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517 Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014 Original Articles Antihyperglycemic, antioxidant and anti-inflammatory effects of umbelliferone in high-fat diet/streptozotocin-induced type 2 diabetic rats Jarinyaporn Naowaboot*, Nuntiya Somparn*, Abstract Introduction: Oxidative stress and chronic inflammation are important pathological processes that can cause insulin resistance and type 2 diabetes mellitus, and eventually complications of diabetes mellitus. For this study, we aimed to investigate the effect of umbelliferone (UMB) in the regulation of blood glucose, hyperlipidemia, oxidative stress, and chronic inflammation in high-fat diet/streptozotocin-induced type 2 diabetic rats. Method: Male Wistar rats were fed on 45 kcal % fat diet for 3 weeks followed by intraperitoneally injected with a single dose of streptozotocin (35 mg/kg). Diabetic rats were fed with UMB for 6 weeks. The fasting blood glucose (FBG), lipid profiles, malondialdehyde (MDA), and inflammatory cytokine; tumor necrosis factor-α (TNF-α) and monocyte chemoattractant protein-1 (MCP-1) were determined. Result: Type 2 diabetic rat model showed elevated blood glucose, impaired glucose tolerance, increased total cholesterol, triglyceride and non-esterified fatty acid, increased MDA, and increased TNF-α and MCP-1. The results of the present study have been shown that the UMB treatment reduced blood glucose level, improved glucose tolerance, and decreased the levels of all of lipid profiles. In addition, serum and tissues MDA as well as levels of TNF-α and MCP-1 in serum were decreased. Discussion These results suggest a beneficial effect of UMB in reducing the blood glucose, hyperlipidemia, oxidative and Conclusion: stress and inflammatory mediators in type 2 diabetic rats. Key words: Umbelliferone, Type 2 diabetic rat, Oxidative stress, Inflammation Received: 21 April 2014 Accepted: 25 August 2014 * Division of Pharmacology, Department of Preclinical Science, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand ** Division of Anatomy, Department of Preclinical Science, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand *** Department of Pharmacology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand Corresponding Author: Jarinyaporn Naowaboot Division of Pharmacology, Department of Preclinical Science, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand e-mail: [email protected] Suphaket Saentaweesuk**, Patchareewan Pannangpetch***

Antihyperglycemic, antioxidant and anti-inflammatory effects of umbelliferone in high-fat diet/streptozotocin-induced type 2 diabetic rats

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517Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014

Original Articles

Antihyperglycemic, antioxidant and anti-inflammatory effects of umbelliferone in high-fat diet/streptozotocin-induced

type 2 diabetic ratsJarinyaporn Naowaboot*, Nuntiya Somparn*,

Abstract

Introduction: Oxidativestressandchronicinflammationareimportantpathologicalprocessesthatcancauseinsulin

resistanceandtype2diabetesmellitus,andeventuallycomplicationsofdiabetesmellitus.Forthisstudy,

weaimedtoinvestigatetheeffectofumbelliferone(UMB)intheregulationofbloodglucose,hyperlipidemia,

oxidativestress,andchronicinflammationinhigh-fatdiet/streptozotocin-inducedtype2diabeticrats.

Method: MaleWistarratswerefedon45kcal%fatdietfor3weeksfollowedbyintraperitoneallyinjectedwitha

singledoseofstreptozotocin(35mg/kg).DiabeticratswerefedwithUMBfor6weeks.Thefasting

bloodglucose(FBG),lipidprofiles,malondialdehyde(MDA),andinflammatorycytokine;tumornecrosis

factor-α(TNF-α)andmonocytechemoattractantprotein-1(MCP-1)weredetermined.

Result: Type2diabeticratmodelshowedelevatedbloodglucose,impairedglucosetolerance,increasedtotal

cholesterol,triglycerideandnon-esterifiedfattyacid,increasedMDA,andincreasedTNF-αandMCP-1.

