State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau SAR, China.
Pharmacognosy Department, Faculty of Pharmacy, Cairo University, Cairo, Egypt.
Phytomedicine. 2024 Feb;124:155296. doi: 10.1016/j.phymed.2023.155296. Epub 2023 Dec 17.
Diabetes belongs to the most prevalent metabolic diseases worldwide, which is featured with insulin resistance, closely associated with obesity and urgently needs to be treated. Baicalin, belonging to natural flavonoids, has been reported to inhibit oxidative stress or inflammatoin.
This study investigated the properties of baicalin on modulating abnormal glucolipid metabolism, as well as the underlying in-vitro and in-vivo mechanisms.
Insulin-resistant (IR)-HepG2 cells were stimulated by dexamethasone (20 µM) and high glucose (50 mM) for 48 h and incubated with or without baicalin or metformin for another 16 h. Male C57BL/6 J mice were fed with a high-fat diet (HFD, 60 % kcal% fat) during the total 14 weeks. Obese mice were then administered with baicalin (50 and 100 mg/kg) or vehicle solution everyday through oral gavage during the last 4-week period. Moreover, baicalin metabolisms in vitro and in vivo were determined using UPLC/MS/MS to study its metabolism situation.
Exposure to dexamethasone and high glucose damaged the abilities of glycogen synthesis and glucose uptake with elevated oxidative stress and increased generation levels of advanced glycation end-products (AGEs) in HepG2 cells. These impairments were basically reversed by baicalin treatment. Four-week oral administration with baicalin ameliorated hyperglycemia and dyslipidemia in HFD-induced obese and pre-diabetic mice. Downregulation of IRS/PI3K/Akt signaling pathway accomplished with reduced GLUT4 expression and enhanced GSK-3β activity was observed in insulin resistant HepG2 cells as well as liver tissues from pre-diabetic mice; and such effect was prevented by baicalin. Moreover, baicalin and its matabolites were detected in IR-HepG2 cells and mouse plasma.
The study illustrated that baicalin alleviated insulin resistance by activating insulin signaling pathways and inhibiting oxidative stress and AGEs production, revealing the potential of baicalin to be a therapeutic natural flavonoid against hepatic insulin and glucose-lipid metabolic disturbance in pre-diabetes accompanied with obesity.
糖尿病属于全球最普遍的代谢疾病,其特征为胰岛素抵抗,与肥胖密切相关,亟待治疗。黄芩素属于天然类黄酮,据报道可抑制氧化应激或炎症。
本研究旨在探讨黄芩素调节异常糖脂代谢的特性及其在体外和体内的潜在作用机制。
用地塞米松(20μM)和高葡萄糖(50mM)刺激胰岛素抵抗(IR)-HepG2 细胞 48h,然后用或不用黄芩素或二甲双胍孵育 16h。雄性 C57BL/6J 小鼠在 14 周的总周期内喂食高脂肪饮食(HFD,60%卡路里脂肪)。肥胖小鼠随后在最后 4 周期间每天通过口服灌胃给予黄芩素(50 和 100mg/kg)或载体溶液。此外,使用 UPLC/MS/MS 测定黄芩素在体外和体内的代谢情况,以研究其代谢情况。
地塞米松和高葡萄糖暴露破坏了 HepG2 细胞的糖原合成和葡萄糖摄取能力,同时导致氧化应激增加和晚期糖基化终产物(AGEs)生成水平升高。黄芩素处理基本逆转了这些损伤。4 周的黄芩素口服给药改善了 HFD 诱导的肥胖和糖尿病前期小鼠的高血糖和血脂异常。IRS/PI3K/Akt 信号通路下调伴随着 GLUT4 表达减少和 GSK-3β 活性增强,在胰岛素抵抗 HepG2 细胞以及糖尿病前期小鼠的肝组织中观察到;这种作用被黄芩素所阻止。此外,在 IR-HepG2 细胞和小鼠血浆中检测到黄芩素及其代谢物。
本研究表明,黄芩素通过激活胰岛素信号通路和抑制氧化应激和 AGEs 生成来减轻胰岛素抵抗,揭示了黄芩素作为一种治疗性天然类黄酮,可用于治疗肥胖伴糖尿病前期的肝脏胰岛素和葡萄糖-脂质代谢紊乱。