<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2025.1607386</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>African walnut (<italic>Plukenetia conophora</italic>) oil improves glucose uptake and metabolic activities in erythrocytes</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Erukainure</surname>
<given-names>Ochuko L.</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/468847/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chukwuma</surname>
<given-names>Chika I.</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/469226/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laser Research Centre, Faculty of Health Sciences, University of Johannesburg</institution>, <addr-line>Johannesburg</addr-line>, <country>South Africa</country></aff>
<aff id="aff2"><sup>2</sup><institution>Centre for Quality of Health and Living (CQHL), Faculty of Health and Environmental Sciences, Central University of Technology</institution>, <addr-line>Bloemfontein</addr-line>, <country>South Africa</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0004">
<p>Edited by: Carlos F. Torres, Autonomous University of Madrid, Spain</p>
</fn>
<fn fn-type="edited-by" id="fn0005">
<p>Reviewed by: Sutapa Biswas Majee, NSHM Knowledge Campus, Kolkata, India</p>
<p>Assamae Chabni, Autonomous University of Madrid, Spain</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Ochuko L. Erukainure, <email>loreks@yahoo.co.uk</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>09</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="ecorrected">
<day>18</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1607386</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>06</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Erukainure and Chukwuma.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Erukainure and Chukwuma</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1">
<title>Background</title>
<p>African walnut (<italic>Plukenetia conophora</italic>) oil (AWO) has been employed in the management of glucose dysmetabolic-mediated ailments, with emerging evidence suggesting that its modulatory effects on erythrocyte glucose dysmetabolism may mitigate dysfunctions implicated in the pathophysiology of metabolic diseases.</p>
</sec>
<sec id="sec2">
<title>Objective</title>
<p>The present study investigated the effect of AWO on glucose uptake and its effect on glucose metabolism, purinergic and antioxidant activities and surface morphology in isolated rats&#x2019; erythrocytes <italic>ex vivo</italic>.</p>
</sec>
<sec id="sec3">
<title>Methods</title>
<p>Isolated erythrocytes were incubated with AWO (30&#x2013;240&#x202F;&#x03BC;g/mL) and glucose (11.1&#x202F;mM) for 2&#x202F;h at 37&#x00B0;C. Negative control consisted of erythrocytes incubated with glucose only, while normal control consisted of erythrocytes not incubated with AWO and/or glucose. Metformin served as the standard hypoglycemic drug.</p>
</sec>
<sec id="sec4">
<title>Results and conclusion</title>
<p>Incubation with AWO led to significant increase in erythrocyte glucose uptake, with concomitant suppression in superoxide dismutase, adenosine triphosphatase, ecto-nucleoside triphosphate diphosphohydrolase, glucose 6-phosphatse and fructose-1,6-bisphosphatase activities and iron level, while concomitantly enhancing glutathione and magnesium levels. Furthermore, the surface morphology of erythrocytes was improved following incubation with AWO. Molecular docking analysis revealed strong molecular interactions between AWO&#x2019;s phytoconstituents (linolenic acid and linoleic acid) and hemoglobin. Molecular dynamics simulation further revealed strong protein-ligand relationships between hemoglobin the oil&#x2019;s constituents as revealed by root mean square deviation, root mean square fluctuation, solvent accessible surface area, and radius of gyration values, with hydrogen, hydrophobic, ionic bonds and water bridges contributing to the stability of the protein-ligand complex. These results suggest the ability of AWO to improve erythrocyte glucose metabolism and morphology, mitigate oxidative stress, and may be of translational relevance in managing erythrocytes&#x2019; dysfunction in metabolic diseases.</p>
</sec>
</abstract>
<kwd-group>
<kwd>African walnut</kwd>
<kwd>erythrocytes</kwd>
<kwd>glucose metabolism</kwd>
<kwd>oil</kwd>
<kwd>oxidative stress</kwd>
</kwd-group>
<counts>
<fig-count count="10"/>
<table-count count="2"/>
<equation-count count="2"/>
<ref-count count="72"/>
<page-count count="14"/>
<word-count count="8171"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Nutrition and Food Science Technology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec5">
<label>1</label>
<title>Introduction</title>
<p>Erythrocytes are also known as red blood cells, and are blood components involved in the binding, transportation and release of oxygen (O<sub>2</sub>) and carbon dioxide (CO<sub>2</sub>). These roles have been attributed to their flexibility which allows them to move freely through capillaries and the presence of the main oxygen-carrying protein, hemoglobin (<xref ref-type="bibr" rid="ref1">1</xref>, <xref ref-type="bibr" rid="ref2">2</xref>). The morphology of erythrocytes also plays a major role in their survival and function, as alteration its normal physiological biconcave discoid shape has been implicated in the pathophysiology of several diseases including diabetes, and sickle cell disease (<xref ref-type="bibr" rid="ref1">1</xref>, <xref ref-type="bibr" rid="ref3">3</xref>, <xref ref-type="bibr" rid="ref4">4</xref>). Erythrocytes depend on glucose as their primary source of energy, which is anaerobically metabolized via the glycolytic pathway to generate ATP (<xref ref-type="bibr" rid="ref5">5</xref>). Erythrocyte glucose uptake and metabolism are important for their function and survival, and disturbances have been implicated in alterations of their morphology, O<sub>2</sub> transportation and half-life (<xref ref-type="bibr" rid="ref3">3</xref>, <xref ref-type="bibr" rid="ref6">6</xref>). These alterations affect the formation of clots, capillary functions and blood flow leading to an elevated risk of thrombotic episodes or vascular problems (<xref ref-type="bibr" rid="ref7">7</xref>, <xref ref-type="bibr" rid="ref8">8</xref>). Oxidative stress arising from increased generation of reactive oxygen species (ROS) and free radicals, and impaired antioxidant defense system, is among the pathophysiology of altered erythrocyte glucose metabolism (<xref ref-type="bibr" rid="ref6">6</xref>, <xref ref-type="bibr" rid="ref9">9</xref>). Targeting erythrocyte glucose uptake and metabolism may present a therapeutic strategy in managing erythrocyte dysfunctions in diseases such as diabetes where it has been implicated in its complications (<xref ref-type="bibr" rid="ref3">3</xref>, <xref ref-type="bibr" rid="ref8">8</xref>).</p>
<p>African walnuts (<italic>Plukenetia conophora</italic>) are underutilized nuts indigenous to tropical western and central Africa, and belong to the Euphorbiaceae family (<xref ref-type="bibr" rid="ref10">10</xref>). They have been reported for their nutritional and health benefits with emphasis on their high oil content (<xref ref-type="bibr" rid="ref11">11</xref>). African walnut oil (AWO) has been reported for its antioxidant properties which is demonstrated by its ability to improve superoxide dismutase (SOD) and catalase activities, while maintaining hepatic morphology in sodium arsenate induced oxidative hepatic injury (<xref ref-type="bibr" rid="ref12">12</xref>). The oil decreased serum levels of LDL-cholesterol, triglyceride and cholesterol, while modulating the hepatic biomarkers, alkaline phosphatase (ALP), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) in normal male albino rats and individuals with type 2 diabetes (<xref ref-type="bibr" rid="ref13">13</xref>, <xref ref-type="bibr" rid="ref14">14</xref>). The oil also suppressed fasting blood glucose level in individuals with type 2 diabetes (<xref ref-type="bibr" rid="ref14">14</xref>). Recently, we demonstrated the ability of AWO to promote glucose uptake and improve carbohydrate and energy metabolism as well as other biological activities linked to male fertility in testicular tissues (<xref ref-type="bibr" rid="ref15">15</xref>). These biological activities of AWO have been attributed to its phytochemical constituents which include linoleic acid (39.0%), linolenic acid (42.89%), 9-hexadecenoic acid (01.1%), oleic acid (0.27%), oleic anhydride (3.75%), eicosanoic acid (4.1%), cis-5-dodecenoic acid (0.14%), octadecanoic acid (11.63%) and 2-myristynoic acid (0.13%) (<xref ref-type="bibr" rid="ref11">11</xref>, <xref ref-type="bibr" rid="ref15">15</xref>).</p>
<p>Although the ability of AWO to stimulate glucose uptake, and modulate carbohydrate metabolism and antioxidant activity have been demonstrated in testicular tissues (<xref ref-type="bibr" rid="ref15">15</xref>), there is still a dearth on its effect on erythrocyte glucose uptake and metabolism. Thus, the present study was carried out to determine the effect of AWO on erythrocyte glucose metabolism by investigating its ability to promote glucose uptake, glucogenic, purinergic and antioxidant activities in isolated rats&#x2019; erythrocytes <italic>ex vivo</italic>.</p>
</sec>
<sec sec-type="materials|methods" id="sec6">
<label>2</label>
<title>Materials and methods</title>
<sec id="sec7">
<label>2.1</label>
<title>Plant material</title>
<p>Fresh African walnut fruits were bought from a local fruit seller in Ore, Ondo State, Nigeria. The fruits were rinsed and their seeds, dehulled. The seeds were airdried, blended and then extracted with hexane. The AWO was obtained by concentrating the hexane extract in a fume hood. The recovered oil was stored in amber glass vials at ambient temperature until further analyses.</p>
</sec>
<sec id="sec8">
<label>2.2</label>
<title>Fatty acid profile of African walnut oil</title>
<p>The fatty acid constituents of AWO have been previously reported following GC-MS analysis (<xref ref-type="bibr" rid="ref15">15</xref>). Linoleic acid and linolenic acid (<xref ref-type="fig" rid="fig1">Figure 1</xref>) were identified as the predominant fatty acids as they accounted for 39.03 and 42.89% of the total fatty acids, respectively (<xref ref-type="bibr" rid="ref15">15</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>GC-MS identified linoleic acid and linolenic acid in African walnut oil.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g001.tif">
<alt-text content-type="machine-generated">Chemical structures of linoleic acid and linolenic acid are shown. Linoleic acid has two carbon-carbon double bonds, while linolenic acid has three carbon-carbon double bonds in their hydrocarbon chains. Both molecules have a carboxyl group at one end.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec9">
<label>2.3</label>
<title>Animals for <italic>ex vivo</italic> studies</title>
<p>Five male Wister albino rats, weighing between 180 and 250 grams, were procured and kept at the animal house facility located within the Department of Biochemistry at the College of Medicine, University of Lagos, Nigeria. The animals were humanely sacrificed by euthanizing with halothane following an overnight period of fasting. The research was conducted in accordance with the authorized protocol, CMUL/REC/00314.</p>
</sec>
<sec id="sec10">
<label>2.4</label>
<title>Extraction of erythrocytes</title>
<p>Blood (8&#x2013;10&#x202F;mL) was collected via cardiac puncture into EDTA tubes and centrifuged 10,000&#x202F;rpm for 10&#x202F;min at 4&#x00B0;C. The supernatant was discarded and phosphate-buffered saline (PBS) was added to the tubes and centrifuged at 10,000&#x202F;rpm for 10&#x202F;min at 4&#x00B0;C to wash the erythrocytes. This was repeated thrice. PBS was added to the erythrocytes and used immediately for glucose uptake study.</p>
</sec>
<sec id="sec11">
<label>2.5</label>
<title>Glucose uptake in isolated erythrocytes</title>
<p>A previously described method with slight modifications was used in determining glucose uptake (<xref ref-type="bibr" rid="ref16">16</xref>). Briefly, 0.5&#x202F;mL of the freshly harvested erythrocytes was mixed with 7.5&#x202F;mL with Krebs buffer containing 11.1&#x202F;mM glucose and different concentrations of AWO (30&#x2013;240&#x202F;&#x03BC;g/mL) and incubated for 2&#x202F;h under the conditions: 95% oxygen and 5% CO<sub>2</sub>, at 37&#x00B0;C. Normal control consisted of reaction mixture incubated without AWO, while metformin served as the standard drug. Glucose concentrations of aliquots (2&#x202F;mL) collected from the reaction mixtures before and after the incubation were measured with a glucose (GO) Assay Kit (Merck, Johannesburg, South Africa) according to the manufacturer&#x2019;s manual. Glucose uptake was calculated using the formula:</p>
<disp-formula id="E1">
<mml:math id="M1">
<mml:mtable columnalign="left" displaystyle="true">
<mml:mtr>
<mml:mtd>
<mml:mtext>Glucose uptake</mml:mtext>
<mml:mspace width="0.25em"/>
<mml:mi>per</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mtext>volume of</mml:mtext>
<mml:mspace width="0.25em"/>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mspace width="0.25em"/>
<mml:mtext>erythrocytes</mml:mtext>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>GC</mml:mi>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>GC</mml:mi>
<mml:mn>2</mml:mn>
<mml:mspace width="0.25em"/>
</mml:mrow>
<mml:mrow>
<mml:mtext>Volume of erythrocytes</mml:mtext>
<mml:mspace width="0.25em"/>
<mml:mo stretchy="true">(</mml:mo>
