Ceylan-Isik Asli, Hünkar Tuğba, Aşan Esin, Kaymaz Fugen, Ari Nuray, Söylemezoğlu Tülin, Renda Nurten, Soncul Halim, Bali Musa, Karasu Cimen
Department of Pharmacology, Faculty of Pharmacy, Ankara University, Ankara, Turkey.
J Pharm Pharmacol. 2007 Dec;59(12):1629-41. doi: 10.1211/jpp.59.12.0004.
Abnormalities in the metabolism of essential fatty acids and the results of increased oxidative stress have been implicated in cardiovascular disorders observed in diabetes mellitus. This study, therefore, aimed to investigate the effects of cod liver oil (CLO, Lysi Ltd, Iceland), which comprises mainly an antioxidant vitamin A, n:3 polyunsaturated fatty acids (n:3 PUFAs), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), on cardiovascular abnormalities in streptozotocin (STZ)-diabetic rats. Two days after single STZ (55 mg kg(-1), i.p.) or vehicle injection, diabetes was verified by increased blood glucose, and non-diabetic and diabetic rats were left untreated or treated with CLO (0.5 mL kg(-1) daily, by intragastric probing) for 12 weeks. Plasma glucose, triacylglycerol and cholesterol concentrations were significantly elevated in 12-week untreated-diabetic rats; CLO provided better weight gain, entirely prevented the plasma lipid abnormalities, but partially controlled the glycaemia in diabetic rats. In isolated aorta rings, diabetes resulted in increased phenylephrine-induced vasoconstriction and isoprenaline-induced vasorelaxation, impaired endothelium-dependent vasodilatation and unchanged responsiveness to sodium nitroprusside. CLO treatment completely prevented endothelial deficiency, partly corrected the phenylephrine-induced vasoconstriction and did not affect the responses to isoprenaline and sodium nitroprusside in diabetic aorta. Diabetes also produced a marked decrease in the rate of spontaneously beating right atria and a significant increase in basal contractile force of left ventricular papillary muscle. The responsiveness of right atria to the positive chronotropic effect of isoprenaline was significantly decreased in diabetic rats, and was increased in CLO-treated diabetic rats. The positive chronotropic effect of noradrenaline was markedly increased in diabetic atria, but prevented by CLO treatment. Diabetes also resulted in an increased positive inotropic response of papillary muscle to both noradrenaline and isoprenaline, which were prevented by CLO treatment. CLO treatment also resulted in lower tissue sensitivity (pD(2)) to these agonists in diabetic papillary muscle. Ventricular hydroxyproline content was found to be unchanged among the experimental groups. The ultrastructure of diabetic myocardium displayed various degenerations (i.e. intracellular oedema, myofibrillar fragmentation, condensed pleomorphic mitochondria, thick capillary irregular basement membrane, swollen endothelial cells), which were partially prevented by CLO treatment. We conclude that the supplementation with CLO is effective in preventing cardiovascular disorders observed in experimental diabetes.
必需脂肪酸代谢异常以及氧化应激增加的结果与糖尿病中观察到的心血管疾病有关。因此,本研究旨在探讨主要包含抗氧化维生素A、n-3多不饱和脂肪酸(n-3 PUFAs)、二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)的鱼肝油(CLO,冰岛Lysi有限公司)对链脲佐菌素(STZ)诱导的糖尿病大鼠心血管异常的影响。单次注射STZ(55 mg kg(-1),腹腔注射)或溶剂两天后,通过血糖升高来验证糖尿病,未治疗的非糖尿病和糖尿病大鼠或用CLO(每天0.5 mL kg(-1),经胃探针给药)治疗12周。12周未治疗的糖尿病大鼠血浆葡萄糖、三酰甘油和胆固醇浓度显著升高;CLO使体重增加更好,完全预防了血浆脂质异常,但部分控制了糖尿病大鼠的血糖。在离体主动脉环中,糖尿病导致去氧肾上腺素诱导的血管收缩增加和异丙肾上腺素诱导的血管舒张增加,内皮依赖性血管舒张受损,对硝普钠的反应性不变。CLO治疗完全预防了内皮功能缺陷,部分纠正了去氧肾上腺素诱导的血管收缩,且不影响糖尿病主动脉对异丙肾上腺素和硝普钠的反应。糖尿病还使右心房自发搏动率显著降低,左心室乳头肌基础收缩力显著增加。糖尿病大鼠右心房对异丙肾上腺素正性变时作用的反应性显著降低,而CLO治疗的糖尿病大鼠则增加。去甲肾上腺素在糖尿病心房中的正性变时作用显著增加,但CLO治疗可预防。糖尿病还导致乳头肌对去甲肾上腺素和异丙肾上腺素的正性变力反应增加,CLO治疗可预防。CLO治疗还导致糖尿病乳头肌对这些激动剂的组织敏感性(pD(2))降低。发现实验组间心室羟脯氨酸含量无变化。糖尿病心肌的超微结构显示出各种变性(即细胞内水肿、肌原纤维断裂、线粒体浓缩多形性、毛细血管基底膜增厚不规则、内皮细胞肿胀),CLO治疗可部分预防这些变性。我们得出结论,补充CLO可有效预防实验性糖尿病中观察到的心血管疾病。