Abstract
The present study was designed to examine the therapeutic potential of Terminalia arjuna bark extract in improving cardiovascular autonomic neuropathy in Streptozotocin (STZ)-induced diabetic Wistar Albino rats. The baroreflex was evaluated by measuring the changes in heart rate with changes in arterial blood pressure induced by bolus injections of phenylephrine (vasoconstrictor) and sodium nitroprusside (vasodilator). T. arjuna bark extract, Rosuvastatin and Insulin were tested/administered therapeutically in rat model of uncontrolled diabetes. After 8 weeks of STZ administration, the reflex bradycardia and tachycardia response to hypertension and hypotension, respectively, were impaired in the diabetic group. The reflex bradycardia improved significantly after 1 month treatment of T. arjuna while the reflex tachycardia could not improve. The decreased body weight, heart rate, blood pressure and raised blood sugar in diabetic rats were not improved by T. arjuna therapy. Rosuvastatin treatment exerted similar effects while Insulin improved all the parameters. Further T. arjuna, Rosuvastatin and Insulin significantly reduced oxidative stress and inflammatory cytokine levels in diabetic rats. Results suggest that T. arjuna bark extract improves the altered baroreflex sensitivity in diabetic rats possibly through maintaining endogenous antioxidant enzyme activities and decreasing cytokine levels.
Similar content being viewed by others
References
Maser, R. E., & Lenhard, M. J. (2005). Cardiovascular autonomic neuropathy due to diabetes mellitus: Clinical manifestations, consequences, and treatment. The Journal of Clinical Endocrinology & Metabolism, 90, 5896–5903.
Vinik, A. I., & Ziegler, D. (2007). Diabetic cardiovascular autonomic neuropathy. Circulation, 115, 387–397.
McDowell, T. S., Chapleau, M. W., Hajduczok, G., & Abboud, F. M. (1994). Baroreflex dysfunction in diabetes mellitus. I. Selective impairment of parasympathetic control of heart rate. American Journal of Physiology, 266, H235–H243.
Burena, T. V., Kasbergena, C. M., Gispena, W. H., & Wildta, D. J. D. (1998). In vivo cardiovascular reactivity and baroreflex activity in diabetic rats. Cardiovascular Research, 38, 763–771.
Dall’Ago, P., Fernandes, T. G., Machado, U. F., Belló, A. A., & Irigoyen, M. C. (1997). Baroreflex and chemoreflex dysfunction in Streptozotocin-diabetic rats. Brazilian Journal of Medical and Biological Research, 30, 119–124.
Andallu, B., Vinay kumar, A. V., & Varadacharyulu, N. Ch. (2009). Lipid abnormalities in Streptozotocin diabetes: Amelioration by Moris indica L. cv Suguna leaves. International Journal of Diabetes in Developing Countries, 29, 123–128.
Cai, L., & James Kang, Y. (2001). Oxidative stress and diabetic cardiomyopathy. A brief review. Cardiovascular Toxicology, 1, 181–193.
Feldman, E. L. (2003). Oxidative stress and diabetic neuropathy: A new understanding of an old problem. Journal of Clinical Investigation, 111, 431–433.
Davì, G., Chiarelli, F., Santilli, F., Pomilio, M., Vigneri, S., Falco, A., et al. (2003). Enhanced lipid peroxidation and platelet activation in the early phase of type 1 diabetes mellitus role of interleukin-6 and disease duration. Circulation, 107, 3199–3203.
Esposito, K., Nappo, F., Marfella, R., Giugliano, G., Giugliano, F., Ciotola, M., et al. (2002). Inflammatory cytokine concentrations are acutely increased by hyperglycemia in humans. Role of oxidative stress. Circulation, 106, 2067–2072.
Carlson, L. A. (2006). Can higher level of HDL cholesterol augments cardiovascular disease prevention? The combination statins-nicotinic acid increases the level of HDL and reduces the level of LDL cholesterol. Lakartidningen, 103, 3283–3285.
Gotto, A. M. (2006). Statins, cardiovascular disease, and drug safety. American Journal of Cardiology, 97(8A), 3C–5C.
Haas, S. J., Hageali, R., Priestly, B. G., Tonkin, A. M., Demos, L. L., McNeil, J. J., et al. (2006). Long term safety of statins should be monitored. BMJ, 333, 656.
Chander, R., Singh, K., Khanna, A. K., Kaul, S. M., Puri, A., Saxena, R., et al. (2004). Antidyslipidemic and antioxidant activities of different fractions of Terminalia arjuna stem bark. Indian Journal of Clinical Biochemistry, 19, 141–148.
Parveen, A., Babbar, R., Agarwal, S., Kotwani, A., & Fahim, M. (2011). Mechanistic clues in the cardioprotective effect of Terminalia arjuna bark extract in Isoproterenol-induced chronic heart failure in rats. Cardiovascular Toxicology, 11, 48–57.
