Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>

<i>Background:</i> The plant <i>Tinospora cordifolia</i> (TC), traditionally known as guduchi or giloy, is used for a number of health conditions as a nutritional supplement and rejuvenation medicine. Its nutritional supplementary products are traditionally recommended for a...

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Main Authors: Ritu Rani, Havagiray R. Chitme, Neha Kukreti, Pankaj Pant, Basel A. Abdel-Wahab, Masood Medleri Khateeb, Mohammed Shafiuddin Habeeb, Marwa B. Bakir
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Language:English
Published: MDPI AG 2023-05-01
Series:Nutrients
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Online Access:https://www.mdpi.com/2072-6643/15/10/2238
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author Ritu Rani
Havagiray R. Chitme
Neha Kukreti
Pankaj Pant
Basel A. Abdel-Wahab
Masood Medleri Khateeb
Mohammed Shafiuddin Habeeb
Marwa B. Bakir
author_facet Ritu Rani
Havagiray R. Chitme
Neha Kukreti
Pankaj Pant
Basel A. Abdel-Wahab
Masood Medleri Khateeb
Mohammed Shafiuddin Habeeb
Marwa B. Bakir
author_sort Ritu Rani
collection DOAJ
description <i>Background:</i> The plant <i>Tinospora cordifolia</i> (TC), traditionally known as guduchi or giloy, is used for a number of health conditions as a nutritional supplement and rejuvenation medicine. Its nutritional supplementary products are traditionally recommended for a wide range of health issues, including diabetes, menstruation discomfort, fever, obesity, inflammation, and more. Unfortunately, there has not been extensive research into its effectiveness in treating or managing insulin resistance, lipid and carbohydrate metabolism, hormonal imbalance, and metabolic syndrome-associated polycystic ovary syndrome (PCOS). <i>Methods:</i> Consequently, the present study was designed to induce insulin resistance, dyslipidemia, hormonal abnormality, hyperglycemia, and menstrual disturbance of PCOS using dehydroepiandrosterone (DHEA) in mice and study the effect of oral TC extracts on these factors by using ancient and modern technologies. During the 21-day study, 6 mg/100 g/day of DHEA was given to female mice. Levels of glucose, insulin, lipids, and hormones were estimated. In addition to being seen with the naked eye, the morphological and microscopic changes were also observed on histology slides. <i>Results:</i> The study outcomes show that pretreatment with TC preparations significantly improved biochemical and histological abnormalities in female mice. Diestrus phase was only observed in DHEA-treated animals, while cornified epithelial cells were present in TC-treated mice. Pretreatment with TC satva showed significant (<i>p</i> < 0.001) reductions in body weight compared to placebo. Fasting blood glucose, 1-h OGTT, and 2-h OGTT levels were all significantly lower in TC satva- and oil-treated animals in comparison to the disease control group (<i>p</i> < 0.001). Treatment with TC extracts resulted in a normalization of estradiol, progesterone, and testosterone levels (<i>p</i> < 0.05). Treatment with TC extract improved lipid profiles (<i>p</i> < 0.001), LH/FSH ratios (<i>p</i> < 0.01), fasting insulin levels (<i>p</i> < 0.001), HOMA-IR (<i>p</i> < 0.001), HOMA-Beta (<i>p</i> < 0.001), and QUICKI (<i>p</i> < 0.001). Both macroscopic and microscopic alterations were seen to be restored after TC extract treatment. After being treated with TC satva, oil, and hydroalcoholic extract, the severity of PCOS decreased by 54.86%. <i>Conclusions:</i> These findings lead us to the conclusion that TC extracts and satva as nutritional supplements are useful for treating PCOS and associated symptoms. It is recommended that additional research be conducted to determine the molecular mechanism of action of TC nutritional supplements on PCOS-related changes in metabolic profiles. We also recommend further clinical studies to explore the clinical efficacy and effectiveness of TC nutritional supplements in treating and/or managing PCOS.
