The Role Of Metformin, Magnesium, And Vitamin D In Modulating Redox Enzymes In Streptozotocin-Induced Diabetes: An Albino Rat Model Study
Main Article Content
Abstract
This study investigates the role of metformin, magnesium, and vitamin D in modulating redox enzymes in streptozotocin-induced diabetes, employing an albino rat model. While numerous studies have explored the impact of metformin therapy in combination with various vitamins, there is a noticeable scarcity of research examining the effects of metformin therapy in conjunction with a combination of various vitamins along with manganese. The experimental design involved six groups of rats, each comprising six individuals. The control group (Group 1) served as the baseline, while Group 2 represented untreated diabetes induced by streptozotocin (DU). Group 3 received metformin for diabetes treatment (DTM), Group 4 received a combination of metformin and vitamin D (DTMV-D), Group 5 received a combination of metformin and magnesium (DTMM), and Group 6 received a combination of metformin, vitamin D, and magnesium (DTMMV-D).The organs, particularly the liver and kidney, were isolated after treatment for enzyme assays, including lactate dehydrogenase (LDH), succinate dehydrogenase (SDH), and glucose-6-phosphate dehydrogenase (G-6-PDH). Results demonstrated that untreated diabetes led to significant increases in SDH, LDH, and G-6-PDH activities compared to the control group. While metformin treatments showed varying degrees of effectiveness in restoring these enzyme activities, the combination of metformin, vitamin D, and magnesium (DTMMV-D) consistently stood out, indicating potential benefits in mitigating diabetes-induced changes in redox enzyme levels. The study contributes valuable insights into the complex interplay of these treatments with redox enzymes, offering a foundation for future research on innovative therapeutic strategies in diabetes management.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Drzewoski, J. and Hanefeld, M., 2021. The current and potential therapeutic use of metformin—the good old drug. Pharmaceuticals, 14(2), p.122.
Haj-yahya, K., Gomez Casanovas, J.G., Aquino, A., Sanchez, E., Rivera, J., Rincon-Rueda, L., Baird, A., Nadal, J., Solis, M. and Suarez Parraga, A.R., 2024. Evaluation of Vitamin B12 levels in patients with Type 2 Diabetes Mellitus taking Metformin in the ambulatory care setting.
Infante, M., Leoni, M., Caprio, M. and Fabbri, A., 2021. Long-term metformin therapy and vitamin B12 deficiency: An association to bear in mind. World Journal of Diabetes, 12(7), p.916.
Kos, E., Liszek, M.J., Emanuele, M.A., Durazo-Arvizu, R. and Camacho, P., 2012. Effect of metformin therapy on vitamin D and vitamin B12 levels in patients with type 2 diabetes mellitus. Endocrine Practice, 18(2), pp.179-184.
Kuritzky, L. and Samraj, G.P., 2011. Enhanced glycemic control with combination therapy for type 2 diabetes in primary care. Diabetes Therapy, 2, pp.162-177.
Lohr, GW., and Waller, H.D. 1965. Glucose-6-phosphate Dehydrogenase:(Zwischenferment). In Methods of enzymatic analysis. Academic Press. 744-751p.
Mastanaiah, S., Chengal Raju, D., and Swami, K.S. 1978. Glucose-6-phosphate dehydrogenase activity in denervated amphibian gastrocnemius muscle. Curr. Sci.47:874-6.
Mule, N.K. and Singh, J.N., 2018. Diabetes mellitus to neurodegenerative disorders: is oxidative stress fueling the flame?. CNS & Neurological Disorders-Drug Targets (Formerly Current Drug Targets-CNS & Neurological Disorders), 17(9), pp.644-653.
Nachlas, M.M., Margulies, S.I., Goldberg, J.D., and Seligman, A.M. 1960. The determination of lactic dehydrogenase with a tetrazolium salt. Anal. Biochem. 1:317-26.
Owen, M.D., Baker, B.C., Scott, E.M. and Forbes, K., 2021. Interaction between metformin, folate and vitamin B12 and the potential impact on fetal growth and long-term metabolic health in diabetic pregnancies. International journal of molecular sciences, 22(11), p.5759.
Padhi, S., Nayak, A.K. and Behera, A., 2020. Type II diabetes mellitus: a review on recent drug based therapeutics. Biomedicine & Pharmacotherapy, 131, p.110708.
Prabhakar, P.K., Kumar, A. and Doble, M., 2014. Combination therapy: a new strategy to manage diabetes and its complications. Phytomedicine, 21(2), pp.123-130.
Prameelamma, Y., and Swami, K.S. 1975. Glutathione dehydrogenase activity in normal and denervated gastocnemius muscle of frog, Ranahexadactyla. Curr. Sci. 44: 739-740.
Su, J., Luo, Y., Hu, S., Tang, L. and Ouyang, S., 2023. Advances in research on type 2 diabetes mellitus targets and therapeutic agents. International Journal of Molecular Sciences, 24(17), p.13381.
Terada, T. and Boulé, N.G., 2019. Does metformin therapy influence the effects of intensive lifestyle intervention? Exploring the interaction between first line therapies in the Look AHEAD trial. Metabolism, 94, pp.39-46.
Triggiani, V., Resta, F., Guastamacchia, E., Sabbà, C., Licchelli, B., Ghiyasaldin, S. and Tafaro, E., 2006. Role of antioxidants, essential fatty acids, carnitine, vitamins, phytochemicals and trace elements in the treatment of diabetes mellitus and its chronic complications. Endocrine, Metabolic & Immune Disorders-Drug Targets (Formerly Current Drug Targets-Immune, Endocrine & Metabolic Disorders), 6(1), pp.77-93.
Yan, L.J., 2022. The nicotinamide/streptozotocin rodent model of type 2 diabetes: Renal pathophysiology and redox imbalance features. Biomolecules, 12(9), p.1225.