Biochemistry Department, Faculty of Vet. Med., Benha Universtiy, Moshtohor, Tukh, Qalubia, Egypt.
Department of Forensic Medicine and Toxicology, Faculty of Vet. Med., Benha University, Moshtohor, Tukh, Qalubia, Egypt.
Phytomedicine. 2018 Apr 1;43:126-134. doi: 10.1016/j.phymed.2018.04.039. Epub 2018 Apr 17.
Modified herbal medicines implicate the combination of several therapeutic practices of native systems of medicine that may extend many earlier generations, which frequently afford valuable therapeutic benefits.
In this study, the role of nano-curcumin and aged garlic extract (AGE) as two modified phytomedicines on alleviating both of advanced glycation end products (AGEPs) and oxidative stress (OS) in streptozotocin (STZ) induced diabetic rats were investigated during this study.
Nano-curcumin and AGE suspension were orally administrated at a dose of 300, 500 mg/kg body weight respectively. Serum glucose, insulin, total cholesterol, triglycerides and myocardial enzyme activities including creatine kinase-isoenzyme (CK-MB), lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) were determined biochemically, while quantitative real-time polymerase chain reaction (qRT-PCR)-test had been used to determine relative of manganese-superoxide dismutase (Mn-SOD) and receptor for advanced glycation end products (RAGE) gene expressions in the heart tissue of rats. Structure of rat's heart tissue was examined by histopathological analysis (H&E).
AGE increased the body weight and insulin concentration, while, it decreased serum glucose concentration, CK-MB, and LDH enzyme activities in comparing with the diabetic group. In addition, total cholesterol, triglycerides, and AST didn't show any significant changes in serum values of AGE compared to diabetic rats. Nano-curcumin suspension decreased the serum levels of triglycerides, CK- MB, LDH, and AST. While, there were non-significant changes in the body weight, glucose, insulin, and total cholesterol level of the same group compared with the STZ- untreated induced diabetic rats. The transcript quantity of manganese-superoxide dismutase gene (Mn-SOD) was highly accumulated (3.25 and 3.87-fold) in the heart tissue sample of the induced diabetic rats in response to both nano-Curcumin and AGE suspension respectively. While AGE was the most potent treatment where it caused down regulation of the receptor for advanced glycation end products gene (RAGE) expression (1.79-fold). Results of histopathological analyses under the light microscope showed restoring the structural integrity of the myocytes towards normalization in diabetic hearts treated with each of nano-curcumin and AGE suspension compared with the untreated diabetic heart samples.
Nano-curcumin and AGE suspension have a great therapeutic potential in the treatment of DCM, Diabetic cardiomyopathy, by attenuating cardiac inflammation, myocardial fibrosis, and programmed myocardial cell deaths through inhibiting OS and AGEPs accumulation in diabetic heart tissue. Furthermore, the hypoglycemic antioxidant properties of AGE resulted in more potent therapeutic effect than nano-curcumin in the treatment of diabetic hearts.
改良草药涉及几种本土医学治疗实践的结合,这些实践可能可以追溯到更早的几代人,并且经常提供有价值的治疗益处。
在这项研究中,研究了纳米姜黄素和陈年大蒜提取物 (AGE) 作为两种改良植物药在减轻链脲佐菌素 (STZ) 诱导的糖尿病大鼠中晚期糖基化终产物 (AGEP) 和氧化应激 (OS) 方面的作用。
分别以 300、500mg/kg 体重的剂量口服给予纳米姜黄素和 AGE 混悬液。通过生化方法测定血清葡萄糖、胰岛素、总胆固醇、甘油三酯和心肌酶活性,包括肌酸激酶同工酶 (CK-MB)、乳酸脱氢酶 (LDH) 和天冬氨酸氨基转移酶 (AST),同时使用实时定量聚合酶链反应 (qRT-PCR) 测定大鼠心脏组织中锰超氧化物歧化酶 (Mn-SOD) 和晚期糖基化终产物受体 (RAGE) 基因的相对表达。通过组织病理学分析 (H&E) 检查大鼠心脏组织的结构。
AGE 增加了体重和胰岛素浓度,同时降低了与糖尿病组相比的血清葡萄糖浓度、CK-MB 和 LDH 酶活性。此外,与糖尿病大鼠相比,AGE 对血清总胆固醇、甘油三酯和 AST 水平没有显示出任何显著变化。纳米姜黄素混悬液降低了血清甘油三酯、CK-MB、LDH 和 AST 水平。而同一组的体重、葡萄糖、胰岛素和总胆固醇水平与未经 STZ 处理的诱导型糖尿病大鼠相比没有明显变化。锰超氧化物歧化酶基因 (Mn-SOD) 的转录量在纳米姜黄素和 AGE 混悬液处理的诱导型糖尿病大鼠心脏组织样本中分别高度积累 (3.25 和 3.87 倍)。而 AGE 是最有效的治疗方法,它导致晚期糖基化终产物受体基因 (RAGE) 表达下调 (1.79 倍)。在光镜下的组织病理学分析结果表明,与未经治疗的糖尿病心脏样本相比,纳米姜黄素和 AGE 混悬液处理的糖尿病心脏中的肌细胞结构完整性恢复正常。
纳米姜黄素和 AGE 混悬液通过抑制 OS 和 AGEP 在糖尿病心脏组织中的积累,具有减轻心脏炎症、心肌纤维化和程序性心肌细胞死亡的巨大治疗潜力,从而在治疗 DCM、糖尿病心肌病方面具有巨大的治疗潜力。此外,AGE 的降血糖抗氧化特性使其在治疗糖尿病心脏方面比纳米姜黄素具有更强的治疗效果。