PURIFIED GAMBIR (UNCARIA GAMBIR (HUNTER) ROXB.) ATTENUATE RENAL FUNCTION IN ALLOXAN-INDUCED DIABETIC MALE RATS
DOI:
https://doi.org/10.22159/ijap.2024.v16s1.34Keywords:
Antioxidant, Blood glucose, Purified gambir, Renal function, Creatinine clearanceAbstract
Objective: Diabetes and its vascular complications could prevent by antioxidants. Purified gambir is the purified extract of Uncaria gambir (Hunter) Roxb, which contains more than 90% catechins and scientifically work as antioxidant. This study aimed to determine the effect of purified gambir on renal function in alloxan-induced diabetic Wistar Kyoto rats.
Methods: Diabetic rats were induced by alloxan 125 mg/kgBW by intraperitoneal injection. Forty-five diabetic rats were divided into five groups, diabetic control group treated with vehicle, a positive control group treated with glibenclamide at dose 0.45 mg/kgBW, and treatment groups of purified gambir at doses of 2.50, 5, and 10 mg/kgBW for 14 d. Blood glucose, water intake, urine volume, creatinine clearance, renal ratio, and urine density were measured on day 3, 7, and 14. All data were analyzed by two-way ANOVA followed by Duncan Multiple Range Test.
Results: Purified gambir significantly lower blood glucose (p<0.05) and had a significant effect (p<0.05) on renal function parameters in diabetic rats. Duration of treatment purified gambir in diabetic rats had a significant effect (p<0.05) on water intake, urine volume, creatinine clearance and renal ratio.
Conclusion: This result show that purified gambir at dose 2.5 mg/kgBW increased the renal function of diabetic rats, in contrast, purified gambir at dose 5 and 10 mg/kgBW attenuate renal function of diabetic rats
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Yildiz M, Esenboga K, Oktay AA. Hypertension and diabetes mellitus: highlights of a complex relationship. Curr Opin Cardiol. 2020;35(4):397-404. doi: 10.1097/HCO.0000000000000748, PMID 32371623.
Sowers JR. Recommendations for special populations: diabetes mellitus and the metabolic syndrome. Am J Hypertens. 2003;16(11 Pt 2):41S-5S. doi: 10.1016/j.amjhyper.2003.07.009, PMID 14625160.
Baroroh F, Sari A, Laili KZ, Permatasari DP. Cost-effectiveness analysis of antihypertensive drug use in hypertension-diabetes mellitus and hypertension-heart failure inpatients at a government hospital in Yogyakarta, Indonesia. Proceedings of the first int conf heal soc sci technol (ICoHSST 2020). 2021;521:41-5.
Ravipati AS, Reddy N, Koyyalamudi SR. Biologically active compounds from the genus Uncaria (Rubiaceae). Stud Nat Prod Chem. 2014;43:381-408. doi: 10.1016/B978-0-444-63430-6.00013-8.
Beckman JA, Goldfine AB, Gordon MB, Creager MA. Ascorbate restores endothelium-dependent vasodilation impaired by acute hyperglycemia in humans. Circulation. 2001;103(12):1618-23. doi: 10.1161/01.cir.103.12.1618, PMID 11273987.
Musdja MY, Hapsari MA, Agusta A. Comparison of activity and inhibitory mechanism between (+)-catechin and water extract of gambier (Uncaria Gambir Roxb.) against some bacteria. Sci J PPI-UKM. 2017;4(2):55-60.
Armenia A, Hidayat R, Meiliani M, Yuliandra Y. Blood pressure lowering effect of scopoletin on oxidative stress-associated hypertensive rats. Marmara Pharm J. 2019;23(2):249-58.
Rad SK, Arya A, Karimian H, Madhavan P, Rizwan F, Koshy S. Mechanism involved in insulin resistance via accumulation of β-amyloid and neurofibrillary tangles: link between type 2 diabetes and Alzheimer’s disease. Drug Des Devel Ther. 2018;12:3999-4021. doi: 10.2147/DDDT.S173970, PMID 30538427.
Arundita S, Ismed F, Rita RS, Putra DP. (+)-catechin & proanthocyanidin fraction of uncaria gambir roxb. Improve Adipocytes Differentiation & Glucose Uptake of 3T3-L1 Cells Via Sirtuin-1, Peroxisome Proliferator-Activated Receptor γ (PPAR γ), glucose transporter type 4 (GLUT-4) expressions. Adv Pharm Bull. 2020;10(4):602-9. doi: 10.34172/apb.2020.072, PMID 33072538.
Permatasari D, Sinamar LP, Estera K, Ahmadin A Armenia. The impact sub acute admin purified gambier (uncaria gambir roxb.) to the liver and kidney functions and its reversibility on rats. Pharmacogn J. 2021;13(1):44-51.
Sari Pane YS, Ganie RA, Lindarto D, Lelo A. The effect of gambier extract on the levels of malondialdehyde, superoxide dismutase, and blood glucose in type 2 diabetes mellitus patients. Asian J Pharm Clin Res. 2018;11(10):121-4. doi: 10.22159/ajpcr.2018.v11i10.26620.
