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Berberine ameliorates glucocorticoid-induced hyperglycemia: an in vitro and in vivo study

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Abstract

Berberine (BBR), a bioactive compound isolated from Coptidis Rhizoma, possesses diverse pharmacological activities including anti-bacterial, anti-inflammatory, antitumor, hypolipidemic, and anti-diabetic. However, its role as an anti-diabetic agent in animal models of dexamethasone (Dex)-induced diabetes remains unknown. Studies have shown that natural compounds including aloe, caper, cinnamon, cocoa, green and black tea, and turmeric can be used for treating Type 2 diabetes mellitus (DM). Compared to conventional drugs, natural compounds have less side effects and are easily available. Herein, we studied the anti-diabetic effects of BBR in a mice model of Dex-induced diabetes. HepG2 cell line was used for glucose release and glycogen synthesis studies. Cell proliferation was measured by methylthiotetrazole (MTT) assay. For animal studies, mice were treated with Dex (2 mg/kg, i.m.) for 30 days and effect of BBR at the doses 100, 200, and 500 mg/kg (p.o.) was analyzed. Glucose, insulin, and pyruvate tests were performed for evaluating the development of the diabetic model. Echo MRI was performed to assess the fat mass. Further, to elucidate the mechanism of action of BBR, mRNA expression of genes regulating gluconeogenesis, glucose uptake, and glycolysis was analyzed. In vitro BBR had no impact on cell viability up to a concentration of 50 μM. Moreover, BBR suppressed the hepatic glucose release and improved glucose tolerance in HepG2 cells. In vivo, BBR improved glucose homeostasis in diabetic mice as evidenced by enhanced glucose clearance, increased glycolysis, elevated glucose uptake, and decreased gluconeogenesis. Further, Dex treatment increased the total fat mass in mice, which was ameliorated by BBR treatment. BBR improves glucose tolerance by increasing glucose clearance, inhibiting hepatic glucose release, and decreasing obesity. Thus, BBR may become a potential therapeutic agent for treating glucocorticoid-induced diabetes and obesity in the future.

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The original contributions presented in the study are included in the article/supplementary material; further inquiries can be directed to the corresponding author.

References

  • Chen W, Miao Y-Q, Fan D-J, Yang S-S, Lin X, Meng L-K, Tang X (2011) Bioavailability study of berberine and the enhancing effects of TPGS on intestinal absorption in rats. AAPS PharmSciTech 12(2):705–711

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen J, Yan X, Kim KT, Kim SH, Lee E-S, Lee YK, ... Cho CW (2013) Comparative pharmacokinetics of berberine after oral administration of pure berberine, coptidis rhizoma extract, and decoctions of two different complex herbal formulas to rats. Bull Korean Chem Soc 34(5):1559–1562

  • Donnelly KL, Smith CI, Schwarzenberg SJ, Jessurun J, Boldt MD, Parks EJ (2005) Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Investig 115(5):1343–1351

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fathallah N, Slim R, Larif S, Hmouda H, Ben Salem C (2015) Drug-induced hyperglycaemia and diabetes. Drug Saf 38(12):1153–1168

    Article  CAS  PubMed  Google Scholar 

  • Feng X, Wang K, Cao S, Ding L, Qiu F (2021) Pharmacokinetics and excretion of berberine and its nine metabolites in rats. Front Pharmacol 11:594852

    Article  PubMed  PubMed Central  Google Scholar 

  • Filippopoulou F, Habeos GI, Rinotas V, Sophocleous A, Sykiotis GP, Douni E, Chartoumpekis DV (2021) Dexamethasone administration in mice leads to less body weight gain over time, lower serum glucose, and higher insulin levels independently of NRF2. Antioxidants 11(1):4

    Article  PubMed  PubMed Central  Google Scholar 

  • Gholap S, Kar A (2005) Gymnemic acids from Gymnema sylvestre. Potentially regulates dexamethasone-induced hyperglycemia in mice. Pharm Biol 43(2):192–195

