C Vitamini Desteğinin Diabetes Mellitus ile İlişkili Metabolik Anormallikler Üzerindeki Etkileri

Eksojen antioksidan takviyesinin, diyabetin mikro ve makrovasküler komplikasyonlarına karşı faydalı olabileceği bilinmektedir. Bu çalışmada C vitamini desteğinin, diyabetik ratlarda, kronik hiperglisemiye bağlı olarak bozulan insülin sekresyonu, hiperlipidemi, oksidatif stres ve paraoksonaz-1 enzim (PON1) aktivitesi üzerine etkilerinin araştırılması amaçlanmıştır. Bu amaçla, yirmi dört adet Wistar albino cinsi rat C, DC ve DCC grupları olarak 3 gruba ayrıldı. DC ve DCC grubundaki ratlarda, tek doz streptozotosin enjeksiyonu ile diyabet oluşturuldu (45 mg/kg). C ve DC grubundaki ratlar standart rat yemi (C vitamini içermeyen) ile beslenirken, DCC grubundaki ratlar 200 mg/kg dozunda C vitamini ile desteklenmiş deneysel yemle beslendi. Elde edilen bulgulara göre, C grubundaki ratların sekiz haftalık deney süresinin sonunda diyabetik ratlara göre daha az yem ve su tükettiği görüldü (p

Effects of Vitamin C Supplementation on the Metabolic Abnormalities Associated with Diabetes Mellitus

It is known that exogenous antioxidant supplementation may be beneficial against micro and macrovascular complications of diabetes. This study aimed to investigate the effect of vitamin C supplementation on insulin secretion, hyperlipidemia, oxidative stress and paraoxonase-1 enzyme (PON1) activity which are impaired due to chronic hyperglycemia in diabetic rats. For this purpose, twenty-four Wistar albino rats were divided into 3 groups as group C, DC and DCC. The rats in DC and DCC groups were induced diabetes by single dose streptozotocin injection (45 mg/kg). C and DC groups fed with standard rat diet (vitamin C free), DCC group fed with experimental diet supplemented with vitamin C at a dose of 200 mg/kg. According to the findings, rats in group C consumed less feed and water compared to diabetic rats during 8-weeks experimental period (p

