Improving Cytokines and HDL in Diabetic Wistar Rats by Using Combination of Curcumin and Metformin

Fathia Kesuma Dinanti, Sri Priyantini Mulyani, Chodidjah Chodidjah

Abstract


In type 2 diabetes mellitus, lipid profile is often found in the form of high-density lipoprotein (HDL) decrease. TNFa and IL-6 are proinflammatory cytokines that are elevated in the blood in many patients with diabetes mellitus. Turmeric is one of the natural ingredients that have anti-cholesterol and anti-inflammatory effects through the work of its active substance, curcumin. This study aims to evaluate the effect of turmeric extract combined with metformin on HDL, TNFa, and IL-6 levels in diabetic rats. Twenty-four Wistar rats were injected intraperitoneally with streptozotocin and niacinamide. The diabetic rats were divided into control, metformin, turmeric, and combination groups. The dose of metformin and turmeric were given, respectively, 45mg/KgBW/day and 200 mg/KgBW/day. At the same time, the combo group was given a half dose of each. Blood serum was taken to examine the HDL, IL-6, and TNFa levels. The levels of HDL, IL-6, and TNFain diabetic rats that received the combination of metformin and turmeric extract (p<0.05) were the best among all the groups. It indicated that the combination of metformin and turmeric was better in increasing HDL and reducing IL-6 and TNFa levels better than metformin or turmeric extract alone.


Keywords


turmeric; insulin; lipid; cytokines

Full Text:

PDF

References


Shaw NCJ, Karuranga S, Huang Y, Fernandes J da R, Ohlrogge A, Malanda B. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes research and clinical practice. 2018 Apr 1. 138:271-81.

Hasdianah. Mengenal Diabetes Melitus Pada Orang Dewasa dan Anak-Anak dengan Solusi Herbal Edisi 1. Yogyakarta: Nuha Medika; 2012.

Gillies N, Pendharkar S, Asrani V, Mathew J, Windsor J, Petrov M. Interleukin-6 is associated with chronic hyperglycemia and insulin resistance in patients after acute pancreatitis. Pancreatology. 2016;16(5):748–55. https://doi.org/10.1016/j.pan.2016.06.661

Panahi Y, Hosseini MS, Khalili N, Naimi E, Majeed M, Sahebkar A. Antioxidant and anti-inflammatory effects of curcuminoid-piperine combination in subjects with metabolic syndrome: A randomized controlled trial and an updated meta-analysis. Clin Nutr. 2015;34(6):1101–8. http://dx.doi.org/10.1016/j.clnu.2014.12.019

Rena G, Hardie DG, Pearson ER. The mechanisms of action of metformin. Diabetologia. 2017;60(9):1577–85. https://doi.org/10.1007/s00125-017-4342-z

Su L qing, Wang Y di, Chi H yan. Effect of curcumin on glucose and lipid metabolism, FFAs and TNF-α in serum of type 2 diabetes mellitus rat models. Saudi J Biol Sci. 2017;24(8):1776–80. https://doi.org/10.1016/j.sjbs.2017.11.011

Gutierres VO, Pinheiro CM, Assis RP, Vendramini RC, Pepato MT, Brunetti IL. Curcumin-supplemented yoghurt improves physiological and biochemical markers of experimental diabetes. Br J Nutr. 2012;108(3):440–8. https://doi.org/10.1017/S0007114511005769

Nicol LM, Rowlands DS, Fazakerly R, Kellett J. Curcumin supplementation likely attenuates delayed onset muscle soreness (DOMS). Eur J Appl Physiol. 2015;115(8):1769–77. https://doi.org/10.1007/s00421-015-3152-6

Szkudelski T. Streptozotocin-nicotinamide-induced diabetes in the rat. Characteristics of the experimental model. Exp Biol Med. 2012;237(5):481–90. https://doi.org/10.1258/ebm.2012.011372

