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Pharmaceutical Sciences
Scopus
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Abstract: |
Background: Metabolic syndrome (MS) is characterized by sustained hyperglycemia that
triggers advanced glycation end products (AGEs) generation. Alagebrium (ALA) is an advanced
glycation end products (AGEs) cross-links breaker.
Methods: 32 Wistar rats were divided into normal control (NC) group (8 rats) and MS groups
(24 rats) received a high carbohydrate high fat diet (HCFD) for 10 weeks. Rats with established
MS were equally divided into 3 subgroups remained on HCFD for further 6 weeks: MS control
(MSC), ALA treated received 10 mg/kg/day ALA orally and metformin treated (MF) (a reference
drug) received 50 mg/kg/day MF orally. The studied parameters were systolic blood pressure
(SBP), body and liver weights (BW, LW), LW/BW% ratio, fasting blood glucose (FBG), serum
insulin, lipid profile, liver enzymes, serum AGEs, hepatic Interleukin-17 (IL-17), adipokines,
pAkt/Akt ratio, and liver histopathology.
Results: HCFD elevated SBP, BW, LW and LW/BW% ratio, FBG, serum insulin, and AGEs. It
also deteriorated lipid profile and liver enzymes, induced inflammation, insulin resistance and
histopathological derangements. ALA ameliorated the elevated SBP, FBG, lipid profile, liver
enzymes, mitigated insulin resistance, hepatic IL-17, serum AGEs, modulated adipokines levels
and improved liver histopathology. However, MF had better effects than ALA in all studied
parameters except AGEs.
Conclusion: ALA is protective against dietary-induced MS via ameliorating the inflammatory
process and serum AGEs that implicated in MS pathogenesis, which makes it a promising new
tool in MS treatment.
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