Exp Clin Endocrinol Diabetes 2017; 125(01): 28-32
DOI: 10.1055/s-0042-106084
Article
© Georg Thieme Verlag KG Stuttgart · New York

Long-Term Supplementation of Microencapsulated ursodeoxycholic Acid Prevents Hypertension in a Mouse Model of Insulin Resistance

H. Al-Salami
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
3   School of Pharmacy, Faculty of Health Sciences, Curtin University, WA, Australia
,
J. C. Mamo
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
2   School of Public Health, Faculty of Health Sciences, Curtin University, WA, Australia
,
A. Mooranian
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
3   School of Pharmacy, Faculty of Health Sciences, Curtin University, WA, Australia
,
R. Negrulj
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
3   School of Pharmacy, Faculty of Health Sciences, Curtin University, WA, Australia
,
V. Lam
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
2   School of Public Health, Faculty of Health Sciences, Curtin University, WA, Australia
,
M. Elahy
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
2   School of Public Health, Faculty of Health Sciences, Curtin University, WA, Australia
,
R. Takechi
1   Curtin Health Innovation Research Institute-Biosciences, Curtin University, WA, Australia
2   School of Public Health, Faculty of Health Sciences, Curtin University, WA, Australia
› Author Affiliations
Further Information

Publication History

received 08 December 2015
first decision 23 March 2016

accepted 06 April 2016

Publication Date:
24 May 2016 (online)

Abstract

Hypertension is a significant comorbidity associated with insulin resistance and type-2 diabetes. Limited evidence show that ursodeoxycholic acid (UDCA) has some anti-hypertensive effects. However, the potential effect of UDCA on hypertension induced by type-2 diabetic insulin resistance has not been reported. In C57Bl6 wild-type mice, insulin resistance was induced by the chronic ingestion of diet enriched in fat and fructose (HFF). HFF mice were randomized to treatment with UDCA or candersartan incorporated into the diet to achieve an ingested dose of approximately 70 mg/kg/day of UDCA or 3 mg/kg/day respectively. Systolic and diastolic blood pressure were measured with tail-cuff method. At 4 weeks of dietary treatment systolic and diastolic blood pressure were comparable in HFF and low-fat (LF) control mice. Co-administration of candesartan at 4 weeks significantly decreased systolic and diastolic blood pressure, UDCA showed no anti-hypertensive effect at 4 weeks. At 24 weeks of dietary intervention, HFF fed mice had substantially elevated systolic blood pressure compared to LF controls. The provision of UDCA substantially attenuated the dietary HFF induced increase in systolic blood pressure concomitant with significantly lower plasma angiotensin II. The anti-hypertensive effect of UDCA in HFF mice was comparable to candesartan. The data suggests that long term supplementation of UDCA effectively lowers hypertension in a dietary induced model of type-2 diabetic insulin resistance.

