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A correlation study of arterial stiffness, cardiac autonomic neuropathy and lipid profile in type 2 diabetes mellitus patients 2型糖尿病患者动脉硬化、心脏自主神经病变与血脂的相关性研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_339_2022
M. Kar, N. Priyadarsini, Kishore Behera
Micro and macrovasculopathy are common complications of undertreated or undiagnosed type 2 diabetes mellitus (T2DM) patients. One of the underlying factors of macrovasculopathy is arterial stiffness, which may lead to cardiovascular and cerebrovascular diseases. Understandably, diabetic micro and macrovasculopathy affect vital functions, which may affect the well-being of the individual. However, few studies have attempted to determine arterial stiffness, cardiac autonomic neuropathy (CAN) and lipid profile separately in South Asian population and examined its associations with T2DM. Moreover, there is a need to understand the mechanistic links among cardiovascular risk factors. This forms the basis of the present study.T2DM patients of 53–62 years and age- and gender-matched healthy control subjects were recruited in the cross-sectional and observational study (n = 30 each, eight women). Anthropometric measurements, physiological parameters such as resting heart rate, peripheral blood pressure (PBP), central blood pressure (CBP), augmentation index% (AIx%), brachial-ankle pulse wave velocity and lead II ECG for analysis of heart rate variability parameters were recorded after obtaining the consent of the study participants. The lipid profile and fasting blood glucose were also analysed.Peripheral systolic blood pressure was significantly higher (P = 0.05) in T2DM patients. Dyslipidaemia was evident in T2DM patients. Atherogenic index of plasma (AIP) was also significantly higher in T2DM patients. Correlation analysis revealed a positive association between AIx% with PBP and CBP as well as between AIP index and central systolic blood pressure, serum triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) and very low-density lipoprotein cholesterol (VLDL-C) levels. AIP index was found to be negatively associated with HF (nu). Serum TG, high-density lipoprotein cholesterol (HDL-C) levels and AIP index have emerged as significant independent predictors of T2DM vasculopathy by multiple regression analysis.In the present study, atherogenic dyslipidaemia was observed in T2DM patients in combination with increased serum levels of TG, VLDL-C and decreased serum levels of HDL-C. Moreover, AIP index, a predictor cardiovascular risk, was found to be significantly higher in T2DM patients. Dyslipidaemia was found to be associated with dysregulation of autonomic nervous system in those patients. A positive association between noninvasive, surrogate markers of arterial stiffness with PBP and CBP indicates that enhanced arterial stiffness may elevate systemic arterial pressure. Therefore, early screening of T2DM patients for the estimation of serum lipid profile, arterial stiffness and cardiac autonomic neuropathy may be performed to unravel diabetic vasculopathy.
微血管和大血管病变是治疗不足或未确诊的2型糖尿病(T2DM)患者的常见并发症。大血管病变的潜在因素之一是动脉硬化,这可能导致心脑血管疾病。可以理解的是,糖尿病的微血管和大血管病变会影响生命功能,这可能会影响个人的健康。然而,很少有研究试图在南亚人群中分别确定动脉硬化、心脏自主神经病变(CAN)和脂质状况,并检查其与T2DM的关系。此外,有必要了解心血管风险因素之间的机制联系。这构成了本研究的基础。横断面和观察性研究招募了53–62岁的T2DM患者以及年龄和性别匹配的健康对照受试者(各30名,8名女性)。在获得研究参与者的同意后,记录人体测量、生理参数,如静息心率、外周血压(PBP)、中心血压(CBP)、增强指数%(AIx%)、臂踝脉搏波速度和用于分析心率变异性参数的II导联心电图。还分析了血脂和空腹血糖。T2DM患者的外周收缩压显著升高(P=0.05)。T2DM患者出现明显的血脂异常。T2DM患者的血浆动脉粥样硬化指数(AIP)也显著升高。相关性分析显示,AIx%与PBP和CBP呈正相关,AIP指数与中枢收缩压、血清甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和极低密度脂素胆固醇(VLDL-C)水平呈正相关。AIP指数与HF(nu)呈负相关。通过多元回归分析,血清TG、高密度脂蛋白胆固醇(HDL-C)水平和AIP指数已成为T2DM血管病变的重要独立预测因素。在本研究中,在T2DM患者中观察到动脉粥样硬化性血脂异常,同时伴有TG、VLDL-C血清水平升高和HDL-C血清水平降低。此外,AIP指数,一种预测心血管风险的指标,被发现在T2DM患者中显著更高。发现这些患者的血脂异常与自主神经系统的失调有关。PBP和CBP的动脉硬化的非侵入性替代标志物之间的正相关表明,动脉硬化增强可能会升高全身动脉压。因此,可以对T2DM患者进行早期筛查,以评估血脂状况、动脉硬化和心脏自主神经病变,从而揭示糖尿病血管病变。
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引用次数: 0
Trait emotional intelligence as predictor of psychological health in undergraduate medical students: A hierarchical multiple regression approach 特质情绪智力对医学生心理健康的预测:层次多元回归方法
