STUDY OF THE SPECIFIC ACTIVITY OF THE PHYTOCOMPOSITION ON THE DEXAMETHASONE-INDUCED INSULIN RESISTANCE

Authors

  • A. I. Dub I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • I. M. Klishch I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • L. V. Vronska I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY
  • I. P. Stechyshyn I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY

DOI:

https://doi.org/10.11603/mcch.2410-681X.2021.i2.12233

Keywords:

diabetes mellitus, insulin resistance, hypoglycemic activity, white mulberry, common bean, bilberry

Abstract

Introduction. Type 2 diabetes mellitus (DM2) has recently become an epidemic in the population. There are approximately 463 million patients in the world, and according to experts from the International Diabetes Federation, it is expected to increase to 700 million people by 2045, of which more than 90 % will fall on DM2. Despite the significant progress made in studying the pathogenesis of DM, the presence of a wide range of antidiabetic drugs, diabetes remains an acute medical and social problem.

The aim of the study – to investigate the specific activity of the phytocomposition, which contains dry extracts of white mulberry leaves (Morus alba L.), common beans shells (Phaseolus vulgaris L.), bilberry sprouts (Vaccinium myrtillus L.) in the experimental model of insulin resistance caused by dexamethasone injections.

Research Methods. The experiments were performed on male rats aged three months and weight (200±20) g. Experimental animals were divided into the following groups: negative and positive control, two reference groups, which received Arfazetin and metformin respectively, and experimental group, which received phytocomposition. Insulin resistance was modeled by intramuscular administration of glucocorticosteroid dexamethasone (0.125 mg/kg daily for 13 days in the morning). The state of glucose homeostasis was assessed by changes in basal glycemia and under oral glucose tolerance test, short insulin and adrenalin test. Functional glycemic coefficients were also calculated. Statistical processing was performed using computer programs IBM SPSS Statistics v.10.1 and
MS Excel 2010.

Results and Discussion. Basal glycemia after modeling insulin resistance in the experimental group, which received the phytocomposition, was significantly lower by 19.0 % from the positive control group and did not differ from the activity of metformin. During the oral glucose tolerance test, the phytocomposition significantly inhibited the growth of glycemia in all studied periods relative to the indicators of the positive control group. Functional glycemic coefficients, which were obtained based on test data, did not exceed the norm. Insulin sensitivity under the influence of phytomedicine increased by 16.2 % above the positive control group, indicating inhibition of insulin resistance development under its influence. The studied phytocomposition inhibited the development of adrenaline glycemia by 42.9, 70.2 % after 30 and 90 min, respectively, relative to the positive control group, which corresponds to the indicators of the negative control group and reference group, which received Arfazetin, but this decrease is not enough to exceed the effect of metformin.

Conclusions. The obtained results indicate that the studied phytocomposition inhibits the development of insulin resistance and carbohydrate tolerance in the conditions of insulin resistance caused by the introduction of dexamethasone.

References

IDF diabetes atlas - 9th edition. Retrieved from: http://www.diabetesatlas.org/

Posokhova, K.A., Stechyshyn, I.P., & Pidhirnyy, V.V. (2014). Vplyv kvertsetynovmisnykh spoluk na stan miokarda pry tsukrovomu diabeti 2 typu [Influence of corvitin-containing compounds on myocardium status in diabetes mellitus type 2]. Zdobutky klinichnoi i ekspe­rymentalnoi medytsyny – Achievements of Clinical and Experimental Medicine, 2, 17-21 [in Ukrainian].

Ustinov, O.V. (2015). Alhorytm dii likaria i kerivnyka zakladu okhorony zdorovia pry nadanni medychnoi dopomohy patsiientam iz tsukrovym diabetom 2-ho typu [Algorithm of action of a doctor and the head of a health care institution when providing medical care to patients with type 2 diabetes mellitus]. Ukrainskyi medychnyi chasopys – Ukrainian Medical Journal [Electronic re­source]. Retrieved from: https://www.umj.com.ua/wp/wp-content/uploads/2015/01/Diabet_2.pdf/ [in Ukrainian].

Stechyshyn, I.P., & Dub, A.I. (2017). Antyoksydant­na ta hipohlikemichna aktyvnist bioflavonoidiv za tsukrovoho diabetu II typu [Antioxidant and hypoglycemic activity of bioflavanoids in type II diabetes mellitus]. Farmakolohiia ta likarska toksykolohiia – Pharmacology and Drug Toxicology, 6, 15-22 [in Ukrainian].

Dub, A.I., Klishch, I.M., Vronska, L.V., & Stechy­shyn, I.P. (2018). Vyvchennia hipohlikemichnoi dii fito­zasobu, shcho mistyt sukhi ekstrakty z lystia shov­kovytsi biloi, stulok kvasoli zvychainoi i pahoniv chornytsi zvy­chainoi [Research the hypoglicemic activity of the herbal remedy that contain dry extracts of white mulberry leaves, common bean shells and blueberry sprouts]. Medychna ta klinichna khimiia – Medical and Clinical Chemistry, 3, 43-49 [in Ukrainian].