    Article  CAS  Google Scholar 

  • Gupta AP, Singh P, Garg R, Valicherla GR, Riyazuddin M, Syed AA, ... Gayen JR (2019) Pancreastatin inhibitor activates AMPK pathway via GRP78 and ameliorates dexamethasone induced fatty liver disease in C57BL/6 mice. Biomed Pharmacother 116:108959

  • Haber RS, Weinstein SP (1992) Role of glucose transporters in glucocorticoid-induced insulin resistance: GLUT4 isoform in rat skeletal muscle is not decreased by dexamethasone. Diabetes 41(6):728–735

    Article  CAS  PubMed  Google Scholar 

  • Han Y, Xiang Y, Shi Y, Tang X, Pan L, Gao J, ... Lai X (2021) Pharmacokinetics and pharmacological activities of berberine in diabetes mellitus treatment. Evid Based Complement Alternat Med 2021:1–15

  • Huang Q, Chen L, Teng H, Song H, Wu X, Xu M (2015) Phenolic compounds ameliorate the glucose uptake in HepG2 cells’ insulin resistance via activating AMPK: anti-diabetic effect of phenolic compounds in HepG2 cells. J Funct Foods 19:487–494

    Article  CAS  Google Scholar 

  • Ilyas Z, Perna S, Al-Thawadi S, Alalwan TA, Riva A, Petrangolini G, ... Rondanelli M (2020) The effect of berberine on weight loss in order to prevent obesity: a systematic review. Biomed Pharmacother 127:110137

  • Kwon M, Lim DY, Lee CH, Jeon J-H, Choi M-K, Song I-S (2020) Enhanced intestinal absorption and pharmacokinetic modulation of berberine and its metabolites through the inhibition of P-glycoprotein and intestinal metabolism in rats using a berberine mixed micelle formulation. Pharmaceutics 12(9):882

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Laakso M, Malkki M, Deeb SS (1995) Amino acid substitutions in hexokinase II among patients with NIDDM. Diabetes 44(3):330–334

    Article  CAS  PubMed  Google Scholar 

  • Leclercq IA, Morais ADS, Schroyen B, Van Hul N, Geerts A (2007) Insulin resistance in hepatocytes and sinusoidal liver cells: mechanisms and consequences. J Hepatol 47(1):142–156

    Article  CAS  PubMed  Google Scholar 

  • Lee KS, Kim SK (2013) Direct and metabolism-dependent cytochrome P450 inhibition assays for evaluating drug–drug interactions. J Appl Toxicol 33(2):100–108

    Article  PubMed  Google Scholar 

  • Leng S-H, Lu F-E, Xu L-J (2004) Therapeutic effects of berberine in impaired glucose tolerance rats and its influence on insulin secretion. Acta Pharmacol Sin 25(4):496–502

    CAS  PubMed  Google Scholar 

  • Li J, Li J, Ni J, Zhang C, Jia J, Wu G, ... Wang S (2022) Berberine relieves metabolic syndrome in mice by inhibiting liver inflammation caused by a high-fat diet and potential association with gut microbiota. Front Microbiol 12:752512

  • Liu C-S, Zheng Y-R, Zhang Y-F, Long X-Y (2016) Research progress on berberine with a special focus on its oral bioavailability. Fitoterapia 109:274–282

    Article  CAS  PubMed  Google Scholar 

  • Matsuda M, DeFronzo RA (1999) Insulin sensitivity indices obtained from oral glucose tolerance testing: comparison with the euglycemic insulin clamp. Diabetes Care 22(9):1462–1470

    Article  CAS  PubMed  Google Scholar 

  • Matthews DR, Hosker J, Rudenski A, Naylor B, Treacher D, Turner R (1985) Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419

    Article  CAS  PubMed  Google Scholar 

  • Meng Z, Yu Y, Zhang Y, Yang X, Lv X, Guan F, ... Chen L (2020) Highly bioavailable berberine formulation improves glucocorticoid receptor-mediated insulin resistance via reduction in association of the glucocorticoid receptor with phosphatidylinositol-3-kinase. Int J Biol Sci 16(14):2527

  • Mills E, Devendra S (2015) Steroid-induced hyperglycaemia in primary care. London J Prim Care 7(5):103–106

