DOI QR코드

DOI QR Code

고지방식이 유도 비만 마우스에서 황련, 단삼, 육계 복합추출물의 비만 개선 및 당뇨 예방 효과

Anti-Obesity and Anti-Diabetic Effects of a Polyherbal Extract Consisting of Coptidis Rhizoma, Salviae Miltiorrhizae Radix, and Cinnamomi Cortex in High Fat Diet-Induced Obesity Mice

  • 정수민 (동국대학교 한의과대학 본초학교실) ;
  • 권세은 (동국대학교 한의과대학 본초학교실) ;
  • 강석용 (동국대학교 한방신약개발센터) ;
  • 김수진 (동국대학교 의과대학 경주병원 마취통증의학교실) ;
  • 정효원 (동국대학교 한의과대학 본초학교실) ;
  • 박용기 (동국대학교 한의과대학 본초학교실)
  • Jung, Su Min (Department of Herbology, College of Korean Medicine, Dongguk University) ;
  • Kwon, Se Eun (Department of Herbology, College of Korean Medicine, Dongguk University) ;
  • Kang, Seok Yong (Korean Medicine R&D Institute, Dongguk University) ;
  • Kim, Su Jin (Department of Anesthesiology and Pain Medicine, Dongguk University Gyeongju Hospital, College of Medicine, Dongguk University) ;
  • Jung, Hyo Won (Department of Herbology, College of Korean Medicine, Dongguk University) ;
  • Park, Yong-Ki (Department of Herbology, College of Korean Medicine, Dongguk University)
  • 투고 : 2021.10.22
  • 심사 : 2021.11.20
  • 발행 : 2021.12.30

초록

Objectives: We investigated the effects of Clean-DM4 (C-DM4), a polyherbal extract consisting of Coptidis Rhizoma, Salviae Miltiorrhiza Radix, and Cinnamomi Cortex on high fat diet (HFD)-induced obesity and diabetes in mice. Methods: The C57BL/6 mice (6 weeks) were fed a HFD for 8 weeks and then administrated with C-DM4 extract at 500 mg/kg (p.o.) once daily for 4 weeks. The changes of body weights, calorie intakes, and fasting blood glucose (FBG) levels were measured in mice. The serum levels of glucose, insulin, total cholesterol, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) were measured in mice by enzyme-based assay. It was also observed the histological changes of pancreas, liver, and fat tissues with hematoxylin and eosin (H&E) staining. Results: The increase of calorie intakes and FBG levels in HFD-induced obesity mice was significantly decreased by oral administration of C-DM4 extract. C-DM4 extract administration was significantly reduced the increased levels of glucose, insulin, total cholesterol, AST, and ALT in obesity mice. In addition, C-DM4 extract inhibited lipid droplet accumulation in liver tissues of obesity mice, hyperplasia of pancreatic islets, and enlargement of adipocytes in adipose tissues. Conclusions: Our study indicates that C-DM4 extract could help improve obesity and to prevent diabetes progression.

키워드

과제정보

이 논문은 2020년도 한국보건산업진흥원 '한의약혁신기술개발사업'의 연구비 지원으로 수행되었음(HF20C0121).

