PMID- 32308459 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240328 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 13 DP - 2020 TI - Effects of Hydroxysafflor Yellow A on the PI3K/AKT Pathway and Apoptosis of Pancreatic beta-Cells in Type 2 Diabetes Mellitus Rats. PG - 1097-1107 LID - 10.2147/DMSO.S246381 [doi] AB - BACKGROUND AND AIM: Type 2 diabetes mellitus (T2DM), a complex metabolic disease, has become a major public health issue around the world. Hydroxysafflor yellow A (HSYA) is the major active chemical ingredient of Carthamus tinctorius L. (safflower), which is widely used in patients with cardiovascular and cerebrovascular diseases in China. The aim of this study was to investigate the anti-diabetic effect and potential mechanism of HSYA on the high-fat diet (HFD) and streptozotocin (STZ-)-induced T2DM rats. MATERIALS AND METHODS: T2DM rats were induced by feeding HFD (60% fat) for four weeks followed by intraperitoneal injection of a low dose of streptozocin (35mg/kg). The T2DM rats were treated with HSYA (120mg/kg) or metformin (90mg/kg) for eight weeks. Biochemical analysis, histological analysis and Western blot analysis were conducted after 8 weeks of intervention. RESULTS: The treatment with HSYA evidently reduced fasting-blood glucose and insulin resistance in T2DM rats, indicated by results from fasting-blood glucose, oral glucose tolerance test, fasting insulin levels and histology of pancreas islets. The Western blot results revealed that HSYA reversed the down-regulation of PI3K and AKT in liver. The TUNEL assay analysis of pancreatic tissue showed that HSYA could inhibit the apoptosis of pancreatic beta-cells to a certain extent. Moreover, HSYA-treatment increased the levels of glycogen synthase and hepatic glycogen and improved lipid metabolism by reducing the triglyceride, total and low-density lipoprotein cholesterol levels, even though it did not change the rats' body weights. CONCLUSION: The results of this study suggested that HSYA could promote PI3K/Akt activation and inhibit the apoptosis of pancreatic beta-cells directly or indirectly, which might be the underlying mechanisms in HSYA to improve insulin resistance and regulate glycolipid metabolism in T2DM rats. CI - (c) 2020 Lee et al. FAU - Lee, Maosheng AU - Lee M AUID- ORCID: 0000-0001-7354-447X AD - The Fourth Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510006, People's Republic of China. AD - Department of Endocrinology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, People's Republic of China. FAU - Li, Huilin AU - Li H AD - Department of Endocrinology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, People's Republic of China. FAU - Zhao, Hengxia AU - Zhao H AD - Department of Endocrinology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, People's Republic of China. FAU - Suo, Miao AU - Suo M AUID- ORCID: 0000-0001-7435-4571 AD - The Fourth Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510006, People's Republic of China. AD - Department of Endocrinology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, People's Republic of China. FAU - Liu, Deliang AU - Liu D AUID- ORCID: 0000-0003-3777-6489 AD - Department of Endocrinology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, People's Republic of China. LA - eng PT - Journal Article DEP - 20200409 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC7154009 OTO - NOTNLM OT - PI3K/AKT pathway OT - apoptosis OT - hydroxysafflor yellow A OT - insulin resistance OT - traditional Chinese medicine OT - type 2 diabetes mellitus COIS- The authors report no conflicts of interest in this work. EDAT- 2020/04/21 06:00 MHDA- 2020/04/21 06:01 PMCR- 2020/04/09 CRDT- 2020/04/21 06:00 PHST- 2020/01/17 00:00 [received] PHST- 2020/03/22 00:00 [accepted] PHST- 2020/04/21 06:00 [entrez] PHST- 2020/04/21 06:00 [pubmed] PHST- 2020/04/21 06:01 [medline] PHST- 2020/04/09 00:00 [pmc-release] AID - 246381 [pii] AID - 10.2147/DMSO.S246381 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2020 Apr 9;13:1097-1107. doi: 10.2147/DMSO.S246381. eCollection 2020.