A combination of herbal compound (SPTC) along with exercise or metformin more efficiently alleviated diabetic complications through down-regulation of stress oxidative pathway upon activating Nrf2-Keap1 axis in AGE rich diet-induced type 2 diabetic mice

Nutrition & Metabolism

Zahra Derakhshan¹  Mohammad Hossein Nasr Esfahani²  Iman Niktab²  Zahra Safaeinejad²  Maryam Peymani³  Golbarg Rahimi⁴  Navid Abedpoor⁴  Salime Heydari⁴  Kamran Ghaedi⁴  Bahareh Rahimi⁵  Farzad Seyed Forootan⁶ 

[1] Alzahra Hospital, Isfahan University of Medical Sciences;Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR;Department of Biology, Faculty of Basic Sciences, Shahrekord Branch, Islamic Azad University;Department of Cell and Molecular Biology and Microbiology, Faculty of Biological Science and Technology, University of Isfahan;Department of Medical Biotechnology, Faculty of Allied Medical Science, Iran University of Medical Science;Legal Medicine Research Center, Legal Medicine Organization;

关键词: AGE rich diet;    Diabetes;    Exercise;    Herbal drug;    Nrf2-keep pathway;    Stress oxidative;   

DOI  :  10.1186/s12986-021-00543-6

来源: DOAJ

【 摘 要 】

Abstract Background SPTC is a mix of four herbal components (Salvia officinalis, Panax ginseng, Trigonella foenum-graeceum, and Cinnamomum zeylanicum) which might be prevented the development of AGE rich diet-induced diabetic complication and liver injury through activated the nuclear factor erythroid-2-related-factor-2 (Nrf2) pathway. Nrf2, as a master regulator of antioxidant response elements by activating cytoprotective genes expression, is decreased oxidative stress that associated with hyperglycemia and increases insulin sensitivity. the aim of this study was to assess whether the combination therapy of SPTC along with exercise or metformin moderate oxidative stress related liver injurie with more favorable effects in the treatment of AGE rich diet-induced type 2 diabetic mice. Methods We induced diabetes in C57BL/6 mice by AGE using a diet supplementation and limitation of physical activity. After 16 weeks of intervention, AGE fed mice were compared to control mice. Diabetic mice were assigned into seven experimental groups (each group; n = 5): diabetic mice, diabetic mice treated with SPTC (130 mg/kg), diabetic mice treated with Salvia Officinalis (65 mg/kg), diabetic mice treated with metformin (300 mg/kg), diabetic mice with endurance exercise training, diabetic mice treated with SPTC + metformin (130/300 mg/kg), diabetic mice treated with SPTC + exercise training. Results SPTC + exercise and SPTC + metformin reduced diabetic complications like gain weight, water and calorie intake, blood glucose, insulin, and GLUT4 content more efficiently than each treatment. These combinations improved oxidative stress hemostasis by activating the Nrf2 signaling pathway and attenuating keap1 protein more significantly. Conclusion Eventually, combined treatment of SPTC with exercise or metformin as a novel approach had more beneficial effects to prevent the development of diabetes and oxidative stress associated with hyperglycemia.

【 授权许可】

Unknown