Introduction/Overview
Stevioside is a natural sweetener isolated from the South American plant stevia rebaudiana. Due to its high sweetness and low calorie characteristics, it has attracted widespread attention in the food, pharmaceutical, and health supplement sectors in recent years. As an orally active compound, steviol glycosides not only exhibit a significant sweetening effect but also exhibit various potential pharmacological activities, including lowering blood pressure, lowering blood sugar, antioxidant, anti-inflammatory, and anti-tumor effects, demonstrating their therapeutic potential in chronic metabolic diseases and related pathological conditions. This paper will systematically review the chemical structure and physicochemical properties of steviol glycosides, plant origin and extraction methods, pharmacological activity and mechanism of action, druggability evaluation, and pharmacokinetic characteristics, and will explore in depth the clinical application prospects.
Chemical structure and physicochemical properties
The chemical name of steviol glycoside is (structural formula omitted), molecular formula C₃₈H₆₀O₁₈, molecular weight 804.8800. Its structure belongs to diterpenoid saponins, with a steviol core skeleton connecting multiple glucose residues to form a complex glycoside structure. This polysaccharide structure endows steviol glycosides with high hydrophilicity, showing a low LogP value (-0.2684), water solubility of 1.5121, and a polar surface area (TPSA) as high as 294.98 Ų, indicating strong polarity and good water solubility.
The molecular structure of steviol glycosides contains multiple hydroxyl groups and ether bonds, forming a stable molecular conformation. Its low blood-brain barrier permeability and lack of hERG channel inhibition suggest its high safety. The Ames test result was 0.0, indicating that steviol glycosides pose no significant genotoxic risk, laying a solid safety foundation for its use as a food additive and for drug development.
Plant Origins and Extraction Methods
Stevia glycosides are mainly found in the leaves of stevia, with content varying depending on the variety, growing environment, and harvesting time. Stevia belongs to the Asteraceae family, native to South American countries such as Paraguay and Brazil, and is now widely cultivated in many regions around the world. Steviol glycoside extraction typically involves extracting dried leaves with water or alcohol solvents, combined with modern technologies such as ultrasound-assisted extraction, thermal reflux, or microwave-assisted extraction to improve extraction efficiency.
The extract is filtered, concentrated, and purified by column chromatography to obtain high-purity steviol glycosides. In recent years, the application of supercritical CO₂ extraction and membrane separation technologies has further improved the extraction purity and process economy of steviol glycosides. In addition, research on chemical modifications and biosynthetic pathways based on steviol glycoside structures has provided new ideas and methods for its production.
Pharmacological activity research
Research on the pharmacological activity of steviol glycosides covers multiple aspects, mainly focusing on its metabolic regulation and antioxidant and anti-inflammatory effects.
Blood sugar-lowering effect
Steviol glycosides have demonstrated significant hypoglycemic effects in diabetes models. It promotes glucose uptake and metabolism by activating the AMPK (5' AMP-activated protein kinase) signaling pathway, improving insulin sensitivity. At the same time, steviol glycosides can inhibit SGLT2 (sodium-glucose cotransporter 2) activity, reduce renal glucose reabsorption, and lower blood sugar levels. In addition, stevia glycosides also regulate glucose kinase (GCK) expression, promote liver glucose metabolism, and collectively improve glucose metabolism disorders.
Antihypertensive effect
Steviol glycosides have the effect of dilating blood vessels and lowering blood pressure. Their mechanism involves enhancing nitric oxide (NO) synthesis and inhibiting angiotensin-converting enzyme (ACE) activity, thereby improving vascular function. In addition, steviol glycosides also have blood pressure-lowering effects by regulating the sympathetic nervous system and sodium channels.
Antioxidant and anti-inflammatory effects
Steviol glycosides can significantly eliminate free radicals, enhance antioxidant enzyme activity in the body, and reduce oxidative stress damage. Its anti-inflammatory effect manifests as inhibiting pro-inflammatory cytokines (such as TNF-α, IL-6) and nuclear factor κB (NF-κB) signaling pathways, reducing tissue inflammatory responses and protecting cells from inflammation-mediated damage.
Antitumor effects
Preliminary studies have shown that steviol glycosides exert certain antitumor activity by inducing tumor cell apoptosis, inhibiting cell proliferation and migration. Its mechanism of action involves regulating cyclins, promoting mitochondrial apoptosis, and inhibiting tumor-related signaling pathways (such as PI3K/Akt).