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_145_2022
Preeti Jain, P. Jain
Trait emotional intelligence (TEI) is a key personality construct by which an individual recognizes, understands, expresses and regulates emotions in self and others to adapt to environments or achieve one’s goals. TEI skills are modifiable and have a potential to significantly influence psychological health (PH) of a person. The aims of current work were to evaluate relationship between TEI and PH of medical students and to explore the incremental validity of TEI to predict psychological distress beyond sociodemographic and educational factors in them.One hundred and thirty-two medical students (mean age 18.02 years) participated in this cross-sectional study. TEI and PH were assessed using TEI questionnaire short form (TEIQue-sf) and depression, anxiety and stress scale (DASS-21), respectively. Hierarchical multiple regression analysis was carried out to determine if scores on TEIQue-sf added significantly to the prediction of psychological symptoms in medical students.There was a significant negative association (r = −0.57, P < 0.001) between TEIQue-sf and DASS-21 scores. Hierarchical regression analyses revealed that after controlling for sociodemographic and educational variables, TEIQue-sf scores explained a statistically significant increment of variance (P < 0.001) in DASS-21 scores. TEI emerged as best predictor of psychological distress of medical students followed by educational factors. However, sociodemographic profile as an attribute failed to demonstrate significant capacity to predict PH of our participants.Our results indicate that TEI is a robust and unique predictor of better PH and plays a positive role in promoting psychological well-being.
特质情商(TEI)是个体识别、理解、表达和调节自我和他人情绪以适应环境或实现目标的关键人格结构。TEI技能是可以改变的,有可能显著影响一个人的心理健康(PH)。本研究旨在探讨医学生TEI与PH的关系,并探讨TEI在预测医学生心理困扰方面的增量效度。132名医学生(平均年龄18.02岁)参与本横断面研究。采用TEI问卷简表(TEIQue-sf)和抑郁、焦虑和压力量表(DASS-21)分别评估TEI和PH。采用分层多元回归分析确定TEIQue-sf评分是否对医学生心理症状有显著预测作用。TEIQue-sf与DASS-21评分呈显著负相关(r = - 0.57, P < 0.001)。分层回归分析显示,在控制了社会人口统计学和教育变量后,TEIQue-sf分数解释了DASS-21分数方差的统计学显著增加(P < 0.001)。TEI是医学生心理困扰的最佳预测因子,其次是教育因素。然而,社会人口特征作为一种属性未能证明预测参与者PH的显著能力。我们的研究结果表明,TEI是一个强大的和独特的预测更好的PH,并在促进心理健康方面发挥积极作用。
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引用次数: 0
Implementation of the online learning management system ‘Moodle’ as a blended approach to online teaching 实施在线学习管理系统“Moodle”作为在线教学的混合方法
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_208_2022
Shilpi Goyal, F. Khaliq, N. Vaney
Web-based learning is becoming a newly accepted standard in education, more so with COVID-19 pandemic. To use technology to redesign learning experiences, a blend of synchronous and asynchronous approaches was used wherein the routine lectures through MS Teams (synchronous) were integrated with an online learning management system (LMS), ‘Moodle’ (modular object-oriented dynamic learning environment) based, four-quadrant approach (asynchronous). We aimed to determine the student’s engagement, performance and perception of the new online LMS.All 170 students of the 1st year MBBS of batch 2020 were enrolled in the course. A module was developed for teaching ‘Physiology of Vision’ with this blended approach. Along with routine online lectures through Microsoft Teams, supplementary materials in the form of multimedia presentations and additional links to useful websites were provided through online LMS. The online activity of students was recorded and assessments were done. A feedback form was filled out by students at the end of the course.A significant positive correlation of examination scores with individual student’s activity logs and significantly better scores in top Moodle users along with significantly higher marks in Moodle-based modules than in other modules confirmed the value of Moodle in improving student performance. Overall feedback from students was clearly in favour of implementing Moodle as a complementary tool to traditional teaching.Moodle improved the quality of learning. It developed interest and motivation among students and has a positive impact on academic outcomes.
