Grover J K, Vats V, Yadav S S
Department of Pharmacology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Diabetes Obes Metab. 2005 Jul;7(4):414-20. doi: 10.1111/j.1463-1326.2005.00414.x.
Insulin resistance (hyperinsulinaemia) is now recognized as a major contributor to the development of glucose intolerance, dyslipidaemia and hypertension in non-insulin-dependent diabetes mellitus (NIDDM) patients. Sedentary lifestyle, consumption of energy-rich diet, obesity, longer lifespan, etc., are important reasons for this rise (J. R. Turtle, Int J Clin Prac 2000; 113: 23). Aqueous extracts of Pterocarpus marsupium Linn bark (PM), Ocimum sanctum Linn leaves (OS) and Trigonella foenumgraecum Linn seeds (FG) have been shown to exert hypoglycaemic/antihyperglycaemic effect in experimental as well as clinical setting. As no work has been carried out so far to assess the effect of PM, OS and FG on fructose-induced hyperglycaemia, hyperinsulinaemia and hypertriglyceridaemia, we undertook this study to assess whether these extracts attenuate the metabolic alteration induced by fructose-rich diet in rats. Five groups of rats (eight each) were fed chow diet, 66% fructose diet, 66% fructose diet + PM leaves extract (1 g/kg/day), 66% fructose diet + OS leaves extract (200 mg/kg/day) and 66% fructose diet + FG seeds extract (2 g/kg/day) for 30 days. Fructose feeding to normal rats for 30 days significantly increased serum glucose, insulin and triglyceride levels in comparison with control. Treatment with all the three plants extract for 30 days significantly lowered the serum glucose levels in comparison with control group. However, only PM extract substantially prevented hypertriglyceridaemia and hyperinsulinaemia, while OS and FG had no significant effect on these parameters. Results of this study, in addition to previous clinical benefits of PM seen in NIDDM subjects, are suggestive of usefulness of PM bark (Vijayasar) in insulin resistance, the associated disorder of type 2 diabetes; however, OS and FG may not be useful. Though several antidiabetic principles (-epicatechin, pterosupin, marsupin and pterostilbene) have been identified in the PM, yet future studies are required to certify their efficacy and safety before clinical scenario.
胰岛素抵抗(高胰岛素血症)目前被认为是非胰岛素依赖型糖尿病(NIDDM)患者发生糖耐量异常、血脂异常和高血压的主要原因。久坐的生活方式、高能量饮食的摄入、肥胖、寿命延长等,是这种情况增加的重要原因(J.R. Turtle,《国际临床实践杂志》2000年;113:23)。紫檀树皮(PM)、圣罗勒叶(OS)和胡芦巴籽(FG)的水提取物在实验和临床环境中均已显示出具有降血糖/抗高血糖作用。由于目前尚未开展评估PM、OS和FG对果糖诱导的高血糖、高胰岛素血症和高甘油三酯血症影响的研究,我们进行了这项研究,以评估这些提取物是否能减轻富含果糖饮食在大鼠中诱导的代谢改变。将五组大鼠(每组八只)分别喂食普通饲料、66%果糖饲料、66%果糖饲料+PM叶提取物(1克/千克/天)、66%果糖饲料+OS叶提取物(200毫克/千克/天)和66%果糖饲料+FG籽提取物(2克/千克/天),持续30天。与对照组相比,给正常大鼠喂食果糖30天显著提高了血清葡萄糖、胰岛素和甘油三酯水平。与对照组相比,用所有三种植物提取物处理30天显著降低了血清葡萄糖水平。然而,只有PM提取物能显著预防高甘油三酯血症和高胰岛素血症,而OS和FG对这些参数没有显著影响。这项研究的结果,除了之前在NIDDM患者中观察到的PM的临床益处外,还表明紫檀树皮(毗耶娑罗)对胰岛素抵抗(2型糖尿病的相关病症)有用;然而,OS和FG可能没有用。尽管在PM中已鉴定出几种抗糖尿病成分(-表儿茶素、紫檀素、紫铆素和紫檀芪),但在临床应用之前,还需要进一步研究来证实它们的疗效和安全性。