Serum Blood Glucose Levels Research Articles

Effect of Anagliptin on Vascular Injury in the Femoral Artery of Type 2 Diabetic Rats.

Patients with diabetes mellitus (DM) often experience complications such as peripheral arterial disease (PAD), which is thought to be caused by vascular damage resulting from increased oxidative stress. Dipeptidyl peptidase-4 inhibitors have been reported to reduce oxidative stress, although the exact mechanism remains unclear. This study aimed to investigate the impact of long-term (6 weeks) anagliptin treatment at a dose of 200 mg/kg/d against oxidative stress in the femoral artery of Otsuka Long-Evans Tokushima Fatty (OLETF) rats using a well-established animal model for type 2 DM. Serum toxic advanced glycation end-products concentrations and blood glucose levels after glucose loading were significantly elevated in OLETF rats compared to Long-Evans Tokushima Otsuka (LETO) rats but were significantly suppressed by anagliptin administration. Plasma glucagon-like peptide-1 concentrations after glucose loading were significantly increased in anagliptin-treated rats. Superoxide production and reduced nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity in femoral arteries were significantly increased in OLETF rats compared to LETO rats but were significantly decreased by anagliptin administration. The expressions of NADPH oxidase components (p22phox in the intima region and p22phox and gp91phox in the media region) in the femoral artery were significantly increased in OLETF rats compared to LETO rats but were significantly suppressed by anagliptin administration. Furthermore, the femoral artery showed increased wall thickness in OLETF rats compared to LETO rats, but anagliptin administration reduced the thickening. This study suggests that long-term anagliptin administration can reduce oxidative stress in femoral arteries and improve vascular injury.

Ffects of Smokeless Tobacco on various vital organs of Albino Wistar Rats

The present study evaluated the toxic effect of smokeless tobacco product extract (STPE) in phosphate buffer saline (PBS) on various body organs in albino Wistar rats. The toxicities of orally administered STPE were studied at the dose of 500, 1000 and 1500 mg/kg body weight, respectively, and the control group contained 1 ml/kg of normal saline in albino rats for 28 days. Acute toxicity was studied in albino rats by orally administering a single dose of STPE at 2000 mg/kg. The results showed that the relative organ weight of the liver, stomach, and spleen was found to increase significantly (p<0.05) in comparison to the control group. From a hematological study, it was observed that white blood cells (WBC) count was increased significantly (p < 0.05) with all three doses, but red blood cell (RBC) count remained unchanged. The biochemical parameter revealed a significant increase in serum alanine transaminase (ALT) level, blood glucose, and cholesterol level. Histopathological results suggested that administration of STPE caused damage to the liver and stomach. There was no significant change in behavior and mortality during the 14-day observation period. In conclusion, short term consumption of STPE caused gastritis in stomach and liver cell damage, hyperglycemia, hypercholesterolemia and immunotoxicity. A further long-term study is required to unveil all the risk factors associated with STPE consumption.

Genetic Polymorphism of Estrogen Receptor Alpha Gene (ESRα) and Its Effect on Production and Biochemical Traits of White Quails

This study was conducted in the poultry field of Animal Production Department - College of Agriculture - University of Kirkuk for the period from 28/3/2022 to 15/1/2023, to determine the restriction fragment length polymorphism (RFLP) of alpha estrogen receptor gene (ESRα) and evaluation of some productive and biochemical traits of white Japanese quail, One-day-old quails were obtained from Animal Production Department - College of Agriculture, and they were reared for 35 days until reaching age of sexual maturity. Then they were randomly distributed to 30 families, with male and female for each family. The birds were fed on a diet with 20% crude protein and 2850 k.cal/kg metabolism energy of feed. At the end of the experiment, the female of each family was slaughtered and DNA was extracted from liver by using kit to determine the polymorphism of the length restriction fragment (RFLP) for estrogen receptor alpha gene (ESRα) and evaluation of some productive and biochemical traits by polymerase chain reaction (PCR) technology and the use of the restriction enzyme (EcoRI) and electrophoresis to determine the length of bundles of ESRα gene. The results of the study showed that the CC genotype resulting from the restriction fragment length polymorphism (RFLP) of estrogen receptor alpha (ESRα) gene had a significant effect on egg production of white Japanese quail compared with CT and TT genotypes, and CC and TT genotypes were superior to CT genotypes in estrogen level, while CC and CT genotypes were superior to the TT genotype in glucose level in blood serum of female white Japanese quail. The study recommended to selection CC and TT genotypes of estrogen receptor alpha (ESRα) gene because it is positively and significantly associated with egg production of white Japanese quail.