TheresultsofthepresentstudyhavebeenshownthattheUMBtreatmentreducedbloodglucoselevel,

improvedglucosetolerance,anddecreasedthelevelsofalloflipidprofiles.Inaddition,serumandtissues

MDAaswellaslevelsofTNF-αandMCP-1inserumweredecreased.

Discussion TheseresultssuggestabeneficialeffectofUMBinreducingthebloodglucose,hyperlipidemia,oxidative

and Conclusion: stressandinflammatorymediatorsintype2diabeticrats.

Key words:Umbelliferone,Type2diabeticrat,Oxidativestress,Inflammation

Received: 21 April 2014 Accepted: 25 August 2014

* DivisionofPharmacology,DepartmentofPreclinicalScience,FacultyofMedicine,ThammasatUniversity,PathumThani12120,Thailand** DivisionofAnatomy,DepartmentofPreclinicalScience,FacultyofMedicine,ThammasatUniversity,PathumThani12120,Thailand*** DepartmentofPharmacology,FacultyofMedicine,KhonKaenUniversity,KhonKaen40002,ThailandCorresponding Author:JarinyapornNaowabootDivisionofPharmacology,DepartmentofPreclinicalScience,FacultyofMedicine,ThammasatUniversity,PathumThani12120,Thailande-mail:[email protected]

Suphaket Saentaweesuk**, Patchareewan Pannangpetch***

518 ธรรมศาสตร์เวชสาร ปีที่ ๑๔ ฉบับที่ ๔ ประจำาเดือนตุลาคม – ธันวาคม ๒๕๕๗

Introduction Type2diabetesmellitus(T2DM)isoneofthe

world’smostcommonchronicdiseasesaschanging

lifestylesleadtoreducedphysicalactivityandincreased

obesity1.EarlyphenomenonofT2DMisinsulininsensitivity,

whichnotonlyhasnegativemetabolicconsequencesbut

alsocontributessubsequentpancreasβ-cellexhaustion,

resultingintheonsetofclinicalhyperglycemia2.

Oxidativestressresultingfromincreasedproduc-

tionofreactiveoxygenspecies(ROS)haveakeyfunction

inthepathogenesisoflatediabeticcomplications3.ROS

resultingfromhyperglycemiaarethoughttocontributeto

theinitiationoflipidperoxidation4.Malondialdehyde(MDA)

isanendproductoflipidperoxidation.Therehasbeena

reportthathyperglycemiaassociatedwithhyperlipidemia

couldbethecausativefactorfortheincreasedproduc-

tionoffreeradicalsandlipidperoxides,thatis,MDA5.

Moreover,hyperglycemiahasbeenshowntoinducethe

expressionofproinflammatorycytokinesandchemokine

genesinmonocyticcells6.Certaininflammatorycytokines,

suchastumornecrosisfactor-α(TNF-α),impairinsulin

actioninperipheraltissueandhaveadirectfunctionin

obesity-associatedinsulinresistance7.

Monocytechemoattractantprotein(MCP)-1isa

C-Cchemokinefamilywithapotentchemotacticfactorfor

monocytes.MCP-1biosynthesisisinducedbyinflammatory

cytokines,oroxidativelymodifiedlowdensitylipoprotein

(LDL)inmonocytes,endothelialcells,andvascularsmooth

musclecells8.Ithasbeendemonstratedthathighglucose

concentrationstimulatestheexpressionofMCP-19 and

theformationofROS10.Aswellas,theantidiabeticdrug,

pioglitazone,causesdecreasedgeneexpressionofMCP-1

inadiposetissue,alongwithanimprovementininsulin

resistance11.

