Abstract

Lycium barbarum polysaccharide (LBP) as one of the main bioactive constituents of the fruit of Lycium barbarum L. (LBL.) has many pharmacological activities, but its antihyperglycemic activity is not fully understood yet. This study investigated the hypoglycemic and renal protective effects of LBP on high-fat diet/streptozotocin- (HFD/STZ-) induced diabetic nephropathy (DN) in mice. Blood glucose was assessed before and after 8-week administration of LBP, and the homeostasis model assessment-insulin resistance (HOMA-IR) index was calculated for evaluating the antidiabetic effect of LBP. Additionally, serum creatinine (sCr), blood urea nitrogen (BUN), and urine microalbumin were tested to evaluate the renal function. HE and PAS stainings were performed to evaluate the morphology and injury of the kidney. The results showed that LBP significantly reduces the glucose level and ameliorates the insulin resistance of diabetic mice. Importantly, LBP improves renal function by lowering the levels of sCr, BUN, and microalbumin in diabetic mice and relieves the injury in the renal glomeruli and tubules of the DN mice. Furthermore, LBP attenuates renal inflammation as evidenced by downregulating the mRNA levels of TNFα, IL1 β, IL6, and SAA3 in the renal cortex, as well as reducing the elevated circulating level and protein depositions of SAA3 in the kidney. In addition, our western blot results showed that NF-κB p65 nuclear translocation and the degradation of inhibitory κB-α (IκBα) occurred during the progress of inflammation, and such activated signaling was restrained by LBP. In conclusion, our findings suggest that LBP is a potential antidiabetic agent, which ameliorates the inflammation in DN through inhibiting NF-κB activation.

Highlights

  • Diabetic nephropathy (DN) is one of the most common complications of diabetes mellitus, and it develops in approximately 40% of diabetic patients [1]

  • The diabetic mouse model was successfully established with a fasting blood glucose level (FBG) of 11.4~23.8 mM and random blood glucose level (RG) of 13.3~33.3 mM after streptozotocin injection (Figures 1(a) and 1(c))

  • It revealed that the 8week administration of Lycium barbarum polysaccharide (LBP) modulated the blood glucose level significantly and the medium concentration (80 mg/kg body weight) showed the best effect, and the levels of FBG and RG decreased significantly compared with the diabetic group (FBG: 34.1%, RG: 27.3% reductions)

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Summary

Introduction

Diabetic nephropathy (DN) is one of the most common complications of diabetes mellitus, and it develops in approximately 40% of diabetic patients [1]. There has been increasing enthusiasm for using herbal medicines as therapeutic agents for the treatment of diabetes mellitus and its complication DN [4, 5]. The fruit of LBL., called wolfberry, has been documented in several traditional Chinese medicine (TCM) books to treat Xiaoke Bing [7, 8]. This syndrome is characterized by excessive drinking, eating, emaciation, polyuria, or turbidity and sweetness of urine; diabetes is considered belonging to the scope of Xiaoke Bing by TCM [9, 10]. Several Chinese proprietary medicines (final dosage forms of traditional Chinese medicine) that contain the fruit of LBL. have been produced and approved

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