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381573

Protective effect of agomelatine on some cardiovascular and metabolic parameters in experimentally induced type 2 diabetes mellitus in rats

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Pharmacology

Abstract

Background: Diabetic individuals have a higher incidence of depression compared to the general population, and it is a significant risk factor for cardiovascular complications in those patients. In turn, depression and type 2 diabetes mellitus (T2DM), as well as its macrovascular complications, have a reciprocal relationship. Agomelatine, an atypical antidepressant, has been shown to have anti-inflammatory and antioxidant activities. It is a melatonin receptor agonist and a serotonin receptor antagonist. Objective: To demonstrate the protective effects of agomelatine on cardiovascular and hyperglycemic disorders. Methodology eighteen adult male albino rats were included in the study and assigned into three groups: Group I: Considered as control group, Group IIa: Diabetic (non-treated) group where diabetes was induced by 20%weight/volume (W/V) fructose sweetened water for 14 days followed by intraperitoneal injection of alloxan at a dosage of 150 mg/kg, Group IIb: Diabetic agomelatine treated group; received agomelatine (20 mg/kg/day) for four consecutive weeks. Blood pressure and electrocardiogram (ECG) measurements were performed. Blood samples were collected for measuring of tumor necrosis factor-alpha level, blood glucose level, glycated hemoglobin, and serum insulin in the end of experimental period.  Additionally, the histopathological examination for aortic and heart tissues was performed. Results: Agomelatine produced a significant (p< 0.001) decreased systolic, diastolic and mean arterial blood pressure and improved ECG abnormalities. The same treatment caused a significant (P<0.001) decrease in tumor necrosis factor-alpha (TNF-α) level, blood glucose level, glycated hemoglobin, and improvement of insulin resistance, in addition to a significant increase in serum insulin level. Histopathological changes in myocardial and aortic tissues were also improved by agomelatine. Conclusion: Agomelatine has a cardio-protective effect against cardiovascular abnormalities in the diabetic rats that may be mediated by improvement of glucose hemostasis, restoration of hemodynamics (blood pressure and ECG), increased nitric oxide (NO) bioavailability, and alleviation of inflammation.

DOI

10.21608/jram.2024.281277.1241

Keywords

Agomelatine, cardiovascular diseases, Type 2 diabetes mellitus

Authors

First Name

Amira

Last Name

Ibrahim Abd El Hameed

MiddleName

MI.

Affiliation

Pharmacology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

dr.miramohamed86@gmail.com

City

Cairo

Orcid

-

First Name

Fatma

Last Name

Al Makkawy

MiddleName

S.

Affiliation

Pharmacology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

almakkawyfatma@gmail.com

City

Cairo

Orcid

-

First Name

Eman

Last Name

Ahmed

MiddleName

M.

Affiliation

Pathology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

dremankhalil150@gmail.com

City

cairo

Orcid

-

First Name

Sahar

Last Name

Badr El-Din

MiddleName

-

Affiliation

Pharmacology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

saharbadr.medg@azhar.edu.eg

City

Cairo

Orcid

-

Volume

5

Article Issue

1

Related Issue

50517

Issue Date

2024-01-01

Receive Date

2024-04-18

Publish Date

2024-01-01

Page Start

36

Page End

44

Print ISSN

2636-252X

Online ISSN

2636-2538

Link

https://jram.journals.ekb.eg/article_381573.html

Detail API

https://jram.journals.ekb.eg/service?article_code=381573

Order

381,573

Type

Original Article

Type Code

676

Publication Type

Journal

Publication Title

Journal of Recent Advances in Medicine

Publication Link

https://jram.journals.ekb.eg/

MainTitle

Protective effect of agomelatine on some cardiovascular and metabolic parameters in experimentally induced type 2 diabetes mellitus in rats

Details

Type

Article

Created At

24 Dec 2024