Department of Clinical Pharmacology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Sci Rep. 2023 Jul 8;13(1):11043. doi: 10.1038/s41598-023-37678-w.
Diabetes mellitus is a common metabolic disorder. About two-thirds of diabetic patients develop diabetic cardiomyopathy (DCM), which becomes a challenging issue as it severely threatens the patient's life. Hyperglycemia and the resulting advanced glycated end products (AGE) and their receptor (RAGE)/High Mobility Group Box-1 (HMGB-1) molecular pathway are thought to be key players. Recently, artemisinin (ART) has gained more attention owing to its potent biological activities beyond its antimalarial effect. Herein, we aim to evaluate the effect of ART on DCM and the possible underlying mechanisms. Twenty-four male Sprague-Dawley rats were divided into: control, ART, type 2 diabetic and type 2 diabetic treated with ART groups. At the end of the research, the ECG was recorded, then the heart weight to body weight (HW/BW) ratio, fasting blood glucose, serum insulin and HOMA-IR were evaluated. Cardiac biomarkers (CK-MB and LDH), oxidative stress markers, IL-1β, AGE, RAGE and HMGB-1 expression were also measured. The heart specimens were stained for H&E as well as Masson's trichrome. DCM induced disturbances in all studied parameters; contrary to this, ART improved these insults. Our study concluded that ART could improve DCM through modulation of the AGE-RAGE/HMGB-1 signaling pathway, with subsequent impacts on oxidative stress, inflammation and fibrosis. ART could therefore be a promising therapy for the management of DCM.
糖尿病是一种常见的代谢紊乱。大约三分之二的糖尿病患者会发展为糖尿病心肌病(DCM),这成为一个严峻的挑战,因为它严重威胁着患者的生命。高血糖以及由此产生的晚期糖基化终产物(AGE)及其受体(RAGE)/高迁移率族蛋白 B1(HMGB-1)分子途径被认为是关键因素。最近,青蒿素(ART)因其除抗疟作用之外的强大生物学活性而受到更多关注。本文旨在评估 ART 对 DCM 的影响及其可能的作用机制。将 24 只雄性 Sprague-Dawley 大鼠分为:对照组、ART 组、2 型糖尿病组和 2 型糖尿病加 ART 治疗组。在研究结束时,记录心电图,然后评估心脏重量与体重(HW/BW)比值、空腹血糖、血清胰岛素和 HOMA-IR。还测量了心脏生物标志物(CK-MB 和 LDH)、氧化应激标志物、IL-1β、AGE、RAGE 和 HMGB-1 的表达。心脏标本进行 H&E 染色和 Masson 三色染色。DCM 引起了所有研究参数的紊乱;与此相反,ART 改善了这些损伤。我们的研究得出结论,ART 可以通过调节 AGE-RAGE/HMGB-1 信号通路来改善 DCM,从而对氧化应激、炎症和纤维化产生后续影响。因此,ART 可能是治疗 DCM 的一种有前途的疗法。