首页|薯蓣粥对糖尿病脑卒中大鼠胰岛素抵抗及氧化应激的影响

薯蓣粥对糖尿病脑卒中大鼠胰岛素抵抗及氧化应激的影响

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目的 观察薯蓣粥对糖尿病脑卒中大鼠胰岛素抵抗及氧化应激的影响。方法 选择Wistar大鼠60只,10只为空白组,45只使用腹部注射链脲佐菌素(STZ)、ZeaLonga线栓法制作糖尿病合并脑卒中模型,成功造模的大鼠随机分为模型组、薯蓣粥组,最终纳入研究分析空白组8只、模型组12只、薯蓣粥组13只。模型组、空白组予0。9%氯化钠注射液5 ml灌胃,薯蓣粥组以薯蓣粥5 ml灌胃,共4周。干预后每2周采用便携式血糖仪检测大鼠空腹血糖(FBG),干预4周后行口服葡萄糖耐量试验(OGTT),酶联免疫吸附法检测糖基化血红蛋白(HBA1)、空腹血清胰岛素(FINS),及胰岛素抵抗指数(HOMA-IR);检测大鼠血糖、取肝脏检测氧化应激标志物超氧化物歧化酶(SOD)、丙二醛(MDA);胰岛素抵抗信号通路关键蛋白[葡萄糖转运体4(GLUT-4)、胰岛素受体底物1(IRS-1)、磷酸化胰岛素受体底物1(P-IRS-1)],以及取各组结肠组织100 mg,检测胰高糖素样肽-1(GLP-1)表达。结果 实验前,两组大鼠各项观察指标比较,差异均无统计学意义(P>0。05);实验后,薯蓣粥组大鼠2周与4周的FBG、HBA1、FINS、HOMA-IR均低于模型组,差异均有统计学意义(P<0。05)。行OGTT后薯蓣粥大鼠糖耐受值低于模型组,差异均有统计学意义(P<0。05);实验后,薯蓣粥组GLP-1高于模型组,差异均有统计学意义(P<0。05);薯蓣粥组胰岛素抵抗信号通路关键蛋白IRS-1、P-IRS-1和GLUT-4均高于模型组,差异均有统计学意义(P<0。05);薯蓣粥组氧化应激标志物MDA低于模型组,SOD高于模型组,差异均有统计学意义(P<0。05)。结论 薯蓣粥可以有效改善糖尿病脑卒中大鼠的血糖、氧化应激和胰岛素抵抗,值得临床推广应用。
Effect of dioscorea porridge on insulin resistance and oxidative stress in rats with diabetes and stroke
Objective To investigate the effect of dioscorea porridge on insulin resistance and oxidative stress in rats with diabetes and stroke.Methods A total of 60 Wistar rats were selected,10 were used as blank group,and 45 rats were treated with abdominal injection of Streptozocin(STZ)and ZeaLonga thread thrombus.The rats with successfully constructed mem-branes were randomly divided into model group and dioscorea group,and 8 rats in blank group,12 rats in model group and 13 rats in dioscorea group.Model group and blank group were given 0.9%Sodium Chloride Injection 5 ml,and dioscorea group was given dioscorea porridge 5 ml,a total of 4 weeks.After the intervention,fasting blood glucose(FBG)was measured by portable glucose meter every 2 weeks,and oral glucose tolerance test(OGTT)was performed after the intervention for 4 weeks.Glycoylated hemoglobin(HBA1),fasting insulin(FINS)and homeostasis model assessment-insulin resistance(HOMA-IR)were detected by enzyme-related immunosorbent assay.The blood sugar of rats was detected,and the liver was taken to detect the oxidative stress markers superoxide dismutase(SOD)and malondialdehyde(MDA).The key proteins of insulin resistance signaling pathway(glucose transporter 4[GLUT-4],insulin receptor substrate 1[IRS-1],phosphorylated insulin receptor substrate 1[P-IRS-1]),and colon tissues of each group were taken 100 mg to detect the expression of glucagon-like peptide-1(GLP-1).Results Before the ex-periment,there were no statistical differences between the two groups(P>0.05).After the experiment,FBG,HBA1,FINS and HOMA-IR of 2 weeks and 4 weeks rats in dios-genin group were lower than those in model group,and the differences were statistically significant(P<0.05).The glucose tolerance of rats in diocorea group after OGTT was lower than that of model group,with statistical significance(P<0.05).After the experiment,GLP-1 in dioscorea group was higher than that in model group,with statistical significance(P<0.05).The key proteins of insulin resistance signaling pathway IRS-1,P-IRS-1 and GLUT-4 in dioscorea group were higher than those in model group,and the differences were statistically significant(P<0.05).The oxidative stress markers MDA in dioscorea group was lower than those in model group,SOD was higher than that in model group,and the differences were statistically significant(P<0.05).Conclusion Dioscorea porridge can effectively improve blood sugar,oxidative stress and IR in rats with diabetes and stroke,which is worthy of clinical application.

Diabetes and strokeDioscorea porridgeOxidative stressInsulin resistanceExperimental study

蔡憐环、陈辉、江苏珍、王国芳、林高城

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福建中医药大学附属康复医院脑病康复二科,福建福州 350003

福建省康复技术重点实验室,福建福州 350003

糖尿病脑卒中 薯蓣粥 氧化应激 胰岛素抵抗 实验研究

福建省自然科学基金项目

2021J01953

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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