<mml:mi>mL</mml:mi>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
</mml:mfrac>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:math>
</disp-formula>
<p>where GC1 and GC2 represent glucose concentrations (mg/dL) before and after incubation, respectively. The glucose concentration in mg/dL was converted to mM by dividing with 18. Glucose uptake was recorded as change in glucose concentration (mM) per mL of erythrocytes.</p>
<p>After glucose uptake assay, the reaction mixture was centrifuged at 10,000&#x202F;rpm for 10&#x202F;min at 4&#x00B0;C. The supernatant was discarded and the erythrocytes was resuspended in equal volumes in Eppendorf tubes. About 100&#x202F;&#x03BC;L of the erythrocytes were freeze-dried and used for electron microscopy analysis (<xref ref-type="bibr" rid="ref17">17</xref>). About 300&#x202F;&#x03BC;L of the erythrocytes was mixed with 3,000&#x202F;mL of PBS (containing 0.5% Triton X-100) and subjected lysis. The lysed cells were centrifuged at 10,000&#x202F;rpm for 10&#x202F;min at 4&#x00B0;C. The supernatants were collected into 2&#x202F;mL Eppendorf tubes and stored at &#x2212;20&#x00B0;C for further biochemical analyses.</p>
</sec>
<sec id="sec12">
<label>2.6</label>
<title>Glucogenic enzymes activities</title>
<p>The erythrocytes were assayed for glucogenic enzymes activities which covers fructose-1,6-bisphosphatase and glucose 6-phosphatase activities using previously described methods (<xref ref-type="bibr" rid="ref18">18</xref>, <xref ref-type="bibr" rid="ref19">19</xref>).</p>
<sec id="sec13">
<label>2.6.1</label>
<title>Fructose-1,6-bisphosphatase activity</title>
<p>Briefly, 100&#x202F;&#x03BC;L of the supernatant was incubated with 100&#x202F;&#x03BC;L of 0.05&#x202F;M fructose, 1,200&#x202F;&#x03BC;L of 0.1&#x202F;M Tris&#x2013;HCl buffer (pH 7.0), 250&#x202F;&#x03BC;L 0.1&#x202F;M MgCl<sub>2</sub>, 100&#x202F;&#x03BC;L 0.1&#x202F;M KCl, and 250&#x202F;&#x03BC;L 1&#x202F;mM EDTA at 37&#x00B0;C for 15&#x202F;min. The reaction was stopped by adding 10% TCA to the reaction mixture and further centrifuged at 3,000&#x202F;rpm for 10&#x202F;min (4&#x00B0;C). One hundred microliters of the supernatant was transferred into a 96-well plate. About 50&#x202F;&#x03BC;L of freshly prepared 9% ascorbic acid and 1.25% ammonium molybdate were then added to the reaction mixture and allowed to stand for 20&#x202F;min at ambient temperature. Absorbance was read at 680&#x202F;nm using a microplate reader (SpectraMax M2 microplate reader, Molecular Devices, San Jose, CA, United States). The enzyme activity was extrapolated from an inorganic phosphate (Pi) standard graph generated from sodium phosphate salt (Sigma-Aldrich, Johannesburg, South Africa).</p>
</sec>
<sec id="sec14">
<label>2.6.2</label>
<title>Glucose 6-phosphatase activity</title>
<p>Briefly, 200&#x202F;&#x03BC;L of the supernatant was incubated with 100&#x202F;&#x03BC;L of 0.25&#x202F;M glucose 6-phosphatase, 200&#x202F;&#x03BC;L of 5&#x202F;mM KCl, 1,300&#x202F;&#x03BC;L of 0.1&#x202F;M Tris&#x2013;HCl buffer at 37&#x00B0;C in a shaker for 30&#x202F;min. The reaction was stopped by adding 1&#x202F;mL of distilled water and 1.25% ammonium molybdate to the reaction mixture. One milliliter of freshly prepared 9% ascorbate was added to the reaction mixture and allowed to stand for 30&#x202F;min. Absorbance was read at 660&#x202F;nm using a microplate reader (SpectraMax M2 microplate reader, Molecular Devices, San Jose, CA, United States). The enzyme activity was extrapolated from an inorganic phosphate (Pi) standard graph generated from sodium phosphate salt.</p>
</sec>
</sec>
<sec id="sec15">
<label>2.7</label>
<title>Determination of oxidative stress biomarkers</title>
<p>The erythrocytes were assayed for oxidative stress levels by determining the reduced glutathione (GSH) level and superoxide dismutase (SOD) activities using previously described methods (<xref ref-type="bibr" rid="ref20">20</xref>, <xref ref-type="bibr" rid="ref21">21</xref>).</p>
<sec id="sec16">
<label>2.7.1</label>
<title>Reduced glutathione level</title>
<p>Briefly, 200&#x202F;&#x03BC;L of the supernatant was deproteinized with 10% TCA and centrifuged at 3,500&#x202F;rpm for 5&#x202F;min at ambient temperature. One hundred microliters of the resulting supernatant was mixed with 25&#x202F;&#x03BC;L of Ellman&#x2019;s reagent in 96 well plate and allowed to stand for 5&#x202F;min. Absorbance was read at 415&#x202F;nm with a microplate reader (SpectraMax M2 microplate reader, Molecular Devices, San Jose, CA, United States), and GSH level was extrapolated from a GSH standard curve.</p>
</sec>
<sec id="sec17">
<label>2.7.2</label>
<title>Superoxide dismutase enzyme activity</title>
<p>Fifteen microliters of the supernatant was mixed with 170&#x202F;&#x03BC;L of 0.1&#x202F;mM diethylenetriaminepentaacetic acid (DETAPAC) in a 96-well plate. Fifteen microliters of 1.6&#x202F;mM 6-hydroxydopamine (6-HD) was then added to the mixture. Absorbance was read at 492&#x202F;nm wavelength for 3&#x202F;min at 1&#x202F;min interval with a microplate reader as mentioned previously.</p>
</sec>
</sec>
<sec id="sec18">
<label>2.8</label>
<title>Determination of nucleotide metabolism</title>
<p>The erythrocytes were assayed for nucleotide metabolism by determining the adenosine triphosphatase (ATPase) and ecto-nucleoside triphosphate diphosphohydrolase (E-NTPDase) activities according to previously described methods (<xref ref-type="bibr" rid="ref22">22</xref>, <xref ref-type="bibr" rid="ref23">23</xref>).</p>
<sec id="sec19">
<label>2.8.1</label>
<title>ATPase activity</title>
<p>Briefly, 200&#x202F;&#x03BC;L of the supernatant was incubated with 200&#x202F;&#x03BC;L of 5&#x202F;mM KCl, 1,300&#x202F;&#x03BC;L of 0.1&#x202F;M Tris&#x2013;HCl buffer, and 40&#x202F;&#x03BC;L of 50&#x202F;mM ATP for 30&#x202F;min at 37&#x00B0;C in a shaker. One milliliter of distilled water and ammonium molybdate were added to the reaction mixture to stop the reaction. 10% TCA was added to the mixture and allowed to stand on ice for 10&#x202F;min. Absorbance was read at 660&#x202F;nm using a microplate reader as mentioned previously. The enzyme activity was extrapolated from an inorganic phosphate (Pi) standard graph generated from sodium phosphate salt.</p>
</sec>
<sec id="sec20">
<label>2.8.2</label>
<title>E-NTPDase activity</title>
<p>Briefly, 20&#x202F;&#x03BC;L of supernatant was incubated with 200&#x202F;&#x03BC;L of the reaction buffer (1.5&#x202F;mM CaCl<sub>2</sub>, 5&#x202F;mM KCl, 0.1&#x202F;mM EDTA, 10&#x202F;mM glucose, 225&#x202F;mM sucrose and 45&#x202F;mM Tris&#x2013;HCl) at 37&#x00B0;C for 10&#x202F;min. Fifteen microliters of 50&#x202F;mM ATP was added to the reaction mixture and further incubated in a shaker for 20&#x202F;min at 37&#x00B0;C. The reaction was stopped by with 200&#x202F;&#x03BC;L of 10% TCA. Two hundred microliters of 1.25% ammonium molybdate and freshly prepared 9% ascorbic acid was then added to the reaction mixture. The reaction mixture was allowed to stand on ice for 10&#x202F;min and absorbance was measured at 600&#x202F;nm with a microplate reader as mentioned previously. The enzyme activity was extrapolated from an inorganic phosphate (Pi) standard graph generated from sodium phosphate salt.</p>
</sec>
</sec>
<sec id="sec21">
<label>2.9</label>
<title>Electron microscopic analysis</title>
<sec id="sec22">
<label>2.9.1</label>
<title>Surface morphology</title>
<p>The surface morphology of the erythrocytes was determined by scanning electron microscopy (SEM) analyses. Briefly, about 0.1&#x202F;g of the freeze-dried samples were placed on the adhesive side of a tape on a stub and gold coated. Images were observed and taken at an accelerating voltage of 20&#x2013;25&#x202F;kV with a SEM (Zeiss Ultra Plus) (<xref ref-type="bibr" rid="ref24">24</xref>).</p>
</sec>
<sec id="sec23">
<label>2.9.2</label>
<title>Energy dispersive X-ray microanalysis</title>
<p>The erythrocytes levels of iron (Fe) and magnesium (Mg) were determined via energy dispersive X-ray (EDX) microanalysis using a SEM (Zeiss Ultra Plus) equipped with an Oxford Instruments X-Max 80&#x202F;mm2 Solid State EDX detector (<xref ref-type="bibr" rid="ref24">24</xref>).</p>
</sec>
</sec>
<sec id="sec24">
<label>2.10</label>
<title>Computational studies</title>
<p>To understand the molecular interactions and the ligand-protein relationship of AWO and erythrocytes, its main constituents were subjected to molecular docking and molecular dynamics simulation with hemoglobin.</p>
<sec id="sec25">
<label>2.10.1</label>
<title>Protein target selection and preparation</title>
<p>The one-dimensional structures of the protein receptors for hemoglobin was retrieved from the Protein Data Bank (PDB)<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> using the PDB ID 4HHB. Discovery Studio 2021 was utilized in preparing and refining the protein for docking.<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref> The protein was further converted into nascent receptors by removing the co-crystallized ligand and excess water molecules, which was then followed by the addition of hydrogen and charges.</p>
</sec>
<sec id="sec26">
<label>2.10.2</label>
<title>Molecular docking</title>
<p>The GC-MS identified major compounds (linoleic acid and linolenic acid) (<xref ref-type="fig" rid="fig1">Figure 1</xref>) were subjected to molecular docking with 4HHB. The compounds were prepared with MarvinSketch 6.2.1, 2014.</p>
<p>Molegro Molecular Viewer (MMV) and Chem-Axon<xref ref-type="fn" rid="fn0003"><sup>3</sup></xref> were utilized in verifying the accurate representation of the hybridization state and proper angles display of the compounds (<xref ref-type="bibr" rid="ref25">25</xref>). OPLS4 force field was utilized in the docking using the Schr&#x00F6;dinger suite (version 2023-2). The ligand-protein complex was then analyzed and virtualized with BIOVIA Discovery Studio Visualizer and UCSF.</p>
</sec>
<sec id="sec27">
<label>2.10.3</label>
<title>Molecular dynamic simulation</title>
<p>The Desmond module of Schr&#x00F6;dinger 2023-2 was used to conduct molecular dynamics simulation (MDS) analysis. The purpose of the MDS was to assess the stability and estimate the dynamic behavior of each complex of 4HHB and the two ligands (linoleic acid and linolenic acid). Briefly, top-scoring docked poses of 4HHB and ligands were prepared for MDS by placing them in a single-point charge (SPC) explicit orthorhombic box with a buffer distance of 10&#x202F;&#x00C5;. The system was solvated with a transferable intermolecular potential 3P (TIP3P) water model and neutralized by adding 0.15&#x202F;M NaCl and Na<sup>+</sup>/ Cl<sup>&#x2212;</sup> ions. The long-range electrostatic interactions were calculated with the particle-mesh Ewald method. Short-range van der Waals and Coulomb interactions were cut off at a 9.0&#x202F;&#x00C5; radius. OPLS-2005 forcefield (2023) parameters was utilized in minimizing the solvated system and this was followed by relaxation (<xref ref-type="bibr" rid="ref71">71</xref>). The system was stimulated with the Berendsen NVT ensemble by maintaining pressure (<italic>p</italic>&#x202F;=&#x202F;1.01325&#x202F;bar) and temperature (<italic>T</italic>&#x202F;=&#x202F;300&#x202F;K) using Nos&#x00E8;&#x2013;Hoover chain thermostat and Martyna&#x2013;Tobias&#x2013;Klein barostat methods, respectively (<xref ref-type="bibr" rid="ref72">72</xref>). Following the simulation process, the NPT ensemble was initiated with a production run lasting 100&#x202F;ns. The Centre for High Performance (CHPC, Cape Town) was used in performing MDS workflow remotely.</p>
</sec>
<sec id="sec28">
<label>2.10.4</label>
<title>Post-molecular dynamics simulation analysis</title>
<p>As the trajectories progressed step by step, measurements were taken every 50&#x202F;ps. The resulting trajectories which cover for protein-stability (RMSD), flexibility (RMSF), radius of gyration (RoG), and solvent-accessible surface area (SASA), were analyzed with an AMBER 20 integrated CPPTRAJ module (<xref ref-type="bibr" rid="ref26">26</xref>).</p>
</sec>
<sec id="sec29">
<label>2.10.5</label>
<title>Binding free energy analysis</title>
<p>Molecular mechanics in conjunction with the generalized Born surface area (MM-GBSA) approach were used in determining the binding free energies of the complexes. The binding free energy (&#x0394;G<sub>bind</sub>) of MM-GBSA (kcal/mol) was calculated by summing the energy components, columbic, hydrogen bond, van der Waals, self-contact, lipophilic, and solvation of ligand and protein (<xref ref-type="disp-formula" rid="EQ1">Equation 1</xref>).</p>
<disp-formula id="EQ1">
<label>(1)</label>
<mml:math id="M2">
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mi>G</mml:mi>
<mml:mtext>bind</mml:mtext>
</mml:msub>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">G</mml:mi>
<mml:mi>MM</mml:mi>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">G</mml:mi>
<mml:mtext>Solv</mml:mtext>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">G</mml:mi>
<mml:mi>SA</mml:mi>
</mml:msub>
</mml:math>
</disp-formula>
<p>where &#x0394;G<sub>bind</sub>&#x202F;=&#x202F;binding free energy, &#x0394;G<sub>MM</sub>&#x202F;=&#x202F;difference between the free energies of ligand-protein complexes and the total energies of protein and ligand in isolated form, &#x0394;G<sub>Solv</sub>&#x202F;=&#x202F;difference in the G<sub>SA</sub> solvation energies of the ligand-receptor complex and the sum of the solvation energies of the receptor and the ligand in the unbound state, &#x0394;G<sub>SA</sub>&#x202F;=&#x202F;difference in the surface area energies for the protein and the ligand.</p>