    Article  Google Scholar 

  • Mosmann T (1983) Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods 65(1–2):55–63

    Article  CAS  PubMed  Google Scholar 

  • Peng W-H, Wu C-R, Chen C-S, Chen C-F, Leu Z-C, Hsieh M-T (2004) Anxiolytic effect of berberine on exploratory activity of the mouse in two experimental anxiety models: interaction with drugs acting at 5-HT receptors. Life Sci 75(20):2451–2462

    Article  CAS  PubMed  Google Scholar 

  • Postic C, Dentin R, Girard J (2004) Role of the liver in the control of carbohydrate and lipid homeostasis. Diabetes Metab 30(5):398–408

    Article  CAS  PubMed  Google Scholar 

  • Vegiopoulos A, Herzig S (2007) Glucocorticoids, metabolism and metabolic diseases. Mol Cell Endocrinol 275(1–2):43–61

    Article  CAS  PubMed  Google Scholar 

  • Wei X-C, Zhu L-Q, Wang C-G (2015) Efficacy and safety of berberine in patients with type 2 diabetes mellitus: a meta-analysis. Chin Herb Med 7(4):344–353

    Google Scholar 

  • Xia X, Yan J, Shen Y, Tang K, Yin J, Zhang Y, ... Weng J (2011) Berberine improves glucose metabolism in diabetic rats by inhibition of hepatic gluconeogenesis. PLoS One 6(2):e16556

  • Xu J, Christian B, Jump DB (2006) Regulation of rat hepatic L-pyruvate kinase promoter composition and activity by glucose, n-3 polyunsaturated fatty acids, and peroxisome proliferator-activated receptor-α agonist. J Biol Chem 281(27):18351–18362

    Article  CAS  PubMed  Google Scholar 

  • Yin J, Xing H, Ye J (2008) Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 57(5):712–717

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang H, Wei J, Xue R, Wu J-D, Zhao W, Wang Z-Z, ... Wang Y-M (2010) Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin receptor expression. Metabolism 59(2):285–292

  • Zhang M, Lv X, Li J, Meng Z, Wang Q, Chang W, ... Liu Y (2012) Sodium caprate augments the hypoglycemic effect of berberine via AMPK in inhibiting hepatic gluconeogenesis. Mol Cell Endocrinol 363(1–2):122–130

  • Zhao L, Li W, Han F, Hou L, Baillargeon J-P, Kuang H, ... Wu X (2011) Berberine reduces insulin resistance induced by dexamethasone in theca cells in vitro. Fertil Steril 95(1):461–463

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Funding

This study was supported by the Indian Council of Medical Research, New Delhi India (Grant No. 45/67/2018-BMS/PHA/OL).

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Contributions

MG and SP conceived the presented idea and planned the experiments. SP verified the analytical methods and supervised the findings of this work. MG, MR, and BS designed the model, carried out the experiments, and analyzed the data. MG wrote the manuscript with input from all authors. MR contributed to sample preparation and the interpretation of the results. MG and MR contributed to implementation of the research, to the analysis of the results, and to the writing of the manuscript. MG, BS, SP, and MR drafted the manuscript and designed the figures. SP and AM were involved in planning and supervised the work. SP and AM were in charge of overall direction and planning. All authors provided critical feedback and helped shape the research, analysis, and manuscript preparation. All authors approved the manuscript for submission. The authors declare that all data were generated in-house and that no paper mill was used.

Corresponding author

Correspondence to Shivani Pandey.

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The study was approved by the Institutional Animal Ethics Committee of the King George’s Medical University (KGMU), Lucknow, India (No. 101/IAEC/2018).

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All authors have read and approved the manuscript for submission.

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The authors declare no competing interests.

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Gupta, M., Rumman, M., Singh, B. et al. Berberine ameliorates glucocorticoid-induced hyperglycemia: an in vitro and in vivo study. Naunyn-Schmiedeberg's Arch Pharmacol 397, 1647–1658 (2024). https://doi.org/10.1007/s00210-023-02703-2

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