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HERALD OF MEDICINE, 2018, 37(4): 465-469
doi: 10.3870/j.issn.1004-0781.2018.04.014
影响肝糖代谢的中药活性成分抗糖尿病研究进展
岳颖1,2,, 周珺1,2, 贾正平2, 李茂星2, 张汝学1,2,

摘要:

2型糖尿病发病率逐年增长,是危及人类健康的全球性疾病。肝脏是机体能量平衡、糖脂代谢和胰岛素作用的重要靶器官,通过调节和控制糖尿病患者肝脏葡萄糖代谢对维持正常血糖状态十分重要。基于肝糖代谢在糖尿病发生发展中的重要作用,该文以糖异生、糖酵解和糖原合成分解为主的多个代谢途径作为主要的研究思路,以肝脏糖代谢过程中的关键酶作为防治糖尿病的重要靶点,对中药治疗糖尿病的有效成分及相关抗糖尿病作用机制进行综述。

关键词: 中药活性成分 ; 糖尿病 ; 肝糖代谢 ; 关键酶

Abstract:

糖尿病现已成为现代社会最为常见的慢性疾病和造成死亡的重要原因[1]。其致病原因为胰岛素调节异常导致机体糖脂代谢稳态被破坏[2],碳水化合物代谢机能的缺陷以及机体生理系统为纠正糖代谢失衡促使内分泌系统过度活化,最终导致内分泌代谢的失控诱发高血糖[3]。肝脏是机体能量平衡、糖脂代谢和胰岛素作用的重要靶器官,通过调节和控制糖尿病患者肝脏葡萄糖代谢对维持正常血糖状态十分重要。肝脏糖代谢过程以糖异生、糖酵解和糖原合成分解等多个代谢途径为主。将肝糖代谢作为主要的研究思路,糖代谢过程中关键酶成为防治糖尿病的重要靶点[4]。同时,由于合成药物多具有多种不良反应和禁忌证,世界卫生组织(WHO)提倡研发和使用天然植物成分治疗2型糖尿病[2]。而中医药防治糖尿病拥有几千年的临床实践,经过不断发展与创新,逐渐形成系统的理论学术体系。与西药相比,尽管中药降糖作用相对缓慢,但可促进人体内的整体调节,并且降糖作用持久,且顾及病程发展和预防病后,具有西药不可替代的作用,近年来逐渐成为治疗糖尿病的主要研究方向。笔者依据以上理论对肝糖代谢就中医药及其有效成分对肝脏糖代谢的主要途径的几种关键酶的作用和研究进展进行综述。

1 葡萄糖激酶(glucokinase,GK)及其中药激动药

肝脏中的GK参与葡萄糖磷酸化,在肝脏糖酵解过程中,GK催化第一步反应使葡萄糖转变成葡萄糖-6-磷酸葡萄糖,加速糖原的合成及葡萄糖代谢[5];GK在胰腺中是葡萄糖的敏感器,促进高浓度葡萄糖状态下胰岛β细胞分泌胰岛素[6]。GK通过促进肝脏葡萄糖的代谢和胰岛素分泌的双重作用机制来改善糖耐量异常,提高胰岛细胞功能,降低血糖,改善糖尿病症状[6]。因此研究开发GK的激动药是治疗2型糖尿病的一个有效途径。

1.1 中药有效成分

玄参科植物地黄新鲜或干燥块根中15%醇提物地黄寡糖可以提高GK的活性,增加其基因的表达量,达到对肝糖代谢的调节目的[5]。百合科植物湖北麦冬水提物麦冬多糖可以显著增加GK的基因表达量,通过促进葡萄糖消耗达到调节糖代谢的作用[7];肉桂多酚能够促进GK的活性,提高胰岛素的敏感性,从而促进肝细胞对葡萄糖的利用,降低血糖水平[8]。益母草碱和黄连的有效成分小檗碱可增加GK的mRNA表达,直接影响GK酶的含量,加强肝脏中糖利用的同时又抑制了肝糖产生,起到直接降低血糖的作用[9,10]。从葫芦巴种子中发现天然甾体皂苷的糖苷配基薯蓣皂苷配基可以明显降低血糖,主要是通过增强GK的活性及葡萄糖的利用率,最终增加糖酵解,达到降糖的目的[2]。由鼠李糖、阿拉伯糖、甘露糖、乳糖、葡萄糖组成的多聚糖——薏仁多糖等均可增加GK的活性,改善糖代谢紊乱及胰岛素抵抗,但其具体机制尚未明确,待进一步的研究[11]

1.2 中药有效部位

苦丁茶水提物中100%醇提组分可以提高GK的基因表达量,增加糖酵解,达到降低血糖的目的[12]。凤丹皮及其不同组分可显著改善GK在2型糖尿病小鼠体内的糖代谢,其中凤丹皮多糖成分能够显著升高GK的同时抑制葡糖糖-6-磷酸酶(glucose-6-phosphatase,G-6-P)在肝脏中表达水平,从而改善耐糖量,治疗高血糖[13]。蚕蛹油是从蚕蛹中提取出来的含有多种高级脂肪酸甘油酯的油状液体,富含α-亚麻酸、油酸、亚油酸等多种人体必需不饱和脂肪酸[14]。研究证实,蚕蛹油可促进GK的活性,从而改善糖尿病大鼠的代谢异常,降低高血糖。芦荟提取物增加GK的活性,改善糖代谢紊乱及胰岛素抵抗,但其具体机制尚未明确,待进一步的研究[15]

