مجله دیابت و متابولیسم ایران
سال بیستم شماره 3 (پیاپی 97، بهمن و اسفند 1399)

Thymus species have significant amounts of phenolic and flavonoid compounds and demonstrate strong antioxidant activities. Paraoxonase1 act as antioxidant enzyme and protect the low-density lipoprotein against oxidation. In our study we aimed to evaluate the antioxidant capacity of Thymus Kotschyanus Hydroalcoholic extract and its effect on serum paraoxonase 1 activity in healthy and diabetic person.

The antioxidant activity, and functional groups of the constituents in T. Kotschyanus Hydroalcoholic extract were determined using DPPH free radical scavenging assay, and The FTIR spectroscopy, respectively. Paraoxonase-1 activity was determined in 40 healthy and diabetic persons by measuring the rate of paraoxon hydrolysis substrate to p-nitrophenol, which absorbance was monitored at 405 nm. The data Statistically were analyzed by Duncanchr('39')s and independent t-test.

The IC50 values (the concentration with scavenging activity of 50%) was found to be 477.5 μg/ml. FTIR spectrum analysis showed biomolecules containing a hydroxyl group and aromatic ring in T. Kotschyanus hydroalcoholic extract. Serum paraoxonase activity in healthy and diabetic humans exposed to the extract at concentration of 1 mg/mL increased by 49.95 ± 3.57% and 51.05 ± 3.25%, respectively. Although there was a significant difference between serum enzyme activity in healthy and diabetic subjects in the presence and absence of the extract but the amount of enzyme activation affected by the extract in two healthy and patient did not show significant difference.

This plant extract increased enzyme activity due to the antioxidant properties and the presence of phenolic compounds in the plant extract.

The hepatokines are now considered potential targets for the treatment of type 2 diabetes disorders. The aim of this study was to investigate the effect of 12 weeks combined training with Canagliflozin on some hepatokines in type 2 diabetic men.

In this quasi-experimental study, 44 men with type 2 diabetes (Mean age 33.2 ± 4.5 years, body mass index 27.3±3.0) from Tehran city in 2019 were randomly divided into four groups (n=11) of control, drug, exercise and exercise-drug groups. Combined training was performed 3 sessions per week, 45 minutes for 12 weeks. Subjects were given 200 mg of canagliflozin for 12 weeks. Blood samples and anthropometric characteristics were obtained before and 24 hours after the intervention at 12-hour fasting. Data were analyzed using two-way ANOVA with repeated measures, t-test and Bonferroni post hoc test at P<0.05.

The results showed that 12 weeks of exercise with Canagliflozin intervention significantly reduced angiopoietin-3 and angiopoietin-4, FGF-21 and HFREP-1 levels in type 2 diabetic men (P=0.001). Also, after the intervention of exercise with Canagliflozin, levels of angiopoietin-3, angiopoietin-4, FGF-21, and HFREP-1 were significantly lower than the pre-test (P<0.001).

According to the results of research, it is possible that intervention of exercise with Canagliflozin can help treat of disorders due to type 2 diabetes by reducing hepatokines.

It has been shown that C1q TNF-related protein 5 (CTRP5) is a novel adipokine and important molecule related to metabolism regulation. This study aims to assess the effectiveness of different training protocols on improving serum levels of CTRP5, fasting blood glucose, insulin, Insulin resistance in patients with T2DM.

Sixty men with T2DM (mean age [X̅±SD]=51.45±4.26 years) were randomly assigned to combined  exercise group (CEx: n = 15), aerobic  exercise group (AEx: n = 15), resistance  exercise group (REx: n = 15), or the control group (CON: n= 15). Exercise programs consisted of aerobic exercises at either AEx (50% - 75% of HRR) or REx (70% - 85% of 1-RM), of equal volume, 3 times per week, 45 to 60 minutes per session for 12 weeks. Serum levels of CTRP5, fasting blood glucose (FBG), insulin, Insulin resistance (IR) and body mass index (BMI) were measured at baseline and at the end of the study. The data were analyzed using repeated-measures analysis of variance.

After 12 weeks intervention, FBG, insulin, HOMA-IR and BMI levels decreased significantly, whereas the serum CTRP5 levels increased in the CEx, AEx and Rex groups compared to control (P < .05).

