Abstract
The present study was designed to examine the role of taurine (TAU) on the actions of the oral hypoglycemic drug metformin (MET) against diabetes-induced metabolic and oxidative changes influencing renal function. The experiments were carried out with male Sprague-Dawley rats, 225–250 g, assigned to groups of 6. Diabetes was induced with streptozotocin, 60 mg/kg i.p, in 10 mM citrate buffer pH 4.5. After 14 days, separate groups of diabetic rats received MET, 2.4 mM/kg/day p.o., TAU, 2.4 mM/kg/day p.o., MET plus TAU, or insulin (INS), 4 U/kg/day s.c.. The treatments were daily, starting from day 15, and continued for an additional 41 days. Normal rats and untreated diabetic rats served as controls. The animals had free access to a standard rat chow and tap water throughout the study. A 24 h urine sample was collected starting on day 56. Blood and kidney samples were collected on day 57 and used to isolate plasma and prepare kidney homogenates, respectively, for biochemical testing. Diabetic rats were hyperglycemic, hypoinsulinemic and dyslipidemic, showed proteinuria, hypernatremia, hyperkalemia, and plasma and renal oxidative stress, and, relative to normal rats, exhibited higher levels of blood HbA1c and of plasma TGF-β1, creatinine and urea nitrogen. All the treatments were found highly protective against these changes, with INS appearing more potent than MET, TAU or MET-TAU except for the intracellular redox status. MET was more effective than TAU in reducing glucose-related metabolic changes and proteinuria, less in controlling hypertriglyceridemia and in preserving antioxidant enzymes, and about equipotent against the other changes. Supplementing MET with TAU enhanced the actions of MET to different extents. Overall, this study finds that MET and TAU can offer the same pattern of protection as INS against diabetes-related metabolic and biochemical changes relevant to renal function, and that TAU can enhance the protective actions of MET on diabetes–related renal biochemical and functional alterations.
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Abbreviations
- INS:
-
Insulin
- MET:
-
Metformin
- STZ:
-
Streptozotocin
- TAU:
-
Taurine
References
Acharya M, Lau-Cam CA (2010) Comparison of the protective actions of N- acetylcysteine, hypotaurine and taurine against acetaminophen-induced hepatotoxicity in the rat. J Biomed Sci 17(Suppl 1):S35
Al-ajlan AT (2010) Hyperkalemia a therapeutic challenge for physicians treating patients of type 1 and type 2 diabetes mellitus in Saudi Arabia. Open Conf Proc J 1:188–191
Al-Rubeaan K, Siddiqui K, Abu Risheh K, Hamsirani R, Alzekri A et al (2011) Correlation between serum electrolytes and fasting glucose and Hb1Ac in Saudi diabetic patients. Biol Trace Elem Res 144:463–468
Alhaider AA, Korashy HM, Sayed-Ahmed MM, Mobark M, Kfoury H, Mansour MA (2011) Metformin attenuates streptozotocin-induced diabetic nephropathy in rats through modulation of oxidative stress genes expression. Chem Biol Interact 192:233–242
Anurag P, Anuradha CV (2002) Metformin improves lipid metabolism and attenuates lipid peroxidation in high fructose-fed rats. Diabetes Obes Metab 4:36–42
Aruoma OI, Halliwell B, Hoey BM, Butler J (1988) The antioxidant action of taurine, hypotaurine and their metabolic precursors. Biochem J 256:251–255