2 G-6-P及其中药抑制药

G-6-P是所有参与糖代谢酶中极为重要的一类酶,是糖异生和糖原分解最后一步反应的限速酶。糖原在肝脏组织细胞中水解生成葡萄糖-1-磷酸,葡萄糖-1-磷酸通过变位反应后又转变成为葡萄糖-6-磷酸[16]。葡萄糖-6-磷酸可直接参与糖酵解,也可进入内质网通过G-6-P水解作用产生葡萄糖,最后释放进入血液,也是肝脏组织里糖异生的两大关键酶之一[16],若G-6-P活性增强,导致肝葡萄糖生成进一步增加,加重葡萄糖代谢失衡,其基因表达水平和活性的变化直接影响到肝脏内生糖的输出及血糖的变化[17]。肝脏G-6-P活性的异常升高和活性增强是2型糖尿病肝糖输出增加的主要原因,也是肝脏胰岛素抵抗的主要原因。因此,G-6-P是治疗糖尿病的一个重要靶点[18]

2.1 中药有效成分

黄芪甲苷IV[19]、肉桂多酚[8]、益母草碱[9],桑树枝条韧皮部位的提取物[20]等通过降低G-6-P的mRNA的表达,降低G-6-P的活性,抑制肝糖原的分解和葡萄糖的氧化,降低了内源性葡萄糖的生成,改善了肝脏的胰岛素抵抗状态。葫芦巴种子中的薯蓣皂苷配基可以积极调配G-6-P,抑制其mRNA的活性,增加胰岛素的水平来降低血糖水平[20]

以人参二醇皂苷为底物,用蜗牛酶转化结合效应面分析方法,成功制备人参皂苷Compound K,可有效激活腺苷一磷酸活化蛋白激酶(adenosine monophosphate activated protein kinase,AMPK)活性,抑制糖异生关键基因G-6-P的表达而抑制肝脏过度糖异生,减少内源性葡萄糖输出,降低空腹血糖[21]。小檗碱可以通过抑制线粒体作用,升高AMP/ATP值,增强AMPK的活性,间接抑制G-6-P蛋白表达量,同时抑制G-6-P的Fork head蛋白转录因子FOXO1的活性,其转录RNA也大幅度减少,不依赖胰岛素作用的抑制糖异生[10]

从中药槟榔果中提取的生物碱槟榔碱[22],可以抑制G-6-P及相关的转录因子的过度表达,抑制糖异生的过度活化,发挥降糖作用。地黄寡糖[5]、凤丹皮多糖[13]以及湖北麦冬多糖[6]等,通过抑制G-6-P的活性及其基因的表达量来降低糖原分解,减少糖异生,减少肝糖输出,最终达到降低血糖的目的。丹参提取物中的脂类成分——15,16-二氢丹参酮Ⅰ通过降低由于胰岛素抵抗引起的G-6-P基因表达异常增多来改善血糖代谢异常[23]。栀子苷有效作用于糖尿病大鼠,通过抑制G-6-P的活性来起到降低血糖的作用,有治疗2型糖尿病的潜在作用[24]。百里醌[25]、胡芦巴碱[26]以及从粗老绿茶中提取的茶多糖[27]等都可降低G-6-P的活性,来达到降低血糖的目的,但其具体机制尚未明确。栎精又称为槲皮素、五羟基黄酮,是一种抗氧化物质,通过抑制对G-6-P的两个催化亚基(G6PC)和转运亚基(G6PT)的mRNA的表达,并可逆转由高血糖引起的G-6-P的活性异常,可作为一种G-6-P基因表达和活性的抑制药用于糖尿病的治疗[28]

2.2 中药有效部位

桦褐孔菌的水提物通过激活AMPK增加SHP(短异源二聚体配体)的表达,影响肝细胞核因子HNF4和Forkhead蛋白转录因子FOXO1的转录活性,降低肝组织G-6-P的表达,抑制肝糖异生,减少葡萄糖的生成,降低空腹血糖[29]。苦丁茶水提物的醇提组分可以显著下调G-6-P的基因表达来抑制糖原分解,降低肝脏葡萄糖含量[12]

3 磷酸烯醇式丙酮酸羧激酶(phosphoenolpyruvate carboxye kinase,PEPCK)及其中药抑制药

PEPCK是体内糖原异生的关键酶,也是肝脏糖异生的限速酶之一。糖尿病高血糖时PEPCK活性明显增加,使糖异生增快,血糖升高,而胰高血糖素、糖皮质激素及肾上腺素、甲状腺素等可活化升高PEPCK表达量,因此抑制PEPCK的活性有利于降低高血糖[12]

