Abstract

Berberine (BBR), a natural compound extracted from a Chinese herb, has been shown to effectively attenuate insulin resistance (IR) and inflammation in the clinic. However, its ameliorative mechanism against IR is not well defined. This study is aimed at investigating the effect of BBR and protein phosphatase, Mg2+/Mn2+-dependent 1B (PPM1B) on IR. Biochemical measurements and liver histopathology were detected using the biochemical analyzer and HE staining in ZDF rats, respectively. Microarray analysis of liver tissues was performed, and differentially expressed gene (DEG) levels were examined by quantitative real-time PCR (qPCR) and Western blot. Additionally, the effect of BBR was also explored in HepG2-IR cells. The glucose oxidase method and the fluorescent glucose analog were used to detect glucose consumption and uptake, respectively. The PKA inhibitor H89, ELISA, qPCR, Western blot, and immunofluorescence staining were employed to estimate the expression levels of related signaling pathways. To evaluate the roles of PPM1B, HepG2-IR cells were stably infected with lentivirus targeting PPM1B. The administration of BBR drastically decreased the body weight, urine volume, blood glucose, blood urea nitrogen (BUN), CHOL, hepatic index levels, and pathologic changes and improved ALB levels in ZDF rats with PPM1B upregulation. Furthermore, BBR effectively improves glucose consumption, uptake, and inflammation in HepG2-IR cells. The knockdown of PPM1B expression aggravated the inflammatory response and glycometabolism disorder in HepG2-IR cells. Mechanistically, a reversal in the expression of cAMP, PKA, PPM1B, PPARγ, LRP1, GLUT4, NF-κB p65, JNK, pIKKβ Ser181, IKKβ, IRS-1 Ser307, IRS-1, IRS-2 Ser731, IRS-2, PI3K p85, and AKT Ser473 contributes to ameliorate IR in HepG2-IR cells with BBR treatment. Altogether, these results suggest that BBR might regulate IR progression through the regulation of the cAMP, PKA, PPM1B, PPARγ, LRP1, GLUT4, NF-κB p65, JNK, pIKKβ Ser181, IKKβ, IRS-1 Ser307, IRS-1, IRS-2 Ser731, IRS-2, PI3K p85, and AKT Ser473 expression in the liver.

Highlights

  • Diabetes mellitus (DM) is characterized by deficiency or resistance to insulin in peripheral tissues with persistent hyperglycemia [1], which resulted in increasing healthcare costs globally

  • To explore the potential upstream mechanisms, we examined the effect of BBR on the cAMP, PDE3B, and PDE4A expression, which was combined with H89 to observe the PKA and PPM1B protein expression in HepG2-insulin resistance (IR) cells

  • The results showed that PPM1B, PPARγ, LRP1, GLUT4, IRS-1, IRS-2, PI3K, and AKT expression significantly increased in HepG2-IR cells with BBR treatment, respectively (Figures 7(a)–7(h))

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Summary

Introduction

Diabetes mellitus (DM) is characterized by deficiency or resistance to insulin in peripheral tissues with persistent hyperglycemia [1], which resulted in increasing healthcare costs globally. Traditional Chinese medicine (TCM), as complementary and alternative medicine, has been frequently reported to possess promising effects toward DM and its complications. Berberine (BBR, [C20H18NO4]C), an isoquinoline alkaloid, extracted from Berberis vulgaris, Cortex phellodendri, and Rhizoma coptidis [9, 10], is characterized by high safety in both animals and humans. The effects of BBR on insulin sensitivity and glucose tolerance have shown promising prospects on metabolic disorders [14, 15]. Determining the mechanism of BBR could be a promising therapeutic strategy for T2D treatment

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