 
  • References

  • 1 Zhang LN, Shi TY, Shi XH et al. Early biochemical response to ursodeoxycholic acid and long-term prognosis of primary biliary cirrhosis: results of a 14-year cohort study. Hepatology 2013; 58: 264-272
  • 2 Guarino MP, Cocca S, Altomare A et al. Ursodeoxycholic acid therapy in gallbladder disease, a story not yet completed. World J Gastroenterol 2013; 19: 5029-5034
  • 3 Al-Salami H, Butt G, Tucker I et al. Probiotics decreased the bioavailability of the bile acid analog, monoketocholic acid, when coadministered with gliclazide, in healthy but not diabetic rats. European journal of drug metabolism and pharmacokinetics 2012; 37: 99-108
  • 4 Bouscarel B, Reza S, Dougherty LA et al. Regulation of taurocholate and ursodeoxycholate uptake in hamster hepatocytes by Ca(2+)-mobilizing agents. Am J Physiol 1996; 271: G1084-G1095
  • 5 Beuers U, Throckmorton DC, Anderson MS et al. Tauroursodeoxycholic acid activates protein kinase C in isolated rat hepatocytes. Gastroenterology 1996; 110: 1553-1563
  • 6 Tominaga T, Suzuki H, Ogata Y et al. Bile acids are able to reduce blood pressure by attenuating the vascular reactivity in spontaneously hypertensive rats. Life Sci 1988; 42: 1861-1868
  • 7 Yang YY, Huang YT, Lee KC et al. Chronic administration of ursodeoxycholic acid decreases portal pressure in rats with biliary cirrhosis. Clin Sci (Lond) 2009; 116: 71-79
  • 8 Poo JL, Feldmann G, Erlinger S et al. Ursodeoxycholic acid limits liver histologic alterations and portal hypertension induced by bile duct ligation in the rat. Gastroenterology 1992; 102: 1752-1759
  • 9 Schiedermaier P, Hansen S, Asdonk D et al. Effects of ursodeoxycholic acid on splanchnic and systemic hemodynamics. A double-blind, cross-over, placebo-controlled study in healthy volunteers. Digestion 2000; 61: 107-112
  • 10 Mooranian A, Negrulj R, Al-Sallami HS et al. Probucol Release from Novel Multicompartmental Microcapsules for the Oral Targeted Delivery in Type 2 Diabetes. AAPS PharmSciTech 2014. DOI: 10.1208/s12249-014-0205-9
  • 11 Negrulj R, Mooranian A, Chen-Tan N et al. Swelling, mechanical strength, and release properties of probucol microcapsules with and without a bile acid, and their potential oral delivery in diabetes. Artificial cells, nanomedicine, and biotechnology 2015; 1-8
  • 12 Tsuchida T, Shiraishi M, Ohta T et al. Ursodeoxycholic acid improves insulin sensitivity and hepatic steatosis by inducing the excretion of hepatic lipids in high-fat diet-fed KK-Ay mice. Metabolism: clinical and experimental 2012; 61: 944-953
  • 13 Mahmoud AA, Elshazly SM. Ursodeoxycholic acid ameliorates fructose-induced metabolic syndrome in rats. PLoS One 2014; 9: e106993
  • 14 Bauer IH, Reams GP, Wu Z et al. Effects of losartan on the renin-angiotensin-aldosterone axis in essential hypertension. J Hum Hypertens 1995; 9: 237-243
  • 15 Gavras I, Gavras H. Effects of eprosartan versus enalapril in hypertensive patients on the renin-angiotensin-aldosterone system and safety parameters: results from a 26-week, double-blind, multicentre study. Eprosartan Multinational Study Group. Curr Med Res Opin 1999; 15: 15-24
  • 16 Herichova I, Szantoova K. Renin-angiotensin system: upgrade of recent knowledge and perspectives. Endocr Regul 2013; 47: 39-52
  • 17 von Haehling S, Schefold JC, Jankowska EA et al. Ursodeoxycholic acid in patients with chronic heart failure: a double-blind, randomized, placebo-controlled, crossover trial. J Am Coll Cardiol 2012; 59: 585-592
  • 18 Berzigotti A, Bellot P, De Gottardi A et al. NCX-1000, a nitric oxide-releasing derivative of UDCA, does not decrease portal pressure in patients with cirrhosis: results of a randomized, double-blind, dose-escalating study. Am J Gastroenterol 2010; 105: 1094-1101
  • 19 Fiorucci S, Antonelli E, Brancaleone V et al. NCX-1000, a nitric oxide-releasing derivative of ursodeoxycholic acid, ameliorates portal hypertension and lowers norepinephrine-induced intrahepatic resistance in the isolated and perfused rat liver. J Hepatol 2003; 39: 932-939
  • 20 Osorio H, Coronel I, Arellano A et al. Ursodeoxycholic acid decreases sodium-glucose cotransporter (SGLT2) expression and oxidative stress in the kidney of diabetic rats. Diabetes Res Clin Pract 2012; 97: 276-282