Cardioprotective role of oleanolic acid in patients with type 2 diabetes mellitus

Chengrui Li1, Jing He2, Yongjun Li1

  • 1Department of Anesthesiology, Lianshui People's Hospital Affiliated to Kangda College of Nanjing Medical University, Huai'an, China.

Heliyon
|June 7, 2024
PubMed
Abstract

Insights

Oleanolic acid (OA) protects the heart in a mouse model of type 2 diabetes mellitus (T2DM). OA treatment improved cardiac function and reduced apoptosis, suggesting therapeutic potential for diabetic cardiomyopathy.

Area of Science:

  • Pharmacology
  • Cardiology
  • Diabetology

Background:

  • Type 2 diabetes mellitus (T2DM) is associated with cardiac dysfunction and poor prognosis.
  • Myocardial fibrosis and impaired cardiac function are key concerns in T2DM patients.
  • Restoring cardiac function and mitigating myocardial fibrosis are critical therapeutic objectives in T2DM management.

Purpose of the Study:

  • To investigate the cardioprotective effects of oleanolic acid (OA) in a mouse model of T2DM.
  • To explore the molecular mechanisms underlying OA's action in T2DM-induced cardiac injury.
  • To evaluate OA's impact on apoptosis and cardiac function in diabetic cardiomyopathy.

Main Methods:

  • Network pharmacology analysis to identify OA targets and pathways in T2DM.
  • Establishment of a mouse model of diabetes mellitus.
  • In vivo assessments including ELISA, echocardiography, TUNEL assay, and reactive oxygen species assay.

Main Results:

  • Network pharmacology identified key targets and molecular mechanisms of OA in T2DM.
  • OA treatment significantly inhibited apoptosis in T2DM-induced myocardial injury.
  • Echocardiographic and TUNEL assay results demonstrated improved cardiac function and reduced apoptotic indexes.

Conclusions:

  • Oleanolic acid exhibits significant myocardial protective effects in a T2DM mouse model.
  • OA demonstrates potential as a therapeutic agent for diabetic cardiomyopathy by reducing apoptosis.
  • Further research into OA's mechanisms could lead to novel T2DM cardiac treatments.

Related Concept Videos

Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.3K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
421
Carbohydrate Metabolism01:36

Carbohydrate Metabolism

Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.0K
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
260
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.6K