Guerrero L, Castillo J, Quinones M, Garcia Vallve S, Arola L, Pujadas G. Inhibition of angiotensin-converting enzyme activity by flavonoids: structure-activity relationship studies. Plos One. 2012;7(11):e49493. doi: 10.1371/journal.pone.0049493, PMID 23185345.
Armenia A, Wahyuni FS, Almahdy A, Abdillah R, Aquista PG, Putri DP. Blood pressure and blood sugar-lowering effects of purified gambir on diabetic hypertensive Wistar Kyoto rats. J Complement Integr Med. 2022;19(3):627-36. doi: 10.1515/jcim-2022-0054, PMID 35446514.
Yaribeygi H, Sathyapalan T, Atkin SL, Sahebkar A. Molecular mechanisms linking oxidative stress and diabetes mellitus. Oxid Med Cell Longev. 2020 Mar 9;2020:8609213. doi: 10.1155/2020/8609213, PMID 32215179.
Yin P, Wang Y, Yang L, Sui J, Liu Y. Hypoglycemic effects in alloxan-induced diabetic rats of the phenolic extract from mongolian oak cups enriched in ellagic acid, kaempferol and their derivatives. Molecules. 2018 Apr 30;23(5):1046/1420. doi: 10.3390/molecules23051046, PMID 29710864.
Castro de BBA, Colugnati FAB, Cenedeze MA, Suassuna PGde A, Pinheiro HS. Standardization of renal function evaluation in wistar rats (Rattus norvegicus) from the federal university of juiz de fora’s colony. J Bras Nefrol. 2014;36(2):139-49. doi: 10.5935/0101-2800.20140023, PMID 25055353.
Damtie S, Biadgo B, Baynes HW, Ambachew S, Melak T, Asmelash D. Chronic kidney disease and associated risk factors assessment among diabetes mellitus patients at a tertiary hospital, Northwest Ethiopia. Ethiop J Health Sci. 1970 Jan 1;28(6). doi: 10.4314/ejhs.v28i6.3.
Washington IM, Hoosier Van G, Marrow B, Marrow B, Marrow B, Marrow B. Clinical biochemistry and hematology. In: Washington IM, Hoosier Van G, editors. Clinical biochemistry and hematology. 2nd ed. Washington; 2012. p. 57-116.
Clark WF. Is high fluid intake good for the kidney? Kidney Res Clin Pract. 2019 Jun 30;38(2):135-7. doi: 10.23876/j.krcp.19.043, PMID 31189219.
Sekiou O, Boumendjel M, Taibi F, Tichati L, Boumendjel A, Messarah M. Nephroprotective effect of Artemisia herba alba aqueous extract in alloxan-induced diabetic rats. J Tradit Complement Med. 2021 Jan;11(1):53-61. doi: 10.1016/j.jtcme.2020.01.001, PMID 33511062.
Samarghandian S, Azimi Nezhad M, Farkhondeh T. Catechin treatment ameliorates diabetes and its complications in streptozotocin-induced diabetic rats. Dose Response. 2017 Mar 1;15(1):1559325817691158. doi: 10.1177/1559325817691158, PMID 28228702.
Nazir N, Zahoor M, Ullah R, Ezzeldin E, Mostafa GAE. Curative effect of catechin isolated from Elaeagnus umbellata thunb. berries for diabetes and related complications in streptozotocin-induced diabetic rats model. Molecules. 2020 Dec 30;26(1):137. doi: 10.3390/molecules26010137, PMID 33396845.
Kim TH. A novel α-glucosidase inhibitory constituent from Uncaria gambir. J Nat Med. 2016 Oct 4;70(4):811-5. doi: 10.1007/s11418-016-1014-0, PMID 27262298.
Zebua EA, Silalahi J, Julianti E. Hypoglycemic activity of gambier (Uncaria gambir robx.) drinks in alloxan-induced mice. IOP Conf Ser Earth Environ Sci. 2018;122(1):1-8.
Jerums G, Premaratne E, Panagiotopoulos S, MacIsaac RJ. The clinical significance of hyperfiltration in diabetes. Diabetologia. 2010 Oct 23;53(10):2093-104. doi: 10.1007/s00125-010-1794-9, PMID 20496053.
Srivastava T, Hariharan S, Alon US, McCarthy ET, Sharma R, El-Meanawy A. Hyperfiltration-mediated injury in the remaining kidney of a transplant donor. Transplantation. 2018 Oct;102(10):1624-35. doi: 10.1097/TP.0000000000002304, PMID 29847501.
Palatini P. Glomerular hyperfiltration: a marker of early renal damage in pre-diabetes and pre-hypertension. Nephrol Dial Transplant. 2012 May 1;27(5):1708-14. doi: 10.1093/ndt/gfs037, PMID 22431709.
Mahmoodnia L, Aghadavod E, Beigrezaei S, Rafieian Kopaei M. An update on diabetic kidney disease, oxidative stress and antioxidant agents. J Renal Inj Prev. 2017 Jan 20;6(2):153-7. doi: 10.15171/jrip.2017.30, PMID 28497094.
Chagnac A, Zingerman B, Rozen-Zvi B, Herman Edelstein M. Consequences of glomerular hyperfiltration: the role of physical forces in the pathogenesis of chronic kidney disease in diabetes and obesity. Nephron. 2019;143(1):38-42. doi: 10.1159/000499486, PMID 30947190.
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