PMID- 28042873 OWN - NLM STAT- MEDLINE DCOM- 20170321 LR - 20181113 IS - 1745-7254 (Electronic) IS - 1671-4083 (Print) IS - 1671-4083 (Linking) VI - 38 IP - 3 DP - 2017 Mar TI - A mini-network balance model for evaluating the progression of cardiovascular complications in Goto-Kakizaki rats. PG - 362-370 LID - 10.1038/aps.2016.129 [doi] AB - Cardiovascular complications represent a leading cause of mortality in patients with type 2 diabetes mellitus (T2DM). During such complicated progression, subtle variations in the cardiovascular risk (CVR)-related biomarkers have been used to identify cardiovascular disease at the incipient stage. In this study we attempt to integrally characterize the progression of cardiovascular complications and to assess the beneficial effects of metformin combined with salvianolic acid A (Sal A), in Goto-Kakizaki (GK) rats with spontaneous T2DM. The rats were treated with metformin (200 mg.kg(-1).d(-1), ig) alone or in combination with Sal A (1 mg.kg(-1).d(-1), ip) at ages from 8 to 22 weeks. During the treatment, the levels of asymmetric dimethylarginine, L-arginine, superoxide dismutase, malondialdehyde, glucose, high density lipoprotein and low density lipoprotein were assessed. Based on alterations in these biomarkers, a mini-network balance model was established using matrixes and vectors. Radar charts were created to visually depict the disruption of CVR-related modules (endothelial function, oxidative stress, glycation and lipid profiles). The description for the progression of cardiovascular disorder was quantitatively represented by u, the dynamic parameter of the model. The modeling results suggested that untreated GK rats tended to have more severe cardiovascular complications than the treatment groups. Metformin monotherapy retarded disease deterioration, whereas the combination treatment ameliorated the disease progression via restoring the balance. The current study, which focused on the balance of the mini-network and interactions among CVR-related modules, proposes a novel method for evaluating the progression of cardiovascular complications in T2DM as well as a more beneficial intervention strategy. FAU - Jiang, Hao AU - Jiang H AD - Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China. FAU - Wang, Yu-Hao AU - Wang YH AD - Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China. FAU - Wei, Chun-Xiang AU - Wei CX AD - Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China. FAU - Zhang, Xue AU - Zhang X AD - Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China. FAU - Liu, Hao-Chen AU - Liu HC AD - Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China. FAU - Liu, Xiao-Quan AU - Liu XQ AD - Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China. LA - eng PT - Journal Article DEP - 20170102 PL - United States TA - Acta Pharmacol Sin JT - Acta pharmacologica Sinica JID - 100956087 RN - 0 (Alkenes) RN - 0 (Hypoglycemic Agents) RN - 0 (Polyphenols) RN - 0 (salvianolic acid) RN - 9100L32L2N (Metformin) SB - IM MH - Alkenes/therapeutic use MH - Animals MH - Cardiovascular Diseases/etiology/*physiopathology/prevention & control MH - Diabetes Complications/*physiopathology/prevention & control MH - Diabetes Mellitus, Type 2/complications/drug therapy/*physiopathology MH - Disease Progression MH - Drug Therapy, Combination MH - Hypoglycemic Agents/therapeutic use MH - Metformin/therapeutic use MH - *Models, Biological MH - Polyphenols/therapeutic use MH - Rats, Wistar PMC - PMC5342663 EDAT- 2017/01/04 06:00 MHDA- 2017/03/23 06:00 PMCR- 2018/03/01 CRDT- 2017/01/03 06:00 PHST- 2016/06/27 00:00 [received] PHST- 2016/10/12 00:00 [accepted] PHST- 2017/01/04 06:00 [pubmed] PHST- 2017/03/23 06:00 [medline] PHST- 2017/01/03 06:00 [entrez] PHST- 2018/03/01 00:00 [pmc-release] AID - aps2016129 [pii] AID - 10.1038/aps.2016.129 [doi] PST - ppublish SO - Acta Pharmacol Sin. 2017 Mar;38(3):362-370. doi: 10.1038/aps.2016.129. Epub 2017 Jan 2.