Mechanism of action and molecular targets
The multi-target mechanism of steviol glycosides forms the basis for its various pharmacological effects. Through molecular biology and pharmacological research, several key targets have been identified:
- AMPK (PRKAA1): As a central regulator of energy metabolism, steviol glycosides activate AMPK, promote glucose metabolism and lipid oxidation, and improve metabolic syndrome.
- SGLT2: Steviol glycosides inhibit renal SGLT2, reducing glucose reabsorption and lowering blood sugar.
- GCK (Glucokinase): Regulates liver glucose metabolism and promotes glucose utilization.
- PTPN1 (protein tyrosine phosphatase 1B): This enzyme is a negative regulator of insulin signaling; steviol glycosides may enhance insulin sensitivity by inhibiting PTPN1.
- MAOA (monoamine oxidase A) and ESR2 (estrogen receptor β): involved in neuroprotective and anti-inflammatory effects, suggesting that steviol glycosides have potential value in neurological diseases.
- APP (amyloid precursor protein): Related to neurodegenerative diseases, steviol glycosides' regulatory mechanisms are still being explored.
The synergistic regulation of these targets forms a multidimensional pharmacological network of steviol glycosides, enhancing their therapeutic potential in metabolic diseases and inflammation-related conditions.
Druggability evaluation and pharmacokinetics
Steviol glycosides have a large molecular weight (804.88 Da) and high polarity (TPSA 294.98 Ų), which limits their oral bioavailability and membrane permeability. Its LogP value was -0.2684, indicating strong hydrophilicity, but low blood-brain barrier permeability, limiting the efficacy of drugs in the central nervous system.
In terms of safety, steviol glycosides do not inhibit hERG channels, and the Ames test is negative, indicating low genotoxicity risk and a solid safety foundation. Moderate water solubility, which is beneficial for formulation design and in vivo distribution.
Pharmacokinetic studies show that after oral administration, steviol glycosides are partially hydrolyzed in the gastrointestinal tract to form steviol alcohol, which can be absorbed and exert biological activity. Steviol glycosides themselves are poorly absorbed, but their metabolites have certain biological activity. The liver is the main metabolic organ, primarily undergoing transformation through glucosidase enzymes. The main excretory routes are bile and urine.
Overall, the druggability of steviol glycosides is limited by their molecular structure and pharmacokinetic properties, but through strategies such as structural modification, nanocarrier encapsulation, and combination therapy, their in vivo kinetic performance is expected to improve and enhance clinical application potential.
Prospects and outlooks for clinical applications
As a natural sweetener, steviol glycosides have been widely used in the food industry to replace traditional sugars, offering advantages of low calorie content and low glycemic load. Its pharmacological activity gives it promising prospects as an adjunct therapy for diabetes, hypertension, and metabolic syndrome.
Future clinical research should focus on the following directions:
- Long-term efficacy and safety evaluation of diabetes and metabolic diseases: Systematic clinical trials validated steviol glycosides' comprehensive regulatory effects on blood glucose, blood lipids, and blood pressure.
- Combination therapy strategy: Combined use with existing hypoglycemic and antihypertensive drugs, exploring synergistic effects and potential reduction of drug side effects.
- Formulation optimization and delivery route innovation: Developing oral sustained release, nanocarriers, and transdermal drug delivery systems to enhance bioavailability and targeting.
- Clinical validation of anti-inflammatory and anti-tumor potential: Based on basic research, conduct preclinical and clinical trials for related diseases to expand the indications for steviol glycosides.
- Safety monitoring and toxicology studies: Safety assessment of long-term medication, especially its impact on special populations (pregnant women, children, and patients with liver or kidney dysfunction).
With advances in molecular biology and medicinal chemistry, structural modification and target optimization of steviol glycosides will further advance their potential as novel natural medicines.
Conclusion
As a natural diterpene glycoside derived from stevia, stevia glycosides show broad application prospects due to their unique sweet flavor and diverse pharmacological activities. Its multi-target mechanism of action in diabetes, hypertension, and inflammation-related diseases provides a rich example for pharmacological research of natural products. Despite challenges in druggability such as high molecular weight and low absorption rates, advances in modern drug design and formulation technology have provided strong support for the clinical translation of steviol glycosides. In the future, through in-depth mechanistic research and clinical validation, steviol glycosides are expected to become a safe and effective natural medicine, contributing new strategies and options for the prevention and treatment of metabolic diseases and related chronic diseases.