Effects and Mechanisms of Bitter Gourd Polysaccharide Com-bined with Aerobic Exercise on Glucose and Lipid Metabolism Disorders in Rats with Type 2 Diabetes Mellitus
[Purpose]To investigate the effects and mechanisms of bitter gourd polysaccharide(BGP)combined with aerobic exercise(AE)on glucose and lipid metabolism disorders in rats with type 2 diabetes mellitus(T2DM).[Methods]T2DM rats were randomly divided into a model group,AE group,BGP group,BGP combined with AE group(combined group),and a normal group.Rats in BGP group and combined group received oral administration of 200 mg/kg BGP,while rats in AE group and combined group underwent aerobic exercise training.The intervention period lasted for eight weeks.[Results]Compared to the model group,the AE group,BGP group and combined group of rats showed a significant decrease in fasting blood glucose(FBG),fasting insulin(FINS),in-sulin resistance index(HOMA-IR),serum low density lipoprotein cholesterol(LDL-C),total choles-terol(TC),triglyceride(TG),malondialdehyde(MDA),C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)levels(P<0.05);however,high density lipoprotein choles-terol(HDL-C),glutathione peroxidase(GSH-Px),superoxide dismutase(SOD),phosphatidylinositol 3-kinase p85(PI3Kp85)in skeletal muscle tissue and phosphorylated protein kinase B(p-Akt)levels showed a significant increase(P<0.05).Compared to the AE group and BGP group,the combined group showed a further significant decrease in FBG,FINS,HOMA-IR,serum LDL-C,TC,TG,MDA,CRP,TNF-α,and IL-6(P<0.05);additionally,the levels of serum HDL-C,GSH-Px,SOD,and PI3Kp85 and p-Akt in skeletal muscle tissue were further significantly increased(P<0.05).[Conclusion]The combination of BGP and AE is found to improve glucose and lipid metabolism disorders in rats with T2DM.The underlying mechanisms involve antioxidant effects,inhibition of in-flammatory response and regulation of the PI3K/Akt signaling pathway.
bitter gourd polysaccharideaerobic exerciseglucose and lipid metabolismoxidative stressinflammatory response