Comparative Effect of Amylose Concentration in Brown and White Rice on Hepatocellular Insufficiency Using Rat Bioassay

Background: The scientific name of rice is Oryza sativa. It is one of the important staple human foods. There are more than 110,000 cultivated varieties of rice, most widely known and grown. Nutrient concentration may vary depending on production, environment, pre- and post-harvesting treatment, and processing. Cooked rice with high amylose content effectively controls metabolic disorders, serum blood glucose levels, and lipid profile and is also effective in weight loss. Objectives: This study aimed to determine the comparative effect of amylose concentration in brown and white rice on hepatocellular insufficiency in healthy rat models. Methods: We divided 25 rats into 5 groups (G0, G1, G2, G3, and G4). There were 5 rats in each group. Group 0 was the control group on a normal diet. Group 1 was fed white rice flour, G2 was fed cooked white rice, G3 was fed brown rice flour, and G4 was fed cooked brown rice. Free access to food and water was secured. Weight changes, blood glucose, and lipid profiles were analyzed pre and post-treatment. Results: Rats on white rice feed showed weight gain, increased blood glucose, cholesterol, triglycerides, and low HDL levels. However, rats on brown rice feed showed less weight gain (P < 0.05), a lower increase in blood glucose (P < 0.05), high HDL, lower LDL cholesterol, and triglycerides. The pancreas and liver histopathology showed no major changes due to the short trial duration. Conclusions: Rats fed white rice showed ineffective results disturbing biological parameters as compared to those rats which were fed brown rice. Due to low amylose content and the presence of antioxidants, flavonoids, and high fiber content, brown rice shows beneficial effects in controlling and maintaining relevant biological parameters.

Serum apelin-12 and obesity-related markers in Egyptian children with Down syndrome

Children with Down syndrome (DS) exhibit higher overweight/obesity rates than their typically developing peers. Apelin-12 is a bioactive adipokine that exerts vital roles in obesity-related cardiometabolic comorbidities. To date, apelin-12 has not been investigated in obese-DS. This study aimed to explore the possible association between serum apelin-12 and obesity-related markers and to evaluate the efficiency of apelin-12 in the prediction of metabolic syndrome (MetS) in obese-DS compared to BMI Z-score matched obese-control. The cross-sectional study included 150 prepubertal children classified into three groups; obese-DS (n = 50), obese-control (n = 50), and normal-weight-control (n = 50). Anthropometric parameters, body adiposity, fasting serum levels of blood glucose (FBG), insulin, lipid profile, and apelin-12 were evaluated. Homeostasis model assessment of insulin resistance (HOMA-IR) was calculated from FBG and insulin. MetS was defined using Adult Treatment Panel III criteria modified for the pediatric age group. ROC curves were analyzed to evaluate the efficiency of apelin-12 in predicting MetS in obesity groups. Obese-DS exhibited higher body adiposity with marked central fat distribution, atherogenic lipid profile, and higher HOMA-IR compared to obese-control. Apelin-12 was significantly higher in obese-DS and obese-DS with MetS compared to obese-control and obese-control with MetS respectively (p < 0.001). The increase in apelin-12 with higher obesity grades was pronounced in obese-DS. Apelin-12 strongly correlated with body adiposity, several MetS risk factors, and HOMA-IR in obese-DS. Significantly higher AUC for apelin-12 in the diagnosis of MetS among obese-DS than obese-control (AUC = 0.948 vs. AUC = 0.807; p = 0.04).Conclusions: The current study supports the crucial role of apelin-12 in obesity-related clinical and biochemical markers and in MetS in obese-DS and obese-control. Serum apelin-12 is a potential diagnostic biomarker for MetS with greater performance in obese-DS than obese-control raising its potential for clinical and therapeutic applications.What is Known:• Obese-DS children displayed excess body adiposity, Pronounced central fat distribution, atherogenic lipid profile, higher HOMA-IR, and higher prevalence of MetS than obese-control.What is New:• Higher serum apelin-12 was observed in obese-DS and obese-DS with MetS than obese-control and obese-control with MetS respectively. The increase in apelin-12 level with increasing obesity grades was more pronounced in obese-DS.• Apelin-12 strongly correlated with obesity-related markers and MetS components in obese-DS. Apelin-12 performed better as a diagnostic biomarker for MetS in obese-DS than obese-control.

