Barman Susmita, Srinivasan Krishnapura
Department of Biochemistry and Nutrition, CSIR - Central Food Technological Research Institute, Mysore 570 020, India.
Can J Physiol Pharmacol. 2016 Dec;94(12):1356-1365. doi: 10.1139/cjpp-2016-0084. Epub 2016 Aug 7.
The cause and effect relationship between diabetes and zinc is complex and unclear. This animal study has examined the potential of zinc supplementation in beneficial modulating hyperglycemia, insulin secretion, and metabolic abnormalities associated with diabetes. The study was conducted in streptozotocin-induced diabetic rats. Groups of hyperglycemic rats were subjected to dietary interventions for 6 weeks with zinc supplementation (5 times and 10 times the normal level). Supplemental-zinc-fed diabetic groups showed significant control on hyperglycemia and hypoinsulinemia. There was a significant reduction in protein glycosylation, glucosuria, and urinary excretion of proteins and urea in diabetic animals maintained on a zinc-supplemented diet. Diabetic rats showed significantly higher plasma albumin and lower plasma urea and creatinine levels upon zinc supplementation. Significant alterations in insulin sensitivity indices HOMA-IR, HOMA-B, and QUICKI were also indicated by zinc supplementation. The pathological abnormalities in pancreatic islets of diabetic animals were significantly alleviated by dietary zinc intervention. This study provides the first evidence that zinc supplementation can partially ameliorate the severity of diabetic hyperglycemia and associated metabolic abnormalities, hypoinsulinemia, insulin resistance, and altered pancreatic morphology. Thus, zinc supplementation may offer a significant potential for clinical application in managing diabetic hyperglycemia and related metabolic complications.
糖尿病与锌之间的因果关系复杂且尚不明确。这项动物研究考察了补充锌在有益调节高血糖、胰岛素分泌以及与糖尿病相关的代谢异常方面的潜力。该研究在链脲佐菌素诱导的糖尿病大鼠中进行。将高血糖大鼠分组,进行为期6周的饮食干预,补充锌(正常水平的5倍和10倍)。补充锌的糖尿病组在高血糖和低胰岛素血症方面得到了显著控制。在以补充锌的饮食喂养的糖尿病动物中,蛋白质糖基化、糖尿以及蛋白质和尿素的尿排泄量均显著降低。补充锌后,糖尿病大鼠的血浆白蛋白显著升高,血浆尿素和肌酐水平降低。补充锌还表明胰岛素敏感性指数HOMA-IR、HOMA-B和QUICKI有显著变化。饮食锌干预显著减轻了糖尿病动物胰岛的病理异常。这项研究首次证明,补充锌可部分改善糖尿病高血糖的严重程度以及相关的代谢异常、低胰岛素血症、胰岛素抵抗和胰腺形态改变。因此,补充锌在治疗糖尿病高血糖及相关代谢并发症方面可能具有显著的临床应用潜力。