Manykindsofplantsandtheirbioactive

compoundshavebeenshowntoimprovemetabolicabnor-

malities,suchasinsulinresistance,obesity,anddiabetes

mellitus12-13.Coumarinsconstituteaverylargeclassof

compoundspresentinseveralspeciesbelongingtodiffer-

entbotanicalfamilies.Coumarinanditsderivativeshave

beenfoundtohaveawiderangeofbioactivities,such

asantifungal14,antitumor15,antithrombotic,vasodilatory16,

anti-inflammatory,andantioxidantactivities17.Umbellifer-

one(UMB)or7-hydroxycoumarinisawidespreadnatural

productofthecoumarinfamilywithanti-inflammatory

activity18.RecentstudieshaveshownthatUMBcanact

asapotentantioxidativeandantihyperglycemicagentin

streptozotocin-inducedtype1diabeticrats19-20.However,

theanti-inflammationactivityofUMBinhyperglycemicwith

oxidativestressconditionintype2diabeticanimalmodelis

stillnotcompletelyinvestigated.Alsoasmentionedabove

theincidenceoftype2diabetesisincreasing,therefore,

thisstudywasaimedtodeterminetheseeffectsinT2DM

inducedbyhigh-fatdietwithlowdoseofstreptozotocin

(STZ).

MethodChemicals and reagents

Umbelliferoneandallfinechemicalswereobtained

fromSigma-Aldrich(St.Louise,MO,USA).Pioglitazonewas

purchasedfromBerlinPharmaceuticalIndustryCo.,Ltd.

(Latkrabang,Bangkok,Thailand).

Animals and induction of diabetes

Animalexperimentswereperformedaccording

totheanimalcareguidelinesandwereapprovedbythe

AnimalEthicsCommitteeofThammasatUniversity,Pathum

Thani,Thailand(Rec.No.AE008/2013).MaleWistarrats

weighting120-150gwereobtainedfromtheNational

LaboratoryAnimalCenterofMahidolUniversity,Nakhon

Pathom,Thailand.Twoanimalswerehousedpercagein

aroomwitha12/12-hourlight/darkcycleandanambient

temperatureof22to25°C.Theywerefedwithstandard

normaldiet(SND)orHFDcontaining45kcal%fat(soy-

beanoilandlardthatincluded0.95mgcholesterolperg

oflard),35kcal%carbohydratesand20kcal%protein

(Researchdiets,Brunswick,NJ,USA)ad libitumduring3

weeks.After3weeksoftheHFD,ratswerefastedfor

12hours(freeaccesstowater)andwereinjectedwith

asinglelowdoseofSTZ(35mg/kgintraperitoneally).

Ratswereallowedtodevelopdiabetesforaweek.After

that,fastingbloodglucose(FBG)levelsweredetermined

519Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014

fromtailveinbloodusingglucometer(Accu-Check,Roche

Diagnostics,Manheim,Germany).TheratswithFBGabove

126mg/dL21wereconsidereddiabeticandincludedinthe

experiments.

Experimental design

Theratsweredividedintosixgroupswithsix

ratsineachgroupandtreatedasfollows:group1:normal

controlrats(SNDfeeding)with5%GumArabic;group2:

diabeticcontrolratswith5%GumArabic;group3:diabetic

positivecontrolratswithpioglitazone10mg/kgperday;

group4to6:diabeticratswithUMB10,30,and60mg/

kgperday,respectively20,22.PioglitazoneandUMBwere

suspendedin5%GumArabic.Alltreatmentsweredaily

administratedorallyusingfeedingtubefor6weeks.The

FBGlevelofallratswasmeasuredafter6weeksoftreat-

ment.After6weeksofUMBtreatment,ratswerefasted

overnightandanesthetizedwithether.Theheart,liver,

kidneyandthoracicaortawererapidlyexcisedtoperform

biochemicalexaminationsasdescribedbelowindetail.

Duringfasting,ratsweredeprivedoffoodfor12hoursbut

hadfreeaccessofwater.

Oral glucose tolerance test (OGTT)

After5weeksoftreatment,anOGTTwas

performedtoevaluatetheeffectofeachtreatmenton

glucosetolerance.After12hoursoffasting,ratswere

orallyloadedwithglucose(1.0g/kgofbodyweight)and

bloodglucoselevelsweredeterminedfromthetailvein

bloodbeforeandafterglucoseloadingat30,60,and120

min.Theareaunderthecurve(AUC)ofbloodglucosewas

calculatedfromthebloodconcentration-timerelationships.

