Abstract

Adiponectin is a protein hormone secreted entirely by abdominal fat tissue. It exhibits various biological activities. The present study was performed to evaluate the effects of metformin alone or in combination with adiponectin on blood glucose, TG (triglyceride), CHOL (Total cholesterol), LDL (Low density lipoprotein) and HDL (High density lipoprotein) levels in mice and also to evaluate the anti-ulcerogenic activity of adiponectin against ethanol induced gastric mucosal injury in rats. Three groups of mice were gavaged with 1% volume/body weight high fat-sucrose. Metformin at a dosage of 250 mg/kg was added to the feed and a dosage of 2.5 mg/kg adiponectin was injected intraperitoneally (i.p). Blood glucose was measured at one hour intervals for five hours. Blood concentrations of TG, CHOL, LDL and HDL were also measured at the end of the fifth hour of the experiment. On the other hand, four groups of adult healthy rats were i.p. injected with distilled water, omeprazole 20 mg/kg, 2.5 mg/kg and 5 mg/kg adiponectin one hour before oral administration of absolute ethanol to generate gastric mucosal injury. After an additional hour the rats were sacrificed and the ulcer areas of the gastric walls were determined. Furthermore, an acute toxicity study has indicated no mortality with 5 mg/kg dose of adiponectin injected i.p in rats and no major clinical signs of toxicity were observed. The results indicate that the effect of a combination of metformin and adiponectin on blood glucose and HDL is quite effective. Histology of the gastric wall of negative control rats revealed severe damage of gastric mucosa, along with edema and leucocyte infiltration of the submucosal layer compared to rats pre-treated with either omeprazole or adiponectin extract where there was marked gastric protection along with reduction or inhibition of edema and leucocytes infiltration. The results suggest that combination of metfomin and adiponectin give a promising antidiabetic effect and also, adiponectin promotes ulcer protection as ascertained by the comparative decrease of ulcer areas, reduction of edema and leucocytes infiltration of the submucosal layer.

Highlights

  • Improvements in technology lead to a sedentary lifestyle and an increase in body weight [1]

  • There were significant reductions in glucose level in groups treated with metformin alone or in combination with adinopectin initially and at the 1st, 2nd, 3rd, 4th and 5th hours compared with the control group (Table 1)

  • Since metformin is a potent insulin-sensitizing agent that acts primarily on hepatic glucose production and has additional effects on peripheral insulin sensitivity, results from the present study indicate that the effects of a combination of metformin and adiponectin on blood glucose are more effective than the effects of adiponectin itself

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Summary

Introduction

Improvements in technology lead to a sedentary lifestyle and an increase in body weight [1]. Among them metformin is an oral diabetes medicine that is considered an insulin sensitizer, controlling blood sugar levels by decreasing the liver uptake of lactate. It belongs to the biguanide class (dimethylbiguanide) of anti-diabetic drugs and is the most widely prescribed medicine for the treatment of type 2 diabetes mellitus [9]. Since adiponectin plays an important role in the suppression of the metabolic disarrangement that may result in type 2 diabetes and the levels of adiponectin being reduced in diabetics compared to non-diabetics a combination of this protein with a common medicine such as metformin could be potentially beneficial as a treatment. We used a rat model to investigate the antiulcerogenic activity of adiponectin against ethanol-induced gastric mucosal injuries and investigated of the effects of a combination of metformin and adiponectin on in vivo levels of blood glucose and blood lipids in mice

Results and Discussion
Elaboration of the Glucose Level
Measurement of LDL and HDL in Blood
Acute Toxicity Study
Serum Biochemistry
Anti-Ulcer Activity
Gross Evaluation of Gastric Lesions
Histological Evaluation of Gastric Lesions
Recombinant Yeast
Growth Media Preparation for Protein Expression
Purification of Adiponectin
Mice Preparation for Adiponectin-Metformin Combination
Acute Toxicity Test and Experimental Animals
Experimental Animals
Gastric Ulcer Induction by Ethanol
Measurement of Acid in Gastric Juice
Measurement of Mucus Production
Gross Gastric Lesions Evaluation
Conclusions
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