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桑叶活性成分通过胰岛素受体和 TGF-β/Smads 信号通路缓解 db/db 小鼠 2 型糖尿病及其肝肾损伤。

Mulberry leaf active components alleviate type 2 diabetes and its liver and kidney injury in db/db mice through insulin receptor and TGF-β/Smads signaling pathway.

机构信息

Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, National and Local Collaborative Engineering Center of Chinese Medicinal Resources Industrialization and Formulae Innovative Medicine, Key Laboratory of Chinese Medicinal Resources Recycling Utilization, State Administration of Traditional Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China.

Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, National and Local Collaborative Engineering Center of Chinese Medicinal Resources Industrialization and Formulae Innovative Medicine, Key Laboratory of Chinese Medicinal Resources Recycling Utilization, State Administration of Traditional Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China.

出版信息

Biomed Pharmacother. 2019 Apr;112:108675. doi: 10.1016/j.biopha.2019.108675. Epub 2019 Feb 16.

Abstract

Mulberry leaf is one of the commonly used traditional Chinese medicines, has been shown to exert hypoglycemic effects against diabetes. The aim of this study is to investigate the effects and mechanism of mulberry leaf flavonoids (MF), polysaccharides (MP) and alkaloids (MA) on diabetic and its liver and kidney injury. The db/db mice was adopted and the results showed that the FBG (fasting blood glucose) of model group continued to increase and associated liver and kidney injury. After the intervention of MP and MA, the value of FBG exhibited the most obvious hypoglycemic effect. MF and MP have obvious improved effect on kidney injury, which reduced the content of mALB/Cre (microalbumin/creatinine) in urine and improved the tubular epithelial cells edematous and renal cystic epithelial thickening. While the MF and MA possessed a significant effect on liver damage, manifested in reducing the levels of ALT (alanine aminotransferase) and AST (aspartate aminotransferase) and pathological changes of liver on db/db mice. Through metabolomics analysis, 13 endogenous potential biomarkers were identified in serum. The three effective components of mulberry can regulate the 13 potential biomarkers and the corresponding metabolic pathway. Collectively, the components of mulberry leaf have clear hypoglycemic effect and protective effect on liver and kidney injury and the effects are related to insulin receptor and TGF-β/Smads signaling pathway.

摘要

桑叶是一种常用的中药,已被证明具有降血糖作用,可治疗糖尿病。本研究旨在探讨桑叶黄酮(MF)、多糖(MP)和生物碱(MA)对糖尿病及其肝肾损伤的作用及机制。采用 db/db 小鼠作为模型,结果表明模型组的 FBG(空腹血糖)持续升高,并伴有肝肾功能损伤。在 MP 和 MA 的干预下,FBG 表现出最明显的降血糖作用。MF 和 MP 对肾损伤有明显的改善作用,降低了尿中 mALB/Cre(微量白蛋白/肌酐)的含量,改善了肾小管上皮细胞水肿和肾囊状上皮细胞增厚。而 MF 和 MA 对肝损伤有显著作用,表现为降低 ALT(丙氨酸氨基转移酶)和 AST(天冬氨酸氨基转移酶)水平以及 db/db 小鼠肝脏的病理变化。通过代谢组学分析,在血清中鉴定出 13 种内源性潜在生物标志物。桑叶的三种有效成分可以调节 13 种潜在的生物标志物及其相应的代谢途径。综上所述,桑叶各成分具有明确的降血糖作用及对肝肾损伤的保护作用,其作用与胰岛素受体和 TGF-β/Smads 信号通路有关。

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