3.1 中药有效成分

人参皂苷Compound K可以显著抑制肝细胞肝糖异生途径关键核转录因子过氧化物酶体增殖物激活受体γ辅激活因子1α(peroxisome proliferator-activated receptor γ coactivator 1α,PGC-1α)、FOXO1、HNF4α蛋白表达,从而抑制PEPCK的活性及其蛋白表达而抑制糖异生,减少葡萄糖生成量[24]。生物碱类物质槟榔碱,其低剂量(1 mg·kg-1)可抑制PEPCK及相关的转录因子PGC-1α、FOXO1的过度表达,抑制糖异生的过度活化,发挥降糖作用[25]。小檗碱抑制线粒体作用,升高AMP/ATP值,增强AMPK的活性,间接抑制G-6-P的蛋白表达量和FOXO1的活性,大幅度减少转录RNA,抑制糖异生而不依赖于胰岛素的作用[10]。由于胰岛素抵抗可引起PEPCK基因表达异常增多。丹参提取物15,16-二氢丹参酮Ⅰ可显著改善并降低异常增多的PEPCK基因表达量[23]。益母草碱、熊果酸等均可改善高血糖下的PEPCK表达紊乱,降低PEPK的mRNA表达量来达到调节血糖的作用,而对正常状态的PEPCK的mRNA的表达无影响[9]。肉桂多酚通过抑制PEPCK的活性并抑制PEPCK的mRNA表达,抑制肝糖异生调节血糖[8]

3.2 中药有效部位

桦褐孔菌水提物通过激活腺苷酸活化蛋白激酶来降低肝组织糖异生关键酶PEPCK的表达,进而抑制肝糖异生,减少葡萄糖的生成,降低空腹血糖[29]。桑枝皮10%~90%醇提物通过抑制PEPCK的活性并抑制PEPCK的mRNA表达,抑制肝糖异生调节血糖[20]

4 糖原磷酸化酶(glycogen phosphorylase,GP)及其中药抑制药

GP是催化糖原降解的关键酶,具有催化糖原的磷酸降解作用,GP使糖原分子从非还原端逐个断开,α-1,4-糖苷键移去葡萄糖基,直至临近糖原分子α-1,6-糖苷键分支点前4个葡萄糖基处,葡萄糖通过GP从糖原上释放1-磷酸葡萄糖。抑制GP的活性,可以达到减少糖原降解的目的,减少肝脏葡萄糖的生成,从而起到降低血糖的作用。肝脏中血糖浓度可直接控制GP的活性,葡萄糖与GP结合使其从活化状态变为钝化状态,此外胰岛素和胰高血糖素对糖原磷酸化酶也有调控作用[30]。因此对GP活性和表达的抑制对降低血糖有着重要作用。

中药有效成分黄芪甲苷IV可以降低2型糖尿病状态下的GP的活性,减少GP的mRNA表达量,同时其蛋白表达量也有所降低,这可有效减少糖原的降解,减少肝脏葡萄糖的生成,达到了降低血糖治疗糖尿病的目的[19]。当归多糖、长春花提取物、苦瓜提取物等都被证实具有GP活性抑制作用,但其具体作用机制有待进一步深入研究[31,32,33,34]。研究发现,熊果酸及其衍生物,没食子酸、栀子苷通过降低GP的的活性来达到抑制肝糖生成及输出[35,36]。研究发现,科罗索酸和山楂酸等五环三萜化合物是天然、低毒的新型GP抑制药[37]。以齐墩果酸为起始原料分别合成的阿江揽仁酸、贝萼皂苷元、常春藤酮酸,其生物活性研究证明皆具有抑制GP活性的作用,是中等强度GP的抑制药[38]

5 糖原合成酶激酶-3(glycogen synthase kinase,GSK)及其中药抑制药

GSK作为糖原合成酶(glycogen synthase,GS) 激酶,是一种丝/苏氨酸蛋白激酶,具有多种生物学作用,如:参与细胞信号转导、蛋白质合成、细胞增殖、分化、粘附和凋亡等[38]。GSK-3具有两种异构体,GSK-3α和GSK-3β。GSK-3α主要调节肝糖原合成及沉积,对肌细胞糖原代谢作用弱;在静息细胞中,GSK-3β可以使GS的丝氨酸位点磷酸化,从而抑制GS的活性,减少糖原的合成。同时胰岛素又可间接抑制GSK-3β的活性,胰岛素可通过PI3K/PKB通路使蛋白激酶B(PKB/Akt)活化和聚集,活化的PKB使GSK-3β的丝氨酸位点磷酸化后失活,阻止GSK-3对底物如真核起始因子2B(eIF2B)、GS的磷酸化,从而激活糖原合成酶,促进糖原合成[39]。GSK-3β的活性增强或异常高表达可导致胰岛素抵抗。近年来的研究中,在2型糖尿病动物模型中,GSK-3β抑制药通过增加糖原合成、抑制肝脏糖异生而减少葡萄糖输出,从而增强胰岛素敏感性并改善血糖水平。因此,GSK-3β被认为是治疗2型糖尿病新型有效靶点。

中药有效成分以乙醇为提取剂从甘草根中提取的甘草黄酮,可显著降低糖尿病肝脏组织中GSK-3β蛋白的表达量,增强肝组织的糖原合成,由此改善糖尿病的胰岛素抵抗[40]。葡萄籽提取物原矢车菊素B2( procyanidin B2) 治疗2型糖尿病可显著抑制凋亡和细胞内氧化产物的产生,同时增加GSK-3β的磷酸化[41]。白藜芦醇、石榴花酚及玉米须多糖皆可影响GSK-3β的活性,以此来达到降低血糖的目的[24,42-43]。牡丹皮被广泛用于糖尿病的治疗,在高糖诱导的胰岛素抵抗HepG2 细胞模型中,牡丹皮提取物中的多种化合物均可以通过AMPK通路来影响磷酸化GSK-3β,同时抑制G-6-P的活性,增加肝细胞葡萄糖摄取和糖原合成,改善胰岛素抵抗的症状[44]。肝脏糖代谢相关酶所涉及的中药分类见表1。