A cross-sectional study of the clinical profile of children admitted with yellow phosphorous poisoning in a tertiary care hospital

Background: Yellow phosphorous (YP) is a protoplasmic poison that is mainly used as a rodenticide. Aims and Objectives: The aim of the study is to describe the clinical profile of YP poisoning in children in a tertiary care hospital. Materials and Methods: This is a cross-sectional study done in a tertiary care hospital in Tamil Nadu. A convenience sample of all the cases admitted during the year 2022 was done. Demographic and clinical data were collected and analyzed. Results: The male: female ratio was 1.16:1 (n=13). The mean age of the children was 4.0769±1.373 years. About 84.61% of the children reported to the hospital within 6 h. On admission, fever (30.76%), vomiting (30.76%), abdominal pain (30.76%), bleeding (15.38%), and altered sensorium (15.38%) were the common symptoms. All the children ingested YP accidentally. Leukocytosis was observed in about 30.76%. The mean peak serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were 516.9231±685.976 IU/L and 161.9231±215.107 IU/L, respectively. There were no alterations in the Electrocardiographic tracings, levels of serum electrolytes, blood glucose, and serum creatinine in children with YP poisoning. Significant differences were observed between children who survived and children who died in the levels of mean peak AST, mean peak ALT, INR, and in the presence of encephalopathy and bleeding manifestations. Conclusion: YP is an uncommon but lethal poison in children. Creating awareness among parents about the dangers of YP and nationwide prohibition of the sale of YP will be an important step in eliminating deaths in children who are accidental victims.

The effect of Cocoa Fruits (Theobroma cacao L.) extracts on serum blood glucose levels in white rats (Rattusnovergicus)

Checking blood glucose levels supports healthy lifestyle and pattern changes to avoid foods that contain high glucose, which can increase blood glucose levels. This study aims to analyze the administration of cocoa pod extract (Theobroma cacao L.) to describe serum blood glucose levels in white rats (Rattusnovergicus). This study used an RCT (randomized controlled trial) design involving five groups of cocoa pod extract samples through an evaporation process using a rotary vacuum evaporator after going through the maceration process for 3 x 24 hours divided into three concentrations of 50 mg/Kg body wt, 100 mg/Kg body wt, 150 mg/Kg body wt. Furthermore, serum blood glucose levels will be measured on the 3rd, 7th, and 14th day after administration of metformin and waste extract of cocoa pod shell (Theobroma cacao L.). Analysis of the research data used a paired t-test. The results showed that the average fasting blood glucose levels of K1 rats (Mus musculus) to the average fasting glucose levels in K2, K3, K4, and K5, respectively, were as follows: 0.037 (p &lt;0.05); 0.000 (p &lt; 0.05); 0.028 (p &lt; 0.05); and 0.015 (p &lt;0.05). This shows that the average fasting blood glucose level is significantly different (p &lt;0.05). The average fasting blood glucose levels of K2 (metformin group) to the average glucose levels in K3 (extract group 50 mg/kg body wt), K4 (extract group 100 mg/kg body wt), and K5 (extract group 150 mg/kg body wt) respectively are as follows: 0.157 (p &gt; 0.05); 1.000 (p &gt; 0.05); and 0.995 (p &gt; 0.05). This shows that the average blood glucose levels between K2, K3, K4, and K5 did not differ significantly (p &lt;0.05) after measuring cocoa pod extract for two days. Based on the results of data analysis from this experimental study, it can be concluded that there is an effect of giving cocoa pod extract (Theobroma cacao L.) on fasting blood glucose levels of mice (Mus musculus) with type 2 diabetes mellitus hypercholesterolemia model. Keywords: Diabetes mellitus; Cacao; Blood Glucose; Rats

Effects of Shiitake mushroom (Lentinus edodes) supplementation into quail diets on performance, blood serum parameters and intestine microbial populations

This study was conducted to investigate the effects of shiitake mushroom (Lentinus edodes) (SM) supplementations into quail diets on live weight (LW), live weight gain (LWG), feed consumption (FC), feed conversion ratio (FCR), blood serum biochemical parameters (total cholesterol, total protein, triglyceride, glucose) and intestine bacteria populations. A total of 120 Japanese quail (Coturnix coturnix Japonica) were used in present experiments. Quail were separated into 4 groups (control and 3 treatment groups). Control group was fed with a basic ration and treatments groups were fed with 0.5, 1 and 2% shiitake mushroom-supplemented diets. Shiitake mushroom supplementations significantly influenced live weights (P&lt;0.05). Differences in live weight gains, feed consumptions, feed conversion ratios, blood serum parameters and intestine bacteria populations of the treatment groups were not found to be significant (P&gt;0.05). SM supplementations influenced live weight gains and feed conversion ratios in the 4th week of the experiments (P&gt;0.05). SM supplementations also influenced blood serum glucose levels (P&lt;0.05).