Determination of serum lipid profiles

After6weeksofUMBtreatment,serumtriglyc-

eride,totalcholesterolandnon-esterifiedfattyacid(NEFA)

levelsweredeterminedusingenzymaticcolorimetric

method(Wako,Osaka,Japan).

Determination of MDA in liver, kidney, heart and thoracic

aorta

Thetissues(heart,liver,kidneyandthoracicaorta)

werefinelyslicedandhomogenizedincoldphosphate

bufferedsalinewithmagnesiumchloride(pH7.4).After10

minutescentrifugation(14,000 × g,4ºC),theclearsuper-

natantwascollectedforMDAassay.MDAwasexamined

usingTBARSparameterassaykit(R&DSystems,Minne-

apolis,MN,USA).TheMDAconcentrationinthetissues

wasnormalizedagainsttheproteinconcentration.Protein

wasdeterminedbytheBradford’smethod23.

Determination of serum TNF-α and MCP-1 secretion

After6weeksofUMBtreatment,serumTNF-α

andMCP-1concentrationswereassayedusingratTNF-α

ELISAkit(R&DSystems,Minneapolis,MN,USA)andrat

MCP-1ELISAkit(ThermoScientific,Rockford,IL,USA).

Statistical analyses

Resultswereexpressedasthemeanvalueswith

theirstandarderrorsofeachgroup.Multiplecomparisons

wereanalyzedbyanalysisofvariance(ANOVA)andTukey’s

post-hoctest.Thestatisticalanalyseswereperformedus-

ingcomputer-basedsoftwareSigmaStat(SystatSoftware,

CA,USA).Thelevelofsignificancewasuniformlysetat

p<0.05.

ResultEffect of UMB on fasting blood glucose

Afteraperiodof6weeks,theFBGlevelofthe

diabeticcontrolgroupwasstillhigh.However,alldoses

ofUMB(10,30,and60mg/kg)significantlyreducedblood

glucoselevels(35%,44%,and29%respectively;p<0.05)

(Figure1A).Anoraladministrationofpositivecontrol10

mg/kgpioglitazonereducedbloodglucoselevelsofdiabetic

ratsby46%(Figure1A).

520 ธรรมศาสตร์เวชสาร ปีที่ ๑๔ ฉบับที่ ๔ ประจำาเดือนตุลาคม – ธันวาคม ๒๕๕๗

Figure 1EffectofUMBonfastingbloodglucose(A),OGTT(B)andAUCinOGTT(C)inhigh-fatdiet/streptozotocin-induced

type2diabeticrats.Valuesweremean±S.E.M.(n =6).*p<0.05whencomparedtonormalcontrolgroup;#p<0.05

whencomparedtodiabeticcontrolgroup.NR:normalcontrolrattreatedwith5%GumArabic;DM:diabetic

controlrattreatedwith5%GumArabic;DM+Pio:diabeticrattreatedwithpioglitazone10mg/kg;DM+UMB:

diabeticrattreatedwithumbelliferone10,30,and60mg/kg.

Fasting

bloo

d glu

cose (m

g/dL)

Blood glu

cose (m

g/dL)

AUC in

OGTT (m

g/dL-h)

600

500

400

300

200

100

0

600

500

400

300

200

100

0

1200

1000

800

600

400

200

0

NR DM DM 10 30 60

0 20 40 60 80 100 120 140 160

NR DM DM 10 30 60

Time (min)

Pio DM+UMB (mg/kg)

Pio DM+UMB (mg/kg)

Normal rat

DM rat

DM+Pio

DM+UMB 10

DM+UMB 30

DM+UMB 60

521Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014

Effect of UMB on OGTT

Todeterminetheinsulinsensitizingeffectof

UMB,OGTTtreatmentwasperformedatthefifthweek

oftreatment.Oraladministrationwithglucosecauseda

gradualincreaseinbloodglucoseinallthegroupsat30

min(Figure1B).Indiabeticcontrolgroup,thebloodglu-

cosewasremainedatthehighleveluntilat120min.As

comparedtothediabeticcontrolrats,theUMB(30mg/

kg)orpioglitazone(10mg/kg)significantly(p<0.05)sup-

pressedthebloodglucoselevelat60and120min.For

thelowestconcentrationofUMB(10mg/kg),itsignificantly

(p<0.05)decreasedbloodglucoseonlyat120min.Con-

sistentwiththeAUCofbloodglucoselevelafterglucose

administration,whichwashigherindiabeticcontrolthan

thatofnormalcontrolrats,andwasdecreasedby10and

30mg/kgUMBtreatments(Figure1C).