Baxi DB, Singh PK, Doshi AA, Arya S, Mukherjee R, Ramachandran AV (2010) Medicago sativa leaf extract supplementation corrects diabetes induced dyslipidemia, oxidative stress and hepatic renal functions and exerts antihyperglycaemic action as effective as metformin. Ann Biol Res 1:107–119
Bellin C, de Wiza DH, Wiernsperger NF, Rösen P (2006) Generation of reactive oxygen species by endothelial and smooth muscle cells: influence of hyperglycemia and metformin. Horm Metab Res 38:732–739
Bojesting M, Amqvist HJ, Hermansson G, Karlberg BE, Ludvigsson J (1994) Declining incidence of nephropathy in insulin-dependent diabetes mellitus. N Engl J Med 330:15–18
Bonnefont-Rousselot D, Raji B, Walran S, Gardès-Albert M, Jore A et al (2003) An intracellular modulation of free radical production could contribute to the beneficial effects of metformin towards oxidative stress. Metab Clin Exp 52:586–589
Budhram R, Pandya KG, Lau-Cam CA (2013) Protection by taurine and thiotaurine against biochemical and cellular alterations induced by diabetes in a rat model. Adv Exp Med Biol 775:321–343
Buege JA, Aust SD (1978) Microsomal lipid peroxidation. Methods Enzymol 52:302–310
Caramori ML, Mauer M (2003) Diabetes and nephropathy. Curr Opin Nephrol Hypertens 12:273–282
Caramori ML, Fioretto P, Mauer M (2003) Low glomerular filtration rate in normoalbuminuric type 1 diabetic patients: an indicator of more advanced glomerular lesions. Diabetes 52:1036–1040
Carlsen SM, Rossvoll O, Bjerve KS, Følling I (1996) Metformin improves blood lipid pattern in nondiabetic patients with coronary heart disease. J Intern Med 239:227–233
Chen SW, Chen YX, Shi J, Lin Y, Xie WF (2006) The restorative effect of taurine on experimental nonalcoholic steatohepatitis. Dig Dis Sci 51:2225–2234
Choi MJ, Kim JH, Chang KJ (2006) The effect of dietary taurine supplementation on plasma and liver lipid concentrations and free amino acids concentrations in rats fed a high-cholesterol diet. Adv Exp Med Biol 583:235–242
Correia S, Carvalho C, Santos MS, Proença T, Nunes E, Duarte AI, Monteiro P, Seiça R, Oliveira CR, Moreira PI (2008) Metformin protects the brain against the oxidative imbalance promoted by type 2 diabetes. Med Chem 4:358–364
Dabla PK (2010) Renal function in diabetic nephropathy. World J Diabetes 1:48–56
Derosa G, Sibilla S (2007) Optimizing combination treatment in the management of type 2 diabetes. Vasc Health Risk Manag 3:665–671
Davidson MB, Peters AL (1997) An overview of metformin in the treatment of type 2 diabetes mellitus. Am J Med 102:99–110
DeFronzo RA, Barzilai N, Simonson DC (1991) Mechanism of metformin action in obese and lean noninsulin-dependent diabetic subjects. J Clin Endocrinol Metab 73:1294–1301
Dronavalli S, Duka I, Bakris GI (2008) The pathogenesis of diabetic nephropathy. Nat Clin Pract Endocrinol Metab 4:444–452
Erejuwa OO, Sulaiman SA, Wahab MSA, Salam SKN, Salleh MSM (2011) Comparison of antioxidant effects of honey, glibenclamide, metformin, and their combinations in the kidneys of streptozotocin-induced diabetic rats. Int J Mol Sci 12:829–843
Esteghamali A, Eskandari D, Mirmiranpour H, Noshad S, Mousavizadeh M et al (2013) Effects of metformin on markers of oxidative stress and antioxidant reserve in patients with newly diagnosed type 2 diabetes: a randomized clinical trial. Clin Nutr 32:179–185
