Key result
Naringin reduces myocardial fibrosis area by ~67% in diabetic rats.
Why the study?
Hyperglycemia promotes myocardial fibrotic lesions through upregulation of PKC and p38 in response to redox changes, but the effects of naringin on these changes are unclear.
Does naringin reduce hyperglycemia-induced cardiac fibrosis and oxidative stress in a rat model of type 1 diabetes?
Does naringin reduce hyperglycemia-induced cardiac fibrosis and oxidative stress in a rat model of type 1 diabetes?
Effect estimate: 67% reduction
p-value: p=<0.001
Naringin reduces hyperglycemia-induced myocardial fibrosis and oxidative stress in a diabetic rat model, potentially by modulating p38 and PKC-β protein expression.
Hypothesis-generating for naringin in diabetic cardiomyopathy; should not change practice pending human trials.
INTRODUCTION: Hyperglycemia promotes myocardial fibrotic lesions through upregulation of PKC and p38 in response to redox changes. The effects of naringin on hyperglycemia-induced myocardial fibrotic changes and its putative effects on PKC-β and p38 protein expression in type 1 rat model of diabetes are hereby investigated. METHODS: Male Sprague-Dawley rats were divided into six groups I-VI. Groups I and II, were orally treated with distilled water {3.0 ml/kg body weight (BW)} and naringin (50 mg/kg BW), respectively. Groups III, IV, V and VI were rendered diabetic by a single intraperitoneal injection of streptozotocin (60 mg/kg, BW) and were similarly treated with subcutaneous insulin (8.0 I.U/kg BW, twice daily), naringin (50 mg/kg BW), distilled water (3.0 ml/Kg BW) and ramipril (3.0 mg/kg/BW), respectively. The animals were sacrificed after 56 days by halothane overdose; blood and heart samples removed for further analysis. RESULTS: The untreated diabetic rats exhibited significantly increased oxidative stress, NADPH oxidase activity, increased cardiac fibrosis, PKC-β and p38 mitogen activated protein kinase expression compared to controls. Naringin treatment significantly ameliorated these changes in diabetic rats compared to the untreated diabetic controls. CONCLUSIONS: Naringin's amelioration of myocardial fibrosis by modulating p38 and PKC-β protein expression possibly through its known antioxidant actions and may therefore be useful in retarding the progression of fibrosis in a diabetic heart.
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Adebiyi et al. (2016) studied Type 1 diabetes mellitus with cardiac fibrosis (n=42). Naringin vs. Untreated diabetic control (distilled water) was evaluated on Percentage area of myocardial fibrosis (67% reduction, p=<0.001). Naringin treatment significantly reduced the percentage area of myocardial fibrosis by 67% compared to untreated diabetic controls in a rat model of type 1 diabetes.
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