Aorta

MDA

(nmol/mg protein

)He

art M

DA (n

mol/mg protein

)

10

8

6

4

2

0

1.4

1.2

1.0

0.8

0.6

0.4

0.2

0

NR DM DM 10 30 60

NR DM DM 10 30 60

Pio DM+UMB (mg/kg)

Pio DM+UMB (mg/kg)

A

B

522 ธรรมศาสตร์เวชสาร ปีที่ ๑๔ ฉบับที่ ๔ ประจำาเดือนตุลาคม – ธันวาคม ๒๕๕๗

Figure 2EffectofUMBonMDAproductioninthoracicaorta(A),heart(B),kidney(C)andliver(D)inhigh-fatdiet/

streptozotocin-inducedtype2diabeticrats.Valuesweremean±S.E.M.(n=6).*p<0.05whencomparedtonormal

controlgroup;#p<0.05whencomparedtodiabeticcontrolgroup.NR:normalcontrolrattreatedwith5%Gum

Arabic;DM:diabeticcontrolrattreatedwith5%GumArabic;DM+Pio:diabeticrattreatedwithpioglitazone10

mg/kg;DM+UMB:diabeticrattreatedwithumbelliferone10,30,and60mg/kg.

Kidney M

DA (n

mol/mg protein

)Liv

er M

DA (n

mol/mg protein

)

0.30

0.25

0.20

0.15

0.10

0.05

0.00

2.5

2.0

1.5

1.0

0.5

0.0NR DM DM 10 30 60

NR DM DM 10 30 60

Pio DM+UMB (mg/kg)

Pio DM+UMB (mg/kg)

C

D

523Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014

Effect of UMB on serum lipid profiles

AsshowninTable1,thereweresignificant

(p<0.05)increasesintotalcholesterol,triglyceride,and

NEFAlevelsintheserumofdiabeticcontrolascompared

tonormalcontrolrats.However,thediabeticrattreated

withUMB(10,30,and60mg/kg)orpioglitazonehadthe

significantdecreasesintotalcholesterol,triglyceride,and

NEFA.

Serum parameters

Group of treatment Total cholesterol (mg/dL) Triglyceride (mg/dL) NEFA (mg/dL)

Normalcontrol 71.3± 4.1 155.5± 1.6 26.6± 1.1

Diabeticcontrol 127.4± 9.4* 253.1± 9.9* 54.4± 3.4*

Diabetic+Pio10 87.3± 5.3# 158.7± 8.7# 26.3± 3.4#

Diabetic+UMB10 89.9± 3.8# 171.3± 8.1# 28.0± 1.2#

Diabetic+UMB30 85.4± 6.4# 162.4± 8.5# 27.5± 1.2#

Diabetic+UMB60 91.0± 4.1# 174.7± 1.9# 30.4± 4.5#

Table 1 EffectofUMBonserumtotalcholesterol,triglyceride,andNEFAinhigh-fatdiet/streptozotocin-inducedtype2

diabeticrats.

Valuesweremean± S.E.M.(n=6).*p<0.05whencomparedtonormalcontrolgroup;#p<0.05whencomparedtodiabeticcontrolgroup.NR:normalcontrolrattreatedwith5%GumArabic;DM:diabeticcontrolrattreatedwith5%GumArabic;DM+Pio:diabeticrattreatedwithpioglitazone10mg/kg;DM+UMB:diabeticrattreatedwithumbelliferone10,30,and60mg/kg.