基于网络的学习正在成为一种新接受的教育标准,随着新冠肺炎的流行,情况更是如此。为了使用技术重新设计学习体验,使用了同步和异步方法的混合,其中通过MS Teams(同步)进行的常规讲座与在线学习管理系统(LMS)、基于“Moodle”(模块化面向对象动态学习环境)的四象限方法(异步)相集成。我们旨在确定学生对新在线LMS的参与度、表现和看法。2020批次MBBS一年级的所有170名学生都参加了该课程。开发了一个模块,用这种混合方法教授“视觉生理学”。除了通过微软团队进行的常规在线讲座外,还通过在线LMS提供了多媒体演示形式的补充材料和有用网站的附加链接。记录了学生的在线活动并进行了评估。课程结束时,学生们填写了一份反馈表。考试成绩与个别学生的活动日志呈显著正相关,Moodle顶级用户的成绩明显更好,基于Moodle的模块的成绩明显高于其他模块,这证实了Moodle在提高学生成绩方面的价值。学生们的总体反馈显然支持将Moodle作为传统教学的补充工具。Moodle提高了学习质量。它培养了学生的兴趣和动机,并对学业成绩产生了积极影响。
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引用次数: 0
Effects of cloperastine, a non-narcotic antitussive, on the expression of GIRK channels in the brain of methamphetamine-induced hyperactive mice 非麻醉性镇咳药cloperastine对甲基苯丙胺致多动小鼠脑内GIRK通道表达的影响
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_337_2022
F. Soeda, Mizue Kinoshita, Yoshiko Fujieda, K. Takahama
Centrally-acting antitussives with inhibitory effects on G protein-coupled inwardly rectifying potassium (GIRK) channels have been shown to also inhibit methamphetamine-induced hyperactivity in mice. In this study, we examined if cloperastine, which is the most potent inhibitor of the GIRK channels among antitussives, is sensitive to the expression levels of GIRK channels in the brain of methamphetamine-treated mice.The brain tissues have been removed and the total RNA has been extracted from tissues. The mRNA levels were evaluated using semiquantitative reverse transcription-polymerase chain reaction.The concentration levels of the mRNA of GIRK channels within the ventral midbrain of methamphetamine-treated mice increased as compared with that in control and cloperastine reduced an upregulation in GIRK2, one of the subunits of the GIRK channels, by the injection of methamphetamine.These findings suggest that cloperastine might ameliorate hyperactivity by inhibiting the GIRK channels in the brain.
对G蛋白偶联内向整流钾(GIRK)通道具有抑制作用的中心作用镇咳药已被证明也能抑制甲基苯丙胺诱导的小鼠多动。在这项研究中,我们检测了作为镇咳药中最有效的GIRK通道抑制剂的氯拉司汀是否对甲基苯丙胺处理小鼠大脑中GIRK渠道的表达水平敏感。已经移除了脑组织,并且已经从组织中提取了总RNA。使用半定量逆转录聚合酶链反应评估mRNA水平。与对照组相比,甲基苯丙胺处理的小鼠腹侧中脑内GIRK通道的mRNA浓度水平增加,并且通过注射甲基苯丙胺,cloperastine减少了GIRK2(GIRK渠道的亚基之一)的上调。这些发现表明,cloperastine可能通过抑制大脑中的GIRK通道来改善多动。
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引用次数: 0
Efficacy and safety of Saroglitazar and Fenofibrate in the treatment of diabetic dyslipidaemia: A pilot study Saroglitazar和非诺贝特治疗糖尿病血脂异常的疗效和安全性:一项初步研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_257_2022
R. Gahlot, Sahil Kumar, S. Garg, S. Chawla, B. Kalra
Diabetic dyslipidaemia (DD) is characterised by hypertriglyceridaemia and elevated or normal levels of low-density lipoprotein cholesterol and decreased levels of high-density lipoprotein cholesterol with Type 2 diabetes mellitus. Statins and anti-diabetic medication are coprescribed for optimal control.The objective of the study was to compare the safety and efficacy of Saroglitazar 4-mg and Fenofibrate 200 mg in combination with low dose Atorvastatin (10 mg) in patients with DD. Run-in period of 4 weeks for life-style and diet modification followed by 12 weeks of treatment with saroglitazar or fenofibrate and low dose of atorvastatin was followed. Primary outcome of this study was an absolute change in serum triglyceride level at baseline and end of treatment period (12 weeks). Secondary outcome was changed from baseline lipid profile, fasting blood glucose and glycosylated haemoglobin (HbA1c) at the end of treatment period. Safety assessment was also done during the duration of study.Forty patients of DD were randomly divided into two groups. One group received Saroglitazar 4 mg along with Atorvastatin 10 mg. Patients in second group received Fenofibrate 200 mg along with Atorvastatin 10 mg. Improvement in deranged lipid levels in both the groups was observed and this difference in improvement statistically was not found to be significant. We also observed that Saroglitazar significantly improves glycaemic profile by decreasing fasting blood sugar levels and HbA1c (P = 0.01, P < 0.01). Adverse events reported during this study were mild and none of the patients reported serious adverse events.Saroglitazar could be a potential drug to control both hyperglycaemia and dyslipidaemia in patients with DD.