Protective effects of melatonin against oxidative stress induced by metabolic disorders in the male reproductive system: a systematic review and meta-analysis of rodent models.

Male infertility is a multifaceted issue that has gained scientific interest due to its increasing rate. Studies have demonstrated that oxidative stress is involved in male infertility development. Furthermore, metabolic disorders, including obesity, diabetes, hypo- and hyperthyroidism, are risk factors for male infertility, and oxidative stress is believed to contribute to this association. Melatonin, functioning as an oxidative scavenger, may represent a promising therapeutic approach for the prevention and treatment of metabolic disorder-associated male infertility. We systematically searched three online databases (PubMed, Scopus, and Web of Science) for studies that evaluated the effects of melatonin therapy on metabolic disorders-induce infertility in male rodents. The favorable outcomes were histopathological parameters of testicular tissue, reproductive hormones, and markers of oxidative stress. Then, meta-analyses were done for each outcome. The results are reported as standardized mean difference (Cohen's d) and 95% confidence interval. 24 studies with 31 outcomes were included. Rats and mice were the subjects. Studies have employed obesity, diabetes, hypothyroidism, hyperthyroidism, hyperlipidemia, and food deprivation as metabolic disorders. To induce these disorders, a high-fat diet, high-fructose diet, leptin, streptozotocin, alloxan, carbimazole, and levothyroxine were used. The outcomes included histopathologic characteristics (abnormal sperm morphology, apoptotic cells, apoptotic index, Johnsen's testicular biopsy score, seminiferous epithelial height, tubular basement membrane thickness, tubular diameter, sperm count, and motility), weight-related measurements (absolute epididymis, testis, and body weight, body weight gain, epididymal adipose tissue weight, and relative testis to body weight), hormonal characteristics (androgen receptor expression, serum FSH, LH, and testosterone level), markers of oxidative stress (tissue and serum GPx and MDA activity, tissue CAT, GSH, and SOD activity), and exploratory outcomes (serum HDL, LDL, total cholesterol, triglyceride, and blood glucose level). The overall pooled effect sizes were statistically significant for all histopathological characteristics and some markers of oxidative stress. Melatonin can reduce damage to male rodents' gonadal tissue and improve sperm count, motility, and morphology in metabolic diseases. Future clinical studies and randomized controlled trials are needed to evaluate the safety and effectiveness of melatonin for male infertility in patients with metabolic diseases.

Correlations between serum leptin levels and classical biomarkers in SARS-CoV-2 infection, in critically ill patients

BackgroundAltered levels of some blood markers might be linked with the degree of severity and mortality of patients with SARS-CoV-2 infection. This study aimed to find out if there are correlations between serum leptin levels and classical biomarkers. Materials and methodsWe present a single-center observational cohort study on SARS-CoV-2 infected patients. The study was conducted at Infectious Diseases Clinic of Academic Emergency Hospital Sibiu, from May through November 2020. In this study, we retrospectively analyzed 54 patients, all with confirmed SARS-CoV-2 infection. ResultsOur results revealed that there is a negative correlation between serum leptin and Interleukin-6 levels and a positive correlation between serum leptin and blood glucose levels. A positive correlation between ferritin and lactate dehydrogenase levels was also observed.No correlation was found between leptin and other biomarkers such as ferritin, neutrophil/lymphocyte ratio, lactate dehydrogenase, C-reactive protein, fibrinogen, erythrocyte sedimentation rate, or D-dimer. ConclusionsFurther studies need to be conducted to investigate the role of leptin in SARS-CoV-2 infection. The results of this research could contribute to the introduction of the determination of serum leptin levels in the routine evaluation of patients with critical illness.