表1 影响肝脏糖代谢相关酶所涉及的中药分类
治疗糖尿病的机制 酶激动药或抑制药类型
提取物及单体化合物 单味中药
激动GK活性 多糖类:地黄寡糖[5]、麦冬多糖[7]、薏仁多糖[15]、茶多 山药[26]、枸杞[26]、山萸肉[26]、地黄[14]、麦冬[16]、薏仁[15]
[27];酚苷:肉桂多酚[8];碱:小檗碱[10]、益母草碱[9] 苦丁茶[11]、桂皮[16]、凤丹皮[12]、蚕蛹油[13]、芦荟[14]
抑制G-6-P活性 酚苷:黄芪甲苷[19]、栀子苷[23]、肉桂多酚[8]、人参皂 桑枝皮[20]、栎精[28]、桦褐孔菌[29]、黄芪[19]、凤丹皮[12]
[21];碱:小檗碱[10]、益母草碱[9]、槟榔碱[25]、胡芦巴 丹参[23]、益母草[16]、槟榔[22]、胡芦巴[26]、酸枣仁叶、
[26];醇类:白藜芦醇[29] 苦丁茶[14]
抑制PEPCK活性 酚苷:人参皂苷[21]、肉桂多酚[15];碱:小檗碱[17]、槟榔 桑枝皮[2]、生山楂[37]、桦褐孔菌[33]、槟榔[22]
[22]、益母草碱 [35];酸:熊果酸[40];醇类:白藜芦醇[29]
抑制GP活性 酚苷:黄芪甲苷[19]、栀子苷[24];酸:齐墩果酸[34]、阿江揽 黄芪[19]、大花紫薇、橄榄、山楂[35]、番石榴[35]、常春藤[32]
仁酸[34]、没食子酸[35]、常春藤酮酸[34]、熊果酸[40]、科 苦瓜[33]
罗索酸和山碴酸[35];多糖:当归多糖[31]
抑制GSK-3β活性 酚苷:石榴花酚[42];醇类:白藜芦醇[24];多糖:玉米须多 车前子、牡丹皮[44]、葡萄籽[41]、石榴花[42]、玉米须[43]、甘
[43];酮类:甘草黄酮[40] [40]

表1 影响肝脏糖代谢相关酶所涉及的中药分类

6 结束语

以糖酵解、糖异生和糖原合成分解为主的肝糖代谢途径中,糖异生是体内近一半葡萄糖消耗及重要器官的能量供应;糖酵解可以迅速为机体代谢极为活跃的部位(如:神经、骨髓)供能,成熟的红细胞更是仅仅依靠糖酵解为其供能;肝糖原的合成与分解在机体血糖的调节及维持其恒定更是意义重大[4]。基于这一明确的理论,目前国内外学者对糖代谢酶进行了广泛的研究,许多具有降血糖作用的中药被发现其有效成分可作为天然的激动药或抑制药,作用机制也逐渐明确。中药含有的复合有效成分(如:多糖、生物碱、黄酮、有机酸等)可作用于肝糖代谢的不同途径及不同的关键酶,形成多途径、多靶点的综合作用,充分发挥中医药的优势,也为中医药治疗糖尿病提供更多研究思路与可能性。

尽管目前发现基于肝糖代谢发挥降糖作用的中药、复方制剂和化学成分较多,但还存在不少问题:①重复性的基础研究偏多,而高质量的临床试验较少;②大多中医药的临床试验没有进行严格的随机对照,且用药剂量、剂型和疗程方面没有统一的标准;③多年来没有作用更加突出的新的单味中药、提取物或复方制剂被发现;④缺乏深入的降糖作用机制研究,多停留在现象观察和机制推测水平,已发现中药的作用机制大多基于对酶的活性及其基因的表达研究上,无法完全得到世界医药领域的认可;⑤中药的各类有效成分(如:酮类、生物碱、多糖、有机酸等)对肝糖代谢是否具有特异性或针对性的作用机制,有待发现整理。各种问题的解决无疑为对今后的研究工作指明一定的方向。未来,中药治疗糖尿病的研究中,应继续深入研究探讨肝糖代谢分子机制,与糖尿病发病机制之间的关系;筛选药物和提取天然活性成分应着眼于研制疗效确切、起效快、剂量小的中草药制剂;研究工作应多利用先进的科学技术,例如:计算机辅助设计、研发特异性抑制药等;考虑多个靶点有效成分的结合使用,发挥中医药多靶点、多途径的治疗优势。

The authors have declared that no competing interests exist.

