Mechanism of TangGanJian on nonalcoholic fatty liver disease with type 2 diabetes mellitus

Pharm Biol. 2018 Dec;56(1):567-572. doi: 10.1080/13880209.2018.1504972.

Abstract

Context: TangGanJian (TGJ) has a curative effect in the clinical treatment of nonalcoholic fatty liver disease (NAFLD) with type 2 diabetes mellitus (T2DM), while the mechanism involved in the treatment process remains unclear.

Objective: This study details the mechanism of TGJ on the treatment of NAFLD with T2DM.

Materials and methods: NAFLD was induced in T2DM rat model. Male Wistar rats were assigned into six groups: Group I (control), Group II (model), Group III (pioglitazone, 0.5 mg/kg), Group IV (high dose of TGJ, 24.8 g/kg), Group V (middle dose of TGJ, 12.4 g/kg) and Group VI (low dose of TGJ, 6.2 g/kg). All rats in each group were treated with the corresponding drugs by gavage for 8 weeks. Haematoxylin and eosin analysis was conducted. The indicators of inflammatory and oxidative stress were analysed utilizing one-way ANOVA.

Results: The contents of TNF-α (15.794 ± 3.302 pg/mL), IL-6 (76.801 ± 8.491 pg/mL), IL-1β (100.101 ± 13.150 pg/mL), CRP (1.052 ± 0.079 pg/mL) and MDA (3.972 ± 0.159 pg/mL) were obviously elevated in NAFLD with T2DM rats compared to controls. Except for the IL-6, the levels of other markers declined in a dose-dependent manner after treatment with TGJ. The SOD (14.139 ± 1.479 U/mgprot) and GSH-PX (81.511 ± 5.276 U/mgprot) levels significantly decreased in NAFLD with T2DM rats, while the levels of these indicators increased after treatment with TGJ.

Conclusions: TGJ may be a therapy for the NAFLD with T2DM rats by modulating the inflammatory response and the oxidative stress capacity.

Keywords: GSH-PX; SOD; TNF-α; Therapy; inflammation; oxidative stress.

MeSH terms

  • Animals
  • Blood Glucose / metabolism
  • C-Reactive Protein / metabolism
  • Diabetes Mellitus, Experimental / chemically induced
  • Diabetes Mellitus, Experimental / complications
  • Diabetes Mellitus, Experimental / drug therapy*
  • Diabetes Mellitus, Experimental / metabolism
  • Diabetes Mellitus, Type 2 / chemically induced
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / metabolism
  • Drugs, Chinese Herbal / pharmacology*
  • Insulin / blood
  • Interleukin-1beta
  • Interleukin-6 / blood
  • Liver / drug effects
  • Male
  • Non-alcoholic Fatty Liver Disease / complications
  • Non-alcoholic Fatty Liver Disease / drug therapy*
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Oxidative Stress / drug effects
  • Pioglitazone / pharmacology
  • Rats
  • Rats, Wistar
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Blood Glucose
  • Drugs, Chinese Herbal
  • IL6 protein, human
  • Insulin
  • Interleukin-1beta
  • Interleukin-6
  • Tumor Necrosis Factor-alpha
  • C-Reactive Protein
  • Pioglitazone

Grants and funding

This work was supported by the Hubei Provincial Natural Science Foundation [grant number 2016CFB341]; Wuhan Young and Middle-aged Medical Talents [(2015) 9]; and Wuhan Medical Science Research Funding Project (grant number WZ18M02).