糖尿病性血脂异常(DD)的特征是高甘油三酯血症,低密度脂蛋白胆固醇水平升高或正常,高密度脂蛋白胆固醇水平降低。他汀类药物和抗糖尿病药物是最佳控制的处方。该研究的目的是比较沙格列他4 mg和非诺贝特200 mg联合低剂量阿托伐他汀(10 mg)治疗DD患者的安全性和有效性。在4周的生活方式和饮食改变磨合期后,沙格列他或非诺贝特和低剂量阿托伐他汀治疗12周。本研究的主要结果是基线和治疗期(12周)结束时血清甘油三酯水平的绝对变化。次要结局从治疗期结束时的基线血脂、空腹血糖和糖化血红蛋白(HbA1c)改变。在研究期间还进行了安全性评估。40例DD患者随机分为两组。一组给予沙格列他4 mg,阿托伐他汀10 mg。第二组患者给予非诺贝特200 mg,阿托伐他汀10 mg。两组患者紊乱的血脂水平均有改善,但这种改善的差异在统计学上并不显著。我们还观察到Saroglitazar通过降低空腹血糖水平和HbA1c显著改善血糖谱(P = 0.01, P < 0.01)。在这项研究中报告的不良事件是轻微的,没有患者报告严重的不良事件。Saroglitazar可能是一种控制DD患者高血糖和血脂异常的潜在药物。
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引用次数: 0
A cross-sectional survey to assess the drug disposal practices of unused and expired medicines among lay public visiting a tertiary care hospital in an urban metropolis 一项横断面调查,以评估在城市大都市三级保健医院就诊的普通公众对未使用和过期药物的处置做法
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_486_2022
R. Munshi, Alisha S. Dhiman, M. Maurya
A cross-sectional survey was conducted to evaluate the knowledge, awareness and practice among the lay public regarding storage and disposal of unused and expired medicines.This was an observational, cross-sectional, single-centre and questionnaire-based survey. After obtaining Institutional Ethics Committee approval, the study was conducted using a pre-validated structured questionnaire distributed among the lay public visiting a tertiary care hospital located in an urban metropolitan city.Four hundred of 720 individuals visiting the tertiary care hospital participated in the survey. The results revealed that 75% had never referred to any sources to get the correct information about the proper and safe disposal of medicines and had no knowledge regarding the same. About 12.75% of study participants reported that they were educated regarding the disposal of medicines by their treating physicians (RR: 0.71 [95% CI: 0.51–0.99]) when compared with the other sources of information (18%) with statistically significant contribution made by the physicians (p<0.05). About 67% of the public stored their medicines at room temperature. Majority (83.75%) of the study participants reported that they disposed unused and expired drugs in the dustbin. Only 42.5% of the public knew the detrimental effect of improper drug disposal on human health and our ecosystem. In addition, 80% (320/400) of the participants confirmed that, given the option, they would prefer to return the unused or expired drugs to the pharmacy shops from where the medicines were purchased.There is a need to educate drug consumers/general public about safe and proper disposal of unused/ expired medicines. Health-care professionals, governments and policymakers should offer training to educate the general public about Indian regulations for safe disposal of unused/expired medicines.