Fioretto P, Mauer M (2007) Histopathology of diabetic nephropathy. Semin Nephrol 27:195–207
Forbes JM, Coughlan MT, Cooper ME (2008) Oxidative stress as a major culprit in kidney disease in diabetes. Diabetes 57:1446–1454
Fukuda N, Yoshitama A, Sugita S, Murakami S (2011) Dietary taurine reduces hepatic secretion of cholesteryl esters and enhances fatty acid oxidation in rats fed a high-cholesterol diet. J Nutr Sci Vitaminol (Tokyo) 57:144–149
Fullerton MD, Galic S, Marcinko K, Sikkema S, Pulinilkunnil T, Chen ZP, O’Neill HM, Ford RJ, Palanivel R, O’Brien M, Hardie DG, Macaulay SL, Dyck JR, van Denderen BJ, Kemp BE, Steinberg GR (2013) Single phosphorylation sites in Acc1 and Acc2 regulate lipid homeostasis and the insulin-sensitizing effects of metformin. Nat Med 19:1649–1654
Gandhi VM, Cherian KM, Mulky MJ (1992) Hypolipidemic action of taurine in rats. Indian J Exp Biol 30:413–417
Goodman HO, Shihabi ZK (1990) Supplemental taurine in diabetic rats: effects on plasma glucose and triglycerides. Biochem Med Metab Biol 43:1–9
Guntherberg H, Rost J (1966) The true oxidized glutathione content of red blood cells obtained by new enzyme and paper chromatographic methods. Anal Biochem 15:205–210
Ha H, Hwang IA, Park JH, Lee HB (2008) Role of reactive oxygen species in the pathogenesis of diabetic nephropathy. Diabetes Res Clin Pract 82(Suppl 1):S42–S45
Hall-Craggs M, Brenner DE, Vigorito RD, Sutherland JC (1982) Acute renal failure and renal tubular squamous metaplasia following treatment with streptozotocin. Human Pathol 13:597–601
Haneda M, Kikkawa R, Sugimoto T, Koya D, Araki S et al (1995) Abnormalities in protein kinase C and MAP kinase cascade in mesangial cells cultured under high glucose conditions. J Diabetes Complications 4:246–248
He L, Sabet A, Djedjos S, Miller R, Sun X et al (2009) Metformin and insulin suppress hepatic gluconeogenesis by inhibiting cAMP signaling through phosphorylation of CREB binding protein (CBP). Cell 137:636–646
Hissin PJ, Hilf R (1976) A fluorometric method for determination of oxidized and reduced glutathione in tissues. Anal Biochem 74:214–226
Hou J, Chong ZZ, Shang YC, Maiese K (2010) FOXO3a governs early and late apoptotic endothelial programs during elevated glucose through mitochondrial and caspase signaling. Mol Cell Endocrinol 321:194–206
Iglesias P, Díez JJ (2008) Insulin therapy in renal disease. Diabetes Obes Metab 10:811–823
Ismail N, Becker B, Strzelczyk P, Ritz E (1999) Renal disease and hypertension in non-insulin-dependent diabetes mellitus. Kidney Int 55:1–28
Ito T, Schaffer SW, Azuma J (2012) The potential usefulness of taurine on diabetes mellitus and its complications. Amino Acids 42:1529–1539
Kashihara N, Haruna Y, Kondeti VK, Kanwai YS (2010) Oxidative stress in diabetic nephropathy. Curr Med Chem 17:4256–4269
Kim KS, Oh DH, Kim JY, Lee BG, You JS et al (2012) Taurine ameliorates hyperglycemia and dyslipidemia by reducing insulin resistance and leptin level in Otsuka Long-Evans Tokushima fatty (OLEFT) rats with long term diabetes. Exp Mol Med 44:665–673
King GL, Loeken MR (2004) Hyperglycemia-induced oxidative stress in diabetic complications. Histochem Cell Biol 122:333–338