참고문헌

  1. Korean Society for the Study of Obesity. Treatment guidelines for obesity. Seoul : Korean Society for the Study of Obesity. 2018.
  2. Barazzoni R, Cappellari GG, Ragni M, Nisoli E. Insulin resistance in obesity: an overview of fundamental alterations. Eat Weight Disord. 2018 ; 23(2) : 149-57. https://doi.org/10.1007/s40519-018-0481-6
  3. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012 ; 70(1) : 3-21. https://doi.org/10.1111/j.1753-4887.2011.00456.x
  4. The Association of Korean Medicine. Obesity [Internet]. Seoul: 2009 [cited 2021 Aug 2]. Available from: https://www.akom.org/Home/AkomArticleHealth/105320?Healt hType=3.
  5. Jung SM, Seol YH, Chun KY, Park MH, Liu Y, Kang SY, et al. Antiobesity and antidiabetic effects of polyherbal extract with Atractylodis Rhizoma, Anemarrhenae Rhizoma, Cinnamomi Cortex, and Moutan Radicles Cortex in high fat diet-induced obesity mice. J Korean Med Obes Res. 2020 ; 20(2) : 69-77. https://doi.org/10.15429/jkomor.2020.20.2.69
  6. Byun SH, Seo BI. Oriental medicines effects on cure and prevention of an obesty (I). J Korean Med. 2000 ; 21(1) : 3-10.
  7. Kim JK, Oh MS, Song TW. Oriental and western study on medication treatment of obesity. Daejeon Univ J Orient Med. 2002 ; 11(1) : 193-9.
  8. Textbook Compilation Committee of National University of Korean Medicine, Korea. Herbology. Seoul : Younglimsa. 2018 : 218-9, 377-8, 458-9.
  9. Cui X, Qian DW, Jiang S, Shang EX, Zhu ZH, Duan JA. Scutellariae Radix and Coptidis Rhizoma improve glucose and lipid metabolism in T2DM rats via regulation of the metabolic profiling and MAPK/PI3K/Akt signaling pathway. Int J Mol Sci. 2018 ; 19(11) : 3634. https://doi.org/10.3390/ijms19113634
  10. Jeong HJ. The effect of Galkun-Whanglyeon-Whanggum-Tang and Sopunghwalhyeol-tang in HUVEC on anti-inflammatory, anti-oxidant activity. Master's thesis. Naju: Dongshin University. 2020 : 1-67.
  11. Wang WB, Zhao LL, He ZY, Wu N, Li QX, Qiu XJ, et al. Metabolomics-based evidence of the hypoglycemic effect of Ge-Gen-Jiao-Tai-Wan in type 2 diabetic rats via UHPLC-QTOF/MS analysis. J Ethnopharmacol. 2018 ; 219 : 299-318. https://doi.org/10.1016/j.jep.2018.03.026
  12. Lyu Y, Lin L, Xie Y, Li D, Xiao M, Zhang Y, et al. Blood-glucose-lowering effect of Coptidis Rhizoma Extracts from different origins via gut microbiota modulation in db/db mice. Front Pharmacol. 2021 ; 12 : 684358. https://doi.org/10.3389/fphar.2021.684358
  13. Ma H, He K, Zhu J, Li X, Ye X. The anti-hyperglycemia effects of Rhizoma Coptidis alkaloids: a systematic review of modern pharmacological studies of the traditional herbal medicine. Fitoterapia. 2019 ; 134 : 210-20. https://doi.org/10.1016/j.fitote.2019.03.003
  14. Zou X, Huang W, Lu F, Fang K, Wang D, Zhao S, et al. The effects of Jiao-Tai-Wan on sleep, inflammation and insulin resistance in obestiy-resistant rats with chronic partial sleep deprivation. BMC Complement Altern Med. 2017 ; 17(1) : 165. https://doi.org/10.1186/s12906-017-1648-9
  15. Di S, Han L, An X, Kong R, Gao Z, Yang Y, et al. In silico network pharmacology and in vivo analysis of berberine-related mechanisms against type 2 diabetes mellitus and its complications. J Ethnopharmacol. 2021 ; 276 : 114180. https://doi.org/10.1016/j.jep.2021.114180
  16. Chen G, Yang X, Yang X, Li L, Luo J, Dong H, et al. Jia-Wei-Jiao-Tai-Wan ameliorates type 2 diabetes by improving β cell function and reducing insulin resistance in diabetic rats. BMC Complement Altern Med. 2017 ; 17(1) : 507. https://doi.org/10.1186/s12906-017-2016-5
  17. Zhou J, Pan J, Xiang Z, Wang Q, Tong Q, Fang J, et al. Xiaokeyinshui extract combination, a berberine- containing agent, exerts anti-diabetic and renal protective effects on rats in multi-target mechanisms. J Ethnopharmacol. 2020 ; 262 : 113098. https://doi.org/10.1016/j.jep.2020.113098
  18. Ran Q, Wang J, Wang L, Zeng HR, Yang XB, Huang QW. Rhizoma coptidis as a potential treatment agent for type 2 diabetes mellitus and the underlying mechanisms: a review. Front Pharmacol. 2019 ; 10 : 805. https://doi.org/10.3389/fphar.2019.00805