1493-P: Immune-Mediated Diabetes Mellitus—A Rare Complication of Nivolumab Therapy

Background: Immune mediated diabetes mellitus (DM) is a rare complication of immune checkpoint inhibitor (ICI) therapy, with an incidence of less than 1%. We present a case of immune-mediated DM with nivolumab therapy presenting as diabetic ketoacidosis (DKA). Case: A 74-year-old Caucasian male with no history of DM or autoimmune disease was diagnosed with stage III metastatic melanoma and started on treatment with nivolumab, an ICI. He tolerated treatment well and had no evidence of endocrine dysfunction on routine laboratory monitoring. Shortly after completing his 14th cycle of nivolumab therapy, he presented to the emergency department with a one-week history of fatigue, poor appetite, polydipsia, and polyuria. He was found to have DKA with serum blood glucose 446 mg/dL, anion gap 20 mEq/L, serum bicarbonate 14 mEq/L, arterial pH 7.23, and 4+ urine ketones. His hemoglobin A1c was 7.3%, increased from 5.4% one year earlier. He was treated with intravenous insulin then transitioned to basal-bolus subcutaneous insulin therapy, which was continued at discharge. Evaluation in the outpatient setting revealed no measurable GAD65 antibodies or anti-insulin antibodies, but his serum c-peptide was found to be &amp;lt;0.10 ng/mL with corresponding serum blood glucose level 214 mg/dl. This supported a diagnosis of endocrine pancreatic insufficiency, in his case likely immune mediated due to nivolumab therapy. He completed an additional 6 cycles of nivolumab with no further complications. Meanwhile his DM became well-controlled with subcutaneous insulin injections, and he was eventually transitioned to insulin pump therapy. Discussion: ICIs such as nivolumab are known to cause multiple autoimmune complications that can appear at any point during treatment. The underlying mechanisms of beta cell immunotoxicity are incompletely understood, but progression to insulin-dependency appears to be rapid. It is important to recognize new or worsening DM early to avoid life-threatening complications such as DKA. Disclosure S.M.Iqbal: None. C.Houston: None.

Preoperative lignocaine nebulisation for attenuation of the pressor response of laryngoscopy and tracheal intubation in patients with severe preeclampsia undergoing caesarean section delivery: A randomised double-blind controlled trial.

Following induction of general anaesthesia, direct laryngoscopy and endotracheal intubation usually cause tachycardia and hypertension due to increased sympathetic activity. This response is generally exaggerated in hypertensive patients. This study aimed to evaluate the effectiveness of preoperative lignocaine nebulisation in attenuating the pressor response to laryngoscopy and endotracheal intubation in patients with severe preeclampsia undergoing caesarean delivery. After ethical approval, we conducted this randomised, double-blind study, which included 110 patients with severe preeclampsia who underwent caesarean delivery under general anaesthesia. These patients were randomly allocated into two groups to receive either preoperative nebulisation of lignocaine 2% in a dose of 4.5 mg/kg (not exceeding 400 mg) in the lignocaine group or nebulisation of an equivalent volume of 0.9% NaCl in the saline group. The primary objective was the systolic blood pressure after tracheal intubation. The secondary objectives included heart rate, maternal serum cortisol and blood glucose levels, grade of cough during emergence, postoperative sore throat and hoarseness of voice, neonatal Apgar score and umbilical blood gas. The systolic blood pressure was significantly lower in the lignocaine group compared to the saline group at 1, 3 and 5 min after endotracheal intubation and after delivery of the foetus (P = 0.001, 0.003, 0.002 and 0.019, respectively). Similarly, the heart rate was significantly lower in the lignocaine group versus saline group at 1 and 3 min after endotracheal intubation (P = 0.041 and 0.042, respectively). Preoperative lignocaine nebulisation in a dose of 4.5 mg/kg effectively attenuated the pressor response to laryngoscopy and endotracheal intubation in patients with severe preeclampsia undergoing caesarean delivery.

MRNA Expression Profiles and Molecular Biomarkers Involved in Inflammatory Response for Essential Hypertension in Kazakh Population From Xinjiang