Dub, A.I., Klishch, I.M., Vronska, LV., & Stechy­shyn, I.P. (2018). Vplyv fitokompozytsii na lipidnyi spektr krovi na modeli tvinovoi hiperlipidemii u shchuriv [An influence of new phytocomposition on the blood lipid spectrum under the model of hyperlipidemia in rats]. Farmakolohiia i likarska toksykolohiia – Pharmacology and Drug Toxicology, 4-5, 32-37 [in Ukrainian].

Stefanov, A.V. (Eds.). (2002). Doklinicheskie issle­dovaniya lekarstvennyh sredstv: Metodicheskie reko­mendatsii [Preclinical studies of drugs: Methodological recommendations]. Kyiv: “Avitsenna” [in Russian].

Muramatsu, M., Hira, T., Mitsunaga, A., Sato, E., Nakajima, S., Kitahara, Y., ... & Hara, H. (2014). Activation of the gut calcium-sensing receptor by peptide agonists reduces rapid elevation of plasma glucose in response to oral glucose load in rats. American Journal of Phy­siology-Gastrointestinal and Liver Physiology, 306 (12), G1099-G1107.

Tishkova, Ya.V., Molotkov, O.V., & Feramuzo­va, E.E. (2009). Ob ispolzovanii glyukozotolerantnogo i adrenalinovogo testov dlya opredeleniya funktsionalnogo sostoyaniya pecheni pri ee toksicheskom porazhenii [On the use of glucose tolerance and adrenaline tests to determine the functional state of the liver in case of its toxic damage]. Meditsinskiy vestnik Bashkortostana – Medical Bulletin of Bashkortostan, 4 (2), 167-169 [in Russian].

Chazova, I.E., & Mychka, V.B. (2004). Meta­bolicheskiy sindrom [Metabolic syndrome]. Moscow: Media Medika [in Russian].

Yarovoy, S.P. (2012). Osobennosti uglevodnogo obmena na fone bronhialnoy astmy i ekstrasistolicheskoy aritmii u detey [Features of carbohydrate metabolism against the background of bronchial asthma and extra­systolic arrhythmia in children]. Tavricheskiy mediko-biologicheskiy vestnik – Tavrichesky Medical and Biolo­gical Bulletin, 15, 286-288 [in Russian].

Kinichenko, A.O., Klevanova, V.S., Trzhetsyn­skyi, S.D., & Maletskyi, M.M. (2017). Hipohlikemichna aktyvnist travy portulaku horodnoho (Portulaca oleracea L.) v umovakh deksametazonovoho tsukrovoho diabetu u shchuriv [Hypoglycemic properties of Portulaca ole­racea herb in the experimental conditions of dexame­thasone diabetes mellitus in rats]. Farmatsevtychnyi zhurnal – Pharmaceutical Journal, 2, 62-68 [in Ukrainian].

Klevanova, V.S., Trzhetsynskyi, S.D. & Zherno­va, H.O. (2015). Antydiabetychni vlastyvosti chornoho­lovnyka rodovykovoho (Poterium sanguisorba L.) za umov deksametazonovoho diabetu v shchuriv [Antidiabetic properties of Poterium sanguisorba L. in dexamethasone diabetes in rats]. Farmakolohiia ta likarska toksykolohiia – Pharmacology and Drug Toxicology, 1, 48-52 [in Ukrai­nian].

Nakaz MOZ Ukrainy vid 21.12.2012 № 1118 “Pro zatverdzhennia ta vprovadzhennia medyko-tekhnolo­hichnykh dokumentiv zi standartyzatsii medychnoi dopo­mohy pry tsukrovomu diabeti 2 typu” [Order of the Ministry of Health of Ukraine dated 21.12.2012 № 1118 “On approval and implementation of medical and technological documents for the standardization of medical care for type 2 diabetes mellitus”]. Retrieved from: http://old.moz.gov.ua/ua/portal/dn_20121221_1118.html [in Ukrainian].

Ametov, A.S., & Kamynina, L.L. (2012). Sovre­mennaya interpretatsiya glyukozotolerantnogo testa (diagnosticheskiy i prognosticheskiy podhody) [Modern interpretation of glucose tolerance test (diagnostic and prognostic approaches)]. Endokrinologiya: Novosti. Mneniya. Obuchenie – Endocrinology: News. Opinions. Training, 1, 45-49 [in Russian].

Sorokman, T.V., Makarova, O.V., & Ostap­chuk, V.G. (2018). Klinicheskie i laboratornye kriterii saharnogo diabeta 2-go tipa u detey [Clinical and laboratory criteria for type 2 diabetes mellitus in children]. Mezhdunarodnyy endokrinologicheskiy zhurnal – Inter­national Endocrinological Journal, 14 (1), 46-50 [in Russian].

Skliarov, O.Ia. (Eds.). (2006). Klinichna biokhimiia: Pidruchnyk [Clinical Biochemistry: Textbook]. Kyiv: Medytsyna [in Ukrainian].

Published

2021-08-04

How to Cite

Dub, A. I., Klishch, I. M., Vronska, L. V., & Stechyshyn, I. P. (2021). STUDY OF THE SPECIFIC ACTIVITY OF THE PHYTOCOMPOSITION ON THE DEXAMETHASONE-INDUCED INSULIN RESISTANCE. Medical and Clinical Chemistry, (2), 5–14. https://doi.org/10.11603/mcch.2410-681X.2021.i2.12233

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Section

ORIGINAL INVESTIGATIONS