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spelling doaj.art-26c09f7ce93c409ba574c31c3871a7152023-11-18T02:43:35ZengMDPI AGNutrients2072-66432023-05-011510223810.3390/nu15102238Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>Ritu Rani0Havagiray R. Chitme1Neha Kukreti2Pankaj Pant3Basel A. Abdel-Wahab4Masood Medleri Khateeb5Mohammed Shafiuddin Habeeb6Marwa B. Bakir7Faculty of Pharmacy, DIT University, Dehradun 248009, Uttarakhand, IndiaFaculty of Pharmacy, DIT University, Dehradun 248009, Uttarakhand, IndiaFaculty of Pharmacy, DIT University, Dehradun 248009, Uttarakhand, IndiaFaculty of Pharmacy, DIT University, Dehradun 248009, Uttarakhand, IndiaDepartment of Pharmacology, College of Pharmacy, Najran University, Najran P.O. Box 1988, Saudi ArabiaDepartment of Pharmacology, College of Pharmacy, Najran University, Najran P.O. Box 1988, Saudi ArabiaDepartment of Pharmacology, College of Pharmacy, Najran University, Najran P.O. Box 1988, Saudi ArabiaDepartment of Pharmacology, College of Medicine, Najran University, Najran P.O. Box 1988, Saudi Arabia<i>Background:</i> The plant <i>Tinospora cordifolia</i> (TC), traditionally known as guduchi or giloy, is used for a number of health conditions as a nutritional supplement and rejuvenation medicine. Its nutritional supplementary products are traditionally recommended for a wide range of health issues, including diabetes, menstruation discomfort, fever, obesity, inflammation, and more. Unfortunately, there has not been extensive research into its effectiveness in treating or managing insulin resistance, lipid and carbohydrate metabolism, hormonal imbalance, and metabolic syndrome-associated polycystic ovary syndrome (PCOS). <i>Methods:</i> Consequently, the present study was designed to induce insulin resistance, dyslipidemia, hormonal abnormality, hyperglycemia, and menstrual disturbance of PCOS using dehydroepiandrosterone (DHEA) in mice and study the effect of oral TC extracts on these factors by using ancient and modern technologies. During the 21-day study, 6 mg/100 g/day of DHEA was given to female mice. Levels of glucose, insulin, lipids, and hormones were estimated. In addition to being seen with the naked eye, the morphological and microscopic changes were also observed on histology slides. <i>Results:</i> The study outcomes show that pretreatment with TC preparations significantly improved biochemical and histological abnormalities in female mice. Diestrus phase was only observed in DHEA-treated animals, while cornified epithelial cells were present in TC-treated mice. Pretreatment with TC satva showed significant (<i>p</i> < 0.001) reductions in body weight compared to placebo. Fasting blood glucose, 1-h OGTT, and 2-h OGTT levels were all significantly lower in TC satva- and oil-treated animals in comparison to the disease control group (<i>p</i> < 0.001). Treatment with TC extracts resulted in a normalization of estradiol, progesterone, and testosterone levels (<i>p</i> < 0.05). Treatment with TC extract improved lipid profiles (<i>p</i> < 0.001), LH/FSH ratios (<i>p</i> < 0.01), fasting insulin levels (<i>p</i> < 0.001), HOMA-IR (<i>p</i> < 0.001), HOMA-Beta (<i>p</i> < 0.001), and QUICKI (<i>p</i> < 0.001). Both macroscopic and microscopic alterations were seen to be restored after TC extract treatment. After being treated with TC satva, oil, and hydroalcoholic extract, the severity of PCOS decreased by 54.86%. <i>Conclusions:</i> These findings lead us to the conclusion that TC extracts and satva as nutritional supplements are useful for treating PCOS and associated symptoms. It is recommended that additional research be conducted to determine the molecular mechanism of action of TC nutritional supplements on PCOS-related changes in metabolic profiles. We also recommend further clinical studies to explore the clinical efficacy and effectiveness of TC nutritional supplements in treating and/or managing PCOS.https://www.mdpi.com/2072-6643/15/10/2238PCOS severityinsulin resistanceinsulin sensitivityguduchi satvaguduchi oilguduchi hydroalcoholic extract
spellingShingle Ritu Rani
Havagiray R. Chitme
Neha Kukreti
Pankaj Pant
Basel A. Abdel-Wahab
Masood Medleri Khateeb
Mohammed Shafiuddin Habeeb
Marwa B. Bakir
Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>
Nutrients
PCOS severity
insulin resistance
insulin sensitivity
guduchi satva
guduchi oil
guduchi hydroalcoholic extract
title Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>
title_full Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>
title_fullStr Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>
title_full_unstemmed Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>
title_short Regulation of Insulin Resistance, Lipid Profile and Glucose Metabolism Associated with Polycystic Ovary Syndrome by <i>Tinospora cordifolia</i>
title_sort regulation of insulin resistance lipid profile and glucose metabolism associated with polycystic ovary syndrome by i tinospora cordifolia i
topic PCOS severity
insulin resistance
insulin sensitivity
guduchi satva
guduchi oil
guduchi hydroalcoholic extract
url https://www.mdpi.com/2072-6643/15/10/2238
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