Abstract

Albiflorin (AF) is a small molecule (MW 481) isolated from Paeoniae radix, a plant used as a remedy for various conditions with pathogenesis shared by metabolic diseases. Reported here is our characterization of its therapeutic profiles in three mouse models with distinctive pathological features of metabolic syndrome (MetS). Our results firstly showed that AF alleviated high fat (HF) induced obesity and associated glucose intolerance, suggesting its therapeutic efficacy for MetS. In the type 2 diabetes (T2D) model induced by a combination of HF and low doses of streptozotocin, AF lowered hyperglycaemia and improved insulin-stimulated glucose disposal. In the non-alcoholic steatohepatitis-like model resulting from a HF and high cholesterol (HF-HC) diet, AF reversed the increased liver triglyceride and cholesterol, plasma aspartate aminotransferase, and liver TNFα mRNA levels. Consistent with its effect in promoting glucose disposal in HF-fed mice, AF stimulated glucose uptake and GLUT4 translocation to the plasma membrane in L6 myotubes. However, these effects were unlikely to be associated with activation of insulin, AMPK, ER, or cellular stress signalling cascades. Further studies revealed that AF increased the whole-body energy expenditure and physical activity. Taken together, our findings indicate that AF exerts a therapeutic potential for MetS and related diseases possibly by promoting physical activity associated whole-body energy expenditure and glucose uptake in muscle. These effects are possibly mediated by a new mechanism distinct from other therapeutics derived from Chinese medicine.

Highlights

  • Metabolic syndrome (MetS) is a cluster of closely related metabolic disorders including central obesity, insulin resistance, hyperglycaemia, dyslipidaemia, and associated various manifestations in different organs (Eckel et al, 2010)

  • The study was conducted in an insulin resistant mouse model induced by high fat (HF) diet feeding, in which AF was administrated to the HF mice for the last 2 weeks

  • AF is a small molecule that can be extracted from Paeoniae radix (Morinaga et al, 2013)

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Summary

Introduction

Metabolic syndrome (MetS) is a cluster of closely related metabolic disorders including central obesity, insulin resistance, hyperglycaemia, dyslipidaemia, and associated various manifestations in different organs (Eckel et al, 2010). MetS is a risk factor to multiple organs, among which non-alcoholic fatty liver disease (NAFLD) is increasingly recognized as a manifestation of MetS in the liver (Diehl and Day, 2017). Albiflorin Alleviates Metabolic Syndrome Phenotypes with T2D, NAFLD alone presents as another serious disease affecting 20–30% adult population (Younossi et al, 2018) and it usually starts from an excess accumulation of triglycerides. 8–20% of hepatosteatosis progresses to nonalcoholic steatohepatitis (NASH) with inflammation, injury, and even fibrosis in the liver. The latter may further advance to irreversible cirrhosis or even carcinoma (Diehl and Day, 2017; Younossi et al, 2018). As the comorbidities of MetS are complicated and heterogenous among populations, it is important to investigate the therapeutical profiles of an antiMetS drug suitable for multifaceted pathological features of MetS

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