进行了一项横断面调查,以评估公众对未使用和过期药品的储存和处置的知识、认识和做法。这是一项观察性、横断面、单中心、基于问卷的调查。在获得机构伦理委员会的批准后,该研究使用了一份预先验证的结构化问卷进行,该问卷在访问位于大都市的三级护理医院的非专业公众中分发。访问三级护理医院的720人中有400人参加了调查。结果显示,75%的人从未参考过任何来源来获得有关正确和安全处理药物的正确信息,也不知道这些信息。约12.75%的研究参与者报告称,与医生做出统计显著贡献的其他信息来源(18%)相比,他们接受了治疗医生对药物处置的教育(RR:0.71[95%CI:0.51–0.99])。约67%的公众在室温下储存药物。大多数(83.75%)的研究参与者报告说,他们将未使用和过期的药物丢弃在垃圾箱中。只有42.5%的公众知道不当药物处置对人类健康和生态系统的有害影响。此外,80%(320/400)的参与者确认,如果有选择,他们更愿意将未使用或过期的药物退回购买药物的药店。有必要对药品消费者/公众进行安全和适当处理未使用/过期药品的教育。卫生保健专业人员、政府和政策制定者应提供培训,教育公众了解印度关于安全处理未使用/过期药品的规定。
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引用次数: 0
Obituary on Taketoshi Ono 对小野Taketoshi的Obituary
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_124_2023
H. Mallick, H. Nishijo
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引用次数: 0
Effect of 12-week sports intervention programme on physical fitness and sports performance in individuals with spinal cord injury 为期12周的运动干预方案对脊髓损伤患者身体素质和运动成绩的影响
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_332_2022
Bela M Agarwal, Shrutika Parab, Oshin Amberkar, R. Mullerpatan
Inactivity in individuals with spinal cord injury (SCI) results in low physical fitness, cardiopulmonary endurance and poor quality of life. Sports participation is known to enhance physical fitness. Therefore, the present study evaluated effect of a structured, 12-week MGM Sports Intervention for Sports Intervention Program for SCI (SPISI) on physical fitness and throw-ball performance in individuals with SCI.The study was conducted at MGM School of Physiotherapy and Spinal Cord Injury Rehabilitation centre in Navi Mumbai, India. Following ethical approval, 15 individuals with SCI (80% males and 20% females mean age 33.1 ± 7.2 years) were recruited. Upper-extremity explosive power (medicine-ball-throw), agility (t-test), cardiorespiratory endurance (incremental shuttle wheelchair propulsion test) and ball-throwing capacity (maximal-pass test) were evaluated pre- and post-12-week sports intervention programme (SPISI). The protocol involved strength training of upper extremity training at 50% 1 repetition maximum and participation in throw-ball sport.Following training, increase in upper extremity explosive power (11%), cardiopulmonary endurance (5%), agility (8%) and ball-throwing capacity in distance (7%) (P < 0.05) was observed. The large effect size was observed for sports performance (maximal-pass test distance-Cohen’s d 1.261), moderate for cardiorespiratory endurance (incremental wheelchair propulsion test distance Cohen’s d 0.517) and upper extremity explosive power (medicine-ball throw distance 0.593). Increment in all outcome variables was greater than minimal clinically important difference.Sports intervention programme (SPISI) for 12 weeks brought about minimal clinically important difference in upper-extremity explosive power, agility, cardiorespiratory endurance and sport-specific performance and should be included as an integral component of rehabilitation of individuals with SCI.
脊髓损伤(SCI)患者的不活动导致身体素质低、心肺耐力低和生活质量差。众所周知,参加体育运动可以增强体质。因此,本研究评估了为期12周的结构性MGM运动干预SCI运动干预计划(SPISI)对SCI患者身体素质和投球表现的影响。该研究在印度孟买纳维的MGM物理治疗学院和脊髓损伤康复中心进行。在伦理批准后,招募了15名SCI患者(80%为男性,20%为女性,平均年龄33.1±7.2岁)。在12周前和12周后的运动干预计划(SPISI)中评估上肢爆发力(药球投掷)、敏捷性(t检验)、心肺耐力(递增穿梭轮椅推进试验)和投球能力(最大传球试验)。该方案包括上肢力量训练,最大重复次数为50%,并参与投球运动。训练后,上肢爆发力(11%)、心肺耐力(5%)、灵活性(8%)和远距离投球能力(7%)均有所提高(P<0.05)。运动成绩(最大传球测试距离Cohen’s d 1.261)、心肺耐力(轮椅推进测试距离Cohen's d 0.517)和上肢爆发力(药球投掷距离0.593)的效应大小较大。所有结果变量的增量均大于最小临床重要差异。为期12周的运动干预计划(SPISI)在上肢爆发力、灵活性、心肺耐力和运动专项表现方面产生了最小的临床重要差异,应作为SCI患者康复的一个组成部分。
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引用次数: 1
Machines to make manuscripts? Artificial intelligence - A boon or bane? 制作手稿的机器?人工智能——是福还是祸?
