亚慢性摄入富含氢碳酸镁的矿泉水对链脲佐菌素诱导的糖尿病大鼠心脏代谢指标和电解质的影响

Q4 Medicine Scripta Medica Pub Date : 2022-01-01 DOI:10.5937/scriptamed53-40112
Dragana Đurić, Nina Gatarić, D. Todorović, S. Stanković, Dragana Dragičević-Cvjetković, M. Stojiljković, R. Škrbić, S. Vučković
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引用次数: 1

摘要

背景/目的:低镁血症是糖尿病患者最常见的电解质异常之一。调节许多心血管病理生理过程是抗糖尿病治疗的潜在目标。补充镁可以预防亚临床组织镁缺乏,从而延缓糖尿病代谢失衡的发生,但补充镁对慢性糖尿病和许多病理生理过程的长期影响尚不清楚。本研究的目的是确定亚慢性摄入富含氢碳酸镁的矿泉水对链脲佐菌素诱导的糖尿病大鼠心脏代谢指标和电解质的影响。方法:取28只Wistar雄性大鼠,初始体重160 g,随机分为4组,每组7只:对照组:饮用自来水,单次注射生理盐水(0.9% NaCl)组(TW-C);饮用富含碳酸镁的矿泉水,单次注射生理盐水(0.9% NaCl)组(MW-C);两组为链脲佐菌素所致糖尿病,饮用自来水组单次注射链脲佐菌素(100 mg/kg)盐水(0.9% NaCl, 1 mL) (TW-DM),饮用富含碳酸镁的矿泉水组单次注射链脲佐菌素(100 mg/kg)盐水(0.9% NaCl, 1 mL) (MW-DM)。结果:在生化指标方面,MW-C组维生素B12和蛋白质含量降低,甘油三酯含量高于TW-C组。通过比较TW-C组和MW-C组之间的止血生物标志物,发现纤维蛋白原有统计学意义上的降低,而电解质分析显示MW-C组的磷酸盐增加。TW-DM组和MWDM组的生化值比较显示,尽管碳酸镁组糖尿病大鼠的平均血糖值较低,但使用碳酸镁组糖尿病大鼠的血糖没有显著降低。在电解质值方面,MW-DM组的钠、钾和磷酸盐有统计学意义的降低。与TW-DM组相比,MW-DM组的铁值也显著增加。结论:亚慢性摄入富含氢碳酸镁的矿泉水,作为镁补充的一种形式,并没有引起血糖的显著改善或糖尿病诱导的血脂异常的正常化。该研究显示纤维蛋白原值降低,从而表明在不同的促血栓形成条件下使用这种形式的镁补充剂的可能性。
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The effects of subchronic intake of magnesium hydro-carbonate-rich mineral water on cardiometabolic markers and electrolytes in rats with streptozotocin-induced diabetes
Background/Aim: Hypomagnesaemia is one of the most detected electrolyte abnormalities in diabetics. Modulation of numerous cardiovascular pathophysiological processes is a potential goal for anti-diabetic therapy. Magnesium supplementation prevents subclinical tissue magnesium deficiency, thus delaying the onset of metabolic imbalance in diabetes, but long-term effects of magnesium supplementation in chronic diabetes and numerous pathophysiological processes remain unknown. Aim of this study was to determine the effects of subchronic intake of magnesium hydrocarbonate-rich mineral water on cardiometabolic markers and electrolytes in rats with streptozotocin-induced diabetes. Methods: A total of 28 Wistar, male rats, body weight 160 g at start, were divided into four groups of 7 each: two controls, group that drank tap water and received a single ip injection of saline (0.9 % NaCl) (TW-C), group that drank mineral water rich in magnesium hydrocarbonate and received a single ip injection of saline (0.9 % NaCl) (MW-C); and two experimental groups with streptozotocin-induced diabetes, group that drank tap water and received a single ip injection of streptozotocin (100 mg/kg) in saline (0.9 % NaCl, 1 mL) (TW-DM), group that drank mineral water rich in magnesium hydrocarbonate and received a single ip injection of streptozotocin (100 mg/kg) in saline (0.9 % NaCl, 1 mL) (MW-DM). Results: Regarding the biochemical parameters, a decrease was observed in the MW-C group for vitamin B12 and proteins, while triglycerides were higher compared to the TW-C group. By comparing the haemostatic biomarkers between TW-C and MW-C groups, a statistically significant decrease was found for fibrinogen, while the electrolyte analysis showed an increase in phosphates for the MW-C group. Biochemical value comparison between TW-DM and MWDM groups showed that magnesium hydrocarbonate usage in diabetic rats did not significantly reduce glycaemia although the average glycaemic values were lower in the group treated with magnesium hydrocarbonate. Regarding the electrolyte values, a statistically significant decrease was observed for sodium, potassium and phosphate in the MW-DM group. The MW-DM group also showed a significant increase in iron value compared to TW-DM group. Conclusion: Subchronic intake of magnesium hydrocarbonate-rich mineral water, as a form of magnesium supplementation, did not cause a significant improvement in glycaemia or normalisation of diabetes-induced dyslipidaemia. This study showed the reduction of fibrinogen value, thus indicating the possibility of usage of this form of magnesium supplementation in different pro-thrombogenic conditions.
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