Koh JH, Lee ES, Hyun M, Kim HM, Choi YJ et al (2014) Taurine alleviates the progression of diabetic nephropathy in type 2 diabetic rat model. Int J Endocrinol 2014:397307. doi:10.1155/2014/397307
Kopp JB, Factor VM, Mozes M, Nagy P, Sanderson N, Böttinger EP, Klotman PE, Thorgeirsson SS (1996) Transgenic mice with increased plasma levels of TGF-beta 1 develop progressive renal disease. Lab Invest 74:991–1003
Koren-Kluzer M, Aviram M, Hayek T (2013) Metformin inhibits macrophage cholesterol biosynthesis rate: possible role for metformin-induced oxidative stress. Biochem Biophys Res Commun 439:396–400
Kulakowski EC, Maturo J (1984) Hypoglycemic properties of taurine: not mediated by enhanced insulin release. Biochem Pharmacol 33:2835–2838
Lee AYW, Chung SSM (1999) Contribution of the polyol pathway to oxidative stress in diabetic cataract. FASEB J 13:23–30
Lee EA, Seo JY, Jiang ZA, Yu MR, Kwon MK et al (2005) Reactive oxygen species mediate high glucose-induced plasminogen activator inhibitor-1 upregulation in mesangial cells and in diabetic kidney. Kidney Int 67:1762–1771
Lee HB, Yu MR, Yang Y, Jiang Z, Ha H (2003) Reactive oxygen species- regulated signaling pathways in diabetic nephropathy. J Am Soc Nephrol 14(8 Suppl 3):S241–S245
Meyer C, Stumvoli M, Nadkarni V, Dostou J, Mitrakou A, Gerich J (1998) Abnormal renal and hepatic glucose metabolism in type 2 diabetes mellitus. J Clin Invest 102:619–624
Mikami N, Hosokawa M, Miyashita K (2012) Dietary combination of fish oil and taurine decreases fat accumulation and ameliorates blood glucose levels in type 2 diabetic/obese KK-Aγ mice. J Food Sci 77:H114–H120
Militante JD, Lombardini JB (2004) Dietary taurine supplementation: hypolipidemic and antiatherogenic effects. Nutr Res 24:787–801
Mitrakou A (2011) Kidney: its impact on glucose homeostasis and hormonal regulation. Diabetes Res Clin Pract 93(Suppl 1):S66–S72
Miyazaki T, Karube M, Matsuzaki Y, Ikegami T, Doy M et al (2005) Taurine inhibits oxidative damage and prevents fibrosis in carbon tetrachloride- induced hepatic fibrosis. J Hepatol 43:117–125
Mochizuki H, Oda H, Yokogoshi HH (1998) Increasing effect of dietary taurine on the serum HDL-cholesterol concentration in rats. Biosci Biotechnol Biochem 62:578–579
Mota E, Panduru MN, Popa SG, Mota M (2009) Risk factors for diabetic nephropathy: intrinsic or extrinsic renal? Rom J Intern Med 47:397–401
Murakami S, Kondo Y, Toda Y, Kitajima H, Kameo K et al (2002) Effect of taurine on cholesterol metabolism in hamsters: up-regulation of low density lipoprotein (LDL) receptor by taurine. Life Sci 70:2355–2366
Murakami S, Kondo-Ohta Y, Tomisawa K (1999) Improvement in cholesterol metabolism in mice given chronic treatment of taurine and fed a high-fat diet. Life Sci 64:83–91
Murakami S, Sakurai T, Tomoike H (2010) Prevention of hypercholesterolemia and atherosclerosis in the hyperlipidemia- and atherosclerosis-prone Japanese (LAP) quail by taurine supplementation. Amino Acids 38:271–278
Nandhini AT, Balakrishnan SD, Anuradha CV (2002) Taurine improves lipid profile in rats fed a high fructose-diet. Nutr Res 22:343–354
Ogawa H (1996) Effect of dietary taurine on lipid metabolism in normocholesterolemic and hypercholesterolemic stroke-prone spontaneously hypertensive rats. Adv Exp Med Biol 403:107–115
