean J Food Sci Technol 2003;35:757-63.

  50. Umbayev B, Askarova S, Almabayeva A, Saliev T, Masoud AR, Bulanin D. Galactose-induced skin aging: the role of oxidative stress. Oxidative Med Cell Longev 2020;1-15. https://doi.org/10.1155/2020/7145656.

  51. Chogtu B, Arivazhahan A, Kunder SK, Tilak A, Sori R, Tripathy A. Evaluation of acute and chronic effects of D-Galactose on memory and learning in wistar rats. Clin Psychopharmacol Neurosci 2018;16:153-60.

  52. Pfutzner A, Demircik F, Sachsenheimer D, Spatz J, Pfutzner AH, Ramljak S. Impact of xylose on glucose-dehydrogenase-based blood glucose meters for patient self-testing. J Diabetes Sci Technol 2017;11:577-83.