</sec>
</sec>
<sec id="sec30">
<label>2.11</label>
<title>Statistical analysis</title>
<p>All biological analyses were carried out in triplicates. Data were analyzed by one-way ANOVA and presented as mean&#x202F;&#x00B1;&#x202F;SD, with significant difference set at <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 using SPSS version 27 (IBM Corp., Armonk, NY, United States).</p>
</sec>
</sec>
<sec sec-type="results" id="sec31">
<label>3</label>
<title>Results and discussion</title>
<p>Glucose plays an important role in the function and survival of erythrocytes and disturbances in its metabolism has been implicated in alteration of its morphology, function and shelf-life (<xref ref-type="bibr" rid="ref5">5</xref>). These alterations have been linked to several complications including stroke, cardiomyopathy, hypertension and atherosclerosis in diabetes and other metabolic diseases (<xref ref-type="bibr" rid="ref2">2</xref>, <xref ref-type="bibr" rid="ref27">27</xref>, <xref ref-type="bibr" rid="ref28">28</xref>). African walnut has been employed in the management of metabolic dysfunctions (<xref ref-type="bibr" rid="ref14">14</xref>). In the present study, AWO was investigated for its effect on glucose uptake and metabolism, and biological activities linked to erythrocytes dysfunction.</p>
<sec id="sec32">
<label>3.1</label>
<title>Erythrocyte glucose uptake</title>
<p>The sole dependence of erythrocytes on glucose for energy needed for its function and survival has been well documented (<xref ref-type="bibr" rid="ref5">5</xref>, <xref ref-type="bibr" rid="ref29">29</xref>, <xref ref-type="bibr" rid="ref30">30</xref>). Glucose uptake in erythrocytes is essential for its physiology and it is facilitated by glucose transporter 1 (GLUT1) (<xref ref-type="bibr" rid="ref1">1</xref>, <xref ref-type="bibr" rid="ref2">2</xref>). Its impairment has been reported in individuals with diabetes (<xref ref-type="bibr" rid="ref2">2</xref>, <xref ref-type="bibr" rid="ref31">31</xref>, <xref ref-type="bibr" rid="ref32">32</xref>). Improving erythrocyte glucose uptake may be a therapeutic target in managing complications linked to erythrocytes dysfunctions in diabetes and other diseases. As shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>, AWO significantly (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) stimulated erythrocytes glucose uptake dose-dependently, and compared favorably with metformin at the highest dose (240&#x202F;&#x03BC;g/mL). This indicates the ability of AWO to improve erythrocyte glucose uptake and correlates with our previous study on improved glucose uptake by AWO in testicular glucose uptake (<xref ref-type="bibr" rid="ref15">15</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Effect of African walnut oil glucose uptake in erythrocytes. Values&#x202F;=&#x202F;mean&#x202F;&#x00B1;&#x202F;SD; <italic>n</italic>&#x202F;=&#x202F;3. <sup>&#x002A;</sup>Statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) to glucose only.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g002.tif">
<alt-text content-type="machine-generated">Bar graph showing change in glucose concentration in millimoles per milliliter of erythrocytes. Bars represent different treatments: Glucose only, and varying drug concentrations from thirty to two hundred forty micrograms per milliliter, plus Metformin. Glucose only shows the lowest change around ten millimoles, while two hundred forty micrograms per milliliter shows the highest change around forty-five millimoles. Error bars are included.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec33">
<label>3.2</label>
<title>Glucogenic enzyme activities</title>
<p>Following uptake into erythrocytes, glucose is anaerobically metabolized to generate ATP for energy via the glycolytic pathway (<xref ref-type="bibr" rid="ref5">5</xref>, <xref ref-type="bibr" rid="ref6">6</xref>). However, alteration of this pathway characterized by glucose-metabolic enzyme abnormalities has been reported in impaired erythrocyte glucose uptake and transportation as seen in type 2 diabetes (T2D) (<xref ref-type="bibr" rid="ref5">5</xref>, <xref ref-type="bibr" rid="ref30">30</xref>). This is depicted in the present study by the elevated activities of fructose-1,6-bisphosphatase and glucose 6-phosphatase activities in erythrocytes incubated in glucose only (<xref ref-type="fig" rid="fig3">Figure 3</xref>). These are key enzymes in the glucogenesis and their elevation may indicate a compensatory switch from glycolysis to glucogenesis to generate glucose for the erythrocyte utilization for ATP generation (<xref ref-type="bibr" rid="ref33">33</xref>). However, the present study is <italic>ex</italic> vivo and thus, this hypothesis needs to be further investigated as glucogenesis is yet to be reported in erythrocytes. The activities of these enzymes were significantly suppressed following incubation with AWO, indicating restoration of glycolysis in the erythrocytes.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Effect of African walnut oil on <bold>(A)</bold> fructose-1,6-bisphosphatase; and <bold>(B)</bold> glucose 6-phosphatase activities in erythrocyte glucose uptake. Values&#x202F;=&#x202F;mean&#x202F;&#x00B1;&#x202F;SD; <italic>n</italic>&#x202F;=&#x202F;3. <sup>&#x002A;</sup>Statistically significant (p&#x202F;&#x003C;&#x202F;0.05) to glucose only. <sup>#</sup>Statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) to control.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g003.tif">
<alt-text content-type="machine-generated">Bar graphs displaying enzyme activity levels in different conditions. Graph A shows fructose-1,6-bisphosphatase activity; highest at 30 &#x00B5;g/mL, lowest with metformin. Graph B shows glucose 6-phosphatase activity; highest in glucose only, lowest with metformin. Both graphs indicate significant activity changes with specific conditions.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec34">
<label>3.3</label>
<title>Oxidative stress</title>
<p>Oxidative stress arising from ROS and free radicals have been implicated in erythrocyte dysfunctions (<xref ref-type="bibr" rid="ref8">8</xref>). Chronic exposure of erythrocytes to high glucose coupled with poor glucose uptake and/or utilization has been implicated in glucotoxicity of the erythrocytes as seen in diabetes (<xref ref-type="bibr" rid="ref34">34</xref>, <xref ref-type="bibr" rid="ref35">35</xref>). Glucotoxicity is characterized by a cascade of biochemical events including generation of ROS, free radicals and suppression of the erythrocytes&#x2019; antioxidant defense system (<xref ref-type="bibr" rid="ref35">35</xref>). In the present study, exposure of erythrocytes to glucose only, led to significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) elevated SOD activity and suppressed GSH level as shown in <xref ref-type="fig" rid="fig4">Figures 4A</xref>,<xref ref-type="fig" rid="fig4">B</xref>. These alterations depict a compromise in the erythrocytes&#x2019; antioxidant defense system and has been reported in diabetics (<xref ref-type="bibr" rid="ref36 ref37 ref38">36&#x2013;38</xref>). The elevated SOD activity indicates high cellular levels of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) generated from the enzyme-catalyzed dismutation of superoxide radicals (O<sub>2</sub><sup>&#x2022;&#x2212;</sup>) which might have been generated from the enolization of glucose. The presence of H<sub>2</sub>O<sub>2</sub> sets up a Fenton reaction where H<sub>2</sub>O<sub>2</sub> react with hemoglobin to form ferryl hemoglobin (ferrylHb) and oxoferrylhemoglobin (oxoferrylHb) (<xref ref-type="bibr" rid="ref39">39</xref>). These transient radicals, ferrylHb and oxoferrylHb, have been implicated in the pathogenesis and progression of oxidative stress, leading to cellular damage (<xref ref-type="bibr" rid="ref40">40</xref>, <xref ref-type="bibr" rid="ref41">41</xref>). The low GSH level may be attributed to impaired glucose availability for the GSH generation via the pentose phosphate pathway (PPP) (<xref ref-type="bibr" rid="ref9">9</xref>). The SOD activity and GSH levels were significantly (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) reversed in erythrocytes incubated with AWO. These reversions indicate an improvement in the erythrocyte antioxidant defense system and corroborates with previous studies on the ability of the oil to improve antioxidant biomarkers (<xref ref-type="bibr" rid="ref15">15</xref>). These antioxidant activities may be attributed to the high contents of linolenic and linoleic acids of AWO, which have been reported for their potent antioxidant activities (<xref ref-type="bibr" rid="ref42">42</xref>, <xref ref-type="bibr" rid="ref43">43</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Effect of African walnut oil on <bold>(A)</bold> SOD activity; and <bold>(B)</bold> GSH level in erythrocyte glucose uptake. Values&#x202F;=&#x202F;mean&#x202F;&#x00B1;&#x202F;SD; <italic>n</italic>&#x202F;=&#x202F;3. <sup>&#x002A;</sup>Statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) to glucose only. <sup>#</sup>Statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) to control.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g004.tif">
<alt-text content-type="machine-generated">Bar charts displaying effects on SOD activity and GSH levels across different treatments. Chart (A) shows SOD activity peaking at 30 &#x00B5;g/mL, with significant differences indicated by # and &#x002A; symbols. Chart (B) illustrates GSH levels highest at 240 &#x00B5;g/mL and Metformin, highlighted by similar symbols for significance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec35">
<label>3.4</label>
<title>Purinergic enzyme activities</title>
<p>Purinergic enzyme catalyzes nucleotide metabolism leading to the hydrolysis of ATP to adenosine, which have been implicated in inflammation and immunomodulation (<xref ref-type="bibr" rid="ref44">44</xref>). Adenosine is maintained at low levels under normal physiology. However, its high cellular levels have been reported in hypoxia and energy depletion as well as diseases such as sickle cell anemia, where they contribute to disease progression (<xref ref-type="bibr" rid="ref45">45</xref>). As shown in <xref ref-type="fig" rid="fig5">Figures 5A</xref>,<xref ref-type="fig" rid="fig5">B</xref>, incubation of erythrocytes with glucose only, significantly (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) elevated the activities of ATPase and ENTPDase. Elevation of these enzymes have been reported in glucotoxicity (<xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref17">17</xref>, <xref ref-type="bibr" rid="ref46">46</xref>). These elevated activities indicate increased cellular adenosine level and reduced ATP levels, which may be a compensatory mechanism for depleted energy. Incubation with AWO, led to significant depletion in erythrocytes levels of ATPase and ENTPDase, thus, suggesting improved ATP levels and decreased adenosine levels.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Effect of African walnut oil on <bold>(A)</bold> ATPase; and <bold>(B)</bold> ENTPDase activities in erythrocyte glucose uptake. Values&#x202F;=&#x202F;mean&#x202F;&#x00B1;&#x202F;SD; <italic>n</italic>&#x202F;=&#x202F;3. <sup>&#x002A;</sup>Statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) to glucose only. <sup>#</sup>Statistically significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) to control.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g005.tif">
<alt-text content-type="machine-generated">Bar graphs displaying enzyme activity under various conditions. (A) ATPase activity is highest with glucose only, then decreases across increasing concentrations (30 to 240 micrograms per milliliter) and with metformin. Significant differences are indicated.(B) ENTPDase activity peaks with glucose only, declines slightly with increasing concentrations, and is lowest at 240 micrograms per milliliter, then increases with metformin. Significant differences are indicated.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec36">
<label>3.5</label>
<title>Surface morphology</title>
<p>Alterations in erythrocytes&#x2019; morphology have been implicated in their dysfunction and survival. These morphological alterations have been reported in erythrocytes with impaired glucose uptake and metabolism as seen in diseases such as diabetes and sickle cell disease (<xref ref-type="bibr" rid="ref1">1</xref>, <xref ref-type="bibr" rid="ref3">3</xref>, <xref ref-type="bibr" rid="ref4">4</xref>), where the normal physiological biconcave discoid shape is altered. As shown in <xref ref-type="fig" rid="fig6">Figure 6B</xref>, incubation of erythrocytes in glucose only, led to a distortion in its biconcave morphology as compared to the normal control (<xref ref-type="fig" rid="fig6">Figure 6A</xref>). In diabetes, this change has been attributed to hyperglycemia, oxidative stress, and reduced membrane integrity (<xref ref-type="bibr" rid="ref47">47</xref>, <xref ref-type="bibr" rid="ref48">48</xref>) and has been implicated in increased blood viscosity, microvascular complications, thrombotic risks and endothelial dysfunctions (<xref ref-type="bibr" rid="ref49">49</xref>, <xref ref-type="bibr" rid="ref50">50</xref>). Following incubation with AWO, the erythrocyte morphology was improved to almost near normal as shown in <xref ref-type="fig" rid="fig6">Figure 6C</xref>. Metformin gave the best improvement (<xref ref-type="fig" rid="fig6">Figure 6D</xref>). The improved morphology indicates that erythrocyte glucose uptake by AWO involves restoration of the cell&#x2019;s morphology.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Effect of African walnut oil on tissue surface morphology in erythrocyte glucose uptake. Magnification: <bold>A</bold>&#x202F;=&#x202F;22,810&#x00D7;; <bold>B</bold>&#x202F;=&#x202F;34,290&#x00D7;; <bold>C</bold>&#x202F;=&#x202F;24,080&#x00D7;; and <bold>D</bold>&#x202F;=&#x202F;27,850&#x00D7;. <bold>(A)</bold> Control; <bold>(B)</bold> glucose only; <bold>(C)</bold> African walnut oil; and <bold>(D)</bold> metformin.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g006.tif">
