CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(02): 210-218
DOI: 10.1055/s-0043-1769511
Original Article

Nephroprotective Potential of Sphaeranthus indicus Linn Extract against Hyperglycemia and Dyslipidemia in Streptozotocin-Induced Diabetic Nephropathy

1   Department of Pharmacology, Bhupal Nobles' College of Pharmacy, Bhupal Nobles' University, Udaipur, Rajasthan, India
,
1   Department of Pharmacology, Bhupal Nobles' College of Pharmacy, Bhupal Nobles' University, Udaipur, Rajasthan, India
› Author Affiliations
Funding None.

Abstract

Objective This study was aimed at determining the nephroprotective potential of Sphaeranthus indicus Linn methanol extract (SME) against hyperglycemia and dyslipidemia in streptozotocin (STZ)-induced diabetic nephropathy (DNP) in adult Wistar albino rats.

Materials and Methods Following STZ-induced diabetes, adult albino Wistar rats of either sex with serum glucose level more than 250 mg/dL were chosen and randomized into six groups (n = 6 rats per group) and received the treatment as follows: Group I: Normal nondiabetic (ND) rats received a single intraperitoneal dose of citrate buffer in the same volume as STZ and 1% (w/v) carboxymethyl cellulose (CMC) per os (po), group II: diabetic (STZ) control rats received oral dosage of 1% (w/v) CMC, group III, IV and V: STZ + SME treated rats received a suspension of SME (100, 200, and 400 mg/kg, po) in 1% (w/v) CMC, and group VI: STZ + MET treated rats received metformin (500 mg/kg, po) as suspension in 1% (w/v) CMC. From 28th day to the 56th day of STZ injection, SME and MET were given for 28 days in the form of freshly prepared suspension. The impact of STZ-induced DNP was analyzed through the estimation of body weight, serum glucose, and hemoglobin A1c levels, renal functional parameters, the serum lipid profile, oxidative stress markers, and analysis of renal histoarchitecture.

Result Diabetic (STZ) control rats showed significant alterations in body weight, serum glucose and hemoglobin A1c levels, renal functional parameters, the serum lipid profile, oxidative stress markers, and renal histoarchitecture in contrast to normal ND rats. SME and MET treatment significantly reduced hyperglycemia-induced enhanced lipid profile and oxidative stress, normalized renal functional parameters, and restored renal histoarchitecture by reducing vacuolar degeneration of renal tubules in contrast to diabetic (STZ) control rats. These findings were attributed to SME's efficacy in DNP.

Conclusion In STZ-sensitized diabetic rats, SME retarded the progress of nephropathy. The observed nephroprotective potential of SME is ascribed to its hypoglycemic, hypolipidemic, and antioxidant activities.

Ethics Approval

The protocol No. 24/BNCP/IAEC/2021 of the experiment was approved by the Institutional Animal Ethics Committee (IAEC) of B. N. College of Pharmacy, Bhupal Nobles' University, Udaipur-313001, Rajasthan (India) (870/PO/Re/S/05/CPCSEA).


Availability of Data and Materials

The datasets used and/or analyzed during this study are available from the corresponding author on reasonable request.


Authors' Contributions

All authors contributed to the study conception and design. Experimental studies were conducted by VBJ. Data collection and analysis were performed by VBJ and JSV. The first draft of the manuscript was written by VBJ under the supervision of JSV. Both the authors commented on previous versions of the manuscript. Both the authors read and approved the final manuscript.