___

  • 1. Asmat U, Abad K and Ismail K. Diabetes mellitus and oxidative stress—A concise review. Saudi Pharm J. 2016; 24:547-553. DOI: 10.1016/j.jsps.2015.03.013
  • 2. Zhang B, Liu S, Zhang L, et al. Admission fasting blood glucose predicts 30-day poor outcome in patients hospitalized for COVID-19 pneumonia. Diabetes Obes Metab. 2020;22:1955-1957. DOI: 10.1111/dom.14132
  • 3. Wang S, Ma P, Zhang S, et al. Fasting blood glucose at admission is an independent predictor for 28-day mortality in patients with COVID-19 without previous diagnosis of diabetes: a multi-centre retrospective study. Diabetologia. 2020;63:2102-2111. DOI: 10.1007/s00125-020-05209-1
  • 4. Ashor AW, Werner AD, Lara J, et al. Effects of vitamin C supplementation on glycaemic control: a systematic review and meta-analysis of randomised controlled trials. Eur J Clın Nutr. 2017;71:1371-1380. DOI: 10.1038/ejcn.2017.24
  • 5. Cengiz M and Cengiz S. Tip 2 diyabetli hastalarda C vitamini uygulamasının eritrosit glutatyon ve HbA1c düzeyleri üzerine etkisi. Cerrahpasa Med J. 2000;31:211-215.
  • 6. Mason SA, Della Gatta PA, Snow RJ, et al. Ascorbic acid supplementation improves skeletal muscle oxidative stress and insulin sensitivity in people with type 2 diabetes: findings of a randomized controlled study. Free Radic Biol Med. 2016;93:227-238. DOI: 10.1016/j.freeradbiomed.2016.01.006
  • 7. Steffner RJ, Wu L, Powers AC, et al. Ascorbic acid recycling by cultured β cells: effects of increased glucose metabolism. Free Radic Biol Med. 2004;37:1612-1621. DOI: 10.1016/j.freeradbiomed.2004.07.032
  • 8. Kaneto H, Kajimoto Y, Miyagawa JI, et al. Beneficial effects of antioxidants in diabetes: possible protection of pancreatic beta-cells against glucose toxicity. Diabetes. 1999;48:2398-2406. DOI: 10.2337/diabetes.48.12.2398
  • 9. Gillani SW, Sulaiman SAS, Abdul MIM, et al. Combined effect of metformin with ascorbic acid versus acetyl salicylic acid on diabetes-related cardiovascular complication; a 12-month single blind multicenter randomized control trial. Cardiovasc Diabetol. 2017;16:103. DOI: 10.1186/s12933-017-0584-9
  • 10. Dai S and McNeill JH. Ascorbic acid supplementation prevents hyperlipidemia and improves myocardial performance in streptozotocin-diabetic rats. Diabetes Res Clin Pract. 1995;27:11-18. DOI: 10.1016/0168-8227(94)01013-P
  • 11. Wilson R, Willis J, Gearry R, et al. Inadequate vitamin C status in prediabetes and type 2 diabetes mellitus: Associations with glycaemic control, obesity, and smoking. Nutrients. 2017;9:997. DOI: 10.3390/nu9090997
  • 12. Harding AH, Wareham NJ, Bingham SA, et al. Plasma vitamin C level, fruit and vegetable consumption, and the risk of new-onset type 2 diabetes mellitus: the European prospective investigation of cancer–Norfolk prospective study. Arch Intern Med. 2008;168:1493-1499. DOI: 10.1001/archinte.168.14.1493
  • 13. Roghani M and Baluchnejadmojarad T. Hypoglycemic and hypolipidemic effect and antioxidant activity of chronic epigallocatechin-gallate in streptozotocin-diabetic rats. Pathophysiology. 2010:17:55-59. DOI: 10.1016/j.pathophys.2009.07.004
  • 14. Zafar M and Naqvi SNUH. Effects of STZ-Induced Diabetes on the Relative Weights of Kidney, Liver and Pancreas in Albino Rats: A Comparative Study. Int J Morphol. 2010;28:135-142. DOI: 10.4067/S0717-95022010000100019.
  • 15.Samarghandian S, Borji A, Delkhosh MB, et al. Safranal treatment improves hyperglycemia, hyperlipidemia and oxidative stress in streptozotocin-induced diabetic rats. J Pharm Pharm. 2013;16:352-362. DOI: 10.18433/j3zs3q
  • 16. Florence NT, Benoit MZ, Jonas K, et al. Antidiabetic and antioxidant effects of Annona muricata (Annonaceae), aqueous extract on streptozotocin-induced diabetic rats. J Ethnopharmacol. 2014;151:784-790. DOI: 10.1016/j.jep.2013.09.021
  • 17. Afkhami-Ardekani M and Shojaoddiny-Ardekani A. Effect of vitamin C on blood glucose, serum lipids & serum insulin in type 2 diabetes patients. Indian J Med Res. 2007;126:471-474.
  • 18. Siavash M and Amini M. Vitamin C may have similar beneficial effects to Gemfibrozil on serum high-density lipoprotein-cholesterol in type 2 diabetic patients. J Res Pharm Pract. 2014;3:77-82. DOI: 10.4103/2279-042X.141075
  • 19. Bhatt JK, Thomas S and Nanjan MJ. Effect of oral supplementation of vitamin C on glycemic control and lipid profile in patients with type 2 diabetes mellitus. Int J Pharm Pharm. 2012;4:524-527.
  • 20. Uslu H. Effect of alpha lipoic acid and vitamin C supplemantation on oxidative stress and lipid profile in diabetic rats induced with streptozotocin. Kafkas University Health Sciences Institute Philosophy Thesis. 2013.
  • 21. Vuppalapati L, Velayudam R, Ahamed KN, et al. The protective effect of dietary flavonoid fraction from Acanthophora spicifera on streptozotocin induced oxidative stress in diabetic rats. Food Science and Human Wellness. 2016;5:57-64. DOI: 10.1016/j.fshw.2016.02.002
  • 22. Hazman Ö and Ovalı S. Investigation of the anti-inflammatory effects of safranal on high-fat diet and multiple low-dose streptozotocin induced type 2 diabetes rat model. Inflammation. 2015;38:1012-1019. DOI: 10.1007/s10753-014-0065-1
  • 23. Chao JCJ, Yuan MD, Chen PY, et al. Vitamin C and E supplements improve the impaired antioxidant status and decrease plasma lipid peroxides in hemodialysis patients. J Nutr Biochem. 2002;13:653-663. DOI: 10.1016/s0955-2863(02)00209-7
  • 24. Santhrani T, Maheswari E and Saraswathy GR. Amelioration of carbamazepine induced oxidative stress and hematotoxicity by vitamin C. Spatula DD. 2012;2:173-180. DOI: 10.5455/spatula.20121003014326
  • 25. Flekač M, Škrha J, Zidkova K, et al. Paraoxonase 1 gene polymorphisms and enzyme activities in diabetes mellitus. Physiol Res. 2008;57:717-726. DOI: 10.33549/physiolres.931285
  • 26. Ferretti G, Bacchetti T, Busni D, et al. Protective effect of paraoxonase activity in high-density lipoproteins against erythrocyte membranes peroxidation: a comparison between healthy subjects and type 1 diabetic patients. J Clin Endocrinol Metab. 2004;89:2957-2962. DOI: 10.1210/jc.2003-031897
  • 27. Tartan Z, Orhan G, Kasıkçioglu H, et al. The role of paraoxonase (PON) enzyme in the extent and severity of the coronary artery disease in type-2 diabetic patients. Heart Vessels. 2007;22:158-164. DOI: 10.1007/s00380-006-0957-6
  • 28. Jarvik GP, Tsai NT, McKinstry LA, et al. Vitamin C and E intake is associated with increased paraoxonase activity. Arterioscler Thromb Vasc Biol. 2002;22:1329-1333. DOI: 10.1161/01.atv.0000027101.40323.3a
  • 29. Ferretti G, Bacchetti T, Masciangelo S, et al. Lipid peroxidation in hemodialysis patients: effect of vitamin C supplementation. Clin Biochem. 2008;41:381-386. DOI: 10.1016/j.clinbiochem.2007.12.011
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi-Cover
  • ISSN: 1309-470X
  • Yayın Aralığı: 4
  • Başlangıç: 2010
  • Yayıncı: ACIBADEM MEHMET ALİ AYDINLAR ÜNİVERSİTESİ
Sayıdaki Diğer Makaleler