<alt-text content-type="machine-generated">Four scanning electron microscope (SEM) images labeled A, B, C, and D. Each image displays spherical particles on various textured surfaces. Image A shows a prominent round particle on a rough surface at 22.81K magnification. Image B depicts a smaller particle among irregular shapes at 34.29K magnification. Image C highlights another round particle on a layered texture at 24.08K magnification. Image D features a round particle on a densely textured surface at 27.85K magnification. All images include scale bars indicating 200 nm.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec37">
<label>3.6</label>
<title>Elemental mapping</title>
<p>The role of Mg and Fe in the physiology of erythrocytes have been well documented. The role of Mg in erythrocytes&#x2019; function include hemoglobin production, membrane integrity and energy production (<xref ref-type="bibr" rid="ref51">51</xref>, <xref ref-type="bibr" rid="ref52">52</xref>). Its deficiency has been linked to suppressed erythrocyte energy metabolism, and has been implicated in the pathogenesis of anemia (<xref ref-type="bibr" rid="ref53">53</xref>). Iron is an important component of hemoglobin and thus, is important in the physiology of erythrocytes (<xref ref-type="bibr" rid="ref54">54</xref>). Its deficiency has been implicated in anemia. However, elevated Fe levels has been implicated in the pathogenesis of oxidative stress and cellular toxicity via Fenton reaction (<xref ref-type="bibr" rid="ref55">55</xref>). As shown in <xref ref-type="fig" rid="fig7">Figures 7A</xref>,<xref ref-type="fig" rid="fig7">B</xref>, incubation with glucose only, led to significant (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) depletion in erythrocyte level of magnesium and exacerbated Fe level. The depleted Mg level indicates reduced energy production and impairment of glucose metabolism, which corroborates the impaired erythrocyte glucose uptake. The elevated Fe level may indicate distortion of hemoglobin leading to release of the element, which increases the cells susceptibility to oxidative stress via Fenton reaction. Incubation with AWO significantly reversed the erythrocyte levels of Mg and Fe (<xref ref-type="fig" rid="fig7">Figures 7C</xref>,<xref ref-type="fig" rid="fig7">D</xref>). Thus, indicating an improved energy production, glucose metabolism and antioxidative activity.</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Effect of African walnut oil on tissue elemental constituents in erythrocyte glucose uptake. Values&#x202F;=&#x202F;mean&#x202F;&#x00B1;&#x202F;SD; <italic>n</italic>&#x202F;=&#x202F;3. Magnification: <bold>A</bold>&#x202F;=&#x202F;22,810&#x00D7;; <bold>B</bold>&#x202F;=&#x202F;34,290&#x00D7;; <bold>C</bold>&#x202F;=&#x202F;24,080&#x00D7;; and <bold>D</bold>&#x202F;=&#x202F;27,850&#x00D7;. <bold>(A)</bold> Control; <bold>(B)</bold> glucose only; <bold>(C)</bold> African walnut oil; <bold>(D)</bold> Metformin; (Mg) magnesium; and (Fe) iron.</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g007.tif">
<alt-text content-type="machine-generated">Four microscopic images labeled A, B, C, and D show samples with red spots on a cyan background, accompanied by elemental maps for magnesium (cyan) and iron (red). Adjacent bar graphs display the weight percentages of magnesium and iron under different treatments: normal, glucose only, walnut oil, and metformin. Data indicate distinct variations in element weights across the treatments, with annotations highlighting significant differences.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec38">
<label>3.7</label>
<title>Molecular docking</title>
<p>Molecular docking analysis revealed strong molecular interactions of linoleic acid and linolenic acid with hemoglobin as shown in <xref ref-type="fig" rid="fig8">Figures 8A</xref>,<xref ref-type="fig" rid="fig8">B</xref>. This is further depicted by their binding energies, with linolenic acid having the lowest value (<xref ref-type="table" rid="tab1">Table 1</xref>). In molecular docking, the lower the binding energy value, the stronger the interaction, thus, indicating that linolenic acid had a stronger molecular interaction and contributed more to the interaction of AWO with hemoglobin.</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>Molecular interaction of <bold>(A)</bold> linoleic acid and <bold>(B)</bold> linolenic acid with hemoglobin (PDB code: 4HHB).</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g008.tif">
<alt-text content-type="machine-generated">Molecular interaction diagrams labeled A and B display structural details of a protein-ligand complex. Both show 3D representations with hydrogen bonds, donors in pink, and acceptors in green. Salt bridges, attractive charges, and alkyl/pi-alkyl interactions are illustrated on the line diagrams. Key amino acids like His87, Lys90, and Leu83 are highlighted. Each interaction type is color-coded for clarity, with annotations of involved residues.</alt-text>
</graphic>
</fig>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>MM/GBSA-based binding free energy profile of linolenic acid and linoleic acid bound to hemoglobin (PDB code: 4HHB).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Systems</th>
<th align="center" valign="top" colspan="6">Energy components (kcal/mol)</th>
</tr>
<tr>
<th align="center" valign="top">&#x0394;G<sub>bind</sub></th>
<th align="center" valign="top">&#x0394;G<sub>bindCoulomb</sub></th>
<th align="center" valign="top">&#x0394;G<sub>bindHbond</sub></th>
<th align="center" valign="top">&#x0394;G<sub>bindLipo</sub></th>
<th align="center" valign="top">&#x0394;G<sub>bindSolvGB</sub></th>
<th align="center" valign="top">&#x0394;G<sub>bindvdW</sub></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Linolenic acid</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;56.91 &#x00B1; 5.28</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;8.32 &#x00B1; 6.70</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;1.13 &#x00B1; 0.59</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;25.12 &#x00B1; 2.88</td>
<td align="char" valign="top" char="&#x00B1;">19.79 &#x00B1; 5.73</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;44.42 &#x00B1; 3.56</td>
</tr>
<tr>
<td align="left" valign="top">Linoleic acid</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;17.68 &#x00B1; 15.78</td>
<td align="char" valign="top" char="&#x00B1;">1.16 &#x00B1; 9.49</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;0.53 &#x00B1; 0.76</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;6.57 &#x00B1; 6.06</td>
<td align="char" valign="top" char="&#x00B1;">2.91 &#x00B1; 9.41</td>
<td align="char" valign="top" char="&#x00B1;">&#x2212;15.16 &#x00B1; 13.52</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec39">
<label>3.8</label>
<title>Dynamic conformational stability and fluctuations</title>
<p>To further demystify the observed molecular interactions, the stability and flexibility of the ligand-protein complex were subjected to root mean square deviation (RMSD) and root mean square fluctuation (RMSF) measurements via MD simulation. RMSD quantifies the disparity between a protein&#x2019;s original backbone conformation from its initial position (<xref ref-type="bibr" rid="ref56">56</xref>). The low RMSD value of linolenic acid (<xref ref-type="table" rid="tab2">Table 2</xref> and <xref ref-type="fig" rid="fig9">Figure 9A</xref>) indicates a potent alignment and structural stability between the omega-3 fatty acid and hemoglobin, with less deviation and conformational change. Furthermore, the low RMSF value of linolenic acid (<xref ref-type="table" rid="tab2">Table 2</xref> and <xref ref-type="fig" rid="fig9">Figure 9B</xref>) indicates relatively stable and less fluctuation between the omega-3 fatty acid and hemoglobin (<xref ref-type="bibr" rid="ref26">26</xref>, <xref ref-type="bibr" rid="ref57">57</xref>). RMSF quantifies the deviation of atomic locations from the initiation positions with time, which defines a compound&#x2019;s flexibility and dynamics (<xref ref-type="bibr" rid="ref58">58</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>RMSD, RMSF, SASA, and rGyr profile of linolenic acid and linoleic acid bound to hemoglobin (PDB code: 4HHB).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Systems</th>
<th align="center" valign="top" colspan="4">Estimated average (&#x00C5;)</th>
</tr>
<tr>
<th align="center" valign="top">RMSD</th>
<th align="center" valign="top">RMSF</th>
<th align="center" valign="top">SASA</th>
<th align="center" valign="top">rGyr</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Linolenic acid</td>
<td align="char" valign="top" char=".">1.69</td>
<td align="char" valign="top" char=".">0.99</td>
<td align="char" valign="top" char=".">86.34</td>
<td align="char" valign="top" char=".">5.17</td>
</tr>
<tr>
<td align="left" valign="top">Linoleic acid</td>
<td align="char" valign="top" char=".">2.10</td>
<td align="char" valign="top" char=".">1.10</td>
<td align="char" valign="top" char=".">325.34</td>
<td align="char" valign="top" char=".">4.89</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p><bold>(A)</bold> RMSD, <bold>(B)</bold> RMSF, <bold>(C)</bold> SASA, and <bold>(D)</bold> rGyr profile of linolenic acid and linoleic acid bound to hemoglobin (PDB code: 4HHB).</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g009.tif">
<alt-text content-type="machine-generated">Four graphs compare linolenic and linoleic acids. (A) Plot of RMSD versus time (0 to 100 ns). (B) Plot of RMSF versus residue index (0 to 160). (C) Solvent accessible surface area versus time (0 to 100 ns). (D) Radius of gyration versus time (0 to 100 ns). Linolenic acid is represented by blue lines and linoleic acid by red lines.</alt-text>
</graphic>
</fig>
<p>The compactness of linolenic with hemoglobin was further portrayed by its low Solvent Accessible Surface Area (SASA) values (<xref ref-type="table" rid="tab2">Table 2</xref> and <xref ref-type="fig" rid="fig9">Figure 9C</xref>). SASA quantifies how a molecule&#x2019;s surface area interacts with solvents, thereby giving insights into protein folding, stability, and molecular interactions (<xref ref-type="bibr" rid="ref58">58</xref>, <xref ref-type="bibr" rid="ref59">59</xref>).</p>
<p>However, linoleic acid had a lower radius of gyration (rGyr) value (<xref ref-type="table" rid="tab2">Table 2</xref> and <xref ref-type="fig" rid="fig9">Figure 9D</xref>), which indicates a rigid and compact interaction with hemoglobin. The radius of gyration quantifies the compactness and flexibility of ligand-protein complex, giving insights into the spatial conformation and protein&#x2019;s diffusivity of a protein (<xref ref-type="bibr" rid="ref60">60</xref>).</p>
</sec>
<sec id="sec40">
<label>3.9</label>
<title>Protein-ligand relationship</title>
<p>The protein-ligand relationship between hemoglobin and AWO constituents (linolenic acid and linoleic acid) were investigated via MD simulation. As shown in <xref ref-type="fig" rid="fig10">Figures 10A</xref>,<xref ref-type="fig" rid="fig10">B</xref>, the molecular interactions of linolenic acid and linoleic acid with hemoglobin were facilitated by hydrogen (H), hydrophobic and ionic bonds as well as water bridges. The main contributors in the fatty acids to these bond interactions are their carboxyl groups (&#x2013;COOH) and double bonds. Hydrogen bonding has been reported for their influence on chemical and biological reactions (<xref ref-type="bibr" rid="ref61">61</xref>), as it allows the accurate fitting of a compound to a receptor via precise arrangement between the H-bond donor and acceptor groups (<xref ref-type="bibr" rid="ref62">62</xref>, <xref ref-type="bibr" rid="ref63">63</xref>). Hydrophobic bonding between the fatty acids and hemoglobin indicates the potency and specificity of the ligand-protein complex, as the bond stimulates interactions between hydrophobic cavities within the binding sites (<xref ref-type="bibr" rid="ref64">64</xref>, <xref ref-type="bibr" rid="ref65">65</xref>). The presence of ionic bonds indicates electrostatic interactions between the fatty acids and hemoglobin, and defines the former&#x2019;s binding affinity and specificity (<xref ref-type="bibr" rid="ref66">66</xref>, <xref ref-type="bibr" rid="ref67">67</xref>). It also portrays the orientation and conformation of the ligands within the protein binding pockets (<xref ref-type="bibr" rid="ref66">66</xref>, <xref ref-type="bibr" rid="ref67">67</xref>). Water bridges are intermediaries made of water molecules which facilitate hydrogen bonding between non-interacting groups in protein binding pockets, thereby enhancing the stability of the protein-ligand complex (<xref ref-type="bibr" rid="ref68 ref69 ref70">68&#x2013;70</xref>).</p>
<fig position="float" id="fig10">
<label>Figure 10</label>
<caption>
<p>Protein-ligand contact of <bold>(A)</bold> linolenic acid and <bold>(B)</bold> linoleic acid with hemoglobin (PDB code: 4HHB).</p>
</caption>