Effect of UMB on lipid peroxidation content

TheMDAcontentsinserum(Table2),thoracic

aorta,heart,kidneyandliver(Figure2A,2B,2C,and2D,

respectively)ofdiabeticratsweresignificantlyincreased

ascomparedtothenormalrats(p<0.05).Itisnotewor-

thythatthediabeticratsreceivingalldosesofUMBhad

significantlylowerlevelofMDAinalltissuethanthatof

diabeticcontrolrats.

Effect of UMB on serum TNF-α and MCP-1 levels

AsshowninTable2,thediabeticratshadsignifi-

cantlyincreasedTNF-αandMCP-1levels.However,after

treatmentwithalldosesofUMB,thelevelsofTNF-α and

MCP-1weresignificantlyreduced.ThedecreasesinTNF-α

andMCP-1by30mg/kgUMBwascomparableto10

mg/kgpioglitazone.

524 ธรรมศาสตร์เวชสาร ปีที่ ๑๔ ฉบับที่ ๔ ประจำาเดือนตุลาคม – ธันวาคม ๒๕๕๗

Discussion and conclusion Themajorfindingsofthepresentworkwerethat

thedailysupplementationwithUMBcoulddecreaseblood

glucose,improveglucosetolerance,anddecreaselipid

profiles,MDAinflammatorycytokinesinHFD/STZ-induced

T2DMrats.

TheratsthatreceivedHFDandlowdoseof

STZ(35mg/kg)hadthehyperglycemicstateandimpaired

glucosetolerance.Thismodelalsoshowedabnormalities

oflipidmetabolismbyincreaseinserumtotalcholesterol,

triglycerideandNEFA,whicharesimilartothemetabolic

changesinhumanwithT2DM.Allmetabolicchangesinour

diabeticanimalmodelwereconsistentwiththeprevious

reportsfromotherstudies24-26.

TounderstandthepharmacologicaleffectofUMB,

wefirststartedtoanalyzeitseffectonbloodglucoseand

lipidprofiles.Weobservedthatthehighbloodglucosein

diabeticratswasdecreasedbyUMBtreatment.Inparticu-

lar,UMBat30mg/kgnotonlydecreasedtheFBG,butalso

remarkablyimprovedtheglucosetolerance.Severalstudies

suggestedthatabnormalbloodlipidswerecharacteristicof

casewithinsulinresistance,especiallyhighcirculatingfree

fattyacids27-28.SurprisinglyalldosesofUMBtreatment

effectivelyreducedtheserumtotalcholesterol,triglyceride

andNEFAlevels.

Therearemarkeddifferencesincoumarinme-

tabolismbetweensusceptiblerodentandotherspecies.

Themajorrouteofcoumarinmetabolisminmurinesisby

a3,4-epoxidationpathway,whichresultsintheformation

oftoxicmetabolites29.Thesetoxicmetabolitesmightbea

negativeimpactonglucoseandlipidmetabolismsinT2DM

ratmodel.Althoughreportsofadverseeffectsinhumans

resultingfromcoumarinadministrationarerare,itisacutely

toxictolaboratoryanimalsinchronicoralgavageadministra-

tionatdosesequalorhigherof200mg/kg30.Therefore,it

ispossiblethatthehighdoseofUMB(60mg/kg)isless

effectivethanotherdosesinregulatingthehyperglycemic

condition.However,inourstudydidnotobserveanysigns

oftoxicityinalldosesofumbelliferone-treatedrats.

Hyperglycemiaisthemaincauseofcomplications

ofdiabetesbecauseelevatedglucoseconcentrationdirectly

injurescellsandinduceslipidperoxidation31.Therefore,

wefurtheranalyzedtheeffectofUMBonlipidperoxide

alteration.DiabeticratstreatedwithUMBhadasignificantly

lowerMDAconcentrationintheserumandalsoinvarious

tissuesespeciallyintheaortictissuethanthatofnon-

treateddiabeticrats(Figure2A).Thesignificantlyincreased

MDAconcentrationsinserumandvarioustissuesinchronic

diabeticratspointtoROS-mediatedcellulardamage,denot-

ingthepresenceofoxidativestressinchronicdiabetes3.

