Comparative Evaluation of Diabetes Complication Using Liver Function Parameters as Indices between Male and Female Alloxan Induced Diabetic Rats

Iwuji Joy Chidinma, Nwanjo Harrison Ugochukwu, Nwosu Dennis C, Onuoha Chisom Precious, Emerole Chinwe Nelly, Ohaeri Evangelina Ozoemena
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Abstract

It is known that diabetes causes liver damage. On the other hand, because most cases of liver damage have been investigated in males, examining the relationship of this disease in both sexes is of great importance. This study was aimed at, comparatively evaluating diabetic complications using histopathological examination and liver function parameters as indices in alloxan-induced diabetic rats. A total of 24 male and female rats divided into four groups of six animals each were used for the experiment. Group A were female control, Group B were male control while group C and D were alloxan induced diabetic female and male rats respectively. Groups A and B were non diabetic rats fed with rat diet all through the experiment. Group C and D were diabetes induced with a single intraperitoneal injection of alloxan (120mg/kg). At the end of the inducement period, the rats were fasted overnight and sacrificed. Blood was collected by ocular puncture for the determination of fasting plasma glucose (FPG) and serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), total bilirubin (TB), direct bilirubin (DB), total protein (TP) and albumin (ALB) using spectrophotometric method. Histology of the liver was determined by H and E technique. The results showed the experimental group C (365.83±43.6mg/dl) and D (368.94±43.93mg/dl) had significantly elevated levels of FPG when compared with the controls group A (116.00±9.11mg/dl) and B (108.33±5.5mg/dl) confirming the induction of diabetes (P=0.000). The liver of both male and female diabetic rats showed ballooning degeneration. In the males, these were arranged in normal sheets and cord around central vein in some areas of the center, on the other hand, the central vein of the female diabetic rats appears slightly enlarged containing blood clots and the arrangement of the hepatocytes in sheets or cords around the central vein was completely distorted. There was no significant difference (p>0.05) in the mean serum levels of ALP, AST, ALT, DB, TP and ALB in female diabetics when compared to male diabetic rats. The mean serum level of TB was significantly reduced (p=0.004) in female diabetics (0.53±0.05) than in the male diabetic albino rats (0.69±0.09). This study showed the liver histology and function are variably altered in diabetes mellitus. Further research on the causes of liver damage will help us to unravel the pathogenesis of diabetes and its complications.  
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以肝功能参数为指标比较评估雌雄阿脲诱导糖尿病大鼠的糖尿病并发症
众所周知,糖尿病会导致肝损伤。另一方面,由于大多数肝损伤病例的调查对象是男性,因此研究这种疾病与男性和女性的关系非常重要。本研究旨在使用组织病理学检查和肝功能参数作为指标,对阿脲诱导的糖尿病大鼠的糖尿病并发症进行比较评估。实验共使用了 24 只雌雄大鼠,分为四组,每组六只。A 组为雌性对照组,B 组为雄性对照组,C 组和 D 组分别为阿脲诱导的糖尿病雌性和雄性大鼠。A 组和 B 组为非糖尿病大鼠,在整个实验期间均以大鼠饮食喂养。C 组和 D 组大鼠腹腔注射阿脲(120 毫克/千克)诱发糖尿病。诱导期结束后,大鼠禁食一夜并处死。通过眼部穿刺采集血液,采用分光光度法测定空腹血浆葡萄糖(FPG)和血清中丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、碱性磷酸酶(ALP)、总胆红素(TB)、直接胆红素(DB)、总蛋白(TP)和白蛋白(ALB)的水平。肝脏组织学采用 H 和 E 技术进行测定。结果显示,与对照组 A(116.00±9.11mg/dl)和 B(108.33±5.5mg/dl)相比,实验组 C(365.83±43.6mg/dl)和 D(368.94±43.93mg/dl)的 FPG 水平明显升高,证实了糖尿病的诱导(P=0.000)。雄性和雌性糖尿病大鼠的肝脏均出现气球变性。雄性糖尿病大鼠的肝细胞呈正常的片状和条索状排列在中央静脉周围的某些区域,而雌性糖尿病大鼠的中央静脉出现轻微肿大,内含血块,肝细胞呈片状或条索状排列在中央静脉周围的区域完全变形。与雄性糖尿病大鼠相比,雌性糖尿病大鼠血清中 ALP、AST、ALT、DB、TP 和 ALB 的平均水平无明显差异(P>0.05)。雌性糖尿病大鼠血清中 TB 的平均水平(0.53±0.05)比雄性糖尿病白化大鼠(0.69±0.09)明显降低(p=0.004)。这项研究表明,糖尿病患者的肝脏组织学和功能会发生不同程度的改变。对肝损伤原因的进一步研究将有助于我们揭示糖尿病及其并发症的发病机制。
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