Abstract Background To identify hypertensive inflammation-related mRNA in peripheral blood mononuclear cells (PBMCs) from patients with essential hypertension (EH) of Kazakh Chinese population in Xinjiang, and offer theoretical foundation for further understanding the immune mechanisms that contribute to EH in Kazakh and provide specific molecular biomarkers for clinical diagnosis and targeted-specific treatments of this disorder. Methods Thirty Kazakh patients with EH and 30 age-matched healthy Kazakh people were divided into EH group and control group. After performing blood pressure measurement and determination of serum lipids and blood glucose, total RNA was isolated from PBMCs of hypertensive Kazakh patients and healthy Kazakh subjects, and differentially expressed mRNA in 6 randomly selected samples from each group were identified with human lncRNA/mRNA V4.0 microarray. Gene set enrichment analysis (GSEA), disease process, the Gene Ontology (GO), and Kyoto encyclopedia of genes and genomes (KEGG) pathway enrichment analysis of differentially expressed mRNA were carried out using R language and ClusterProfiler software package. Reverse transcription quantitative real-time PCR (qRT-PCR) was used to validate the differential expression pattern of inflammation-related genes in the mRNA microarray data and results of bioinformatics analysis. Results The average blood pressure was significantly higher in the EH group than those in the control group (P &amp;lt; 0.01), while there was no statistical significance for the levels of serum lipids and blood glucose between the 2 groups. Compared with healthy Kazakh controls, a total of 522 mRNA were significantly differentially expressed from PBMCs of hypertensive Kazakh patients with fold change of ≥1.5 and P value &amp;lt;5% in expression. Among them, 411 were upregulated and 111 were downregulated. GO enrichment analysis of upregulated mRNA identified numerous inflammation-related biological processes and molecular functions. Many of these processes and molecular function were mainly involved in immune response-regulating signaling pathway, immune response-activating signal transduction, antigen binding, immunoglobulin receptor binding and peptide antigen binding, etc. GSEA and KEGG pathway analysis for the upregulated mRNA indicated several positively enriched gene sets and pathways related to inflammatory response, such as focal adhesion, cell adhesion molecules, chemokine signaling pathway, leukocyte transendothelial migration, cytokine–cytokine receptor interaction, and B-cell receptor signaling pathway. qRT-PCR validation results of 14 mRNA related to inflammatory response were consistent with the microarray data. Conclusions This is the first study to identify gene expression profile involved in hypertensive inflammation in Kazakh Chinese population in Xinjiang with EH, and not only provides specific molecular biomarkers for predicting and diagnosing progression of EH, but also will provide targeted-specific treatments of this disorder in Kazakh Chinese population in Xinjiang.

INDICATORS OF PRE-SLAUGHTER STRESS IN PIGS AND THEIR IMPACT ON MEAT QUALITY

The pre-slaughter handling and transport of pigs can cause stress and negatively affect the quality of meat. This article aims to investigate the impact of pre-slaughter stress on meat quality. The literature suggests that pre-slaughter stress has a significant impact on meat quality, resulting in lower meat pH, increased drip loss, and decreased meat tenderness. When the body experiences stress, cortisol triggers the liver to release glucose into the bloodstream, which provides energy for the body to respond to the stressful situation. Both serum cortisol and blood glucose levels increased post-slaughter, with a post-slaughter mean value of 7.28 µg/dl for serum cortisol (compared to the initial mean value of 6.08 µg/dl), while the blood glucose values revealed a highly catabolic state, with mean post-slaughter values of 143.24 mg/dl compared to 129.11 mg/dl mean pre-slaughter results. The study highlights a direct relationship between increased serum cortisol levels and blood glucose values when comparing the pre-and post-slaughter values with the normal reference ranges, with a highly significant correlation between the mentioned parameters (p&lt;0.01). The article also explores potential pre-slaughter indicators such as cortisol and blood glucose levels for predicting stress and meat quality in pigs. Improving pre-slaughter handling and reducing stress can lead to improved meat quality and economic benefits for the pork industry. In terms of pH24, a trust coefficient of 5.46–5.50 revealed the impact of pre-slaughter stress on meat pH, resulting in possible inferior meat in terms of quality. The study results showed a highly significant correlation between the cortisol and blood glucose values recorded post-slaughter and pH24 (p&lt;0.05), emphasizing the impact of stress on meat quality and suggesting that both serum cortisol and blood glucose values can be used as specific indicators of meat pH and ultimately meat quality.

The antidiabetic effect of methanolic extract of Holarrhena pubescens seeds is mediated through multiple mechanisms of action

Holarrhena pubescens is widely used in Indian and Chinese medicine in the treatment of diabetes. The current work determined the oral hypoglycemic and antidiabetic effects of seed extract in rats. The probable mechanism of action was evaluated in-vitro by α - glucosidase inhibition, glucose metabolism in insulinoma (INS-1) cells to reflect secretion of insulin, and protein glycation inhibition. Its potential for herb-drug interaction was evaluated in the cytochrome P450 3A4 (CYP3A4) inhibition assay. The seed extract increased serum insulin levels and reduced serum blood glucose levels in the oral glucose tolerance test. It also reduced the serum glucose levels in streptozocin-induced diabetes. The extract also inhibited α –glucosidase enzyme activity and demonstrated that it can increase the secretion of insulin from INS to 1-rat insulinoma cell line cells in-vitro in a concentration-dependent manner. However, it had a very weak inhibitory effect on protein glycation and it did not affect the activity of CYP3A4. The results of the study showed that H. pubescens seed extract increases insulin secretion and inhibits glucose absorption both in-vivo and in-vitro with a weak protein glycation inhibitory effect. The herb is devoid of CYP3A4 inhibitory effect indicating that it may not have pharmacokinetic interaction with the drug metabolized by this enzyme.

