Role of Pioglitazone with Metformin or Glimepiride on Oxidative Stress-induced Nuclear Damage and Reproductive

Syed Imam Rabbani1, Kshama Devi, Salma Khanam

  • 1Department of Pharmacology, Al-Ameen College Of Pharmacy, Opp. Lalbagh Main Gate, Hosur Road, Bangalore-560027, India.

Abstract

Insights

The combination of pioglitazone and metformin effectively reduced nuclear damage and sperm abnormalities in diabetic rats by improving antioxidant status. Pioglitazone with glimepiride showed no significant protective effects.

Area of Science:

  • Endocrinology
  • Toxicology
  • Pharmacology

Background:

  • Oxidative stress in diabetes contributes to secondary complications like cancer and birth defects.
  • Effective management of blood glucose is crucial for preventing diabetic complications.

Purpose of the Study:

  • To evaluate the protective effects of pioglitazone combined with metformin or glimepiride.
  • To assess the impact on nuclear damage and reproductive toxicity in a type-2 diabetes rat model.

Main Methods:

  • Rats were induced with type-2 diabetes using nicotinamide and streptozotocin.
  • Combinations of pioglitazone with metformin or glimepiride were administered orally for 4 weeks.
  • Evaluated micronuclei formation, sperm abnormalities, and antioxidant status (LPO, CAT, SOD).

Main Results:

  • Pioglitazone plus metformin significantly reduced micronucleated erythrocytes and sperm defects.
  • This combination also increased the P/N ratio and caudal sperm count.
  • Pioglitazone plus glimepiride did not show significant protective effects against nuclear or sperm damage.

Conclusions:

  • The pioglitazone-metformin combination demonstrates significant protective effects against nuclear damage and sperm abnormalities in diabetic rats.
  • These benefits are attributed to enhanced antioxidant status.
  • Pioglitazone-glimepiride combination was ineffective in mitigating these diabetic complications.

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