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甜菜碱减轻糖尿病妊娠大鼠的肝和肾损伤:生化和组织病理学证据。

Betaine alleviated hepatic and renal injury in diabetic pregnant rats: biochemical and histopathological evidences.

作者信息

Salahi Pouya, Rocky Alireza, Dezfoulian Omid, Azizi Afsaneh, Alirezaei Masoud

机构信息

Graduated Student of Veterinary Medicine, School of Veterinary Medicine, Lorestan University, Khorramabad, Iran.

Razi Herbal Medicine Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

J Diabetes Metab Disord. 2020 Jun 13;19(2):859-867. doi: 10.1007/s40200-020-00572-7. eCollection 2020 Dec.

Abstract

PURPOSE

Pregnancy is the most intense physiological alteration in energy metabolism that women experience in their lifetime. Liver and kidney are the two most susceptible organs to energy metabolism. Diabetes is well-defined as a syndrome interfering with energy metabolism triggered by impaired blood glucose adjustment. Herein, protective effects of betaine on liver and kidney were evaluated in animal model of diabetic pregnancy.

METHODS

32 dams were assigned into 4 equal groups: Control (C), Betaine (B, 1.5% /w of total diet daily), Diabetic pregnancy (D), and Diabetic pregnancy treated with betaine (D + B). After physiological delivery, HbA1c concentration in whole blood, serum hepatic and renal biomarkers such as AST, ALT, ALP, urea and creatinine were measured. Also, liver and kidney tissue samples were examined under a light microscope.

RESULTS

Diabetic pregnancy was found to be accompanied by increased HbA1c level, concentration of hepatic and renal biomarkers in blood samples, and a gamut of alterations such as apoptotic cells, biliary hyperplasia, sinusoidal dilation, basement membrane thickening, and Bowman's capsule dilation as observed in histopathological sections of the D group. Betaine supplementation significantly decreased AST, ALT, urea and creatinine in the D + B group compared to D group. Also, most of pathologic microscopic alterations were attenuated under betaine treatment in D + B group compared to D group.

CONCLUSION

Findings of the current paper, for the first time, provided evidence regarding protective effects of betaine on liver and kidney function against maternal diabetes in an animal model of STZ-induced diabetic pregnancy.

摘要

目的

怀孕是女性一生中经历的能量代谢方面最强烈的生理变化。肝脏和肾脏是能量代谢最易受影响的两个器官。糖尿病被明确界定为一种由血糖调节受损引发的干扰能量代谢的综合征。在此,在糖尿病妊娠动物模型中评估了甜菜碱对肝脏和肾脏的保护作用。

方法

将32只母鼠分为4个相等的组:对照组(C)、甜菜碱组(B,每日占总饮食的1.5%重量比)、糖尿病妊娠组(D)和甜菜碱治疗的糖尿病妊娠组(D + B)。生理分娩后,测量全血中的糖化血红蛋白(HbA1c)浓度、血清肝脏和肾脏生物标志物如天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、碱性磷酸酶(ALP)、尿素和肌酐。此外,在光学显微镜下检查肝脏和肾脏组织样本。

结果

发现糖尿病妊娠伴随着HbA1c水平升高、血液样本中肝脏和肾脏生物标志物浓度升高,以及在D组组织病理学切片中观察到的一系列变化,如凋亡细胞、胆管增生、血窦扩张、基底膜增厚和肾小球囊扩张。与D组相比,甜菜碱补充剂显著降低了D + B组中的AST、ALT、尿素和肌酐。此外,与D组相比,D + B组在甜菜碱治疗下大多数病理显微镜下的变化有所减轻。

结论

本论文的研究结果首次提供了证据,证明在链脲佐菌素诱导的糖尿病妊娠动物模型中,甜菜碱对肝脏和肾脏功能具有保护作用,可对抗母体糖尿病。

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Renal Disorders in Pregnancy: Core Curriculum 2019.妊娠肾脏疾病:2019 年核心课程。
Am J Kidney Dis. 2019 Jan;73(1):119-130. doi: 10.1053/j.ajkd.2018.06.006. Epub 2018 Aug 16.
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Betaine in Inflammation: Mechanistic Aspects and Applications.甜菜碱在炎症中的作用:机制方面和应用。
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