<graphic xlink:href="fnut-12-1607386-g010.tif">
<alt-text content-type="machine-generated">Bar charts and molecular diagrams show protein-ligand interactions. Panel A displays interaction fractions for various residues, highlighting different contact types: hydrophobic, ionic, H-bonds, and water bridges. A molecular diagram illustrates specific residue interactions with highlighted contact types. Panel B presents a similar layout with different residues and interaction fractions, alongside another molecular diagram. Legends differentiate contact types and elements.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="conclusions" id="sec41">
<label>4</label>
<title>Conclusion</title>
<p>The study provides evidence for the first time that AWO promotes glucose uptake in erythrocytes, with concomitant improvement in glucose metabolism, purinergic enzyme activities and cell morphology. AWO also demonstrated antioxidative effect by mitigating oxidative stress via suppressing SOD activity and elevating GSH level. Molecular docking and MD simulation further portrayed strong protein-ligand interactions between hemoglobin and AWO&#x2019;s constituents (linolenic acid and linoleic acid). However, further pre-clinical and clinical studies are required to decipher these results and determine the translational relevance of AWO in managing diseases involving erythrocytes&#x2019; dysfunction such as diabetes.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec42">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="ethics-statement" id="sec43">
<title>Ethics statement</title>
<p>The animal study was approved by the Animal Ethics Committee, College of Medicine, University of Lagos; CMUL/REC/00314. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec44">
<title>Author contributions</title>
<p>OE: Project administration, Resources, Formal analysis, Conceptualization, Methodology, Writing &#x2013; review &#x0026; editing, Investigation, Software, Writing &#x2013; original draft. CC: Data curation, Formal analysis, Validation, Supervision, Writing &#x2013; original draft, Methodology, Visualization, Funding acquisition, Investigation, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec45">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This project was funded by the National Research Foundation (NRF).</p>
</sec>
<ack>
<p>Authors acknowledge the assistance and support of Prof. OAT Ebuehi of the Department of Biochemistry, University of Lagos, Idi-Araba, Lagos, Nigeria, for laboratory space. Also acknowledged is the Center for High Performance Computing (CHPC), South Africa, for the provision of computational resources utilized in this work.</p>
</ack>
<sec sec-type="COI-statement" id="sec46">
<title>Conflict of interest</title>
<p>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.</p>
</sec>
<sec id="sec98">
<title>Correction note</title>
<p>A correction has been made to this article. Details can be found at: <ext-link xlink:href="https://doi.org/10.3389/fnut.2025.1679967" ext-link-type="uri">10.3389/fnut.2025.1679967</ext-link>.</p>
</sec>
<sec sec-type="ai-statement" id="sec47">
<title>Generative AI statement</title>
<p>The authors declare that no Gen AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec48">
<title>Publisher&#x2019;s note</title>
<p>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.</p>
</sec>
<fn-group>
<fn id="fn0001"><p><sup>1</sup><ext-link xlink:href="http://www.pdb.org/pdb" ext-link-type="uri">www.pdb.org/pdb</ext-link></p></fn>
<fn id="fn0002"><p><sup>2</sup><ext-link xlink:href="https://discover.3ds.com/discovery-studio-visualizer-download" ext-link-type="uri">https://discover.3ds.com/discovery-studio-visualizer-download</ext-link></p></fn>
<fn id="fn0003"><p><sup>3</sup><ext-link xlink:href="http://www.chemaxon.com" ext-link-type="uri">http://www.chemaxon.com</ext-link></p></fn>
</fn-group>
<ref-list>
<title>References</title>
<ref id="ref1"><label>1.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guizouarn</surname><given-names>H</given-names></name> <name><surname>Allegrini</surname><given-names>B</given-names></name></person-group>. <article-title>Erythroid glucose transport in health and disease</article-title>. <source>Pflugers Arch</source>. (<year>2020</year>) <volume>472</volume>:<fpage>1371</fpage>&#x2013;<lpage>83</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00424-020-02406-0</pub-id>, PMID: <pub-id pub-id-type="pmid">32474749</pub-id></citation></ref>
<ref id="ref2"><label>2.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Y</given-names></name> <name><surname>Yang</surname><given-names>P</given-names></name> <name><surname>Yan</surname><given-names>Z</given-names></name> <name><surname>Liu</surname><given-names>Z</given-names></name> <name><surname>Ma</surname><given-names>Q</given-names></name> <name><surname>Zhang</surname><given-names>Z</given-names></name> <etal/></person-group>. <article-title>The relationship between erythrocytes and diabetes mellitus</article-title>. <source>J Diabetes Res</source>. (<year>2021</year>) <volume>2021</volume>:<fpage>6656062</fpage>. doi: <pub-id pub-id-type="doi">10.1155/2021/6656062</pub-id></citation></ref>
<ref id="ref3"><label>3.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gyawali</surname><given-names>P</given-names></name> <name><surname>Richards</surname><given-names>RS</given-names></name> <name><surname>Uba Nwose</surname><given-names>E</given-names></name></person-group>. <article-title>Erythrocyte morphology in metabolic syndrome</article-title>. <source>Expert Rev Hematol</source>. (<year>2012</year>) <volume>5</volume>:<fpage>523</fpage>&#x2013;<lpage>31</lpage>. doi: <pub-id pub-id-type="doi">10.1586/ehm.12.47</pub-id>, PMID: <pub-id pub-id-type="pmid">23146056</pub-id></citation></ref>
<ref id="ref4"><label>4.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Neam&#x0163;u</surname><given-names>MC</given-names></name> <name><surname>Cr&#x0103;i&#x0163;oiu</surname><given-names>&#x015E;</given-names></name> <name><surname>Avramescu</surname><given-names>ET</given-names></name> <name><surname>Margin&#x0103;</surname><given-names>DM</given-names></name> <name><surname>B&#x0103;c&#x0103;noiu</surname><given-names>MV</given-names></name> <name><surname>Turneanu</surname><given-names>D</given-names></name></person-group>. <article-title>The prevalence of the red cell morphology changes in patients with type 2 diabetes mellitus</article-title>. <source>Romanian J Morphol Embryol</source>. (<year>2015</year>) <volume>56</volume>:<fpage>183</fpage>&#x2013;<lpage>9</lpage>.</citation></ref>
<ref id="ref5"><label>5.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mali</surname><given-names>AV</given-names></name> <name><surname>Bhise</surname><given-names>SS</given-names></name> <name><surname>Hegde</surname><given-names>MV</given-names></name> <name><surname>Katyare</surname><given-names>SS</given-names></name></person-group>. <article-title>Altered erythrocyte glycolytic enzyme activities in type-II diabetes</article-title>. <source>Indian J Clin Biochem</source>. (<year>2016</year>) <volume>31</volume>:<fpage>321</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s12291-015-0529-6</pub-id>, PMID: <pub-id pub-id-type="pmid">27382204</pub-id></citation></ref>
<ref id="ref6"><label>6.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chatzinikolaou</surname><given-names>PN</given-names></name> <name><surname>Margaritelis</surname><given-names>NV</given-names></name> <name><surname>Paschalis</surname><given-names>V</given-names></name> <name><surname>Theodorou</surname><given-names>AA</given-names></name> <name><surname>Vrabas</surname><given-names>IS</given-names></name> <name><surname>Kyparos</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Erythrocyte metabolism</article-title>. <source>Acta Physiol</source>. (<year>2024</year>) <volume>240</volume>:<fpage>e14081</fpage>. doi: <pub-id pub-id-type="doi">10.1111/apha.14081</pub-id>, PMID: <pub-id pub-id-type="pmid">38270467</pub-id></citation></ref>
<ref id="ref7"><label>7.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Apostolopoulos</surname><given-names>G</given-names></name> <name><surname>Tsinopoulos</surname><given-names>SV</given-names></name> <name><surname>Dermatas</surname><given-names>E</given-names></name></person-group>. <article-title>A methodology for estimating the shape of biconcave red blood cells using multicolor scattering images</article-title>. <source>Biomed Signal Process Control</source>. (<year>2013</year>) <volume>8</volume>:<fpage>263</fpage>&#x2013;<lpage>72</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.bspc.2012.11.002</pub-id></citation></ref>
<ref id="ref8"><label>8.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Obeagu</surname><given-names>EI</given-names></name> <name><surname>Igwe</surname><given-names>MC</given-names></name> <name><surname>Obeagu</surname><given-names>GU</given-names></name></person-group>. <article-title>Oxidative stress&#x2019;s impact on red blood cells: unveiling implications for health and disease</article-title>. <source>Medicine</source>. (<year>2024</year>) <volume>103</volume>:<fpage>e37360</fpage>. doi: <pub-id pub-id-type="doi">10.1097/md.0000000000037360</pub-id>, PMID: <pub-id pub-id-type="pmid">38428906</pub-id></citation></ref>
<ref id="ref9"><label>9.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Orrico</surname><given-names>F</given-names></name> <name><surname>Laurance</surname><given-names>S</given-names></name> <name><surname>Lopez</surname><given-names>AC</given-names></name> <name><surname>Lefevre</surname><given-names>SD</given-names></name> <name><surname>Thomson</surname><given-names>L</given-names></name> <name><surname>M&#x00F6;ller</surname><given-names>MN</given-names></name> <etal/></person-group>. <article-title>Oxidative stress in healthy and pathological red blood cells</article-title>. <source>Biomol Ther</source>. (<year>2023</year>) <volume>13</volume>:<fpage>1262</fpage>. doi: <pub-id pub-id-type="doi">10.3390/biom13081262</pub-id>, PMID: <pub-id pub-id-type="pmid">37627327</pub-id></citation></ref>
<ref id="ref10"><label>10.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Adetunji</surname><given-names>JB</given-names></name> <name><surname>Adetunji</surname><given-names>CO</given-names></name> <name><surname>Olaniyan</surname><given-names>OT</given-names></name></person-group>. <article-title>African walnuts: a natural depository of nutritional and bioactive compounds essential for food and nutritional security in Africa</article-title> In: <source>Food Security and Safety</source>. <publisher-loc>Cham</publisher-loc>: <publisher-name>Springer</publisher-name> (<year>2021</year>). <fpage>331</fpage>&#x2013;<lpage>54</lpage>.</citation></ref>
<ref id="ref11"><label>11.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maduabuchi</surname><given-names>EK</given-names></name> <name><surname>Onyebuchi</surname><given-names>AM</given-names></name></person-group>. <article-title>Phytochemical analysis of N-hexane nut extract of <italic>Tetracarpidium conophorum</italic> (Euphorbiaceae) using ultraviolet-visible, fourier transform infrared and gas chromatography mass spectrometry techniques</article-title>. <source>J Pharmacogn Phytochem</source>. (<year>2016</year>) <volume>5</volume>:<fpage>332</fpage>&#x2013;<lpage>6</lpage>.</citation></ref>
<ref id="ref12"><label>12.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Uhunmwangho</surname><given-names>ES</given-names></name> <name><surname>Omoregie</surname><given-names>ES</given-names></name></person-group>. <article-title>Antioxidant properties associated with the biochemical changes in the development of African walnut (<italic>Tetracarpidium conophorum</italic>) fruit</article-title>. <source>Saudi J Life Sci</source>. (<year>2017</year>) <volume>2</volume>:<fpage>217</fpage>&#x2013;<lpage>29</lpage>. doi: <pub-id pub-id-type="doi">10.21276/haya.2017.2.6.2</pub-id></citation></ref>
<ref id="ref13"><label>13.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oladiji</surname><given-names>A</given-names></name> <name><surname>Abodunrin</surname><given-names>T</given-names></name> <name><surname>Yakubu</surname><given-names>M</given-names></name></person-group>. <article-title>Toxicological evaluation of <italic>Tetracarpidium conophorum</italic> nut oil-based diet in rats</article-title>. <source>Food Chem Toxicol</source>. (<year>2010</year>) <volume>48</volume>:<fpage>898</fpage>&#x2013;<lpage>902</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.fct.2009.12.030</pub-id>, PMID: <pub-id pub-id-type="pmid">20060029</pub-id></citation></ref>
<ref id="ref14"><label>14.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zibaeenezhad</surname><given-names>MJ</given-names></name> <name><surname>Farhadi</surname><given-names>P</given-names></name> <name><surname>Attar</surname><given-names>A</given-names></name> <name><surname>Mosleh</surname><given-names>A</given-names></name> <name><surname>Amirmoezi</surname><given-names>F</given-names></name> <name><surname>Azimi</surname><given-names>A</given-names></name></person-group>. <article-title>Effects of walnut oil on lipid profiles in hyperlipidemic type 2 diabetic patients: a randomized, double-blind, placebo-controlled trial</article-title>. <source>Nutr Diabetes</source>. (<year>2017</year>) <volume>7</volume>:<fpage>e259</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nutd.2017.8</pub-id>, PMID: <pub-id pub-id-type="pmid">28394361</pub-id></citation></ref>