Serum parameters

Group of treatment MDA (nmol/L) TNF-α (pg/mL) MCP-1 (pg/mL)

Normalcontrol 226.5±3.2 14.9±0.2 252.2±5.0

Diabeticcontrol 310.0±5.5* 21.2±0.3* 430.4±7.2*

Diabetic+Pio10 239.5±7.4# 17.0±0.2# 253.6±2.6#

Diabetic+UMB10 246.0±4.3# 18.2±0.3# 269.6±15.6#

Diabetic+UMB30 237.5±2.0# 17.8±0.1# 264.7±7.8#

Diabetic+UMB60 253.6±5.5# 18.2±0.3# 280.0±8.7#

Valuesweremean±S.E.M.(n=6).*p<0.05whencomparedtothenormalcontrolgroup;#p<0.05whencomparedtothediabeticcontrolgroup.Normalcontrol:normalcontrolrattreatedwith5%GumArabic;Diabeticcontrol:diabeticcontrolrattreatedwith5%GumArabic;DM+Pio10:diabeticrattreatedwithpioglitazone10mg/kg;DM+UMB:diabeticrattreatedwithumbelliferone10,30,and60mg/kg

Table 2EffectofUMBonserumMDA,TNF-α,andMCP-1inhigh-fatdiet/streptozotocin-inducedtype2diabeticrats.

525Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014

Thus,thetreatmentthataimsatreducingoxidativestress

willbebeneficialinpatientswithT2DM.

IthasbeenproposedthatT2DMisadisease

oftheimmunesystem,involvingacytokine-mediated

acute-phaseinflammatoryresponse32.Astudyin3T3-L1

adipocytesculture,ithasbeenshownthatinsulinresis-

tanceassociatedmediators,suchasTNF-α,IL-6,and

growthhormonehaveasignificantstimulatoryeffecton

MCP-1secretion33.OurresultsshowedthatUMBefficiently

reducedTNF-αandMCP-1levelindiabeticrats,whereas

itdecreasedthehighbloodglucoseandimprovedglucose

tolerance.

Ashighbloodglucoselevelcancauseincrease

inoxidativestressandinflammation.Thehypoglycemic,

hypolipidemic,antioxidant,andanti-inflammatoryactivities

ofUMBmaybeassociatedtoeachother.Therefore,

administrationofUMBcouldbehelpfulinnotonlyreducing

thehighbloodglucosebutmightdelaythecomplicationof

diabetesbyreducingtheoxidativestressandinflammation.

Inconclusion,UMBisaprovenbeneficialcom-

poundfordiabeticstate.UMBnotonlyreducestheblood

glucosebutalsoreducestheoxidativestressandinflam-

mationprocesses.Eventually,UMBcanbeadministeredas

acomplementarytherapeuticregimen.

Acknowledgement Theauthorsgratefullyacknowledgethefinancial

supportprovidedbyThammasatUniversityundertheTU

ResearchScholar,ContractNo.2/28/2556.

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บทคัดย่อ

ฤทธิ์ลดระดับน�้ำตำลในเลือด ฤทธิ์ต้ำนออกซิเดชั่น และฤทธิ์ต้ำนกำรอักเสบ ของสำรอัมเบลลิเฟอโรนในหนูขำวเบำหวำนชนิดที่ ๒

ที่เหนี่ยวน�ำด้วยอำหำรไขมันสูงร่วมกับฉีดสเตร็ปโตโซโตซิน

จริญญาพร เนาวบุตร*, นันทิยา สมภาร*, ศุภเกต แสนทวีสุข**, พัชรีวัลย์ ปั้นเหน่งเพ็ชร***