Oprescu AI, Bikopoulos G, Naassan A, Allister EM, Tang C, Park E, Uchino H, Lewis GF, Fantus IG, Rozakis-Adcock M, Wheeler MB, Giacca A (2007) Free fatty acid-induced reduction in glucose-stimulated insulin secretion: evidence for a role of oxidative stress in vitro and in vivo. Diabetes 56:2927–2937
Palm F, Ortsäter H, Hansell P, Liss P, Carlsson PO (2004) Differentiating between effects of streptozotocin per se and subsequent hyperglycemia on renal function and metabolism in the streptozotocin-diabetic rat model. Diabetes Metab Res Rev 20:452–459
Pandya KG, Budhram R, Clark G, Lau-Cam CA (2013) Comparative evaluation of taurine and thiotaurine as protectants against diabetes-induced nephropathy in a rat model. Adv Exp Med Biol 775:371–394
Park T, Lee K (1998) Dietary taurine supplementation reduces plasma and liver cholesterol and triglyceride levels in rats fed a high-cholesterol or a cholesterol-free diet. Adv Exp Med Biol 442:319–325
Piña-Zentella G, de la Rosa-Cuevas G, Vázquez-Meza H, Piña E, de Piña MZ (2012) Taurine in adipocytes prevents insulin-mediated H2O2 generation and activates Pka and lipolysis. Amino Acids 42:1927–1935
Pscherer S, Freude T, Forst T, Nussler AK, Braun KF, Ehnert S (2013) Anti- diabetic treatment regulates pro-fibrotic TGF-β serum levels in type 2 diabetics. Diabetol Metab Syndr 5:48–53
Pushpakiran G, Mahalakshmi K, Anuradha CV (2004) Protective effects of taurine on glutathione and glutathione-dependent enzymes in ethanol-fed rats. Pharmazie 59:869–872
Raabo E, Terkildsen TC (1960) On the enzymatic determination of blood glucose. Scand J Clin Lab Invest 12:402–407
Rao GM (1992) Serum electrolytes and osmolality in diabetes mellitus. Indian J Med Sci 46:301–303
Riser BL, Ladson-Wolfford S, Sharba A, Cortes P, Drake K et al (1999) TGF-β receptor expression and binding in rat mesangial cells: modulation by glucose and cyclic mechanical strain. Kidney Int 56:429–439
Rosario RF, Prabhakar S (2006) Lipids and diabetic nephropathy. Curr Diabetes Rep 6:455–462
Saleh AAS (2012) Effects of taurine and/or ginseng and their mixture on lipid profile and some parameters indicative of myocardial status in streptozotocin- diabetic rats. J Basic Appl Zool 65:267–273
Schultz Johansen J, Harris AK, Rychly DJ, Ergul A (2005) Oxidative stress and the use of antioxidants in diabetes: linking basic science to clinical practice. Cardiovasc Diabetol 4:5
Shahid SM, Rafique R, Mahboob T (2005) Electrolytes and sodium transport mechanism in diabetes mellitus. Pak J Pharm Sci 18:6–10
Stanton RC (2011) Oxidative stress and diabetic kidney disease. Curr Diabetes Rep 11:330–336
Tan ALY, Forbes JM, Cooper ME (2007) AGE, RAGE, and ROS in diabetic nephropathy. Semin Nephrol 27:130–143
Taziki S, Sattari MR, Eghba MA (2013) Mechanisms of trazodone-induced cytotoxicity and the protective effects of melatonin and/or taurine toward freshly isolated rat hepatocytes. J Biochem Mol Toxicol 27:457–462
Thomas MC, Rosengärd-Bärlund M, Mills V, Rönbanback M, Thomas S et al (2006) Serum lipids and the progression of nephropathy in type 1 diabetes. Diabetes Care 29:317–322
Thorn LM, Forsblom C, Fagerudd J et al (2005) Metabolic syndrome in type 1 diabetes. Association with diabetic nephropathy and glycemic control (the FinnDiane Study). Diabetes Care 28:2019–2024
