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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.
References1. WildS,RoglicG,GreenA,SicreeR,KingH.Global
prevalenceofdiabetes:estimatesfortheyear2000
andprojectionsfor2030.DiabetesCare2004;27:1047-53.
2. StumvollM,GoldsteinBJ,vanHaeftenTW.Type2
diabetes:principlesofpathogenesisandtherapy.
Lancet2005;365:1333-46.
3. RosenP,NawrothPP,KingG,MollerW,Tritschler
HJ,PackerL.Theroleofoxidativestressintheonset
andprogressionofdiabetesanditscomplications:a
summaryofaCongressSeriessponsoredbyUNESCO-
MCBN,theAmericanDiabetesAssociationand
theGermanDiabetesSociety.DiabetesMetabRes
Rev2001;17:189-212.
4. CosentinoF,HishikawaK,KatusicZS,LuscherTF.
Highglucoseincreasesnitricoxidesynthaseexpression
andsuperoxideaniongenerationinhumanaortic
endothelialcells.Circulation1997;96:25-8.
5. KesavuluMM,GiriR,KameswaraRaoB,ApparaoC.
Lipidperoxidationandantioxidantenzymelevelsin
type2diabeticswithmicrovascularcomplications.
DiabetesMetab2000;26:387-92.
6. ShanmugamN,ReddyMA,GuhaM,NatarajanR.
Highglucose-inducedexpressionofproinflammatory
cytokineandchemokinegenesinmonocyticcells.
Diabetes2003;52:1256-64.
7. HotamisligilGS,ShargillNS,SpiegelmanBM.Adipose
expressionoftumornecrosisfactor-alpha:directrole
inobesity-linkedinsulinresistance.Science1993;
259:87-91.
8. UedaA,OkudaK,OhnoS,ShiraiA,IgarashiT,
MatsunagaK,etal.NF-kappaBandSp1regulate
transcriptionofthehumanmonocytechemoattractant
protein-1gene.JImmunol1994;153:2052-63.
9. IhmCG,ParkJK,HongSP,LeeTW,ChoBS,Kim
MJ,etal.Ahighglucoseconcentrationstimulatesthe
expressionofmonocytechemotacticpeptide1in
humanmesangialcells.Nephron1998;79:33-7.
10. HaH,YoonSJ,KimKH.Highglucosecaninduce
lipidperoxidationintheisolatedratglomeruli.Kidney
Int1994;46:1620-6.
11. DiGregorioGB,Yao-BorengasserA,RasouliN,Varma
V,LuT,MilesLM,etal.ExpressionofCD68and
macrophagechemoattractantprotein-1genesin
humanadiposeandmuscletissues:associationwith
cytokineexpression,insulinresistance,andreduction
bypioglitazone.Diabetes2005;54:2305-13.
526 ธรรมศาสตร์เวชสาร ปีที่ ๑๔ ฉบับที่ ๔ ประจำาเดือนตุลาคม – ธันวาคม ๒๕๕๗
12. LeeSH,LeeHJ,LeeYH,LeeBW,ChaBS,KangES,
etal.Koreanredginseng(Panaxginseng)improves
insulinsensitivityinhighfatfedSprague-Dawleyrats.
PhytotherRes2012;26:142-7.
13. XuZ,WangX,ZhouM,MaL,DengY,ZhangH,etal.
TheantidiabeticactivityoftotallignanfromFructus
Arctiiagainstalloxan-induceddiabetesinmiceandrats.
PhytotherRes2008;22:97-101.
14. ThatiB,NobleA,RowanR,CreavenBS,WalshM,
McCannM,etal.Mechanismofactionofcoumarin
andsilver(I)-coumarincomplexesagainstthepathogenic
yeastCandidaalbicans.ToxicolInVitro2007;21:801-8.
15. ThatiB,NobleA,CreavenBS,WalshM,McCannM,
KavanaghK,etal.Invitroanti-tumourandcyto-
selectiveeffectsofcoumarin-3-carboxylicacidand
threeofitshydroxylatedderivatives,alongwiththeir
silver-basedcomplexes,usinghumanepithelial
carcinomacelllines.CancerLett2007;248:321-31.
