Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review

IntroductionLong used in traditional medicine, Nigella sativa (NS; Ranunculaceae) has shown significant efficacy as an adjuvant therapy for diabetes mellitus (DM) management by improving glucose tolerance, decreasing hepatic gluconeogenesis, normalizing blood sugar and lipid imbalance, and stimulati...

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Main Authors: Arslan Shaukat, Arsalan Zaidi, Haseeb Anwar, Nadeem Kizilbash
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1126272/full
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author Arslan Shaukat
Arsalan Zaidi
Arsalan Zaidi
Haseeb Anwar
Nadeem Kizilbash
author_facet Arslan Shaukat
Arsalan Zaidi
Arsalan Zaidi
Haseeb Anwar
Nadeem Kizilbash
author_sort Arslan Shaukat
collection DOAJ
description IntroductionLong used in traditional medicine, Nigella sativa (NS; Ranunculaceae) has shown significant efficacy as an adjuvant therapy for diabetes mellitus (DM) management by improving glucose tolerance, decreasing hepatic gluconeogenesis, normalizing blood sugar and lipid imbalance, and stimulating insulin secretion from pancreatic cells. In this review, the pharmacological and pharmacokinetic properties of NS as a herbal diabetes medication are examined in depth, demonstrating how it counteracts oxidative stress and the onset and progression of DM.MethodsThis literature review drew on databases such as Google Scholar and PubMed and various gray literature sources using search terms like the etiology of diabetes, conventional versus herbal therapy, subclinical pharmacology, pharmacokinetics, physiology, behavior, and clinical outcomes.ResultsThe efficiency and safety of NS in diabetes, notably its thymoquinone (TQ) rich volatile oil, have drawn great attention from researchers in recent years; the specific therapeutic dose has eluded determination so far. TQ has anti-diabetic, anti-inflammatory, antioxidant, and immunomodulatory properties but has not proved druggable. DM’s intimate link with oxidative stress, makes NS therapy relevant since it is a potent antioxidant that energizes the cell’s endogenous arsenal of antioxidant enzymes. NS attenuates insulin resistance, enhances insulin signaling, suppresses cyclooxygenase-2, upregulates insulin-like growth factor-1, and prevents endothelial dysfunction in DM.ConclusionThe interaction of NS with mainstream drugs, gut microbiota, and probiotics opens new possibilities for innovative therapies. Despite its strong potential to treat DM, NS and TQ must be examined in more inclusive clinical studies targeting underrepresented patient populations.
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spelling doaj.art-6d14404e3d024f29869869d6de77af902023-09-26T06:04:18ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-09-011010.3389/fnut.2023.11262721126272Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a reviewArslan Shaukat0Arsalan Zaidi1Arsalan Zaidi2Haseeb Anwar3Nadeem Kizilbash4Department of Physiology, Government College University - GCU, Faisalabad, Punjab, PakistanNational Probiotic Laboratory, National Institute for Biotechnology and Genetic Engineering College - NIBGE-C, Faisalabad, Punjab, PakistanPakistan Institute of Engineering and Applied Sciences - PIEAS, Nilore, Islamabad, PakistanDepartment of Physiology, Government College University - GCU, Faisalabad, Punjab, PakistanDepartment Medical Laboratory Technology, Faculty of Applied Medical Sciences, Northern Border University, Arar, Saudi ArabiaIntroductionLong used in traditional medicine, Nigella sativa (NS; Ranunculaceae) has shown significant efficacy as an adjuvant therapy for diabetes mellitus (DM) management by improving glucose tolerance, decreasing hepatic gluconeogenesis, normalizing blood sugar and lipid imbalance, and stimulating insulin secretion from pancreatic cells. In this review, the pharmacological and pharmacokinetic properties of NS as a herbal diabetes medication are examined in depth, demonstrating how it counteracts oxidative stress and the onset and progression of DM.MethodsThis literature review drew on databases such as Google Scholar and PubMed and various gray literature sources using search terms like the etiology of diabetes, conventional versus herbal therapy, subclinical pharmacology, pharmacokinetics, physiology, behavior, and clinical outcomes.ResultsThe efficiency and safety of NS in diabetes, notably its thymoquinone (TQ) rich volatile oil, have drawn great attention from researchers in recent years; the specific therapeutic dose has eluded determination so far. TQ has anti-diabetic, anti-inflammatory, antioxidant, and immunomodulatory properties but has not proved druggable. DM’s intimate link with oxidative stress, makes NS therapy relevant since it is a potent antioxidant that energizes the cell’s endogenous arsenal of antioxidant enzymes. NS attenuates insulin resistance, enhances insulin signaling, suppresses cyclooxygenase-2, upregulates insulin-like growth factor-1, and prevents endothelial dysfunction in DM.ConclusionThe interaction of NS with mainstream drugs, gut microbiota, and probiotics opens new possibilities for innovative therapies. Despite its strong potential to treat DM, NS and TQ must be examined in more inclusive clinical studies targeting underrepresented patient populations.https://www.frontiersin.org/articles/10.3389/fnut.2023.1126272/fulldiabetes mellitusNigella sativaantioxidantthymoquinoneanti-glycemicgut microbiota
spellingShingle Arslan Shaukat
Arsalan Zaidi
Arsalan Zaidi
Haseeb Anwar
Nadeem Kizilbash
Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review
Frontiers in Nutrition
diabetes mellitus
Nigella sativa
antioxidant
thymoquinone
anti-glycemic
gut microbiota
title Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review
title_full Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review
title_fullStr Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review
title_full_unstemmed Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review
title_short Mechanism of the antidiabetic action of Nigella sativa and Thymoquinone: a review
title_sort mechanism of the antidiabetic action of nigella sativa and thymoquinone a review
topic diabetes mellitus
Nigella sativa
antioxidant
thymoquinone
anti-glycemic
gut microbiota
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1126272/full
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