The impact of specific balneotherapy on the endocrine physio-pathological mechanism in obesity

Obesity is a complex, multifactorial metabolic pathology, within the path of modification of the endocrine system plays a significant role. Changes in growth hormone (GH) and in-sulin growth factor (IGF) have been associated with obesity in various ways, mainly through changes in GH-binding proteins, insulin and ghrelin levels. The balneal treat-ment with Techirghiol Romanian sapropelic mud has an important impact on the endo-crine system, primarily through the action on the hypothalamic-pituitary-adrenal axis. We investigated the secretory changes of the IGF-1 hormone that appeared after the balne-al treatment. It was a total number of 52 patients, divided into two groups: 1 group who performed the treatment with Techirghiol sapropelic mud at thermoneutrality tempera-tures - warm mud baths, and the second group who followed treatment with the balneal therapeutic factor in a thermal contrast regime - cold mud baths. We studied whether there are correlations between the body mass index (BMI) and the secretion of this hor-mone. We also determined the serum levels of blood glucose at admission and discharge. In the cold mud baths- thermal contrast therapy, can be observed a statistically significant increase in IGF-1 values during the balneal treatment (p = 0.044 &lt; α = 0.05). Comparative-ly, in the warm mud baths, the increase in serum IGF-1 reached values close to statistical significance at the end of the treatment (p = 0.067 &gt; α = 0.05). There were no statistically significant correlations between BMI and IGF-1 hormone secretion at admission and at discharge. The results showed a statistically significant decrease in blood glucose values determined at admission and discharge in the group that performed warm mud baths. The balneal treatment with sapropelic mud of Techirghiol lake, from Romania, through the impact on the endocrine system, on the hypothalamic-pituitary-adrenal axis, can be registered as a treatment with a natural therapeutic factor with an impact on obesity, ther-apy carried out within the parameters of metabolic safety, and the conduct of future re-search in this direction it will help develop new concepts and approaches to obesity.

The association of glucose control on in-hospital mortality in the cardiac intensive care unit

BackgroundCurrent guidelines recommend maintaining serum blood glucose (BG) levels between 150 and 180 mg/dL for patients admitted to the intensive care unit (ICU); however, these recommendations are based on randomized controlled trials among general ICU patients and observational studies among specific subgroups. Little is known about the impact of glucose control among patients cared for in the cardiac intensive care unit (CICU). MethodsThis was a retrospective cohort analysis of patients >18 years of age admitted to the University of Michigan CICU from December 2016 through December 2020 with at least one BG measurement during CICU admission. The primary outcome was in-hospital mortality. The secondary outcome was CICU length of stay. ResultsA total of 3217 patients were included. When analyzed based on quartiles of mean CICU BG, there were significant differences in in-hospital mortality across BG quartiles for those with diabetes mellitus (DM) and those without DM. In multivariable logistic regression, age, Elixhauser comorbidity score, use of mechanical ventilation, any hypoglycemic event, and any BG value >180 mg/dL were significant predictors for in-hospital mortality in both patients with and without DM, yet average BG was only predictive of in-hospital mortality in patients without DM. ConclusionsThis study highlights the importance of glucose control in critically ill adult patients admitted to the CICU. The trends in mortality based on quartiles and deciles of average BG suggest a difference in optimal blood glucose levels in those with and without DM. However, regardless of diabetes status, mortality increases with higher average BG.

Impact of Intermittent Hypoxia-Hyperoxia Therapy in COPD Patients - Pilot Study

Abstract Introduction. Intermittent hypoxia-hyperoxia therapy can contribute to increasing exercise tolerance in patients with cardiovascular, bronchopulmonary, metabolic, and neuropsychiatric pathologies, according to studies in the specialized literature. This therapy consists of the use of hypoxic intervals, interspersed with hyperoxic episodes. Material and methods. We present 7 clinical cases of patients admitted to the Balneal and Rehabilitation Sanatorium of Techirghiol (SBRT) for 2 weeks, complaining of polyarticular mechanical pain. These patients were diagnosed with chronic obstructive pulmonary disease (COPD) by the pulmonologist according to the GOLD criteria. During hospitalization, the patients underwent a complex balneo-physical-kinetic treatment, simultaneously with intermittent hypoxia-hyperoxia therapy. Patients were evaluated both at admission and discharge. Results. The evolution of the patients was favorable, with improvement in symptoms, spirometry, scales used, 6-minute walk test, HTi index and paraclinical investigations. Improvements were identified in respiratory volumes, but also in total serum cholesterol and blood glucose levels. Conclusions. Obtaining promising results gives indications that intermittent hypoxia-hyperoxia therapy can be an alternative treatment for multiple pathologies, including COPD. The therapy proved to be safe and well tolerated, representing a non-pharmacological therapy that can be included in the therapeutic management of patients with COPD.

