Bouderba Saida, Sanchez-Martin Carlos, Villanueva Gloria R, Detaille Dominique, Koceïr E Ahmed
Laboratory of Bioenergetics and Intermediary Metabolism, Department of Biological Sciences and Physiology, University of Sciences and Technology Houari Boumédiene (USTHB), Algiers, Algeria.
J Diabetes. 2014 Mar;6(2):184-92. doi: 10.1111/1753-0407.12083. Epub 2013 Sep 30.
Insulin resistance and oxidative stress are major pathogenic mechanisms leading to chronic liver diseases in diabetic subjects. The gerbil Psammomys obesus is a unique model of nutritional diabetes resembling the disease in humans. This study investigated whether the natural ingredient silibinin, known as hepatoprotective, could decrease oxidative stress and reduce liver damage in obese gerbils.
Control animals were fed their vegetable-based low caloric diet while two other rat groups ingested a high calorie diet for 14 weeks. Silibinin, or its vehicle, was administrated by gastric intubation (100 mg/kg per day) from the 7th week of treatment, which corresponds to an established insulin resistance state. At the end of the experiments, the hepatic biochemical profile, markers of oxidative stress in either plasma or liver tissue, and histological alterations were examined.
Diabetic P. obesus displayed many metabolic disturbances (hyperinsulinemia, hyperglycemia, dyslipidemia), which were aggravated for the last 8 weeks. These events were coupled with greater oxidative stress (decline in glutathione, rise in lipoperoxidation). In addition, glutathione peroxidase activity was reduced while the level of superoxide dismutase was elevated. Interestingly, treatment with silibinin alleviated most of the metabolic defects, especially high triglyceride levels, reduced insulin resistance and largely restored antioxidant status. Also, Masson's trichrome staining revealed distinct steatosis, yet silibinin partially reversed this manifestation.
Silibinin affords substantial protection against the progression of insulin resistance in Type 2 diabetes mellitus for P. obesus by hampering the oxidative process and improving hepatic metabolism.
胰岛素抵抗和氧化应激是导致糖尿病患者慢性肝病的主要致病机制。肥胖沙鼠是一种独特的营养性糖尿病模型,与人类疾病相似。本研究调查了具有肝脏保护作用的天然成分水飞蓟宾是否能降低肥胖沙鼠的氧化应激并减轻肝脏损伤。
对照组动物喂食以蔬菜为基础的低热量饮食,而另外两组大鼠摄入高热量饮食14周。从治疗第7周开始通过胃管给予水飞蓟宾或其赋形剂(每天100 mg/kg),此时对应已建立的胰岛素抵抗状态。实验结束时,检测肝脏生化指标、血浆或肝脏组织中的氧化应激标志物以及组织学改变。
糖尿病肥胖沙鼠出现许多代谢紊乱(高胰岛素血症、高血糖、血脂异常),在最后8周加重。这些情况伴随着更大的氧化应激(谷胱甘肽下降、脂质过氧化增加)。此外,谷胱甘肽过氧化物酶活性降低而超氧化物歧化酶水平升高。有趣的是,水飞蓟宾治疗减轻了大多数代谢缺陷,尤其是高甘油三酯水平,降低了胰岛素抵抗并在很大程度上恢复了抗氧化状态。此外,Masson三色染色显示明显的脂肪变性,但水飞蓟宾部分逆转了这种表现。
水飞蓟宾通过阻碍氧化过程和改善肝脏代谢,为肥胖沙鼠的2型糖尿病胰岛素抵抗进展提供了实质性保护。