  19. Xiao S, Zhang Z, Chen M, Zou J, Jiang S, Qian D, et al. Xiexin Tang ameliorates dyslipidemia in high-fat diet-induced obese rats via elevating gut microbiota-derived short chain fatty acids production and adjusting energy metabolism. J Ethnopharmacol. 2019 ; 241 : 112032. https://doi.org/10.1016/j.jep.2019.112032
  20. Ahn SH, Kim KB. The effect of Coptidis Rhizoma and Glycyrrhiza Uralensis on lipid deposition with nonalcoholic fatty liver disease(NAFLD). J Pediatr Korean Med. 2019 ; 33(2) : 12-21. https://doi.org/10.7778/JPKM.2019.33.2.012
  21. Lee SE. Anti-obesity effect and action mechanism of Dansam-Samultang in C57BL/6 obese mice fed high fat diet. J Korea Soc Beauty Art. 2018 ; 19(2) : 113-25. https://doi.org/10.18693/jksba.2018.19.2.113
  22. Kim GH, Hong KK, Cho HB, Choi CM, Kim SB. Anti-inflammatory effects of Salvia Miltiorrhizae Radix water extract in RAW 264.7 cells and mouse induced by lipopolysaccharide. J Korean Obstet Gynecol. 2019 ; 32(2) : 1-17. https://doi.org/10.15204/JKOBGY.2019.32.2.001
  23. Kim YJ, Kim JH, Noh YJ, Kim SJ, Hwang IH, Kim DK. Anti-oxidative effect of Salvia miltiorrhiza Bunge in Caenorhabditis elegans. Kor J Pharmacogn. 2018 ; 49(4) : 322-7.
  24. Liu W, Chen X, Ge Y, Wang H, Phosat C, Li J, et al. Network pharmacology strategy for revealing the pharmacological mechanism of pharmacokinetic target components of San-Ye-Tang-Zhi-Qing formula for the treatment of type 2 diabetes mellitus. J Ethnopharmacol. 2020 ; 260 : 113044. https://doi.org/10.1016/j.jep.2020.113044
  25. Zhao W, Yuan Y, Zhao H, Han Y, Chen X. Aqueous extract of Salvia miltiorrhiza Bunge-Radix Puerariae herb pair ameliorates diabetic vascular injury by inhibiting oxidative stress in streptozotocin-induced diabetic rats. Food Chem Toxicol. 2019 ; 129 : 97-107. https://doi.org/10.1016/j.fct.2019.04.018
  26. Kouame K, Peter AI, Akang EN, Moodley R, Naidu EC, Azu OO. Histological and biochemical effects of Cinnamomum cassia nanoparticles in kidneys of diabetic Sprague-Dawley rats. Bosn J Basic Med Sci. 2019 ; 19(2) : 138-45.
  27. Uslu GA, Gelen V, Uslu H, Ozen H. Effects of Cinnamomum cassia extract on oxidative stress, immunreactivity of iNOS and impaired thoracic aortic reactivity induced by type II diabetes in rats. Braz J Pharm Sci. 2018 ; 54(3) : e17785.
  28. Kang NH, Mukherjee S, Yun JW. Trans-cinnamic acid stimulates white fat browning and activates brown adipocytes. Nutrients. 2019 ; 11(3) : 577. https://doi.org/10.3390/nu11030577
  29. National Health Insurance Service. Health insurance obesity(E66) medical expenses [Internet]. Seoul: 2020 [cited 2021 Aug 4]. Available from: https://www.docdocdoc.co.kr/news/articleView.html?idxno=2003363.
  30. Korean Diabetes Association. Diabetes fact sheet in Korea 2018. Seoul : Korean Diabetes Association. 2018 : 19-20.
  31. The Society of Korean Medicine Rehabilitaion. Korean rehabilitation medicine. Seoul : Koonja publisher. 2005 : 349-59.
  32. Heber D. Herbal preparations for obesity, are they useful? In: Bray GA, editor. Risks of obesity. Office management of obesity. Philadelphia : Elsevier Inc. 2004 : 107-26, 222-43.
  33. Hwang MJ, Shin HD, Song MY. Literature review of herbal medicines on treatment of obesity since 2000 - mainly about Ephedra Herba. J Korean Med Obes Res. 2007 ; 7(1) : 39-54.
  34. Mahler RJ. The relationship between the hyperplastic pancreatic islet and insulin insensitivity in obesity. Acta Diabetol Lat. 1981 ; 18(1) : 1-17. https://doi.org/10.1007/BF02056101
  35. Yoon HJ, Lee YH, Cha BS. Causal relationship of non-alcoholic fatty liver disease with obesity and insulin resistance. J Korean Diabetes. 2014 ; 15(2) : 76-81. https://doi.org/10.4093/jkd.2014.15.2.76
  36. Willams CL, Campanaro LA, Squillace M, Bollella M. Management of childhood obesity pediatric practice. Ann N Y Acad Sci. 1997 ; 817 : 225-40. https://doi.org/10.1111/j.1749-6632.1997.tb48209.x
  37. Donnelly KL, Smith CI, Schwarzenberg SJ, Jessurun J, Boldt MD, Parks EJ. Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Invest. 2005 ; 115(5) : 1343-51. https://doi.org/10.1172/JCI23621
  38. Koo SH. Nonalcoholic fatty liver disease: molecular mechanisms for the hepatic steatosis. Clin Mol Hepatol. 2013 ; 19(3) : 210-5. https://doi.org/10.3350/cmh.2013.19.3.210