Akut Aşil Tendon Onarımında Açık Ve Perkütan Tamir Yöntemlerinin Retrospektif Karşılaştırılması

Mehmet AKDEMİR, Ahmet Cemil TURAN, Ali İhsan KILIÇ

Pediatri Hemşireliği Öğrencilerinin Klinik Rahatlık, Endişe ve Çocuk Sevme Durumlarının Belirlenmesi: İki Farklı Üniversite Örneği

Arzu SARIALİOĞLU, Semra KÖSE

Yozgat Bozok Üniversitesi Çalışanlarının Akılcı İlaç Kullanımına Yönelik Bilgi Tutum ve Davranışlarının Değerlendirilmesi

Serkan ŞAHİN, Ayça ÇAKMAK AYDIN

İlk Halka Arzlarda Düşük Fiyatlama Anomalisi : Borsa İstanbul Sağlık Sektörü Üzerine Bir Uygulama

Mustafa ÖZYEŞİL, Havane TEMBELO

Patella Kırıklarında Gergi Bandı Tekniği: Orta Dönem Radyolojik ve Klinik Sonuçlar

Furkan YAPICI, Volkan GÜR, İzzet Özay SUBAŞI, Reşit KARAKÖSE, Nizamettin KOÇKARA

C Vitamini Desteğinin Diabetes Mellitus ile İlişkili Metabolik Anormallikler Üzerindeki Etkileri

Taha Gökmen ÜLGER, Funda Pınar ÇAKIROĞLU

Açık Kalp Cerrahisi Sonrası Diyabetik ve Diyabetik Olmayan Hastalarda Bilişsel İşlevlerde Fraktalkin, GFAP ve CD163’ün Rolü

Abdullah ÖZER, Arif ÖZBAY, Süreyya BARUN, Aybeniz CİVAN KAHVE, Özlem GÜLBAHAR, Hasan DAĞLI, Seçil İLERİ ÖZKAN, Dilek ERER

Erken evliliğe ilişkin adli değerlendirme gerektiren ergenlerin özellikleri: Klinik tanı ve fiziksel şiddet üzerine tanımlayıcı bir çalışma

Bahadır TURAN, Mahmut ALMBAİDHEEN

COVID-19 Pandemisi Sırasında Kalça Kırığı Olan Geriatrik Hastaların Orta-Uzun Vadeli Ölüm Oranları ve İlişkili Faktörlerin Analizi: Tek Merkezli Prospektif Çalışma

Batuhan GENCER, Özgür DOĞAN

Kişisel Yüz maskesi kullanımının İşitme Hassasiyetine Etkisi

Deniz Özlem TOPDAĞ, Emel UĞUR