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15826

Effect of Diclofenac on Plasma Glucose level, Insulin Resistance, Inflammatory Markers and Hepatocytes in Diabetic Albino Rats

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Last updated: 24 Dec 2024

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Abstract

Background and aim of the study: diabetes wasproposed to be an inflam­matory disease.  Growing evidence has pointed to a correlation between various proinflammatory cytokines, insulin resistance (IR) and type 2 diabetes (T2DM). Materials and Methods: This study was carried out on one hundred Albino rats, distributed into four groups. Group I: control group, Group II: diabetic rats with no treatment, Group III:  diabetic rats treated with Glipenclamid and Group IV: diabetic rats treated with Diclofenac sodium. Blood samples were taken and the following biochemical parameters were done: fasting blood glucose (FBG), serum insulin, aspartate transaminase (AST), Alanine transaminase (ALT), serum Alkaline Phosphatase (ALP), serum protein, serum albumin, serum triglyceride (TGs), serum cholesterol level (TC), High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL), Tumor Necrosis Factor (TNF-α) and C-Reactive Protein (CRP). HOMA IR and HOMA B were calculated. Liver samples from all rats were obtained and stained with Hematoxylin and Eosin, Masson's trichrome and Periodic acid–Schiff (PAS) for histological examination. Results: Declofenac caused significant lowering in FBG, lipid profile, TNF-α level, CRP, increased insulin secretion with improved IR and beta cell function compared to the diabetic group. There was a positive correlation between HOMA-IR and CRP; HOMA-IR and serum TNF-α. Liver of diabetic rats showed periportal fibrosis, vacuolated cytoplasm and nuclei and glycogen deposition. These changes improved markedly in Glibenclamide treated groups while liver of Declofenac treated group revealed parenchymal cell necrosis, sinusoidal dilatation with some pyknotic nuclei and marked glycogen deposition. Conclusions: inflammatory pathways may play an important part in IR of T2DM. Therefore, antinflammatory drugs may have a role in diabetes therapy through improving IR because of its insulin-sensitiz­ing and anti-inflammatory properties.  

DOI

10.12816/0002438

Keywords

Diabetes Mellitus, Inflammation, Insulin Resistance, Diclofenac Sodium, Glibenclamide Histopathological Liver Changes

Authors

First Name

Ashraf M.

Last Name

Mostafa

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Affiliation

Anatomy and Histology Department,College of Medicine, Taif University, KSA

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Orcid

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First Name

Waleed S.

Last Name

Mohamed

MiddleName

-

Affiliation

Internal Medicine Department College of Medicine, Taif University, KSA.

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Orcid

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First Name

Abdel Hamid A.

Last Name

Serwah

MiddleName

-

Affiliation

Internal Medicine Department College of Medicine, Taif University, KSA.

Email

abdelhamidserwah@yahoo.com

City

-

Orcid

-

First Name

Mohamed A.

Last Name

Serwah

MiddleName

-

Affiliation

Internal Medicine Department College of Medicine, Taif University, KSA.

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Orcid

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Volume

54

Article Issue

1

Related Issue

3410

Issue Date

2014-01-01

Receive Date

2018-10-03

Publish Date

2014-01-01

Page Start

117

Page End

128

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_15826.html

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https://ejhm.journals.ekb.eg/service?article_code=15826

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15

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Diclofenac on Plasma Glucose level, Insulin Resistance, Inflammatory Markers and Hepatocytes in Diabetic Albino Rats

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Article

Created At

22 Jan 2023