*สาขาเภสัชวิทยาสถานวิทยาศาสตร์พรีคลินิกคณะแพทยศาสตร์มหาวิทยาลัยธรรมศาสตร์**สาขากายวิภาคศาสตร์สถานวิทยาศาสตร์พรีคลินิกคณะแพทยศาสตร์มหาวิทยาลัยธรรมศาสตร์***ภาควิชาเภสัชวิทยาคณะแพทยศาสตร์มหาวิทยาลัยขอนแก่นผู้ให้ติดต่ออาจารย์ดร.จริญญาพรเนาวบุตรสาขาเภสัชวิทยาสถานวิทยาศาสตร์พรีคลินิกคณะแพทยศาสตร์มหาวิทยาลัยธรรมศาสตร ์ อีเมล[email protected]

บทน�ำ: ภาวะเครยีดออกซเิดช่ันและการอกัเสบเรือ้รงัเป็นกระบวนการทางพยาธสิภาพทีส่�าคัญซึง่ก่อให้เกดิภาวะดือ้

ต่ออินซูลินและการเกิดโรคเบาหวานชนิดที่๒รวมทั้งภาวะแทรกซ้อนจากโรคนี้ส�าหรับการศึกษานี้

มีวัตถุประสงค์เพ่ือประเมินฤทธิ์ของสารอัมเบลลิเฟอโรนต่อการควบคุมระดับน�้าตาลในเลือดภาวะไขมันใน

เลือดสูงภาวะเครียดออกซิเดชั่นและกระบวนการอักเสบเรื้อรังในหนูขาวเบาหวานชนิดที่๒

วิธีกำรศึกษำ: น�าหนูขาวเพศผู้สายพันธุ์Wistarเหนีย่วน�าให้เป็นเบาหวานชนิดที่๒ดว้ยการให้หนูไดร้ับอาหารไขมนัสงูนาน

๓สปัดาห์จากนัน้ฉดีสารสเตรป็โตโซโตซนิ(ขนาด๓๕มลิลกิรมัต่อน�า้หนกัตวั๑กโิลกรมั)เพ่ือท�าลายตบัอ่อน

วธิกีารดงักล่าวท�าให้หนทูีม่รีะดบัน�า้ตาลในเลอืดสงูกว่า๑๒๖มลิลกิรมัต่อเดซลิติรจะได้รบัด้วยสารอมัเบลลเิฟอโรน

นาน๖สัปดาห์เพ่ือตรวจวัดระดับน�้าตาลในเลือดค่าไขมันค่าmalondialdehyde(MDA)และสารอักเสบ

tumornecrosisfactor-α(TNF-α)andmonocytechemoattractantprotein-1(MCP-1)

ผลกำรศึกษำ: การเหนี่ยวน�าหนูขาวเบาหวานชนิดที่๒ด้วยวิธีนี้ท�าให้หนูมีระดับน�้าตาลในเลือดสูงการท�างานของอินซูลิน

บกพร่องมกีารเพ่ิมข้ึนของระดบัโคเลสเตอรอลไตรกลีเซอไรด์และกรดไขมนัอสิระในเลอืดระดบัMDAและ

สารอักเสบTNF-αและMCP-1ในเลือดสูงขึ้นผลการทดลองพบว่าสารอัมเบลลิเฟอโรนสามารถลดระดับ

น�้าตาลในเลือดเพ่ิมการท�างานของอินซูลินและลดระดับไขมันในเลือดนอกจากนี้สารอัมเบลลิเฟอโรน

ช่วยลดระดับMDAในเลือดและในเนื้อเยื่อต่างๆตลอดจนช่วยลดการหลั่งของTNF-αและMCP-1อีกด้วย

วิจารณ์และ ผลการทดสอบนีแ้สดงให้เหน็ว่าสารอมัเบลลิเฟอโรนสามารถลดระดบัน�า้ตาลในเลือดลดระดบัไขมนัสูงในเลอืด

สรุปผลกำรศึกษำ:ลดภาวะเครียดออกซิเดชั่นและลดการอักเสบในหนูขาวเบาหวานชนิดที่๒ได้

ค�าส�าคัญ:สารอัมเบลลิเฟอโรน,หนูเบาหวานชนิดที่๒,ภาวะเครียดออกซิเดชั่น,การอักเสบ