Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial

Abstract The present study aims to evaluate the effects of Ginkgo biloba (GKB) extract as “add- on” therapy with metformin on the lipid profile, inflammatory markers, leptin and the total antioxidant capacity (TAOC) of patients with type 2 diabetes mellitus (T2DM). It is a multi- center, randomized,...

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Main Authors: Saad Abdulrahman Hussain, Tavga Ahmed Aziz, Taha Othman Mahwi, Zheen Aorahman Ahmed
Format: Article
Language:English
Published: Universidade de São Paulo 2022-07-01
Series:Brazilian Journal of Pharmaceutical Sciences
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100612&tlng=en
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author Saad Abdulrahman Hussain
Tavga Ahmed Aziz
Taha Othman Mahwi
Zheen Aorahman Ahmed
author_facet Saad Abdulrahman Hussain
Tavga Ahmed Aziz
Taha Othman Mahwi
Zheen Aorahman Ahmed
author_sort Saad Abdulrahman Hussain
collection DOAJ
description Abstract The present study aims to evaluate the effects of Ginkgo biloba (GKB) extract as “add- on” therapy with metformin on the lipid profile, inflammatory markers, leptin and the total antioxidant capacity (TAOC) of patients with type 2 diabetes mellitus (T2DM). It is a multi- center, randomized, placebo-controlled double-blinded clinical study. Sixty patients were allocated into two groups: control and treatment groups; they received orally either 120 mg starch/capsule or 120mg GKB/capsule, respectively as an adjuvant with metformin for 90 days. Blood samples were obtained at zero time and after 90 days. The blood was utilized for analysis of the lipid profile, inflammatory markers, leptin, and TAOC. The GKB extract produced a significant decrease in the levels of TG, LDL-c, and CRP, with a significant increase in HDL-c compared to baseline values. There were no significant changes reported in the placebo-treated group. It also produced a significant decrease in the concentrations of IL-6, TNF-α, and leptin compared to baseline values and placebo-treated groups with a significant increase in TAOC compared to baseline values. In conclusion, GKB extract, as an adjuvant with metformin, decreases inflammatory mediators, leptin level and improves the antioxidant status and lipid profile of T2DM patients improperly managed with metformin.
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spelling doaj.art-88e46597d61f49b6b4aa82f96a8bf14b2022-12-22T02:44:02ZengUniversidade de São PauloBrazilian Journal of Pharmaceutical Sciences2175-97902022-07-015810.1590/s2175-97902022e19516Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trialSaad Abdulrahman Hussainhttps://orcid.org/0000-0002-1909-417XTavga Ahmed AzizTaha Othman MahwiZheen Aorahman AhmedAbstract The present study aims to evaluate the effects of Ginkgo biloba (GKB) extract as “add- on” therapy with metformin on the lipid profile, inflammatory markers, leptin and the total antioxidant capacity (TAOC) of patients with type 2 diabetes mellitus (T2DM). It is a multi- center, randomized, placebo-controlled double-blinded clinical study. Sixty patients were allocated into two groups: control and treatment groups; they received orally either 120 mg starch/capsule or 120mg GKB/capsule, respectively as an adjuvant with metformin for 90 days. Blood samples were obtained at zero time and after 90 days. The blood was utilized for analysis of the lipid profile, inflammatory markers, leptin, and TAOC. The GKB extract produced a significant decrease in the levels of TG, LDL-c, and CRP, with a significant increase in HDL-c compared to baseline values. There were no significant changes reported in the placebo-treated group. It also produced a significant decrease in the concentrations of IL-6, TNF-α, and leptin compared to baseline values and placebo-treated groups with a significant increase in TAOC compared to baseline values. In conclusion, GKB extract, as an adjuvant with metformin, decreases inflammatory mediators, leptin level and improves the antioxidant status and lipid profile of T2DM patients improperly managed with metformin.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100612&tlng=enGinkgo bilobaUncontrolled T2DMInflammatory markersLeptinAntioxidant status
spellingShingle Saad Abdulrahman Hussain
Tavga Ahmed Aziz
Taha Othman Mahwi
Zheen Aorahman Ahmed
Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial
Brazilian Journal of Pharmaceutical Sciences
Ginkgo biloba
Uncontrolled T2DM
Inflammatory markers
Leptin
Antioxidant status
title Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial
title_full Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial
title_fullStr Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial
title_full_unstemmed Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial
title_short Gingko biloba extract improves the lipid profile, inflammatory markers, leptin level and the antioxidant status of T2DM patients poorly responding to metformin: A double- blind, randomized, placebo-controlled trial
title_sort gingko biloba extract improves the lipid profile inflammatory markers leptin level and the antioxidant status of t2dm patients poorly responding to metformin a double blind randomized placebo controlled trial
topic Ginkgo biloba
Uncontrolled T2DM
Inflammatory markers
Leptin
Antioxidant status
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100612&tlng=en
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