Al-Matubsi Hisham Y, Oriquat Ghaleb A, Abu-Samak Mahmoud, Al Hanbali Othman A, Salim Maher D
Faculty of Pharmacy, University of Petra, Amman, Jordan.
Faculty of Pharmacy and Medical Sciences, Al-Ahliyya Amman University, Amman, Jordan.
J Diabetes Res. 2016;2016:9354937. doi: 10.1155/2016/9354937. Epub 2016 Nov 30.
Our aim was to evaluate the protective effect of lipoic acid (LA) on fetal outcome of diabetic mothers. Diabetes was induced in female rats using streptozotocin and rats were made pregnant. Pregnant control (group 1; = 9; and group 2; = 7) or pregnant diabetic (group 3; = 10; and group 4; = 8) rats were treated daily with either LA (groups 2 and 4) or vehicle (groups 1 and 3) between gestational days 0 and 15. On day 15 of gestation, the fetuses, placentas, and membranes were dissected, examined morphologically, and then homogenized, to measure cyclooxygenase (COX) activities and metabolisms of prostaglandin (PG) E (PGEM) and PGF (PGFM) levels. The level of total glutathione was measured in the maternal liver and plasma and in all fetuses. Supplementation of diabetic rats with LA was found to significantly ( < 0.05) reduce resorption rates in diabetic rats and led to a significant ( < 0.05) increase in liver, plasma, and fetuses total glutathione from LA-TD rats as compared to those from V-TD. Decreased levels of PGEM and elevated levels of PGFM in the fetuses, placentas, and membranes were characteristic of experimental diabetic gestation associated with malformation. The levels of PGEM in malformed fetuses from LA-TD mothers was significantly ( < 0.05) higher than those in malformed fetuses from V-TD rats. LA treatment did not completely prevent the occurrence of malformations. Thus, other factors may be involved in the pathogenesis of the diabetes-induced congenital malformations.
我们的目的是评估硫辛酸(LA)对糖尿病母亲胎儿结局的保护作用。使用链脲佐菌素诱导雌性大鼠患糖尿病,然后使其怀孕。在妊娠第0天至15天期间,对妊娠对照组(第1组,n = 9;第2组,n = 7)或妊娠糖尿病组(第3组,n = 10;第4组,n = 8)的大鼠每天给予LA(第2组和第4组)或赋形剂(第1组和第3组)。在妊娠第15天,解剖胎儿、胎盘和胎膜,进行形态学检查,然后匀浆,以测量环氧化酶(COX)活性以及前列腺素(PG)E(PGEM)和PGF(PGFM)水平的代谢情况。测定母体肝脏、血浆以及所有胎儿中的总谷胱甘肽水平。结果发现,给糖尿病大鼠补充LA可显著(P < 0.05)降低糖尿病大鼠的吸收发生率,并导致与给予赋形剂的糖尿病大鼠(V - TD)相比,给予LA的糖尿病大鼠(LA - TD)的肝脏、血浆和胎儿中的总谷胱甘肽显著(P < 0.05)增加。胎儿、胎盘和胎膜中PGEM水平降低以及PGFM水平升高是与畸形相关的实验性糖尿病妊娠的特征。来自LA - TD母亲的畸形胎儿中的PGEM水平显著(P < 0.05)高于来自V - TD大鼠的畸形胎儿中的PGEM水平。LA治疗并未完全预防畸形的发生。因此,其他因素可能参与了糖尿病诱导的先天性畸形的发病机制。