PMID- 27995148 OWN - NLM STAT- MEDLINE DCOM- 20170606 LR - 20190723 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2016 DP - 2016 TI - Investigation of the Effects and Mechanisms of Mai Tong Formula on Lower Limb Macroangiopathy in a Spontaneous Diabetic Rat Model. PG - 8076796 LID - 8076796 AB - A new Chinese herbal formula called Mai Tong Formulae (MTF) has recently been used to treat lower limb macroangiopathy in type 2 diabetes mellitus (T2DM) patients. In this study, we investigated the effect of MTF on lower limb macroangiopathy in a spontaneous diabetic rat model (GK rats). We found that MTF treatment significantly reduced serum fasting blood glucose (FBG), triglycerides (TG), total cholesterol (TC), IL6, and VEGF and increased serum insulin in this model. Histological and ultrastructural observations showed that MTF treatment significantly reduced vascular endothelial cell shedding and improved endothelium injuries. We further detect proteome alteration following MTF treatment. 25 differential proteins (DPs) abnormally expressed in GK rats were normalized by MTF treatment. These DPs significantly are enriched in biological processes and pathways that regulate muscle contraction and cGMP-PKG signaling pathway and so on. Additional protein-protein interaction (PPI) network analyses of the DPs showed that Fasn and Prkar2a are involved in the AMPK signaling pathway, and Gnas, Myh11, and Myh6 are involved in vascular smooth muscle contraction; these 5 DPs were validated by Western blotting. These results indicate that MTF treatment effectively treats lower limb macroangiopathy by regulating key proteins involved in AMPK signaling pathway and vascular smooth muscle contraction. FAU - Gong, Guangming AU - Gong G AUID- ORCID: 0000-0001-9107-1055 AD - Endocrinology Department, Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China. FAU - Yuan, Haipo AU - Yuan H AD - Endocrinology Department, Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China. FAU - Liu, Ya AU - Liu Y AD - Endocrinology Department, Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China. FAU - Qi, Luguang AU - Qi L AD - Endocrinology Department, Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China. LA - eng PT - Journal Article DEP - 20161122 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (Blood Glucose) RN - 0 (Drugs, Chinese Herbal) RN - 0 (Triglycerides) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Animals MH - Animals, Inbred Strains MH - Blood Glucose/drug effects/metabolism MH - Blotting, Western MH - Cholesterol/metabolism MH - Chromatography, High Pressure Liquid MH - Diabetes Mellitus/*metabolism MH - Diabetic Angiopathies/*metabolism/pathology MH - Disease Models, Animal MH - Drugs, Chinese Herbal/*pharmacology MH - Female MH - Femoral Artery/*drug effects/metabolism/pathology/ultrastructure MH - Lower Extremity/blood supply MH - Proteomics MH - Rats MH - Triglycerides/metabolism PMC - PMC5138487 COIS- The authors declare that they have no competing interests. EDAT- 2016/12/21 06:00 MHDA- 2017/06/07 06:00 PMCR- 2016/11/22 CRDT- 2016/12/21 06:00 PHST- 2016/09/20 00:00 [received] PHST- 2016/10/19 00:00 [accepted] PHST- 2016/12/21 06:00 [entrez] PHST- 2016/12/21 06:00 [pubmed] PHST- 2017/06/07 06:00 [medline] PHST- 2016/11/22 00:00 [pmc-release] AID - 10.1155/2016/8076796 [doi] PST - ppublish SO - J Diabetes Res. 2016;2016:8076796. doi: 10.1155/2016/8076796. Epub 2016 Nov 22.