参考文献

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The present study was designed to evaluate the antihyperglycemic potential of thymoquinone (TQ), major constituent of Nigella sativa seeds on the activities of key enzymes of carbohydrate metabolism in streptozotocin (STZ)-nicotinamide (NA)-induced diabetic rats. Diabetes was induced in experimental rats weighing 180鈥220 g, by a single intraperitoneal (i.p) injection of STZ (45 mg/kg b.w), 15 min after the i.p administration of NA (110 mg/kg b.w). Diabetic rats were administered TQ intragastrically at 20, 40, 80 mg/kg b.w for 45 days. The levels of plasma glucose, insulin, glycated hemoglobin (HbA 1C) and hemoglobin (Hb) were measured. The activities of hexokinase, glucose 6-phosphate dehydrogenase, glucose 6-phosphatase and fructose 1,6-bisphosphatase were assayed in liver homogenates. Oral administration of TQ for 45 days, dose dependently improved the glycemic status in STZ-NA induced diabetic rats. The levels of insulin, Hb increased with significant decrease in glucose and HbA 1C levels. The altered activities of carbohydrate metabolic enzymes were restored to near normal. No significant changes were noticed in normal rats treated with TQ. These results show that TQ at 80 mg/kg b.w is associated with beneficial changes in hepatic enzyme activities and thereby exerts potential antihyperglycemic effects.
DOI:10.1016/j.lfs.2009.10.021      PMID:19903489      URL    
[本文引用:3]
[26] YOSHINARI O,IGARASHI K.Anti-diabetic effect of trigonelline and nicotinic acid,on KK-A(y) mice[J].Curr Med Chem,2010,17(20):2196-2202.
Trigonelline (TRG) and nicotinic acid (NA), in which the former but not the latter improved the blood glucose level in the oral glucose tolerance test (OGTT) in Goto-Kakizaki (GK) rats were tested for anti-diabetic effects in mellitus models of KK-Ay obese mice that had type 2 diabetes. <br/> Blood glucose level in OGTT carried out on day 22-23 was lowered after feeding in mice fed TRG and NA than that of the control mice not fed these compounds, indicating that both TRG and NA have sufficient activity to improve glucose tolerance in diabetes with obesity. The serum insulin levels at fasting showed significantly lower levels in mice fed TRG, and a lower tendency in mice fed NA, compared with the control mice. The triglyceride (TG) levels in the liver and adipose tissue in mice fed TRG and NA showed lower values or a lower tendency than those of the control mice, indicating that TRG and NA were also effective to improve the changes in lipid levels accompanied with diabetes. Higher values or a higher tendency of the glucokinase (GLK) / glucose-6-phosphatase (G6Pase) ratio in the liver and lower levels of the serum tumor necrosis factor (TNF) -脦卤 in the TRG- and NA-fed mice, compared to the control mice, suggested that the regulation of GLK and G6Pase, and TNF-脦卤 production by TRG and NA are closely related in suppressing the progression of diabetes in the KK-Ay mice.
DOI:10.2174/092986710791299902      PMID:20423301      URL    
[本文引用:6]
[27] 芮莉莉,萧建中,程义勇.茶多糖对2型糖尿病小鼠降糖作用研究[J].中日友好医院学报,2005,19(2):93-96.
目的:探讨茶多糖对2型糖尿病小鼠的降血糖作用及其机制.方法:将KK-Ay 2型糖尿病小鼠随机分为高、中、低3个剂量组和对照组,分别以等体积的50、100、150 mg/kg/d的茶多糖和生理盐水连续灌胃8周.4周末时检测各组小鼠的糖耐量,8周末时测其空腹血糖、胰岛素、果糖胺、血脂以及肝糖原等指标.结果:4周末时高剂量组小鼠的葡萄糖耐量得到显著改善(P<0.01),至第8周时,中、高剂量组血糖、血清胰岛素、血清甘油三酯和果糖胺水平均较对照组显著降低(P<0.05,P<0.01),肝糖原显著升高(P<0.01).结论:茶多糖可有效降低KK-Ay糖尿病小鼠的血糖水平,并对糖代谢、脂质代谢有改善作用,提示其作用机理可能与增加胰岛素的敏感性有关.
[本文引用:2]
[28] 孙颖,刘德敏,赵慧茹,.栎精对葡萄糖-6-磷酸酶基因表达及活性的影响[J].天津医药,2007,35(12):918-920.
目的:探讨栎精对葡萄糖-6-磷酸酶基因表达及活性的影响。方法:将原代培养的大鼠肝细胞在含有25mmol/L的葡萄糖和不同浓度的栎精培养16h后提取RNA,以半定量RT—PCR方法检测葡萄糖-6-磷酸酶的催化亚基(G6PC)和转运亚基(G6PT)的mRNA水平,并应用葡萄糖双脱氢酶偶联法测定葡萄糖-6-磷酸酶的活性。结果:25mmol/L葡萄糖能够使G6PC和G6PT的mRNA水平升高2倍左右(P〈0.05),不同浓度的栎精可抑制G6PC和G6PT的转录及酶的活性。结论:栎精能够抑制体外葡萄糖-6-磷酸酶基因的表达及其活性。
[本文引用:2]
[29] 常影. 桦褐孔菌在2型糖尿病大鼠对传导通路的影响[D].延吉:延边大学,2013:1-47.
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[30] SOARES A F,CARVALHO R A,VEIGA F J,et al.Restoration of direct pathway glycogen synthesis flux in the STZ-diabetes rat model by insulin administration[J].Am J Physiol-Endoc M,2012,303(7):875-885.
Abstract Type 1 diabetes subjects are characterized by impaired direct pathway synthesis of hepatic glycogen that is unresponsive to insulin therapy. Since it is not known whether this is an irreversible defect of insulin-dependent diabetes, direct and indirect pathway glycogen fluxes were quantified in streptozotocin (STZ)-induced diabetic rats and compared with STZ rats that received subcutaneous or intraperitoneal insulin (I-SC or I-IP). Three groups of STZ rats were studied at 18 days post-STZ treatment. One group was administered I-SC and another I-IP as two daily injections of short-acting insulin at the start of each light and dark period for days 9-18. A third group did not receive any insulin, and a fourth group of nondiabetic rats was used as control. Glycogen synthesis via direct and indirect pathways, de novo lipogenesis, and gluconeogenesis were determined over the nocturnal feeding period using deuterated water. Direct pathway was residual in STZ rats, and glucokinase activity was also reduced significantly from control levels. Insulin administration restored both net glycogen synthesis via the direct pathway and glucokinase activity to nondiabetic control levels and improved the lipogenic pathway despite an inefficient normalization of the gluconeogenic pathway. We conclude that the reduced direct pathway flux is not an irreversible defect of insulin-dependent diabetes.
