Background Diabetes mellitus, characterized by chronic hyperglycemia, often leads to severe hepatic dysfunction, including increased liver enzyme levels and histopathological changes in the liver. Streptozotocin (STZ)-induced diabetic rat models provide a valuable method for evaluating potential therapeutic agents that target hepatic complications. , a medicinal plant with known anti-diabetic properties, has been used traditionally for its hepatoprotective effects, although scientific evidence is limited. Objective This study aimed to evaluate the protective effects of leaf extract on hepatic function, including biochemical and histopathological changes, in STZ-induced diabetic Wistar albino rats. Methods Thirty male Wistar albino rats were randomly divided into five groups: Normal control (NC), diabetic control (DC), low-dose (LD, 200 mg/kg), high-dose (HD, 400 mg/kg), and positive control (PC, metformin 100 mg/kg). Diabetes was induced by a single intraperitoneal injection of STZ (100 mg/kg). treatment was administered daily for 30 days. Blood samples were collected at 15 and 30 days to assess blood glucose and liver function, including serum bilirubin, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) levels. Liver tissue was collected for histopathological examination. Data were analyzed using analysis of variance (ANOVA), with p < 0.05 considered statistically significant. Results The DC group showed significantly elevated blood glucose levels (256 ± 19.8 mg/dL at 15 days and 308.5 ± 13.1 mg/dL at 30 days). treatment significantly reduced blood glucose in a dose-dependent manner, with the HD group showing the greatest improvement (143 ± 12.7 mg/dL at 15 days and 158.5 ± 10.7 mg/dL at 30 days). Liver function markers, including total and direct bilirubin, AST, and ALT, were significantly elevated in the DC group, indicating hepatic damage. -treated groups showed significant improvements in all liver function parameters, with the HD group displaying the most substantial reductions in bilirubin, AST, and ALT levels. Histopathological analysis revealed marked hepatocellular damage in the DC group, including necrosis and ballooning degeneration. In contrast, -treated groups, particularly the HD group, exhibited near-normal liver architecture with minimal damage. Conclusion demonstrated significant hepatoprotective effects in STZ-induced diabetic rats by reducing blood glucose levels and improving liver function. These results suggest that could be a promising therapeutic agent for managing diabetes-related hepatic dysfunction.
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http://dx.doi.org/10.7759/cureus.74166 | DOI Listing |
Medicine (Baltimore)
January 2025
Nephrology Department, Changzhou Traditional Chinese Medicine Hospital, Changzhou City, China.
To evaluate the effectiveness and feasibility of the copper bianstone scraping combined with Chinese modified termination hypertension dietary therapy program by comparing and analyzing the improvement of blood pressure, blood lipids and blood glucose in hypertensive patients who received copper bianstone scraping combined with Chinese modified termination hypertension dietary therapy intervention. We selected 160 cases of hypertensive patients from July 2022 to March 2024 for the study. They were divided into 80 cases in the comparison group and 80 cases in the observation group according to whether or not they underwent copper bianstone scraping combined with Chinese modified dietary therapy for termination of hypertension.
View Article and Find Full Text PDFMedicine (Baltimore)
January 2025
Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Background: This study evaluates the efficacy and safety of sitagliptin versus gliclazide, combined with metformin, in treatment-naive patients with type 2 diabetes mellitus (T2DM) and glucotoxicity.
Methods: In this single-center, randomized, controlled noninferiority trial, 129 treatment-naive patients with T2DM with glucotoxicity (fasting plasma glucose [FPG] ≥ 200 mg/dL and glycated hemoglobin ≥ 9.0%) were randomized to receive sitagliptin plus metformin (n = 66) or gliclazide plus metformin (n = 63) for 12 weeks.
Medicine (Baltimore)
January 2025
The Department of Clinical Laboratory, Zhejiang Hospital, Hangzhou, China.
Rationale: Gitelman syndrome (GS) is a rare hereditary electrolyte disorder caused by mutations in the SLC12A3 gene. There is limited literature on the role of hydrochlorothiazide (HCT) testing and the SLC12A3 single heterozygous mutation in the diagnosis and management of patients with GS. In addition, cases of GS with concomitant kidney stones are rare.
View Article and Find Full Text PDFSci Adv
January 2025
Department of Physiology, University of Toronto, Toronto, Ontario, Canada.
Gestational diabetes mellitus (GDM), a transient form of diabetes that resolves postpartum, is a major risk factor for type 2 diabetes (T2D) in women. While the progression from GDM to T2D is not fully understood, it involves both genetic and environmental components. By integrating clinical, metabolomic, and genome-wide association study (GWAS) data, we identified associations between decreased sphingolipid biosynthesis and future T2D, in part through the allele of the gene in Hispanic women shortly after a GDM pregnancy.
View Article and Find Full Text PDFChin J Integr Med
January 2025
Department of Ultrasound in Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China.
Objective: To evaluate the therapeutic effects of Kuanxiong Aerosol (KXA) on ischemic stroke with reperfusion and elucidate the underlying pharmacological mechanisms.
Methods: In vivo pharmacological effects on ischemic stroke with reperfusion was evaluated using the transient middle cerebral artery occlusion (t-MCAO) mice model. To evaluate short-term outcome, 30 mice were randomly divided into vehicle group (n=15) and KXA group (n=15).
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