PMID- 37946482 OWN - NLM STAT- MEDLINE DCOM- 20231113 LR - 20231113 IS - 2589-451X (Electronic) IS - 0255-2922 (Print) IS - 0255-2922 (Linking) VI - 43 IP - 6 DP - 2023 Oct TI - Bo's abdominal acupuncture improves disordered metabolism in obese type 2 diabetic rats through regulating fibroblast growth factor 21 and its related adipokines. PG - 1200-1208 LID - 10.19852/j.cnki.jtcm.20231008.002 [doi] AB - OBJECTIVE: To investigate the effect of Bo's abdominal acupuncture (BOAA) on fibroblast growth factor 21 (FGF21) and its related adipokines in type 2 diabetes mellitus (T2DM) rats. METHODS: This study established obese T2DM rat model by high-fat diet (HFD) with a dose of streptozotocin (STZ, 30 mg/kg). Obese T2DM rats were randomly subdivided into four groups (n = 10): negative, BOAA, conventional acupuncture (COA group) and metformin group (Met group) groups. The biochemical parameters, mRNAs, and proteins were analyzed using enzyme-lined immunoassays kits, quantitative polymerase chain reaction and Western blot. RESULTS: Treatment with BOAA attenuated the histopathological changes in visceral fat and restored the alterations in the levels of body weight, fasting blood glucose (FBG), homeostasis model assessment for insulin resistance (HOMA-IR). BOAA treatment significantly decreased the levels of triglyceride, total cholesterol, low density lipoprotein cholesterol, leptin, and increased the serum levels of high-density lipoprotein cholesterol, fibroblast growth factor 21 (FGF21), adiponectin (ADP), peroxisome proliferator-activated receptor gamma (PPAR-gamma), C-peptide (C-P) in obese T2DM rats. Furthermore, BOAA treatment significantly increased the mRNA expressions of FGF21, ADP, leptin, PPAR-gamma, PPAR-alpha and adenosine 5'-monophosphate (AMP)-activated protein kinase (AMPK). Besides, BOAA treatment upregulated the protein expressions of fibroblast growth factor receptors3 (FGFR3), PPAR-alpha, extracellular signal-regulated kinase (ERK), phosphorylated ERK (p-ERK), AMPK, p-AMPK, Liver kinase B1 (LKB1), phosphorylated LKB1 (p-LKB1), acetyl-CoA carboxylase (ACC) and phosphorylated ACC (p-ACC), while downregulated the protein expressions of FGF21 and PPAR-gamma in visceral fat. CONCLUSIONS: BOAA treatment reduced FBG and body weight, and improved insulin sensitivity through regulating FGF21 signaling pathway and its related adipokine in obese T2DM rats. FAU - Xihui, Qin AU - Xihui Q AD - School of Pharmaceutical Sciences, Guangxi Medical University, Nanning 530021, China. FAU - Jianli, Pang AU - Jianli P AD - Department of Endocrinology, Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine, Nanning 530011, China. FAU - Guan, Xiong AU - Guan X AD - Department of Gynecology and obstetrics, the Eighth People's Hospital of Nanning, Nanning 530007, China. FAU - Jie, Feng AU - Jie F AD - School of Pharmaceutical Sciences, Guangxi Medical University, Nanning 530021, China. LA - eng GR - 81560731/National Natural Science Foundation of China/ PT - Journal Article PL - China TA - J Tradit Chin Med JT - Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan JID - 8211546 RN - 0 (fibroblast growth factor 21) RN - 0 (Leptin) RN - 0 (Adipokines) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - 62031-54-3 (Fibroblast Growth Factors) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Rats MH - Animals MH - *Diabetes Mellitus, Type 2/complications/therapy/metabolism MH - Leptin MH - Adipokines MH - AMP-Activated Protein Kinases/genetics/metabolism MH - *Diabetes Mellitus, Experimental/complications/therapy MH - Peroxisome Proliferator-Activated Receptors MH - Obesity/complications/therapy MH - Fibroblast Growth Factors/genetics/metabolism MH - Body Weight MH - *Insulin Resistance MH - *Acupuncture Therapy MH - Diet, High-Fat/adverse effects MH - Cholesterol PMC - PMC10623386 OTO - NOTNLM OT - Bo's abdominal acupuncture OT - adipokines OT - diabetes mellitus, type 2 OT - fibroblast growth factors OT - insulin resistance OT - obesity EDAT- 2023/11/10 06:45 MHDA- 2023/11/13 06:42 PMCR- 2023/10/25 CRDT- 2023/11/10 03:39 PHST- 2023/11/13 06:42 [medline] PHST- 2023/11/10 06:45 [pubmed] PHST- 2023/11/10 03:39 [entrez] PHST- 2023/10/25 00:00 [pmc-release] AID - 1698986639244-1741119160 [pii] AID - JTCM-43-6-1200 [pii] AID - 10.19852/j.cnki.jtcm.20231008.002 [doi] PST - ppublish SO - J Tradit Chin Med. 2023 Oct;43(6):1200-1208. doi: 10.19852/j.cnki.jtcm.20231008.002.