DOI:10.1152/ajpendo.00161.2012      PMID:22850684      URL    
[本文引用:1]
[31] 杨秋香. 当归多糖对2型糖尿病预防及治疗作用的初步研究[D].武汉:华中科技大学,2013:1-99.
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[32] RASINENI K,BELLAMKONDA R,SINGAREDDY S R,et al.Antihyperglycemic activity of Catharanthusroseus leaf powder in Streptozotocin-induced diabetic rat[J].Pharmacognosy Res,2010,2(3) :195-197.
DOI:10.4103/0974-8490.65523      URL    
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[33] SEKAR D S,SIVAGNANAM K S.Antidiabetic activity of Momordicacharantia seeds on Streptozotocin induced diabetic rats[J].Pharmazie,2005,60(5):383-387.
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[34] WEN X A,LIU J,ZHANG L Y,et al.Synthesis and biological evaluation of arjunolic acid,bayogenin,hederagonic acid and 4-epihederagonic acid as glycogen phosphorylase inhibitors[J].Chin J Nat Med,2010,8(6):441-448.
AIM: To study glycogen phosphorylase inhibitory activity of natural pentacyclic triterpenes bearing 23-hydroxy or 24-hydroxy. METHODS: Arjunolic acid, bayogenin, hederagonic acid and 4-epi-hederagonic acid were synthesized from oleanolic acid as the starting material and biologically evaluated as glycogen phosphorylase inhibitors. RESULTS: Arjunolic acid, bayogenin, hederagonic acid and 4-epi-hederagonic acid were successfully semi-synthesized by multiple steps. The synthesis of arjunolic acid was via 11 steps in about 10% overall yield, and bayogenin via 14 steps in about 12% overall yield. Biological evaluation indicated that arjunolic acid, bayogenin, hederagonic acid and 4-epi-hederagonic acid showed moderate potency of glycogen phosphorylase inhibition with IC50 of 53-103 渭mol路L?1. CONCLUSION: Arjunolic acid, bayogenin, hederagonic acid and 4-epi-hederagonic acid are gly-cogen phosphorylase inhibitors with moderate potency. Insert of 23-hydroxy or 24-hydroxy to oleanane skeleton has a tendency to be unfavorable to GP inhibition.
DOI:10.1016/S1875-5364(11)60006-X      URL    
[本文引用:4]
[35] PUNITHAVATHI V R,PRINCE P S M,KUMAR R,et al.Antihyperglycaemic,antilipidperoxidative and antioxidant effects of gallic acid on Streptozotocin induced diabetic Wistar rats[J].Eur J Pharmacol,2011,650(1):465-471.
The present study aims to evaluate the antihyperglycaemic, antilipid peroxidative and antioxidant effects of gallic acid on streptozotocin induced diabetic male Wistar rats. To induce diabetes mellitus, rats were injected with streptozotocin intraperitoneally at a single dose of 4002mg/kg. Streptozotocin induced diabetic rats showed significant ( P 02<020.05) increase in the levels of blood glucose, glycosylated haemoglobin and significant ( P 02<020.05) decrease in the levels of plasma insulin, body weight and total haemoglobin. Diabetic rats also showed significant ( P 02<020.05) decrease in the activity of hepatic hexokinase and significant ( P 02<020.05) increase in the activities of glucose-6-phosphatase and fructose-1, 6-bisphosphatase. The pancreatic thiobarbituric acid reactive substances and lipid hydroperoxides were significantly ( P 02<020.05) increased and the activities of pancreatic superoxide dismutase, catalase and glutathione peroxidase were significantly ( P 02<020.05) decreased in diabetic rats. Oral treatment with gallic acid (10 and 2002mg/kg) daily for a period of 2102days showed significant ( P 02<020.05) protective effects on all the biochemical parameters studied. Histopathology of pancreas confirmed the protective effects of gallic acid in diabetic rats. In vitro study also revealed the potent antioxidant effect of gallic acid. Thus, the study shows the antihyperglycaemic, antilipid peroxidative and antioxidant effects of gallic acid on streptozotocin induced diabetic rats. The effect exerted by 20mg/kg body weight of gallic acid was more effective than 1002mg/kg body weight of gallic acid.
DOI:10.1016/j.ejphar.2010.08.059      PMID:20863784      URL    
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[36] WU S Y,WANG G F,LIU Z Q,et al.Effect of geniposide,a hypoglycemic glucoside,on hepatic regulating enzymes in diabetic mice induced by a high-fat diet and Streptozotocin[J].Acta Pharmacol Sin,2009,30(2):202-208.
DOI:10.1038/aps.2008.17      PMID:4002460      URL    