It appears that the increased levels of CTRP5 following exercise interventions contribute to the decreased risk of T2DM.

The myostatin/SMAD pathway is one of the most important regulatory pathways in heart muscle cells atrophy. Diabetes can disorder this pathway. Therefore, the aim of the present study was to evaluate the effect of six weeks of endurance training on the content myostatin and SMAD2/3 proteins in the left ventricular tissue of the heart muscle of type 1 diabetic rats.

In this study, 12 head 2-month-old male Sprague-Dawley male rats with a mean weight of 300±20 g were selected. After induction of diabetes through streptozotocin solution, they were randomly divided into 2 groups: diabetic endurance training (6 heads) and diabetic control (6 heads); The training groups performed the training program 4 days a week for 6 weeks, including 32 minutes of endurance training with an intensity of about 50 to 70% of the maximum speed; SPSS software version 23 and independent t-test were used to analyze the data. Significance level was considered p≤0.05.

Endurance training resulted in a significant decrease in myostatin (P=0.024) and SMAD2/3 (P=0.001) proteins content between training and control groups in myocardial tissue.

It can be said that endurance training by reducing the content of myostatin and SMAD2/3 proteins in the left ventricle of the heart may have been able to prevent cardiac atrophy in type 1 diabetic subjects. This reduction can lead to physiological cardiac hypertrophy.

Diabetes mellitus is a metabolic syndrome characterized by elevated blood glucose. The α-glucosidase enzymes that are found in the small intestine are responsible for the hydrolysis of carbohydrates. The aim of this study was to Bioinformatics evaluation of T.foenum active compounds in suppression of α-glucosidase enzyme.

This study was a descriptive-analytical method. For this purpose, the compounds separation of Trigonella foenum were first downloaded from PubChem database and then the α-glucosidase enzyme file was obtained from PDB database. The toxicity class of compounds and the Lipinski rules were predicted by Toxtree & Protox II and the Swiss ADME server, respectively. Finally, molecular docking and enzyme interaction with the compounds in Trigonella foenumwere performed by AutoDock Tools 1.5.6 and Molegro Virtual Docker 6.0. Interaction results were also analyzed using Discovery Studio 3.5 & Ligplot 2.1 software.

The results indicated that all selected of compounds in Trigonella foenumwere in follow with Lipinskichr('39')s rules, proper binding energy, and lack of toxicity were appropriate options for α-glucosidase inhibition. But among these compounds, Vitexin had the lowest binding energy and the most inhibitory effect on the α-glucosidase enzyme, with -4.8 kcal/mol. These compounds also had lower binding energy than standard inhibitor (Voglibose).

From the results of this study, it can be concluded that among the most important compounds in Trigonella foenum, the Vitexin compound power inhibitor that due to more hydrogen and hydrophobic interactions with the α-glucosidase enzyme active site.

Imbalance of apoptotic factors plays important role in pathogenesis of diabetes. Considering the role of curcumin supplementation and high-intensity interval training (HIIT) on these factors, the aim of this study was to investigate effects of four weeks of HIIT with curcumin supplementation on Bax and Bcl-2 gene expression in the soleus muscle of diabetic rats.

Present study was experimental research. 30 male Wistar rats were divided into one normal control (NC), and four diabetic groups: control (DC), supplement (SDC), high-intensity interval training (DHIIT) and high-intensity interval training supplement (SDHIIT). The training protocol was performed five days a week for four weeks, which included five to seven two-minute intervals at 80 to 90% of maximum power until exhaustion and one-minute recovery at 30% of maximum power until exhaustion. At the same time, Curcumin gavage at a dose of 100 mg/kg was performed daily. Bax and BCL-2 gene expression levels were measured by the qReal-TimePCR method and data were analyzed by two-way analysis of variance at a significant level of p≥0.05.

Bcl-2 gene expression was significantly increased in DHIIT and SDHIIT groups compared to DC (P= 0.000). Also, a significant decrease in Bax gene expression was observed in DHIIT and SDHIIT groups compared to DC (P=0.000). There was a significant difference between DHIIT and SDHIIT in Bcl-2 (P=0.000) and Bax (P=0.013) gene expression.

It seems that HIIT in combination with curcumin supplementation, is more effective in improving the balance between apoptosis factors than any of these interventions alone.