Naringin protects against HIV-1 protease inhibitors-induced pancreatic β-cell dysfunction and apoptosis

Sanelisiwe Nzuza1, Duduzile E Ndwandwe1, Peter M O Owira1

  • 1Molecular and Clinical Pharmacology Research Laboratory, Department of Pharmacology, Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, P.O. Box X5401, Durban, South Africa.

Abstract

Insights

Grapefruit-derived naringin protects pancreatic beta-cells from HIV-1 Protease Inhibitor (PI) damage. Naringin reduces oxidative stress and apoptosis, suggesting its potential as a nutritional supplement to prevent PI-related metabolic complications.

Area of Science:

  • Cell biology
  • Biochemistry
  • Pharmacology

Background:

  • HIV-1 Protease Inhibitors (PIs) can cause oxidative damage and apoptosis in pancreatic beta-cells.
  • This damage may lead to impaired insulin secretion and metabolic complications.

Purpose of the Study:

  • To investigate the protective effects of naringin, a grapefruit-derived compound, against PI-induced damage in pancreatic beta-cells.
  • To evaluate naringin's impact on oxidative stress, apoptosis, and insulin secretion.

Main Methods:

  • RIN-5F cells were treated with PIs (nelfinavir, saquinavir, atazanavir) and varying glucose concentrations.
  • Insulin secretion, lipid peroxidation, Superoxide Dismutase (SOD) activity, glutathione (GSH) levels, ATP production, and caspase activities were measured.
  • Cells were also treated with naringin or glibenclamide to assess their protective effects.

Main Results:

  • PIs significantly reduced glucose-dependent insulin secretion in a concentration-dependent manner.
  • Naringin and glibenclamide treatments reduced lipid peroxidation and SOD activity while increasing GSH and ATP levels.
  • Both naringin and glibenclamide significantly reduced caspase-3 and caspase-9 activities.

Conclusions:

  • PIs impair beta-cell function through oxidative stress and apoptosis.
  • Naringin effectively protected RIN-5F cells from PI-induced oxidative damage and apoptosis.
  • Nutritional supplementation with naringin may help prevent pancreatic beta-cell dysfunction in patients on antiretroviral therapy.