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[37] LIU J,WANG X,CHEN Y P,et al.Maslinic acid modulates glycogen metabolism by enhancing the insulin signaling pathway and inhibiting glycogen phosphorylase[J].Chin J Nat Med,2014,12(4):259-265.
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[38] KIM J J Y,TAN Y,XIAO L,et al.Green tea polyphenol epigallocatechin-3-gallate enhance glycogen synthesis and inhibit lipogenesis in hepatocytes[J].Biomed Res Int,2013,2013(3):920128-920129.
The beneficial effects of green tea polyphenols (GTP) against metabolic syndrome and type 2 diabetes by suppressing appetite and nutrient absorption have been well reported. However the direct effects and mechanisms of GTP on glucose and lipid metabolism remain to be elucidated. Since the liver is an important organ involved in glucose and lipid metabolism, we examined the effects and mechanisms of GTP on glycogen synthesis and lipogenesis in HepG2 cells. Concentrations of GTP containing 68% naturally occurring (???)-epigallocatechin-3-gallate (EGCG) were incubated in HepG2 cells with high glucose (30???mM) under 100???nM of insulin stimulation for 24???h. GTP enhanced glycogen synthesis in a dose-dependent manner. 10?????M of EGCG significantly increased glycogen synthesis by 2fold (P<0.05) compared with insulin alone. Western blotting revealed that phosphorylation of Ser9 glycogen synthase kinase 3?? and Ser641 glycogen synthase was significantly increased in GTP-treated HepG2 cells compared with nontreated cells. 10?????M of EGCG also significantly inhibited lipogenesis (P<0.01). We further demonstrated that this mechanism involves enhanced expression of phosphorylated AMP-activated protein kinase ?? and acetyl-CoA carboxylase in HepG2 cells. Our results showed that GTP is capable of enhancing insulin-mediated glucose and lipid metabolism by regulating enzymes involved in glycogen synthesis and lipogenesis.
DOI:10.1155/2013/920128      PMID:3771263      URL    
[本文引用:2]
[39] KIM K M,LEE K S,LEE G Y,et al.Anti-diabetic efficacy of KICG1338,a novel glycogen synthase kinase-3β inhibitor,and its molecular characterization in animal models of type 2 diabetes and insulin resistance[J].Mol Cell Endocrinol,2015,11(3):4-21.
Selective inhibition of glycogen synthase kinase-3 (GSK3) has been targeted as a novel therapeutic strategy for diabetes mellitus. We investigated the anti-diabetic efficacy and molecular mechanisms of KICG1338 (2-(4-fluoro-phenyl)-3 H -imidazo[4,5-b]pyridine-7-carboxylic acid(4-methyl-pyridin-3-yl)-amide), a GSK3尾 inhibitor, in three animal models: Otsuka Long-Evans Tokushima Fatty (OLETF) rats, leptin receptors-deficient db / db mice, and diet-induced obese (DIO) mice. Biochemical parameters including glucose tolerance tests and gene expressions associated with glucose metabolism were investigated. Glucose excursion decreased significantly by KICG1338-treated OLETF rats, accompanied by increase in insulin receptor substrate-1 and glucose transporter (GLUT)-4 expressions in muscle and decreased GLUT-2 expression in liver. Glucose-lowering effects were similarly observed in KICG1338-treated db / db and DIO mice. KICG1338 treatment increased adiponectin levels and decreased TNF-伪 levels. KICG1338 therapy also led to greater 尾-cell preservation and less hepatic fat infiltration with decreased expressions of genes involved in inflammation and endoplasmic reticulum stress. These data demonstrate anti-diabetic efficacy of KICG1338, a novel GSK3尾 inhibitor.
DOI:10.1016/j.mce.2015.03.011      PMID:25802191      URL    
[本文引用:1]
[40] 金鑫,赵海燕,马永平.甘草黄酮对2型糖尿病大鼠肝脏中GSK-3β蛋白表达的影响[J].天然产物研究与开发,2014,26(3):419-422.
[本文引用:5]
[41] JANG S M,KIM M J,CHOI M S,et al.Inhibitory effects of ursolic acid on hepatic polyol pathway and glucose production in Streptozotocin-induced diabetic mice[J].Metabolism,2010,59(4):512-519.
The effects of ursolic acid on the polyol pathway and glucose homeostasis鈥搑elated metabolism were examined in the livers of streptozotocin (STZ)-induced diabetic mice fed a high-fat (37% calories from fat) diet for 4 weeks. Male mice were divided into nondiabetic, diabetic control, and diabetic鈥搖rsolic acid (0.05% wt/wt) groups. Diabetes was induced by the injection of STZ (200 mg/kg body weight, intraperitoneally). Although an ursolic acid supplement lowered the blood glucose level, it did not affect the plasma leptin and adiponectin levels. The present study shows that the blood glucose levels have a positive correlation with the hepatic sorbitol dehydrogenase activities ( r = 0.39, P < .05). Ursolic acid significantly inhibited sorbitol dehydrogenase activity as well as aldose reductase activity in the liver. The supplementation of ursolic acid significantly increased glucokinase activity, while decreasing glucose-6-phosphatase activity in the livers of STZ-induced diabetic mice. Ursolic acid significantly elevated the hepatic glycogen content compared with the diabetic control