苋菜对糖尿病肾病的治疗作用

Balasubramanian T, Karthikeyan M
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引用次数: 18

摘要

背景:在印度传统医学体系中,Amaranthus hybridus被认为对治疗痢疾、腹泻、肠出血、溃疡、肝脏感染和膝盖疼痛有用,在印度南部,其叶子在民间医学中用于治疗糖尿病。本研究探讨了紫花苋叶乙醇提取物对链脲佐菌素(STZ)诱导的糖尿病大鼠肾细胞的保护作用。材料与方法:采用STZ单剂量(50 mg/kg i.p)诱导白化Wister大鼠糖尿病。以200、400 mg/kg剂量每日口服苋菜乙醇叶提取物(AHELE) 14 d,于第15天测定血清和尿肾功能指标肌酐、尿素、尿酸、白蛋白和总蛋白。测定了提取物的抗氧化能力。因此,我们观察了AHELE治疗对STZ肾毒性大鼠肾脏组织学特征的影响。结果:与糖尿病对照组相比,AHELE显著(P<0.001)降低了糖尿病治疗大鼠血清肌酐、尿素和尿酸水平以及尿中总蛋白和白蛋白水平的升高。该提取物还改善了与糖尿病肾病相关的血清总蛋白的改变。AHELE大鼠肾脏TBARS显著降低(P<0.001), SOD显著升高(P<0.001), CAT显著升高(P<0.01),谷胱甘肽水平显著降低(P<0.001)。此外,药物处理大鼠肾脏的组织病理学研究显示对STZ氧化应激有明显的保护作用。结论:紫花苋对糖尿病大鼠的氧化损伤具有明显的肾保护作用。
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Therapeutic Effect of Amaranthus hybridus on Diabetic Nephropathy
Background: Amaranthus hybridus is claimed to be useful in treating dysentery, diarrhoea, hemorrhage of the bowel, ulcers, liver infections and knee pain in Indian traditional system of medicine, and in southern India, the leaves are used in folk medicine for the treatment of diabetes mellitus. The present research was conducted to evaluate the nephron protective effect of ethanol extract of Amaranthus hybridus leaves in Streptozotocin (STZ)-induced diabetic rats. Materials and methods: Wister albino rats were induced diabetic by a single dose of STZ (50 mg/kg i.p.). The serum and urine renal function parameters-creatinine, urea, uric acid, albumin and total proteins were measured on 15th day after daily oral administration of Amaranthus hybridus ethanolic leaves extract (AHELE) for 14 days at doses of 200 and 400 mg/kg. The antioxidant potential of extract was also determined. Hence, the effects of the AHELE treatments on the kidney histological profile in STZ nephrotoxic rats were observed. Results: The present study investigation showed that the AHELE significantly (P<0.001) attenuated elevations in the serum levels of creatinine, urea and uric acid, and urine levels of total proteins and albumin, in diabetic treated rats as compared with diabetic control rats. The extract also improved altered serum total protein associated with diabetes nephropathy. A significant decrease in TBARS (P<0.001), and significant increase in SOD (P<0.001), CAT (P<0.01) and reduced glutathione levels (P<0.001) were observed in the kidney of rats treated with AHELE. Furthermore, the histopathological study of kidney in drug treated rats shows significant protective effect against STZ oxidative stress. Conclusions: Our results suggest that Amaranthus hybridus possesses significant nephronprotective effect against oxidative damage in diabetic rats.
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