<ref id="ref15"><label>15.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Chukwuma</surname><given-names>CI</given-names></name></person-group>. <article-title>African walnut (<italic>Plukenetia conophora</italic>) oil promotes glucose uptake while improving energy metabolism and steroidogenesis and maintaining surface architecture in rat testes</article-title>. <source>Front Nutr</source>. (<year>2024</year>) <volume>11</volume>:<fpage>1505453</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnut.2024.1505453</pub-id>, PMID: <pub-id pub-id-type="pmid">39628465</pub-id></citation></ref>
<ref id="ref16"><label>16.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chukwuma</surname><given-names>CI</given-names></name> <name><surname>Islam</surname><given-names>MS</given-names></name></person-group>. <article-title>Effects of xylitol on carbohydrate digesting enzymes activity, intestinal glucose absorption and muscle glucose uptake: a multi-mode study</article-title>. <source>Food Funct</source>. (<year>2015</year>) <volume>6</volume>:<fpage>955</fpage>&#x2013;<lpage>62</lpage>. doi: <pub-id pub-id-type="doi">10.1039/C4FO00994K</pub-id>, PMID: <pub-id pub-id-type="pmid">25656339</pub-id></citation></ref>
<ref id="ref17"><label>17.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Salau</surname><given-names>VF</given-names></name> <name><surname>Xiao</surname><given-names>X</given-names></name> <name><surname>Matsabisa</surname><given-names>MG</given-names></name> <name><surname>Koorbanally</surname><given-names>NA</given-names></name> <name><surname>Islam</surname><given-names>MS</given-names></name></person-group>. <article-title>Bioactive compounds of African star apple (<italic>Chrysophyllum albidum</italic> G. Don) and its modulatory effect on metabolic activities linked to type 2 diabetes in isolated rat psoas muscle</article-title>. <source>J Food Biochem</source>. (<year>2021</year>) <volume>45</volume>:<fpage>e13576</fpage>. doi: <pub-id pub-id-type="doi">10.1111/jfbc.13576</pub-id>, PMID: <pub-id pub-id-type="pmid">33270256</pub-id></citation></ref>
<ref id="ref18"><label>18.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Balogun</surname><given-names>F</given-names></name> <name><surname>Ashafa</surname><given-names>A</given-names></name></person-group>. <article-title>Aqueous root extracts of <italic>Dicoma anomala</italic> (Sond.) extenuates postprandial hyperglycaemia in vitro and its modulation on the activities of carbohydrate-metabolizing enzymes in streptozotocin-induced diabetic Wistar rats</article-title>. <source>S Afr J Bot</source>. (<year>2017</year>) <volume>112</volume>:<fpage>102</fpage>&#x2013;<lpage>11</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.sajb.2017.05.014</pub-id></citation></ref>
<ref id="ref19"><label>19.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Mopuri</surname><given-names>R</given-names></name> <name><surname>Oyebode</surname><given-names>OA</given-names></name> <name><surname>Koorbanally</surname><given-names>NA</given-names></name> <name><surname>Islam</surname><given-names>MS</given-names></name></person-group>. <article-title><italic>Dacryodes edulis</italic> enhances antioxidant activities, suppresses DNA fragmentation in oxidative pancreatic and hepatic injuries; and inhibits carbohydrate digestive enzymes linked to type 2 diabetes</article-title>. <source>Biomed Pharmacother</source>. (<year>2017</year>) <volume>96</volume>:<fpage>37</fpage>&#x2013;<lpage>47</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.biopha.2017.09.106</pub-id>, PMID: <pub-id pub-id-type="pmid">28963949</pub-id></citation></ref>
<ref id="ref20"><label>20.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ellman</surname><given-names>GL</given-names></name></person-group>. <article-title>Tissue sulfhydryl groups</article-title>. <source>Arch Biochem Biophys</source>. (<year>1959</year>) <volume>82</volume>:<fpage>70</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0003-9861(59)90090-6</pub-id>, PMID: <pub-id pub-id-type="pmid">13650640</pub-id></citation></ref>
<ref id="ref21"><label>21.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kakkar</surname><given-names>P</given-names></name> <name><surname>Das</surname><given-names>B</given-names></name> <name><surname>Viswanathan</surname><given-names>P</given-names></name></person-group>. <article-title>A modified spectrophotometric assay of superoxide dismutase</article-title>. <source>Indian J Biochem Biophys</source>. (<year>1984</year>) <volume>21</volume>:<fpage>130</fpage>&#x2013;<lpage>2</lpage>.</citation></ref>
<ref id="ref22"><label>22.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ademiluyi</surname><given-names>AO</given-names></name> <name><surname>Ogunsuyi</surname><given-names>OB</given-names></name> <name><surname>Oboh</surname><given-names>G</given-names></name></person-group>. <article-title>Alkaloid extracts from Jimson weed (<italic>Datura stramonium</italic> L.) modulate purinergic enzymes in rat brain</article-title>. <source>Neurotoxicology</source>. (<year>2016</year>) <volume>56</volume>:<fpage>107</fpage>&#x2013;<lpage>17</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.neuro.2016.06.012</pub-id>, PMID: <pub-id pub-id-type="pmid">27450719</pub-id></citation></ref>
<ref id="ref23"><label>23.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schetinger</surname><given-names>MRC</given-names></name> <name><surname>Morsch</surname><given-names>VM</given-names></name> <name><surname>Bonan</surname><given-names>CD</given-names></name> <name><surname>Wyse</surname><given-names>AT</given-names></name></person-group>. <article-title>NTPDase and 5&#x2032;-nucleotidase activities in physiological and disease conditions: new perspectives for human health</article-title>. <source>Biofactors</source>. (<year>2007</year>) <volume>31</volume>:<fpage>77</fpage>&#x2013;<lpage>98</lpage>. doi: <pub-id pub-id-type="doi">10.1002/biof.5520310205</pub-id>, PMID: <pub-id pub-id-type="pmid">18806312</pub-id></citation></ref>
<ref id="ref24"><label>24.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Alabi</surname><given-names>OO</given-names></name> <name><surname>Salau</surname><given-names>VF</given-names></name> <name><surname>Amonsou</surname><given-names>EO</given-names></name></person-group>. <article-title>Microstructural and chemical properties of gari and eba: food products from cassava (<italic>Manihot esculenta</italic> Cranz)</article-title>. <source>Food Sci Technol Int</source>. (<year>2022</year>) <volume>28</volume>:<fpage>107</fpage>&#x2013;<lpage>17</lpage>. doi: <pub-id pub-id-type="doi">10.1177/1082013221993607</pub-id>, PMID: <pub-id pub-id-type="pmid">33563039</pub-id></citation></ref>
<ref id="ref25"><label>25.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kusumaningrum</surname><given-names>S</given-names></name> <name><surname>Budianto</surname><given-names>E</given-names></name> <name><surname>Kosela</surname><given-names>S</given-names></name> <name><surname>Sumaryono</surname><given-names>W</given-names></name> <name><surname>Juniarti</surname><given-names>F</given-names></name></person-group>. <article-title>The molecular docking of 1, 4-naphthoquinone derivatives as inhibitors of polo-like kinase 1 using Molegro virtual docker</article-title>. <source>J Appl Pharm Sci</source>. (<year>2014</year>) <volume>4</volume>:<fpage>047</fpage>&#x2013;<lpage>53</lpage>. doi: <pub-id pub-id-type="doi">10.7324/JAPS.2014.4119</pub-id></citation></ref>
<ref id="ref26"><label>26.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Nambooze</surname><given-names>J</given-names></name> <name><surname>Chukwuma</surname><given-names>CI</given-names></name> <name><surname>Malloum</surname><given-names>A</given-names></name> <name><surname>Aljoundi</surname><given-names>A</given-names></name> <name><surname>Elamin</surname><given-names>G</given-names></name></person-group>. <article-title>Computational and theoretical insights into the cytotoxic prospects of compounds isolated from <italic>Elaeodendron buchananii</italic> against leukemia</article-title>. <source>Toxicol Rep</source>. (<year>2024</year>) <volume>13</volume>:<fpage>101788</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.toxrep.2024.101788</pub-id>, PMID: <pub-id pub-id-type="pmid">39559566</pub-id></citation></ref>
<ref id="ref27"><label>27.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>J</given-names></name> <name><surname>Zheng</surname><given-names>X</given-names></name> <name><surname>Mahdi</surname><given-names>A</given-names></name> <name><surname>Zhou</surname><given-names>Z</given-names></name> <name><surname>Tratsiakovich</surname><given-names>Y</given-names></name> <name><surname>Jiao</surname><given-names>T</given-names></name> <etal/></person-group>. <article-title>Red blood cells in type 2 diabetes impair cardiac post-ischemic recovery through an arginase-dependent modulation of nitric oxide synthase and reactive oxygen species</article-title>. <source>JACC Basic Transl Sci</source>. (<year>2018</year>) <volume>3</volume>:<fpage>450</fpage>&#x2013;<lpage>63</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jacbts.2018.03.006</pub-id>, PMID: <pub-id pub-id-type="pmid">30175269</pub-id></citation></ref>
<ref id="ref28"><label>28.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>Z</given-names></name> <name><surname>Mahdi</surname><given-names>A</given-names></name> <name><surname>Tratsiakovich</surname><given-names>Y</given-names></name> <name><surname>Zahor&#x00E1;n</surname><given-names>S</given-names></name> <name><surname>K&#x00F6;vamees</surname><given-names>O</given-names></name> <name><surname>Nordin</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title>Erythrocytes from patients with type 2 diabetes induce endothelial dysfunction via arginase I</article-title>. <source>J Am Coll Cardiol</source>. (<year>2018</year>) <volume>72</volume>:<fpage>769</fpage>&#x2013;<lpage>80</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jacc.2018.05.052</pub-id>, PMID: <pub-id pub-id-type="pmid">30092954</pub-id></citation></ref>
<ref id="ref29"><label>29.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname><given-names>KA</given-names></name></person-group>. <article-title>Erythrocyte metabolism and enzyme defects</article-title>. <source>Lab Med</source>. (<year>1996</year>) <volume>27</volume>:<fpage>329</fpage>&#x2013;<lpage>33</lpage>. doi: <pub-id pub-id-type="doi">10.1093/labmed/27.5.329</pub-id></citation></ref>
<ref id="ref30"><label>30.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van Wijk</surname><given-names>R</given-names></name> <name><surname>van Solinge</surname><given-names>WW</given-names></name></person-group>. <article-title>The energy-less red blood cell is lost: erythrocyte enzyme abnormalities of glycolysis</article-title>. <source>Blood</source>. (<year>2005</year>) <volume>106</volume>:<fpage>4034</fpage>&#x2013;<lpage>42</lpage>. doi: <pub-id pub-id-type="doi">10.1182/blood-2005-04-1622</pub-id>, PMID: <pub-id pub-id-type="pmid">16051738</pub-id></citation></ref>
<ref id="ref31"><label>31.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garg</surname><given-names>M</given-names></name> <name><surname>Thamotharan</surname><given-names>M</given-names></name> <name><surname>Becker</surname><given-names>DJ</given-names></name> <name><surname>Devaskar</surname><given-names>SU</given-names></name></person-group>. <article-title>Adolescents with clinical type 1 diabetes display reduced red blood cell glucose transporter isoform 1 (GLUT1)</article-title>. <source>Pediatr Diabetes</source>. (<year>2014</year>) <volume>15</volume>:<fpage>511</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1111/pedi.12127</pub-id>, PMID: <pub-id pub-id-type="pmid">24552568</pub-id></citation></ref>
<ref id="ref32"><label>32.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname><given-names>XJ</given-names></name> <name><surname>Peng</surname><given-names>F</given-names></name> <name><surname>Zhou</surname><given-names>HQ</given-names></name> <name><surname>Zhang</surname><given-names>ZH</given-names></name> <name><surname>Cheng</surname><given-names>WY</given-names></name> <name><surname>Feng</surname><given-names>HF</given-names></name></person-group>. <article-title>The abnormality of glucose transporter in the erythrocyte membrane of Chinese type 2 diabetic patients</article-title>. <source>Biochim Biophys Acta</source>. (<year>2000</year>) <volume>1466</volume>:<fpage>306</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.1016/s0005-2736(00)00175-9</pub-id>, PMID: <pub-id pub-id-type="pmid">10825451</pub-id></citation></ref>
<ref id="ref33"><label>33.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hsieh</surname><given-names>W-C</given-names></name> <name><surname>Sutter</surname><given-names>BM</given-names></name> <name><surname>Ruess</surname><given-names>H</given-names></name> <name><surname>Barnes</surname><given-names>SD</given-names></name> <name><surname>Malladi</surname><given-names>VS</given-names></name> <name><surname>Tu</surname><given-names>BP</given-names></name></person-group>. <article-title>Glucose starvation induces a switch in the histone acetylome for activation of gluconeogenic and fat metabolism genes</article-title>. <source>Mol Cell</source>. (<year>2022</year>) <volume>82</volume>:<fpage>60</fpage>&#x2013;<lpage>74.e5</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.molcel.2021.12.015</pub-id></citation></ref>
