PMID- 31894843 OWN - NLM STAT- MEDLINE DCOM- 20210315 LR - 20231113 IS - 1573-4935 (Electronic) IS - 0144-8463 (Print) IS - 0144-8463 (Linking) VI - 40 IP - 2 DP - 2020 Feb 28 TI - The effect of wuling capsule on depression in Type 2 diabetic patients. LID - 10.1042/BSR20191260 [doi] LID - BSR20191260 AB - OBJECTIVE: Depression is a common complication in Type 2 diabetes mellitus (T2DM); however, it has long been underrecognized and undertreated. In the present study, we aimed to evaluate the clinical effects of Wuling capsule, a compound traditional Chinese herbal medicine, on T2DM complicated with depression. METHOD: 66 patients were enrolled and randomly divided into Wuling capsule treatment group and placebo group, and finally 64 cases finished the present study. The levels of FPG, 2hPG, HbAlc, TNF-alpha, IL-6, SOD, MDA, Cor, ACTH, HOMA-beta, HOMA-IR and ISI of patients were evaluated and compared. The HAMD scale for patients were recorded. RESULT: After 12-week treatment, the HAMD scale decreased in both groups, and was lower in Wuling capsule group. The level of FPG in Wuling capsule group was significantly lower than in placebo group; however, no obvious changes of 2hPG and HbA1c were found. The levels of IL-6 and TNF-alpha were significantly decreased in both groups, and more obviously in Wuling capsule group. The level of SOD was increased while the level of MDA was decreased significantly in both groups, and the changes were more obviously in Wuling capsule group. The levels of Cor and ACTH were significantly decreased in both groups; however, there was no statistically significance between the two groups. Besides, the comparisons of HOMA-beta, HOMA-IR and ISI between the two groups were not statistically significant. CONCLUSION: Our results suggested that Wuling capsule ameliorated the depression in patients with T2DM, and also improved the state of inflammation and oxidative stress state. These results also strongly indicated the ability of clinical transformation of Wuling capsule in patients with T2DM in the future. CI - (c) 2020 The Author(s). FAU - Wang, Huanping AU - Wang H AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Chen, Huizhen AU - Chen H AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Gao, Yang AU - Gao Y AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Wang, Shengju AU - Wang S AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Wang, Xian AU - Wang X AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Tang, Xiaomei AU - Tang X AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Fang, Wei AU - Fang W AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Shi, Xiaoyan AU - Shi X AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Yao, Jia AU - Yao J AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. FAU - Chen, Qiu AU - Chen Q AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, China. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Biosci Rep JT - Bioscience reports JID - 8102797 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antidepressive Agents) RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (Drugs, Chinese Herbal) RN - 0 (Inflammation Mediators) RN - 0 (wuling) RN - 9002-60-2 (Adrenocorticotropic Hormone) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adrenal Glands/drug effects/metabolism MH - Adrenocorticotropic Hormone/blood MH - Affect/*drug effects MH - Anti-Inflammatory Agents/therapeutic use MH - Antidepressive Agents/*therapeutic use MH - Antioxidants/therapeutic use MH - Biomarkers/blood MH - China MH - Depression/blood/*drug therapy/etiology/psychology MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy MH - Double-Blind Method MH - Drugs, Chinese Herbal/*therapeutic use MH - Female MH - Humans MH - Hydrocortisone/blood MH - Hypothalamo-Hypophyseal System/drug effects/metabolism MH - Inflammation Mediators/blood MH - Male MH - Middle Aged MH - Oxidative Stress/drug effects MH - Treatment Outcome PMC - PMC7029151 OTO - NOTNLM OT - Depression OT - Inflammatory factors OT - Oxidative stress OT - Type 2 diabetes mellitus OT - Wuling capsule COIS- The authors declare that there are no competing interests associated with the manuscript. EDAT- 2020/01/03 06:00 MHDA- 2021/03/16 06:00 PMCR- 2020/02/18 CRDT- 2020/01/03 06:00 PHST- 2019/05/11 00:00 [received] PHST- 2019/12/03 00:00 [revised] PHST- 2019/12/19 00:00 [accepted] PHST- 2020/01/03 06:00 [pubmed] PHST- 2021/03/16 06:00 [medline] PHST- 2020/01/03 06:00 [entrez] PHST- 2020/02/18 00:00 [pmc-release] AID - 221737 [pii] AID - BSR20191260 [pii] AID - 10.1042/BSR20191260 [doi] PST - ppublish SO - Biosci Rep. 2020 Feb 28;40(2):BSR20191260. doi: 10.1042/BSR20191260.