Tokunaga H, Yoneda Y, Kuriyama K (1983) Streptozotocin-induced elevation of pancreatic taurine content and suppressive effect of taurine on insulin secretion. Eur J Pharmacol 87:237–243
Trachtman H, Futterweit S, Maesaka J, Ma C, Valderrama E, Fuchs A, Tarectecan AA, Rao PS, Sturman JA, Boles TH, Baynes J (1995) Taurine ameliorates chronic streptozocin-induced diabetic nephropathy in rats. Am J Physiol 269(3 Pt 2):F429–438
U.S. Renal Data System (2013) CKD in the general population. In: USRDS 2013 annual data report. Atlas of chronic kidney disease and end-stage renal disease in the United States, vol 1 and 2, Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases
Wang LJ, Yu YH, Zhang LG, Wang Y, Niu N, Li Q, Guo LM (2008) Taurine rescues vascular endothelial dysfunction in streptozocin-induced diabetic rats: correlated with downregulation of LOX-1 and ICAM-1 expression on aortas. Eur J Pharmacol 597:75–80
Wang S, Hou X, Liu Y, Lu H, Wei L, Bao Y, Jia W (2013) Serum electrolyte levels in relation to macrovascular complications in Chinese patients with diabetes mellitus. Cardiovasc Diabetol 12:146–153
Więcek A, Chudek J, Kokor F (2003) Role of angiotensin II in the progression of diabetic nephropathy-therapeutic implications. Nephrol Dial Transplant 18(Suppl 5):v16–v20
Winiarska K, Szymanski K, Gorniak P, Dudziak M, Bryla J (2009) Hypoglycaemic, antioxidative and nephroprotective effects of taurine in alloxan diabetic rabbits. Biochimie 91:261–270
Wollenberger A, Ristau O, Schoffa G (1960) Eine einfache Technik der extreme schnellen Abkühlung gröszerer Gewebestücke. Pflügers Arch ges Physiol 170:399–412
Wuffelé MG, Kooy A, de Zeeuw D, Stehouwer CD, Gansevoort RT (2004) The effect of metformin on blood pressure, plasma cholesterol and triglycerides in type 2 diabetes mellitus: a systematic review. J Intern Med 256:1–14
Yanagita T, Han S-Y, Hu Y, Nagao K, Kitajima H, Murakami S (2008) Taurine reduces the secretion of apolipoprotein B100 and lipids in HepG2 cells. Lipids Health Dis 7:38
Yener S, Comiekci A, Akinci B, Akan P, Demir T, Bayraktar F, Yesil S (2008) Serum transforming growth factor-β 1 levels in normoalbuminuric and normotensive patients with type 2 diabetes. Effect of metformin and rosiglitazone. Hormones (Athens) 7:70–78
Yokogoshi H, Mochizuki H, Nanami K, Hida Y, Miyachi F, Oda H (1999) Dietary taurine enhances cholesterol degradation and reduces serum and liver cholesterol concentrations in rats fed a high-cholesterol diet. J Nutr 129:1705–1712
Zhang T, He J, Xu C, Zu L, Jiang H, Pu S, Guo X, Xu G (2009) Mechanisms of metformin inhibiting lipolytic response to isoproterenol in primary rat adipocytes. J Mol Endocrinol 42:57–66
Zhou G, Myers R, Li Y, Chen Y, Sen X, Fenyk-Melody J, Wu M et al (2001) Role of AMP-activated protein kinase in mechanism of metformin action. J Clin Invest 108:1167–1174
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Pandya, K.G., Budhram, R., Clark, G.J., Lau-Cam, C.A. (2015). Taurine Can Enhance the Protective Actions of Metformin Against Diabetes-Induced Alterations Adversely Affecting Renal Function. In: Marcinkiewicz, J., Schaffer, S. (eds) Taurine 9. Advances in Experimental Medicine and Biology, vol 803. Springer, Cham. https://doi.org/10.1007/978-3-319-15126-7_20
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