Publication History

Article published online:
13 June 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Berezin A. Metabolic memory phenomenon in diabetes mellitus: achieving and perspectives. Diabetes Metab Syndr 2016; 10 (2, Suppl 1): S176-S183
  • 2 Kaur N, Kishore L, Singh R. Dillenia indica L. attenuates diabetic nephropathy via inhibition of advanced glycation end products accumulation in STZ-nicotinamide induced diabetic rats. J Tradit Complement Med 2017; 8 (01) 226-238
  • 3 Nathan DM, Davidson MB, DeFronzo RA. et al; American Diabetes Association. Impaired fasting glucose and impaired glucose tolerance: implications for care. Diabetes Care 2007; 30 (03) 753-759
  • 4 Wendt T, Tanji N, Guo J. et al. Glucose, glycation, and RAGE: implications for amplification of cellular dysfunction in diabetic nephropathy. J Am Soc Nephrol 2003; 14 (05) 1383-1395
  • 5 Forbes JM, Cooper ME. Mechanisms of diabetic complications. Physiol Rev 2013; 93 (01) 137-188
  • 6 Gonzalez Suarez ML, Thomas DB, Barisoni L, Fornoni A. Diabetic nephropathy: is it time yet for routine kidney biopsy?. World J Diabetes 2013; 4 (06) 245-255
  • 7 Forbes JM, Coughlan MT, Cooper ME. Oxidative stress as a major culprit in kidney disease in diabetes. Diabetes 2008; 57 (06) 1446-1454
  • 8 Nath KA, Norby SM. Reactive oxygen species and acute renal failure. Am J Med 2000; 109 (08) 665-678
  • 9 Vallon V, Thomson SC. Renal function in diabetic disease models: the tubular system in the pathophysiology of the diabetic kidney. Annu Rev Physiol 2012; 74: 351-375
  • 10 Singh R, Devi S, Gollen R. Role of free radical in atherosclerosis, diabetes and dyslipidaemia: larger-than-life. Diabetes Metab Res Rev 2015; 31 (02) 113-126
  • 11 Jha JC, Banal C, Chow BS, Cooper ME, Jandeleit-Dahm K. Diabetes and kidney disease: role of oxidative stress. Antioxid Redox Signal 2016; 25 (12) 657-684
  • 12 Ramasamy R, Vannucci SJ, Yan SS, Herold K, Yan SF, Schmidt AM. Advanced glycation end products and RAGE: a common thread in aging, diabetes, neurodegeneration, and inflammation. Glycobiology 2005; 15 (07) 16R-28R
  • 13 Khan HA, Sobki SH, Khan SA. Association between glycaemic control and serum lipids profile in type 2 diabetic patients: HbA1c predicts dyslipidaemia. Clin Exp Med 2007; 7 (01) 24-29
  • 14 Han H, Cao A, Wang L. et al. Huangqi decoction ameliorates streptozotocin-induced rat diabetic nephropathy through antioxidant and regulation of the TGF-β/MAPK/PPAR-γ signaling. Cell Physiol Biochem 2017; 42 (05) 1934-1944
  • 15 Venkatesh S, Reddy GD, Reddy BM, Ramesh M, Rao AV. Antihyperglycemic activity of Caralluma attenuata. Fitoterapia 2003; 74 (03) 274-279
  • 16 Miranda-Díaz AG, Pazarín-Villaseñor L, Yanowsky-Escatell FG, Andrade-Sierra J. Oxidative stress in diabetic nephropathy with early chronic kidney disease. J Diabetes Res 2016; 2016: 7047238
  • 17 Galani VJ, Patel BG, Rana DG. Sphaeranthus indicus Linn.: a phytopharmacological review. Int J Ayurveda Res 2010; 1 (04) 247-253
  • 18 Ramachandran S. Review on Sphaeranthus indicus Linn. (Koṭṭaikkarantai). Pharmacogn Rev 2013; 7 (14) 157-169
  • 19 Srinivasan VM, Jessy KK, Anand Alex EM. Effect of Sphaeranthus indicus Linn. On Gentamicin induced acute renal failure in rats. Indian J Pharmacol 2008; 40: 71
  • 20 Mathew JE, Mantri A, Vachala SD, Srinivasan KK, Movaliya V. Effect of Sphaeranthus indicus ethanol extract on tissue antioxidant activity in gentamicin induced nephrotoxic rats. Herba Pol 2009; 55 (04) 86-95
  • 21 Mathew JE, Joseph A, Srinivasan K, Dinakaran SV, Mantri A, Movaliya V. Effect of ethanol extract of Sphaeranthus indicus on cisplatin-induced nephrotoxicity in rats. Nat Prod Res 2012; 26 (10) 933-938
  • 22 Harborne JB. Phytochemical Methods. London: Chapman and Hall; 1973: 49-188
  • 23 Compendium of CPCSEA Committee for the purpose of control and supervision of experiments on animals. Ministry of Environment, Forest and Climate Change. Government of India; 2008: 1-213
  • 24 Organisation for Economic Co-operation and Development Test No. 425: Acute Oral Toxicity: Up-and-Down Procedure. OECD Publishing; 2008
  • 25 Choudhary GP, Jain AP. Evaluation of acute, subacute and LD50 values of methanolic extract of Sphaeranthus indicus leaves in Albino mice. Res J Pharm Technol 2021; 14 (05) 2487-2492
  • 26 Kandhare AD, Raygude KS, Ghosh P, Ghule AE, Bodhankar SL. Neuroprotective effect of naringin by modulation of endogenous biomarkers in streptozotocin induced painful diabetic neuropathy. Fitoterapia 2012; 83 (04) 650-659
  • 27 Navale AM, Paranjape A. Antidiabetic and renoprotective effect of Anogeissus acuminata leaf extract on experimentally induced diabetic nephropathy. J Basic Clin Physiol Pharmacol 2018; 29 (04) 359-364