<ref id="ref34"><label>34.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gabreanu</surname><given-names>GR</given-names></name> <name><surname>Angelescu</surname><given-names>S</given-names></name></person-group>. <article-title>Erythrocyte membrane in type 2 diabetes mellitus</article-title>. <source>Discoveries</source>. (<year>2016</year>) <volume>4</volume>:<fpage>e60</fpage>. doi: <pub-id pub-id-type="doi">10.15190/d.2016.7</pub-id>, PMID: <pub-id pub-id-type="pmid">32309579</pub-id></citation></ref>
<ref id="ref35"><label>35.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Obeagu</surname><given-names>EI</given-names></name></person-group>. <article-title>Red blood cells as biomarkers and mediators in complications of diabetes mellitus: a review</article-title>. <source>Medicine</source>. (<year>2024</year>) <volume>103</volume>:<fpage>e37265</fpage>. doi: <pub-id pub-id-type="doi">10.1097/MD.0000000000037265</pub-id>, PMID: <pub-id pub-id-type="pmid">38394525</pub-id></citation></ref>
<ref id="ref36"><label>36.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Constantin</surname><given-names>A</given-names></name> <name><surname>Constantinescu</surname><given-names>E</given-names></name> <name><surname>Dumitrescu</surname><given-names>M</given-names></name> <name><surname>Calin</surname><given-names>A</given-names></name> <name><surname>Popov</surname><given-names>D</given-names></name></person-group>. <article-title>Effects of ageing on carbonyl stress and antioxidant defense in RBCs of obese type 2 diabetic patients</article-title>. <source>J Cell Mol Med</source>. (<year>2005</year>) <volume>9</volume>:<fpage>683</fpage>&#x2013;<lpage>91</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1582-4934.2005.tb00498.x</pub-id>, PMID: <pub-id pub-id-type="pmid">16202215</pub-id></citation></ref>
<ref id="ref37"><label>37.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dincer</surname><given-names>Y</given-names></name> <name><surname>Akcay</surname><given-names>T</given-names></name> <name><surname>Alademir</surname><given-names>Z</given-names></name> <name><surname>Ilkova</surname><given-names>H</given-names></name></person-group>. <article-title>Effect of oxidative stress on glutathione pathway in red blood cells from patients with insulin-dependent diabetes mellitus</article-title>. <source>Metabolism</source>. (<year>2002</year>) <volume>51</volume>:<fpage>1360</fpage>&#x2013;<lpage>2</lpage>. doi: <pub-id pub-id-type="doi">10.1053/meta.2002.35192</pub-id>, PMID: <pub-id pub-id-type="pmid">12370859</pub-id></citation></ref>
<ref id="ref38"><label>38.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Waggiallah</surname><given-names>H</given-names></name> <name><surname>Alzohairy</surname><given-names>M</given-names></name></person-group>. <article-title>The effect of oxidative stress on human red cells glutathione peroxidase, glutathione reductase level, and prevalence of anemia among diabetics</article-title>. <source>N Am J Med Sci</source>. (<year>2011</year>) <volume>3</volume>:<fpage>344</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.4297/najms.2011.3344</pub-id>, PMID: <pub-id pub-id-type="pmid">22540111</pub-id></citation></ref>
<ref id="ref39"><label>39.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vallelian</surname><given-names>F</given-names></name> <name><surname>Pimenova</surname><given-names>T</given-names></name> <name><surname>Pereira</surname><given-names>CP</given-names></name> <name><surname>Abraham</surname><given-names>B</given-names></name> <name><surname>Mikolajczyk</surname><given-names>MG</given-names></name> <name><surname>Schoedon</surname><given-names>G</given-names></name> <etal/></person-group>. <article-title>The reaction of hydrogen peroxide with hemoglobin induces extensive &#x03B1;-globin crosslinking and impairs the interaction of hemoglobin with endogenous scavenger pathways</article-title>. <source>Free Radic Biol Med</source>. (<year>2008</year>) <volume>45</volume>:<fpage>1150</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2008.07.013</pub-id>, PMID: <pub-id pub-id-type="pmid">18708138</pub-id></citation></ref>
<ref id="ref40"><label>40.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nagababu</surname><given-names>E</given-names></name> <name><surname>Rifkind</surname><given-names>JM</given-names></name></person-group>. <article-title>Reaction of hydrogen peroxide with ferrylhemoglobin: superoxide production and heme degradation</article-title>. <source>Biochemistry</source>. (<year>2000</year>) <volume>39</volume>:<fpage>12503</fpage>&#x2013;<lpage>11</lpage>. doi: <pub-id pub-id-type="doi">10.1021/bi992170y</pub-id>, PMID: <pub-id pub-id-type="pmid">11015232</pub-id></citation></ref>
<ref id="ref41"><label>41.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rifkind</surname><given-names>JM</given-names></name> <name><surname>Mohanty</surname><given-names>JG</given-names></name> <name><surname>Nagababu</surname><given-names>E</given-names></name></person-group>. <article-title>The pathophysiology of extracellular hemoglobin associated with enhanced oxidative reactions</article-title>. <source>Front Physiol</source>. (<year>2015</year>) <volume>5</volume>:<fpage>500</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fphys.2014.00500</pub-id>, PMID: <pub-id pub-id-type="pmid">25642190</pub-id></citation></ref>
<ref id="ref42"><label>42.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gawron-Skarbek</surname><given-names>A</given-names></name> <name><surname>Guligowska</surname><given-names>A</given-names></name> <name><surname>Prymont-Przymi&#x0144;ska</surname><given-names>A</given-names></name> <name><surname>Nowak</surname><given-names>D</given-names></name> <name><surname>Kostka</surname><given-names>T</given-names></name></person-group>. <article-title>The anti-inflammatory and antioxidant impact of dietary fatty acids in cardiovascular protection in older adults may be related to vitamin C intake</article-title>. <source>Antioxidants</source>. (<year>2023</year>) <volume>12</volume>:<fpage>267</fpage>. doi: <pub-id pub-id-type="doi">10.3390/antiox12020267</pub-id>, PMID: <pub-id pub-id-type="pmid">36829826</pub-id></citation></ref>
<ref id="ref43"><label>43.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Manosalva</surname><given-names>C</given-names></name> <name><surname>Bahamonde</surname><given-names>C</given-names></name> <name><surname>Soto</surname><given-names>F</given-names></name> <name><surname>Leal</surname><given-names>V</given-names></name> <name><surname>Ojeda</surname><given-names>C</given-names></name> <name><surname>Cort&#x00E9;s</surname><given-names>C</given-names></name> <etal/></person-group>. <article-title>Linoleic acid induces metabolic reprogramming and inhibits oxidative and inflammatory effects in keratinocytes exposed to UVB radiation</article-title>. <source>Int J Mol Sci</source>. (<year>2024</year>) <volume>25</volume>:<fpage>10385</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms251910385</pub-id>, PMID: <pub-id pub-id-type="pmid">39408715</pub-id></citation></ref>
<ref id="ref44"><label>44.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sluyter</surname><given-names>R</given-names></name></person-group>. <article-title>P2X and P2Y receptor signaling in red blood cells</article-title>. <source>Front Mol Biosci</source>. (<year>2015</year>) <volume>2</volume>:<fpage>60</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fmolb.2015.00060</pub-id>, PMID: <pub-id pub-id-type="pmid">26579528</pub-id></citation></ref>
<ref id="ref45"><label>45.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>K</given-names></name> <name><surname>D&#x2019;Alessandro</surname><given-names>A</given-names></name> <name><surname>Xia</surname><given-names>Y</given-names></name></person-group>. <article-title>Purinergic control of red blood cell metabolism: novel strategies to improve red cell storage quality</article-title>. <source>Blood Transfus</source>. (<year>2017</year>) <volume>15</volume>:<fpage>535</fpage>. doi: <pub-id pub-id-type="doi">10.2450/2017.0366-16</pub-id></citation></ref>
<ref id="ref46"><label>46.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Acho</surname><given-names>MA</given-names></name> <name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Salau</surname><given-names>VF</given-names></name> <name><surname>Osemwegie</surname><given-names>OO</given-names></name> <name><surname>Amonsou</surname><given-names>E</given-names></name> <name><surname>Arise</surname><given-names>RO</given-names></name></person-group>. <article-title>Neem seed protein hydrolysates alleviate iron-induced cardiac injury via effects on angiotensin-converting enzyme, purinergic enzymes, redox balance, and lipid metabolism</article-title>. <source>Arch Physiol Biochem</source>. (<year>2025</year>):<fpage>1</fpage>&#x2013;<lpage>13</lpage>. doi: <pub-id pub-id-type="doi">10.1080/13813455.2025.2483912</pub-id></citation></ref>
<ref id="ref47"><label>47.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Agrawal</surname><given-names>R</given-names></name> <name><surname>Smart</surname><given-names>T</given-names></name> <name><surname>Nobre-Cardoso</surname><given-names>J</given-names></name> <name><surname>Richards</surname><given-names>C</given-names></name> <name><surname>Bhatnagar</surname><given-names>R</given-names></name> <name><surname>Tufail</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Assessment of red blood cell deformability in type 2 diabetes mellitus and diabetic retinopathy by dual optical tweezers stretching technique</article-title>. <source>Sci Rep</source>. (<year>2016</year>) <volume>6</volume>:<fpage>15873</fpage>. doi: <pub-id pub-id-type="doi">10.1038/srep15873</pub-id>, PMID: <pub-id pub-id-type="pmid">26976672</pub-id></citation></ref>
<ref id="ref48"><label>48.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gaszler</surname><given-names>P</given-names></name> <name><surname>L&#x0151;rinczy</surname><given-names>D</given-names></name> <name><surname>Szatm&#x00E1;ri</surname><given-names>D</given-names></name> <name><surname>B&#x00F3;dis</surname><given-names>B</given-names></name> <name><surname>T&#x00FC;rmer</surname><given-names>K</given-names></name></person-group>. <article-title>Thermal and morphological properties of human erythrocytes from patients afflicted with type 1 diabetes mellitus</article-title>. <source>Heliyon</source>. (<year>2025</year>) <volume>11</volume>:<fpage>e41046</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.heliyon.2024.e41046</pub-id>, PMID: <pub-id pub-id-type="pmid">39801990</pub-id></citation></ref>
<ref id="ref49"><label>49.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>AlSalhi</surname><given-names>S</given-names></name> <name><surname>Devanesan</surname><given-names>S</given-names></name> <name><surname>AlZahrani</surname><given-names>KE</given-names></name> <name><surname>AlShebly</surname><given-names>M</given-names></name> <name><surname>Al-Qahtani</surname><given-names>F</given-names></name> <name><surname>Farhat</surname><given-names>K</given-names></name> <etal/></person-group>. <article-title>Impact of diabetes mellitus on human erythrocytes: atomic force microscopy and spectral investigations</article-title>. <source>Int J Environ Res Public Health</source>. (<year>2018</year>) <volume>15</volume>:<fpage>2368</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph15112368</pub-id></citation></ref>
<ref id="ref50"><label>50.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Williams</surname><given-names>A</given-names></name> <name><surname>Bissinger</surname><given-names>R</given-names></name> <name><surname>Shamaa</surname><given-names>H</given-names></name> <name><surname>Patel</surname><given-names>S</given-names></name> <name><surname>Bourne</surname><given-names>L</given-names></name> <name><surname>Artunc</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title>Pathophysiology of red blood cell dysfunction in diabetes and its complications</article-title>. <source>Pathophysiology</source>. (<year>2023</year>) <volume>30</volume>:<fpage>327</fpage>&#x2013;<lpage>45</lpage>. doi: <pub-id pub-id-type="doi">10.3390/pathophysiology30030026</pub-id>, PMID: <pub-id pub-id-type="pmid">37606388</pub-id></citation></ref>
<ref id="ref51"><label>51.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>J</given-names></name> <name><surname>Xu</surname><given-names>J</given-names></name> <name><surname>Ye</surname><given-names>P</given-names></name> <name><surname>Xin</surname><given-names>X</given-names></name></person-group>. <article-title>Association between magnesium intake and the risk of anemia among adults in the United States</article-title>. <source>Front Nutr</source>. (<year>2023</year>) <volume>10</volume>:<fpage>1046749</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnut.2023.1046749</pub-id>, PMID: <pub-id pub-id-type="pmid">36908911</pub-id></citation></ref>
<ref id="ref52"><label>52.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Ross</surname><given-names>AC</given-names></name> <name><surname>Caballero</surname><given-names>B</given-names></name> <name><surname>Cousins</surname><given-names>RJ</given-names></name> <name><surname>Tucker</surname><given-names>KL</given-names></name></person-group>. <source>Modern nutrition in health and disease</source>. <publisher-loc>Burlington, MA</publisher-loc>: <publisher-name>Jones &#x0026; Bartlett Learning</publisher-name> (<year>2020</year>).</citation></ref>