Kim M, Kim C, Song Y, Hwang J. Antihyperglycemic and anti-inflammatory effects of standardized curcuma xanthorrhiza roxb. extract and its active compound xanthorrhizol in high-fat diet-induced obese mice. Evid Based Complement Altern Med. 2014;(1):1–10. https://doi.org/10.1155/2014/205915

Zingg J, Hasan S, M. MM. Molecular mechanisms of hypolipidemic effects of curcumin. Biofactors. 2013;39(1):101–21. https://doi.org/10.1002/biof.1072

Hafiane A, Gasbarrino K, Daskalopoulou S. The role of adiponectin in cholesterol efflux and HDL biogenesis and metabolism. Metabolism. 2019;100. https://doi.org/10.1016/j.metabol.2019.153953

Awad A, Al E. Macrophage-Derived Tumor Necrosis Factor-Α Mediates Diabetic Renal Injury‟, Kidney International. Nat Publ Gr. 2015;88(4):722–733. https://doi.org/10.1038/ki.2015.162

Aukunuru J, Joginapally S, Gaddam N, Burra M, Bonepally C., Prabhakar K. Preparation, characterization and evaluation of hepatoprotective activity of an intravenous liposomal formulation of bis-demethoxy curcumin analogue (BDMCA). Int J Drug Dev Res. 2009;1:37–46.

Jain SK, Rains J, Croad J, Larson B, Jones K. Curcumin supplementation lowers TNF-α, IL-6, IL-8, and MCP-1 secretion in high glucose-treated cultured monocytes and blood levels of TNF-α, IL-6, MCP-1, glucose, and glycosylated hemoglobin in diabetic rats. Antioxidants Redox Signal. 2009;11(2):241–9. https://doi.org/10.1089/ars.2008.2140

Schultze SM, Hemmings BA, Niessen M, Tschopp O. PI3K/AKT, MAPK and AMPK signalling: Protein kinases in glucose homeostasis. Expert Rev Mol Med. 2012;14. https://doi.org/10.1017/S1462399411002109

Júnior ASS, Aidar FJ, Santos JL Dos, Estevam CDS, Dos Santos JDM, De Oliveira E Silva AM. Effects of resistance training and turmeric supplementation on reactive species marker stress in diabetic rats. BMC Sports Science Medical Rehabilitation. 2020;12(1):1–12. https://doi.org/10.1186/s13102-020-00194-9

Abdollahi E, Momtazi AA, Johnston TP, Sahebkar A. Therapeutic effects of curcumin in inflammatory and immune-mediated diseases: A nature-made jack-of-all-trades? Vol. 233. Journal of Cellular Physiology. 2018. 830–848 p. https://doi.org/10.1002/jcp.25778

Roxo DF, Arcaro CA, Gutierres VO, Costa MC, Oliveira JO, Lima TFO. Curcumin combined with metformin decreases glycemia and dyslipidemia, and increases paraoxonase activity in diabetic rats. Diabetology Metabolic Syndrome. 2019;11(1):1–8. https://doi.org/10.1186/s13098-019-0431-0

Cao L, Zhi D, Han J, Kumar Sah S, Xie Y. Combinational effect of curcumin and metformin against gentamicin-induced nephrotoxicity: Involvement of antioxidative, anti-inflammatory and antiapoptotic pathway. Journal of Food Biochemistry. 2019;43(7):1–9. https://doi.org/10.1111/jfbc.12836




DOI: https://doi.org/10.18196/mmjkk.v23i1.17031

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


      

Editorial Office:
Journal Room, G1 (Biomedic) Building, Ground Floor, Faculty of Medicine and Health Science Universitas Muhammadiyah Yogyakarta, 
Jalan Lingkar Selatan (Brawijaya), Tamantirto, Kasihan, Bantul, Daerah Istimewa Yogyakarta, Indonesia
Phone: +62 274 387 656 (ext: 231)
WA : +62 811-2650-303
Website: http://journal.umy.ac.id/index.php/mm 
E-mail: mmjkk@umy.university

Creative Commons License
Mutiara Medika: Jurnal Kedokteran dan Kesehatan is licensed under a Creative Commons Attribution 4.0 International License. View My Stats