Dietary Combination of Fish Oil and Soy β-Conglycinin Inhibits Fat Accumulation and Reduces Blood Glucose Levels by Altering Gut Microbiome Composition in Diabetic/Obese KK-A y Mice.

Dietary fish oil containing n-3 polyunsaturated fatty acids provides health benefits by lowering lipid levels in the liver and serum. β-Conglycinin (βCG) is a major constituent protein in soybean with many physiological effects, such as lowering blood triglyceride levels, preventing obesity and diabetes, and improving hepatic lipid metabolism. However, the combined effects of fish oil and βCG remain unclear. Here, we investigated the effects of a dietary combination of fish oil and βCG on lipid and glucose parameters in diabetic/obese KK-A y mice. KK-A y mice were divided into three groups: control, fish oil, and fish oil + βCG; these groups were fed a casein-based diet containing 7% (w/w) soybean oil, a casein-based diet containing 2% (w/w) soybean oil and 5% (w/w) fish oil, and a βCG-based diet containing 2% (w/w) soybean oil and 5% (w/w) fish oil, respectively. The effects of the dietary combination of fish oil and βCG on blood biochemical parameters, adipose tissue weight, expression levels of fat- and glucose metabolism-related genes, and cecal microbiome composition were evaluated. The total white adipose tissue weight (p < 0.05), levels of total serum cholesterol (p < 0.01), triglyceride (p < 0.01), and blood glucose (p < 0.05), and expression levels of fatty acid synthesis-related genes (including Fasn (p < 0.05) and Acc (p < 0.05)), and glucose metabolism-related genes (such as Pepck (p < 0.05)) were lower in the fish oil and fish oil + βCG groups than in the control group. Furthermore, the relative abundance of Bacteroidaceae and Coriobacteriaceae differed significantly between the fish oil + βCG and control groups. These findings suggest that dietary intake of fish oil + βCG may prevent obesity and diabetes, alleviate lipid abnormalities, and alter the gut microbiome composition in diabetic/obese KK-A y mice. Further research is needed to build on this study to evaluate the health benefits of major components of Japanese food.

PS-BPC12-3: PLASMA XANTHINE OXIDASE ACTIVITY AND ITS RELATED FACTORS IN ESSENTIAL HYPERTENSIVE PATIENTS

Objective: Xanthine oxidase (XO) activity has a key role in the development of oxidative stress and progression of cardiovascular diseases. In resistant hypertension, plasma XO activity is related to increased urinary sodium excretion and left ventricular hypertrophy. In this study, plasma XO activity and its related factors were investigated in essential hypertensive patients. Design and method: In 53 essential hypertensive patients (30 men, 64 ± 13 years) without taking anti-hyperuricemic agents, plasma XO activity was measured by using a high-performance liquid chromatography method. 38 healthy volunteers without any specific comorbidities were included as a control cohort. Associations between plasma XO activity and other clinical variables were also investigated in essential hypertensive patients. Results: Plasma XO activity was increased in essential hypertensive patients compared with the healthy cohort (log10XO 1.33 ± 0.47 nmol/L/hr vs 0.98 ± 0.37, p &lt; 0.001). In essential hypertensive patients, plasma XO activity did not associate with age, blood pressure, estimated glomerular filtration and urinary protein excretion. There were weak correlations between plasma XO activity and the levels of serum uric acid and blood glucose (r = 0.28, 0.32, p &lt; 0.05, respectively). Plasma XO activity strongly correlated with body mass index (BMI) and alanine aminotransferase (ALT) (r = 0.46, 082, p &lt; 0.001, respectively), and in multiple regression analysis, BMI and ALT were independent determinants for plasma XO activity (R2 0.57, p &lt; 0.001). Conclusions: In essential hypertension, plasma XO activity was increased accompanying with obesity and liver disfunction, irrespective of blood pressure elevation and renal dysfunction.