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_133_2023
T. Velpandian
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引用次数: 0
Enhancement of caudal fin regeneration in diabetic zebrafish: An insight into proangiogenic potential of bromelain 促进糖尿病斑马鱼尾鳍再生:菠萝蛋白酶促血管生成潜力的研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-03-29 DOI: 10.25259/ijpp_90_2022
Rajeshwari Parasuraman, Sathya Narayanan Govindarajulu
Diabetes mellitus is a chronic metabolic disease that is characterised by hyperglycaemia, altered lipids, carbohydrates and protein metabolism, and in the long-term, with eye, kidney, cardiovascular and neurological complications. Poor wound healing is one of the major complications faced by diabetes mellitus patients. Angiogenesis is critical for tissue regeneration and wound healing. Impaired angiogenesis may lead to poor blood flow to the wound and hence delayed wound healing. Hence, it is important to find an antidote to speed up wound healing. Hence, this study focuses on the proangiogenic potential of bromelain in the caudal fin regeneration of diabetic zebrafish.Zebrafish were divided into control, Diabetic and Diabetic + Bromelain treated groups. Diabetes mellitus was induced using multiple doses of streptozotocin (350 mg/kg b.w./i.p.) on days 1, 3, 5, 12 and 19. Glucose levels were estimated on day 21 to confirm the induction of diabetes mellitus, and then, the caudal fin was amputated. After the amputation of the caudal fin, bromelain was administered orally at a dosage of 40 mg/kg b.w. on every alternate day for 15 days. Body weight, blood glucose level, total area and percentage of fin regeneration were observed on day 36. Images were compared and areas of regeneration were analysed with the help of Image J software. One-way analysis of variance followed by Tukey’s multiple comparison tests was used to analyse the data.A significant increase in the blood glucose level was observed in the diabetic group compared with control. A significant decrease in the percentage of tail regeneration and area of regeneration was observed in diabetic fishes compared to the control. Bromelain treatment has significantly increased the percentage and area of regeneration and significantly decreased the blood glucose level in the treatment group compared with the control.The study confirms that bromelain can promote tissue regeneration; hence, it can be used to improve wound healing, which is one of the most common complications in diabetes mellitus.
糖尿病是一种慢性代谢性疾病,其特征是高血糖、脂质、碳水化合物和蛋白质代谢改变,长期来看,还会出现眼部、肾脏、心血管和神经系统并发症。伤口愈合不良是糖尿病患者面临的主要并发症之一。血管生成对组织再生和伤口愈合至关重要。血管生成受损可能导致伤口血流不畅,从而延迟伤口愈合。因此,找到一种加速伤口愈合的解药是很重要的。因此,本研究的重点是菠萝蛋白酶在糖尿病斑马鱼尾鳍再生中的促血管生成潜力。斑马鱼分为对照组、糖尿病组和糖尿病+菠萝蛋白酶治疗组。在第1、3、5、12和19天使用多剂量链脲佐菌素(350mg/kg b.w./i.p.)诱导糖尿病。在第21天估计葡萄糖水平以确认糖尿病的诱导,然后切除尾鳍。在切断尾鳍后,每隔一天口服菠萝蛋白酶,剂量为40mg/kg b.w.,持续15天。在第36天观察体重、血糖水平、总面积和鳍再生百分比。在ImageJ软件的帮助下,对图像进行比较并分析再生区域。采用单向方差分析,然后采用Tukey的多重比较检验对数据进行分析。与对照组相比,糖尿病组的血糖水平显著升高。与对照组相比,糖尿病鱼类的尾部再生百分比和再生面积显著降低。与对照组相比,菠萝蛋白酶治疗组的再生百分比和面积显著增加,血糖水平显著降低。研究证实菠萝蛋白酶能促进组织再生;因此,它可以用于改善伤口愈合,这是糖尿病最常见的并发症之一。
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Indian journal of physiology and pharmacology
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