group. Supplementation with ursolic acid significantly lowered the plasma total cholesterol, free fatty acid, and triglyceride concentrations compared with the diabetic control group, whereas it normalized hepatic triglyceride concentration. A negative correlation was found between the hepatic triglyceride concentration and blood glucose levels ( r = 鈭0.50, P < .01) in regard to insulin-dependent diabetic mice. The hepatic fatty acid synthase activity was significantly lower in the ursolic acid group than in the diabetic control group, whereas hepatic fatty acid 尾-oxidation and carnitine palmitoyltransferase activities were significantly higher. These results indicate that ursolic acid may be beneficial in preventing diabetic complications by improving the polyol pathway as well as the lipid metabolism and that it can function as a potential modulator of hepatic glucose production, which is partly mediated by up-regulating glucose utilization and glycogen storage and down-regulating glyconeogenesis in the liver.
DOI:10.1016/j.metabol.2009.07.040      PMID:19846180      URL    
[本文引用:2]
[42] YIN J,ZUBERI A,GAO Z,et al.Shilianhua extract inhibits GSK-3beta and promotes glucose metabolism[J].Am J Physiol Endoc M,2009,296(6) :E1275.
Abstract The extract of plant Shilianhua (SLH; Sinocrassula indica Berge) is a component in a commercial product for control of blood glucose. However, it remains to be investigated whether the SLH extract enhances insulin sensitivity in a model of type 2 diabetes. To address this question, the SLH crude extract was fractionated into four parts on the basis of polarity, and bioactivities of each part were tested in cells. One of the fractions, F100, exhibited a strong activity in the stimulation of glucose consumption in vitro. Glucose consumption was induced significantly by F100 in 3T3-L1 adipocytes, L6 myotubes, and H4IIE hepatocytes in the absence of insulin. F100 also increased insulin-stimulated glucose consumption in L6 myotubes and H4IIE hepatocytes. It increased insulin-independent glucose uptake in 3T3-L1 adipocytes and insulin-dependent glucose uptake in L6 cells. The glucose transporter-1 (GLUT1) protein was induced in 3T3-L1 cells, and the GLUT4 protein was induced in L6 cells by F100. Mechanism study indicated that F100 induced GSK-3beta phosphorylation, which was comparable with that induced by insulin. Additionally, the transcriptional activity of NF-kappaB was inhibited by F100. In RAW 264.7 macrophages, mRNA expression of NF-kappaB target genes (TNFalpha and MCP-1) was suppressed by F100. In KK.Cg-A(y)/+ mice, F100 decreased fasting insulin and blood glucose and improved insulin tolerance significantly. We conclude that the F100 may be a bioactive component in the SLH plant. It promotes glucose metabolism in vitro and in vivo. Inhibition of GSK-3beta and NF-kappaB may be the potential mechanism.
DOI:10.1152/ajpendo.00092.2009      PMID:19351808      URL    
[本文引用:3]
[43] 张艳. 玉米须多糖提取工艺参数优化及玉米须多糖5降血糖作用和机制研究[D].长春:吉林大学,2012:1-153.
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[44] DO THI H,TRINH NAM T,TRAN THI H,et al.Selected compounds derived from Moutan Cortex stimulated glucose uptake and glycogen synthesis via AMPK activation in human HepG2 cells[J].J Ethnopharmacol,2011,47(47):209-216.
To evaluate the effect of selected compounds derived from Moutan Cortex on glucose uptake and glycogen synthesis associated with AMPK activation in insulin-resistant human HepG2 cell. The effect of isolated compounds ( 1– 16) on glucose uptake and glycogen synthesis was performed using HepG2 cells. The western blot was used to determine the expression of AMPK and its downstream substrates, ACC, p-ACC, and p-GSK-3β. The effects of the 16 compounds from Moutan Cortex on glucose metabolism in HepG2 cells under high glucose conditions were evaluated. Compounds 2, 3, and 6 displayed highly potent effects on the stimulation of glucose uptake and glycogen synthesis in human HepG2 cells under high glucose conditions. Compounds 2, 3, and 6 phosphorylate AMPK (AMP-activated protein kinase), and resulted in increased phosphorylation of GSK-3β and suppression of lipogenic expression (ACC and FAS) in a dose-dependent manner. Compounds 2, 3, and 6 also demonstrated interesting, strong eNOS phosphorylation in human umbilical vein endothelial cells (HUVECs). Compounds 1, 4, 5–12, and 14 displayed considerable effects on hepatic glucose production, AMPK activation, and phosphorylation of GSK-3β in HepG2 cells under high glucose conditions. These effects may indicate that the activation of AMPK by the active compounds from Moutan Cortex has considerable potential for reversing the metabolic abnormalities associated with type-2 diabetes.
DOI:10.1016/j.jep.2010.07.010      PMID:20633632      URL    
[本文引用:2]
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关键词(key words)
中药活性成分
糖尿病
肝糖代谢
关键酶


作者
岳颖
周珺
贾正平
李茂星
张汝学