Asymmetric dimethylarginine and soluble inter-cellular adhesion molecule-1 serum levels alteration following ginger supplementation in patients with type 2 diabetes: a randomized double-blind, placebo-controlled clinical trial

J Complement Integr Med. 2018 Aug 11;16(2):/j/jcim.2019.16.issue-2/jcim-2018-0019/jcim-2018-0019.xml. doi: 10.1515/jcim-2018-0019.

Abstract

Aims Patients with type 2 diabetes mellitus (T2DM) are prone to cardiovascular disease (CVD) due to inflammation process and oxidative stress. ADMA (Asymmetric dimethylarginine) and ICAM-1 (inter-cellular adhesion molecule-1) play an important role in CVD pathogenesis. Ginger as an anti-oxidant and anti-inflammation can effect on these biomarkers. The aim of present study was to characterize the effect of ginger supplementation on ADMA and ICAM-1 serum levels in patients with T2DM. Methods The present study is a randomized double-blind clinical trial which is conducted among 45 diabetic patients (nginger=23, nplacebo=22). The participants were randomly divided into two intervention and placebo groups which were received 2 g ginger powder and 2 g wheat flour for 10 weeks, respectively. ADMA and ICAM-1 concentration were measured by ELISA method. Results Ginger supplementation decreased ADMA serum levels significantly (P=0.002) and sICAM-1 serum levels marginally (P=0.097) in supplementation group after intervention. No significant difference was observed between placebo and supplementation groups. Conclusions Present study was conducted among patients with type 2 diabetes mellitus to investigate the effect of ginger supplementation on ADMA and sICAM-1 levels. There was a significant decrement in ADMA serum concentration and slight reduction in sICAM-1 levels in intervention group. The amount of reduction in both biomarkers was not statistically significant in between-groups comparison.

Keywords: asymmetric dimethylarginine; ginger; inter-cellular adhesion molecule-1; type 2 diabetes; vascular complications.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Arginine / analogs & derivatives*
  • Arginine / blood
  • Biomarkers / blood
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Dietary Supplements / analysis*
  • Double-Blind Method
  • Female
  • Humans
  • Intercellular Adhesion Molecule-1 / blood*
  • Male
  • Middle Aged
  • Plant Extracts / administration & dosage*
  • Zingiber officinale / chemistry*

Substances

  • Biomarkers
  • Plant Extracts
  • Intercellular Adhesion Molecule-1
  • N,N-dimethylarginine
  • Arginine