Parveen, A., Babbar, R., Agarwal, S., Kotwani, A., & Fahim, M. (2012). Terminalia arjuna enhances baroreflex sensitivity and myocardial function in Isoproterenol-induced chronic heart failure rats. Journal of Cardiovascular Pharmacology and Therapeutics, 17, 199–207.
Dwivedi, S., Jauhari, R., & Varshney, A. (1997). Terminalia arjuna the cardiovascular friendly plant. Atherosclerosis, 134, 47.
Szkudelski, T. (2001). The mechanism of Alloxan and Streptozotocin action in B Cells of the rat pancreas. Physiological Research, 50, 536–546.
Tauseef, M., Sharma, K. K., & Fahim, M. (2007). Aspirin restores normal baroreflex function in hypercholesterolemic rats by its antioxidative action. European Journal of Pharmacology, 556, 136–143.
De Angelis, K., Schaan, B. D., Maeda, C. Y., Dall’Ago, P., Wichi, R. B., & Irigoyen, M. C. (2002). Cardiovascular control in experimental diabetes. Brazilian Journal of Medical and Biological Research, 35, 1091–1100.
Ragavan, B., & Krishnakumari, S. (2006). Antidiabetic effect of T. arjuna bark extract in Alloxan induced diabetic rats. Indian Journal of Clinical Biochemistry, 21, 123–128.
Singh, N., Kapur, K. K., Singh, S. P., Shankar, K., Sinha, J. N., & Kohli, R. D. (1982). Mechanism of cardiovascular action of Terminalia arjuna. Planta Medica, 45, 102–104.
Karamsetty, M., Ferrie, T. J., Kane, K. A., & Gray, A. I. (1995). Effects of an aqueous extract of Terminalia arjuna on isolated rat atria and thoracic aorta. Phytotherapy Research, 9, 575–578.
Vinik, A. I., Maser, R. E., Mitchell, B. D., & Freeman, R. (2003). Diabetic autonomic neuropathy. Diabetes Care, 26, 1553–1579.
Hirsch, J., Leibel, R. L., Mackintosh, R., & Aguirre, A. (1991). Heart rate variability as a measure of autonomic function during weight change in humans. American Journal of Physiology, 261, R1418–R1423.
Ziegler, D., Sohr, C. G. H., & Nourooz-zadeh, J. (2004). Oxidative stress and antioxidant defense in relation to the severity of diabetic polyneuropathy and cardiovascular autonomic neuropathy. Diabetes Care, 27, 2178–2183.
Tankova, T., Koev, D., & Dakovska, L. (2004). Alpha-lipoic acid in the treatment of autonomic diabetic neuropathy (controlled, randomized, open-label study). Romanian Journal of Internal Medicine, 42, 457–464.
Kumar, S., Enjamoori, R., Jaiswal, A., Ray, R., Seth, S., & Maulik, S. K. (2009). Catecholamine-induced myocardial fibrosis and oxidative stress is attenuated by Terminalia arjuna (Roxb.). Journal of Pharmacy and Pharmacology, 61, 1529–1536.
Skundric, D. S., & Lisak, R. P. (2003). Role of neuropoietic cytokines in development and progression of diabetic polyneuropathy: From glucose metabolism to neurodegeneration. Experimental Diabetes Research, 4, 303–312.
Node, K., Fujita, M., Kitakaze, M., Hori, M., & Liao, J. K. (2003). Short-term statin therapy improves cardiac function and symptoms in patients with idiopathic dilated cardiomyopathy. Circulation, 108, 839–843.
Patterson, D., Dick, J. B. C., & Struthers, A. D. (2002). Intensive statin treatment improves baroreflex sensitivity: Another cardioprotective mechanism for statins? Heart, 88, 415–416.
Jaganathan, S., Kandaswamy, K., Marcus, L. M. D., Guruprasad, K., Thakur, U. S., & Mishra, S. K. (2009). Atorvastatin restores the impaired vascular endothelium-dependent relaxations mediated by Nitric oxide and endothelium-derived hyperpolarizing factors but not hypotension in sepsis. Journal of Cardiovascular Pharmacology, 54, 526–534.
Manna, P., Ghosh, J., Das, J., & Sil, P. C. (2010). Streptozotocin induced activation of oxidative stress responsive splenic cell signalling pathways: Protective role of arjunolic acid. Toxicology and Applied Pharmacology, 244, 114–129.
Acknowledgments
Authors would like to acknowledge Professor M. S. Y. Khan, Jamia Hamdard (India) for providing T. arjuna bark extract, Dr Rafat Ahmed, Department of Biochemistry, UCMS (India) for her expert advice, Ms. Shagufta Yasmeen, Ms. Mythily Subramaneyaan and Mr. Mohd Aslam for their assistance in handling of animals and performing biochemical tests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Khaliq, F., Parveen, A., Singh, S. et al. Terminalia arjuna Improves Cardiovascular Autonomic Neuropathy in Streptozotocin-Induced Diabetic Rats. Cardiovasc Toxicol 13, 68–76 (2013). https://doi.org/10.1007/s12012-012-9187-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12012-012-9187-6