Mohammadi Yaser, Zangooei Mohammad, Zardast Mahmoud, Mamashli Morteza, Rezaei Farimani Azam
Qaen School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Department of Clinical Biochemistry, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Avicenna J Phytomed. 2023 Mar-Apr;13(2):189-199. doi: 10.22038/AJP.2022.21414.
Diabetic nephropathy is one of the most common microvascular complications of diabetes mellitus that finally leads to complete loss of kidney function. Therefore, this study aimed to evaluate the effect of crocin and losartan on gene expression and histopathology of kidney tissue in a rat model of diabetic nephropathy.
Forty male Wistar rats were randomly divided into five groups (n=8): Untreated control, Diabetic (D), D + crocin, D + losartan, and D + losartan + crocin. Induction of diabetes was performed using streptozotocin (50 mg/kg/ Intraperitoneal injection). At the end of the eight-week period, the rats were sacrificed. Spectrophotometry measured serum glucose, urea, creatinine, and uric acid levels. Microalbumin and creatinine levels were measured in 24-hour urine. Real-time PCR was used to determine the relative expression of the gene in kidney tissue. Renal tissue histopathology was also examined.
The results showed that hyperglycemia increased biochemical factors associated with diabetes, gene expression, and kidney damage. Separate treatment with crocin and losartan led to a decrease in renal function factors and gene expression and improved kidney damage.
Our results showed that crocin could improve kidney function in diabetic conditions. In addition, we showed that crocin increases the effectiveness of losartan. Consequently, we suggest that crocin in combination with chemical drugs can be a potential therapeutic agent for diabetes and its complications. Nonetheless, human studies are needed to make firm findings.
糖尿病肾病是糖尿病最常见的微血管并发症之一,最终可导致肾功能完全丧失。因此,本研究旨在评估西红花苷和氯沙坦对糖尿病肾病大鼠模型肾组织基因表达和组织病理学的影响。
40只雄性Wistar大鼠随机分为五组(n = 8):未治疗对照组、糖尿病组(D)、D + 西红花苷组、D + 氯沙坦组和D + 氯沙坦 + 西红花苷组。采用链脲佐菌素(50 mg/kg/腹腔注射)诱导糖尿病。在八周实验期结束时,处死大鼠。用分光光度法测定血清葡萄糖、尿素、肌酐和尿酸水平。检测24小时尿液中的微量白蛋白和肌酐水平。采用实时聚合酶链反应(Real-time PCR)测定肾组织中该基因的相对表达。同时对肾组织进行组织病理学检查。
结果显示,高血糖会增加与糖尿病相关的生化因子、基因表达及肾损伤。单独使用西红花苷和氯沙坦治疗可导致肾功能因子和基因表达降低,并改善肾损伤。
我们的结果表明,西红花苷可改善糖尿病状态下的肾功能。此外,我们还表明,西红花苷可增强氯沙坦的疗效。因此,我们建议西红花苷与化学药物联合使用可能是治疗糖尿病及其并发症的一种潜在治疗剂。尽管如此,仍需要进行人体研究以得出确凿的结论。