<ref id="ref53"><label>53.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhan</surname><given-names>Y</given-names></name> <name><surname>Chen</surname><given-names>R</given-names></name> <name><surname>Zheng</surname><given-names>W</given-names></name> <name><surname>Guo</surname><given-names>C</given-names></name> <name><surname>Lu</surname><given-names>L</given-names></name> <name><surname>Ji</surname><given-names>X</given-names></name> <etal/></person-group>. <article-title>Association between serum magnesium and anemia: China health and nutrition survey</article-title>. <source>Biol Trace Elem Res</source>. (<year>2014</year>) <volume>159</volume>:<fpage>39</fpage>&#x2013;<lpage>45</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s12011-014-9967-x</pub-id>, PMID: <pub-id pub-id-type="pmid">24789475</pub-id></citation></ref>
<ref id="ref54"><label>54.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Ganz</surname><given-names>T</given-names></name></person-group>. <source>Understanding iron and red blood cell metabolism</source>. <publisher-loc>Washington, DC</publisher-loc>: <publisher-name>American Society of Hematology</publisher-name> (<year>2022</year>).</citation></ref>
<ref id="ref55"><label>55.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname><given-names>F</given-names></name> <name><surname>Li</surname><given-names>K</given-names></name> <name><surname>Xing</surname><given-names>W</given-names></name> <name><surname>Dong</surname><given-names>M</given-names></name> <name><surname>Yi</surname><given-names>M</given-names></name> <name><surname>Zhang</surname><given-names>H</given-names></name></person-group>. <article-title>Role of iron-related oxidative stress and mitochondrial dysfunction in cardiovascular diseases</article-title>. <source>Oxid Med Cell Longev</source>. (<year>2022</year>) <volume>2022</volume>:<fpage>5124553</fpage>. doi: <pub-id pub-id-type="doi">10.1155/2022/5124553</pub-id></citation></ref>
<ref id="ref56"><label>56.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Soremekun</surname><given-names>C</given-names></name> <name><surname>Jjingo</surname><given-names>D</given-names></name> <name><surname>Kateete</surname><given-names>D</given-names></name> <name><surname>Nash</surname><given-names>O</given-names></name> <name><surname>Grallert</surname><given-names>H</given-names></name> <name><surname>Peters</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Structural insights into conformational stability of both wild-type and mutant insulin receptor gene</article-title>. <source>Next Res</source>. (<year>2024</year>) <volume>1</volume>:<fpage>100041</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nexres.2024.100041</pub-id></citation></ref>
<ref id="ref57"><label>57.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>da Fonseca</surname><given-names>AM</given-names></name> <name><surname>Caluaco</surname><given-names>BJ</given-names></name> <name><surname>Madureira</surname><given-names>JMC</given-names></name> <name><surname>Cabongo</surname><given-names>SQ</given-names></name> <name><surname>Gaieta</surname><given-names>EM</given-names></name> <name><surname>Djata</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title>Screening of potential inhibitors targeting the main protease structure of SARS-CoV-2 via molecular docking, and approach with molecular dynamics, RMSD, RMSF, H-bond, SASA and MMGBSA</article-title>. <source>Mol Biotechnol</source>. (<year>2024</year>) <volume>66</volume>:<fpage>1919</fpage>&#x2013;<lpage>33</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s12033-023-00831-x</pub-id></citation></ref>
<ref id="ref58"><label>58.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bagewadi</surname><given-names>ZK</given-names></name> <name><surname>Khan</surname><given-names>TY</given-names></name> <name><surname>Gangadharappa</surname><given-names>B</given-names></name> <name><surname>Kamalapurkar</surname><given-names>A</given-names></name> <name><surname>Shamsudeen</surname><given-names>SM</given-names></name> <name><surname>Yaraguppi</surname><given-names>DA</given-names></name></person-group>. <article-title>Molecular dynamics and simulation analysis against superoxide dismutase (SOD) target of <italic>Micrococcus luteus</italic> with secondary metabolites from <italic>Bacillus licheniformis</italic> recognized by genome mining approach</article-title>. <source>Saudi J Biol Sci</source>. (<year>2023</year>) <volume>30</volume>:<fpage>103753</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.sjbs.2023.103753</pub-id>, PMID: <pub-id pub-id-type="pmid">37583871</pub-id></citation></ref>
<ref id="ref59"><label>59.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ghahremanian</surname><given-names>S</given-names></name> <name><surname>Rashidi</surname><given-names>MM</given-names></name> <name><surname>Raeisi</surname><given-names>K</given-names></name> <name><surname>Toghraie</surname><given-names>D</given-names></name></person-group>. <article-title>Molecular dynamics simulation approach for discovering potential inhibitors against SARS-CoV-2: a structural review</article-title>. <source>J Mol Liq</source>. (<year>2022</year>) <volume>354</volume>:<fpage>118901</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.molliq.2022.118901</pub-id>, PMID: <pub-id pub-id-type="pmid">35309259</pub-id></citation></ref>
<ref id="ref60"><label>60.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hashemzadeh</surname><given-names>H</given-names></name> <name><surname>Javadi</surname><given-names>H</given-names></name> <name><surname>Darvishi</surname><given-names>M</given-names></name></person-group>. <article-title>Study of structural stability and formation mechanisms in DSPC and DPSM liposomes: a coarse-grained molecular dynamics simulation</article-title>. <source>Sci Rep</source>. (<year>2020</year>) <volume>10</volume>:<fpage>1837</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-020-58730-z</pub-id>, PMID: <pub-id pub-id-type="pmid">32020000</pub-id></citation></ref>
<ref id="ref61"><label>61.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Raevsky</surname><given-names>OA</given-names></name> <name><surname>Schaper</surname><given-names>KJ</given-names></name> <name><surname>van de Waterbeemd</surname><given-names>H</given-names></name> <name><surname>McFarland</surname><given-names>JW</given-names></name></person-group>. <article-title>Hydrogen bond contributions to properties and activities of chemicals and drugs molecular modeling and prediction of bioactivity</article-title> In: <source>Molecular modeling and prediction of bioactivity</source>. <publisher-loc>Boston, MA</publisher-loc>: <publisher-name>Springer</publisher-name> (<year>2000</year>). <fpage>221</fpage>&#x2013;<lpage>7</lpage>.</citation></ref>
<ref id="ref62"><label>62.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Chandrasekaran</surname><given-names>B</given-names></name> <name><surname>Abed</surname><given-names>SN</given-names></name> <name><surname>Al-Attraqchi</surname><given-names>O</given-names></name> <name><surname>Kuche</surname><given-names>K</given-names></name> <name><surname>Tekade</surname><given-names>RK</given-names></name></person-group>. <article-title>Computer-aided prediction of pharmacokinetic (ADMET) properties</article-title> In: <source>Dosage form design parameters</source>. <publisher-loc>Amsterdam</publisher-loc>: <publisher-name>Elsevier</publisher-name> (<year>2018</year>). <fpage>731</fpage>&#x2013;<lpage>55</lpage>.</citation></ref>
<ref id="ref63"><label>63.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Erukainure</surname><given-names>OL</given-names></name> <name><surname>Chukwuma</surname><given-names>CI</given-names></name></person-group>. <article-title>Kolaviron mitigates purinergic dysfunction and modulates carbohydrate metabolism in iron-induced oxidative injury in vero cells</article-title>. <source>J Biol Act Prod Nat</source>. (<year>2025</year>) <volume>15</volume>:<fpage>72</fpage>&#x2013;<lpage>87</lpage>. doi: <pub-id pub-id-type="doi">10.1080/22311866.2025.2465677</pub-id></citation></ref>
<ref id="ref64"><label>64.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xiao</surname><given-names>F</given-names></name> <name><surname>Chen</surname><given-names>Z</given-names></name> <name><surname>Wei</surname><given-names>Z</given-names></name> <name><surname>Tian</surname><given-names>L</given-names></name></person-group>. <article-title>Hydrophobic interaction: a promising driving force for the biomedical applications of nucleic acids</article-title>. <source>Adv Sci</source>. (<year>2020</year>) <volume>7</volume>:<fpage>2001048</fpage>. doi: <pub-id pub-id-type="doi">10.1002/advs.202001048</pub-id>, PMID: <pub-id pub-id-type="pmid">32832360</pub-id></citation></ref>
<ref id="ref65"><label>65.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname><given-names>Y</given-names></name> <name><surname>Wang</surname><given-names>M</given-names></name> <name><surname>Huang</surname><given-names>G</given-names></name></person-group>. <article-title>Structure-activity relationship and interaction mechanism of nine structurally similar flavonoids and &#x03B1;-amylase</article-title>. <source>J Funct Foods</source>. (<year>2021</year>) <volume>86</volume>:<fpage>104739</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jff.2021.104739</pub-id></citation></ref>
<ref id="ref66"><label>66.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sinha</surname><given-names>N</given-names></name> <name><surname>Smith-Gill</surname><given-names>SJ</given-names></name></person-group>. <article-title>Electrostatics in protein binding and function</article-title>. <source>Curr Protein Pept Sci</source>. (<year>2002</year>) <volume>3</volume>:<fpage>601</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.2174/1389203023380431</pub-id>, PMID: <pub-id pub-id-type="pmid">12470214</pub-id></citation></ref>
<ref id="ref67"><label>67.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>H-X</given-names></name> <name><surname>Pang</surname><given-names>X</given-names></name></person-group>. <article-title>Electrostatic interactions in protein structure, folding, binding, and condensation</article-title>. <source>Chem Rev</source>. (<year>2018</year>) <volume>118</volume>:<fpage>1691</fpage>&#x2013;<lpage>741</lpage>. doi: <pub-id pub-id-type="doi">10.1021/acs.chemrev.7b00305</pub-id>, PMID: <pub-id pub-id-type="pmid">29319301</pub-id></citation></ref>
<ref id="ref68"><label>68.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bondar</surname><given-names>A-N</given-names></name></person-group>. <article-title>Interplay between local protein interactions and water bridging of a proton antenna carboxylate cluster</article-title>. <source>Biochim Biophys Acta</source>. (<year>2022</year>) <volume>1864</volume>:<fpage>184052</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.bbamem.2022.184052</pub-id>, PMID: <pub-id pub-id-type="pmid">36116514</pub-id></citation></ref>
<ref id="ref69"><label>69.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lama</surname><given-names>D</given-names></name> <name><surname>Pradhan</surname><given-names>MR</given-names></name> <name><surname>Brown</surname><given-names>CJ</given-names></name> <name><surname>Eapen</surname><given-names>RS</given-names></name> <name><surname>Joseph</surname><given-names>TL</given-names></name> <name><surname>Kwoh</surname><given-names>CK</given-names></name> <etal/></person-group>. <article-title>Water-bridge mediates recognition of mRNA cap in eIF4E</article-title>. <source>Structure</source>. (<year>2017</year>) <volume>25</volume>:<fpage>188</fpage>&#x2013;<lpage>94</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.str.2016.11.006</pub-id>, PMID: <pub-id pub-id-type="pmid">27916520</pub-id></citation></ref>
<ref id="ref70"><label>70.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Law</surname><given-names>PB</given-names></name> <name><surname>Daggett</surname><given-names>V</given-names></name></person-group>. <article-title>The relationship between water bridges and the polyproline II conformation: a large-scale analysis of molecular dynamics simulations and crystal structures</article-title>. <source>Protein Eng Des Sel</source>. (<year>2010</year>) <volume>23</volume>:<fpage>27</fpage>&#x2013;<lpage>33</lpage>. doi: <pub-id pub-id-type="doi">10.1093/protein/gzp069</pub-id>, PMID: <pub-id pub-id-type="pmid">19917655</pub-id></citation></ref>
<ref id="ref71"><label>71.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bowers</surname><given-names>KJ</given-names></name> <name><surname>Chow</surname><given-names>E</given-names></name> <name><surname>Xu</surname><given-names>H</given-names></name> <name><surname>Dror</surname><given-names>RO</given-names></name> <name><surname>Eastwood</surname><given-names>MP</given-names></name> <name><surname>Gregersen</surname><given-names>BA</given-names></name> <etal/></person-group>. <article-title>Scalable algorithms for molecular dynamic simulations on commodity clusters. In: Proceedings of the 2006 ACM/IEEE Conference on Supercomputing</article-title>. (<year>2006</year>) p 84&#x2013;es., PMID: <pub-id pub-id-type="pmid">27916520</pub-id></citation></ref>
<ref id="ref72"><label>72.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Martyna</surname><given-names>GJ</given-names></name> <name><surname>Tobias</surname><given-names>DJ</given-names></name> <name><surname>Klein</surname><given-names>ML</given-names></name></person-group>. <article-title>Constant pressure molecular dynamics algorithms</article-title>. <source>J chem Phys</source>. (<year>1994</year>) <volume>101</volume>:10.1063, PMID: <pub-id pub-id-type="pmid">19917655</pub-id></citation></ref>
</ref-list>
</back>
</article>