16. Casley-SmithJR,WangCT,Zi-haiC.Treatmentof
filariallymphoedemaandelephantiasiswith5,6-benzo-
alpha-pyrone(coumarin).BMJ1993;307:1037-41.
17. KontogiorgisCA,SavvoglouK,Hadjipavlou-LitinaDJ.
Antiinflammatoryandantioxidantevaluationofnovel
coumarinderivatives.JEnzymeInhibMedChem2006;
21:21-9.
18. HoultJR,PayaM.Pharmacologicalandbiochemical
actionsofsimplecoumarins:naturalproductswith
therapeuticpotential.GenPharmacol1996;27:713-22.
19. RameshB,PugalendiKV.AntioxidantroleofUmbelliferone
inSTZ-diabeticrats.LifeSci2006;79:306-10.
20. RameshB,PugalendiKV.Antihyperglycemiceffectof
umbelliferoneinstreptozotocin-diabeticrats.JMed
Food2006;9:562-6.
21. JungJY,LimY,MoonMS,KimJY,KwonO.Onion
peelextractsamelioratehyperglycemiaandinsulin
resistanceinhighfatdiet/streptozotocin-induced
diabeticrats.NutrMetab(Lond)2011;8:18.
22. VasconcelosJF,TeixeiraMM,Barbosa-FilhoJM,Agra
MF,NunesXP,GiuliettiAM,etal.Effectsofumbelliferone
inamurinemodelofallergicairwayinflammation.Eur
JPharmacol2009;609:126-31.
23. BradfordMM.Arapidandsensitivemethodforthe
quantitationofmicrogramquantitiesofproteinutilizing
theprincipleofprotein-dyebinding.AnalBiochem
1976;72:248-54.
24. BouvetC,PeetersW,MoreauS,DeBloisD,Moreau
P.Anewratmodelofdiabeticmacrovascular
complication.CardiovascRes2007;73:504-11.
25. SawantSP,DnyanmoteAV,ShankarK,LimayePB,
LatendresseJR,MehendaleHM.Potentiationofcarbon
tetrachloridehepatotoxicityandlethalityintype2
diabeticrats.JPharmacolExpTher2004;308:694-704.
26. SrinivasanK,ViswanadB,AsratL,KaulCL,
RamaraoP.Combinationofhigh-fatdiet-fedand
low-dosestreptozotocin-treatedrat:amodelfortype
2diabetesandpharmacologicalscreening.Pharmacol
Res2005;52:313-20.
27. BilanPJ,SamokhvalovV,KoshkinaA,SchertzerJD,
SamaanMC,KlipA.Directandmacrophage-mediated
actionsoffattyacidscausinginsulinresistancein
musclecells.ArchPhysiolBiochem2009;115:176-90.
28. DeFronzoRA,TripathyD.Skeletalmuscleinsulin
resistanceistheprimarydefectintype2diabetes.
DiabetesCare2009;32Suppl2:S157-63.
29. LakeBG.Coumarinmetabol ism,toxicityand
carcinogenicity:relevanceforhumanriskassessment.
FoodChemToxicol1999;37:423-53.
30. BornSL,ApiAM,FordRA,LefeverFR,HawkinsDR.
Comparativemetabolismandkineticsofcoumarinin
miceandrats.FoodChemToxicol2003;41:247-58.
31. DaviG,FalcoA,PatronoC.Lipidperoxidationin
diabetesmellitus.AntioxidRedoxSignal2005;7:256-68.
32. PickupJC.Inflammationandactivatedinnateimmunity
inthepathogenesisoftype2diabetes.DiabetesCare
2004;27:813-23.
33. FasshauerM,KleinJ,KralischS,KlierM,Lossner
U,BluherM,etal.Monocytechemoattractantprotein
1expressionisstimulatedbygrowthhormoneand
interleukin-6in3T3-L1adipocytes.BiochemBiophys
ResCommun2004;317:598-604.
527Thammasat Medical Journal, Vol. 14 No. 4, October – December 2014
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