  • 28 Visnagri A, Kandhare AD, Chakravarty S, Ghosh P, Bodhankar SL. Hesperidin, a flavanoglycone attenuates experimental diabetic neuropathy via modulation of cellular and biochemical marker to improve nerve functions. Pharm Biol 2014; 52 (07) 814-828
  • 29 Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 1979; 95 (02) 351-358
  • 30 Ellman GL. Tissue sulfhydryl groups. Arch Biochem Biophys 1959; 82 (01) 70-77
  • 31 Misra HP, Fridovich I. The role of superoxide anion in the autoxidation of epinephrine and a simple assay for superoxide dismutase. J Biol Chem 1972; 247 (10) 3170-3175
  • 32 Standl E, Khunti K, Hansen TB, Schnell O. The global epidemics of diabetes in the 21st century: current situation and perspectives. Eur J Prev Cardiol 2019; 26 (2_suppl, suppl): 7-14
  • 33 Koye DN, Magliano DJ, Nelson RG, Pavkov ME. The global epidemiology of diabetes and kidney disease. Adv Chronic Kidney Dis 2018; 25 (02) 121-132
  • 34 Governa P, Baini G, Borgonetti V. et al. Phytotherapy in the management of diabetes: a review. Molecules 2018; 23 (01) 105
  • 35 Shukla R, Banerjee S, Tripathi YB. Antioxidant and antiapoptotic effect of aqueous extract of Pueraria tuberosa (Roxb. Ex Willd.) DC. On streptozotocin-induced diabetic nephropathy in rats. BMC Complement Altern Med 2018; 18 (01) 156
  • 36 Borgohain MP, Chowdhury L, Ahmed S. et al. Renoprotective and antioxidative effects of methanolic Paederia foetida leaf extract on experimental diabetic nephropathy in rats. J Ethnopharmacol 2017; 198: 451-459
  • 37 Furman BL. Streptozotocin-induced diabetic models in mice and rats. Curr Protocols Pharmacol 2015; 70: 47.1, 20
  • 38 Wilson GL, Leiter EH. Streptozotocin interactions with pancreatic beta cells and the induction of insulin-dependent diabetes. Curr Top Microbiol Immunol 1990; 156: 27-54
  • 39 Zari TA, Al-Attar AM. Effects of ginger and clove oils on some physiological parameters in streptozotocin-diabetic and nondiabetic rats. J Med Sci 2007; 7: 267-275
  • 40 Jayaprasad B, Sharavanan PS, Sivaraj R. Effect of Chloroxylon swietenia Dc bark extracts on STZ induced diabetic rats with special attention to its glycoprotein levels. Pharm Lett 2015; 7: 414-418
  • 41 Zhang Y, Feng F, Chen T, Li Z, Shen QW. Antidiabetic and antihyperlipidemic activities of Forsythia suspensa (Thunb.) Vahl (fruit) in streptozotocin-induced diabetes mice. J Ethnopharmacol 2016; 192: 256-263
  • 42 Lin CC, Chen CC, Chen FN. et al. Risks of diabetic nephropathy with variation in hemoglobin A1c and fasting plasma glucose. Am J Med 2013; 126 (11) 1017.e1-1017.e10
  • 43 Niveditha H, Yogitha C, Liji P. et al. Clinical correlation of HbA1c and diabetic nephropathy with diabetic retinopathy. J Evol Med Dent Sci 2013; 2 (49) 9430
  • 44 Ju Y, Su Y, Chen Q. et al. Protective effects of Astragaloside IV on endoplasmic reticulum stress-induced renal tubular epithelial cells apoptosis in type 2 diabetic nephropathy rats. Biomed Pharmacother 2019; 109: 84-92
  • 45 Abdel-Wahab AF, Bamagous GA, Al-Harizy RM. et al. Renal protective effect of SGLT2 inhibitor dapagliflozin alone and in combination with irbesartan in a rat model of diabetic nephropathy. Biomed Pharmacother 2018; 103: 59-66
  • 46 Sheu WH, Jeng CY, Lee WJ, Lin SY, Pei D, Chen YT. Simvastatin treatment on postprandial hypertriglyceridemia in type 2 diabetes mellitus patients with combined hyperlipidemia. Metabolism 2001; 50 (03) 355-359
  • 47 Bagdade JD, Helve E, Taskinen MR. Effects of continuous insulin infusion therapy on lipoprotein surface and core lipid composition in insulin-dependent diabetes mellitus. Metabolism 1991; 40 (05) 445-449
  • 48 Betteridge DJ. Diabetes, lipoprotein metabolism and atherosclerosis. Br Med Bull 1989; 45 (01) 285-311
  • 49 Zeid IEMEA, Jaghthmi OHAA. Hypoglycemic and hypolipidemic effects of two mangrove plants in a streptozotocin-induced animal model of diabetes. J Adv Vet Anim Res 2020; 7 (03) 421-428
  • 50 Reynisdottir S, Angelin B, Langin D. et al. Adipose tissue lipoprotein lipase and hormone-sensitive lipase. Contrasting findings in familial combined hyperlipidemia and insulin resistance syndrome. Arterioscler Thromb Vasc Biol 1997; 17 (10) 2287-2292
  • 51 Shawky S, Abdel-Aziz SA, Amer HA, Hegazy II, Hussein MA. Biochemical effects of some trace elements in experimental diabetic rats. Oct. 6 Univ . J Med Sci 2018; 4: 14-22
  • 52 Nandini HS, Naik PR. Antidiabetic, antihyperlipidemic and antioxidant effect of Vincamine, in streptozotocin-induced diabetic rats. Eur J Pharmacol 2019; 843: 233-239
  • 53 Papachristoforou E, Lambadiari V, Maratou E, Makrilakis K. Association of glycemic indices (hyperglycemia, glucose variability, and hypoglycemia) with oxidative stress and diabetic complications. J Diabetes Res 2020; 2020: 7489795