Skip to main content
Top
Published in: Journal of Diabetes & Metabolic Disorders 1/2014

Open Access 01-12-2014 | Research article

Effect of Boswellia serrata supplementation on blood lipid, hepatic enzymes and fructosamine levels in type2 diabetic patients

Authors: Akram Ahangarpour, Hamid Heidari, Ramezani Ali Akbari Fatemeh, Mostafa Pakmehr, Hajeye Shahbazian, Iraj Ahmadi, Zahra Mombeini, Babadi Hajani Mehrangiz

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2014

Login to get access

Abstract

Background

Type 2 diabetes is an endocrine disorder that affects a large percentage of patients. High blood glucose causes fatty deposits in the liver which is likely to increase in SGOT and SGPT activities. Significant increase in SGOT/SGPT and low HDL levels is observed in patients with diabetes. Serum fructosamine concentration reflects the degree of blood glucose control in diabetic patients. This study was aimed to investigate the antidiabetic, hypolipidemic and hepatoprotective effects of supplementation of Boswellia serrata in type2 diabetic patients.

Methods

60 type 2 diabetic patients from both sexes (30 males and 30 females) were dedicated to the control and intervention groups (30 subjects per group). Boswellia serrata gum resin in amount of 900 mg daily for 6 weeks were orally administered (as three 300 mg doses) in intervention group and the control group did not receive anything. Blood samples were taken at the beginning of the study and after 6 weeks. Blood levels of fructosamine, lipid profiles as well as hepatic enzyme in type 2 diabetic patients were measured.

Results

Treatment of diabetic patient with Boswellia serrata was caused to significant increase in blood HDL levels as well as a remarkable decrease in cholesterol, LDL, fructosamine (p < 0.05) SGPT and SGOT levels after 6 weeks (p < 0.01). In spite of reduction of serum triglyceride, VLDL levels in intervention group, we did not detect a significant difference after 6 weeks.

Conclusion

This study showed that Boswellia serrata supplementation can be beneficial in controlling blood parameters in patients with type 2 diabetes. Therefore, its use can be useful in patients with medicines.
Literature
1.
go back to reference Tol A, Baghbanian A, Sharifirad G, Shojaeizadeh D, Eslami A, Alhani F, Mohajeri TM: Assessment of diabetic distress and disease related factors in patients with type 2 diabetes in Isfahan: A way to tailor an effective intervention planning in Isfahan-Iran. J Diabetes Metab Disord 2012, 11: 20. 10.1186/2251-6581-11-20CrossRefPubMedPubMedCentral Tol A, Baghbanian A, Sharifirad G, Shojaeizadeh D, Eslami A, Alhani F, Mohajeri TM: Assessment of diabetic distress and disease related factors in patients with type 2 diabetes in Isfahan: A way to tailor an effective intervention planning in Isfahan-Iran. J Diabetes Metab Disord 2012, 11: 20. 10.1186/2251-6581-11-20CrossRefPubMedPubMedCentral
2.
go back to reference Whiting DR, Guariguata L, Weil C, Shaw J: IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract 2011, 94: 311–321. 10.1016/j.diabres.2011.10.029CrossRefPubMed Whiting DR, Guariguata L, Weil C, Shaw J: IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract 2011, 94: 311–321. 10.1016/j.diabres.2011.10.029CrossRefPubMed
3.
go back to reference Chao M, Zou D, Zhang Y, Chen Y, Wang M, Wu H, Ning G, Wang W: Improving insulin resistance with traditional Chinese medicine in type 2 diabetic patients. Endocrine 2009, 36(2):268–274. 10.1007/s12020-009-9222-yCrossRefPubMed Chao M, Zou D, Zhang Y, Chen Y, Wang M, Wu H, Ning G, Wang W: Improving insulin resistance with traditional Chinese medicine in type 2 diabetic patients. Endocrine 2009, 36(2):268–274. 10.1007/s12020-009-9222-yCrossRefPubMed
4.
go back to reference Rodrigues GR, Porawski M, Marcolin E, Kretzmann AN, Falcao Ferraz A, Richter MF: Treatment with Aqueous Extract fromCroton cajucara Benth Reduces Hepatic Oxidative Stress in Streptozotocin-Diabetic Rats. J. Biomed. Biotechnol 2012, 2012: 1–7.CrossRef Rodrigues GR, Porawski M, Marcolin E, Kretzmann AN, Falcao Ferraz A, Richter MF: Treatment with Aqueous Extract fromCroton cajucara Benth Reduces Hepatic Oxidative Stress in Streptozotocin-Diabetic Rats. J. Biomed. Biotechnol 2012, 2012: 1–7.CrossRef
5.
go back to reference Gomez-Perez FJ, Aguilar-Salinas CA, Almeda-Valdes P, Cuevas-Ramos D, Lerman Garber I, Rull JA: HbA1c for the diagnosis of diabetes mellitus in a developing country. Arch Med Res 2010, 41(4):302–308. 10.1016/j.arcmed.2010.05.007CrossRefPubMed Gomez-Perez FJ, Aguilar-Salinas CA, Almeda-Valdes P, Cuevas-Ramos D, Lerman Garber I, Rull JA: HbA1c for the diagnosis of diabetes mellitus in a developing country. Arch Med Res 2010, 41(4):302–308. 10.1016/j.arcmed.2010.05.007CrossRefPubMed
6.
go back to reference Goodarzi M, Ebrahimzadeh I, Rabi A, Saedipoor B, Asghari-J M: Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran. J Diabetes Metab Disord 2012, 11: 10. 10.1186/2251-6581-11-10CrossRefPubMedPubMedCentral Goodarzi M, Ebrahimzadeh I, Rabi A, Saedipoor B, Asghari-J M: Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran. J Diabetes Metab Disord 2012, 11: 10. 10.1186/2251-6581-11-10CrossRefPubMedPubMedCentral
7.
go back to reference Purna Chander A, Raghu Ram Reddy A, Goverdhan P: Hypoglycemic and Antidiabetic Activity of Glochidion velutinum on Streptozotocin-Nicotinamide Induced Type 2 Diabetic Rats. European J Biological Sci (EJBS) 2011, 3: 126–130. Purna Chander A, Raghu Ram Reddy A, Goverdhan P: Hypoglycemic and Antidiabetic Activity of Glochidion velutinum on Streptozotocin-Nicotinamide Induced Type 2 Diabetic Rats. European J Biological Sci (EJBS) 2011, 3: 126–130.
8.
go back to reference Kumar S, Rashmi Kumar D: Evaluation of antidiabetic activity of Euphorbia hirta Linn. in streptozotocin induced induced diabetic mice. Indian J Nat Prod Resour 2010, 1: 200–203. Kumar S, Rashmi Kumar D: Evaluation of antidiabetic activity of Euphorbia hirta Linn. in streptozotocin induced induced diabetic mice. Indian J Nat Prod Resour 2010, 1: 200–203.
9.
go back to reference Behnamrasuli M, Hoseinzadeh H, Ghafarimoghadam G: Empowering effect of Frankincense extract on memory, Tarbiat Moalem University. J Sci 2001, 1: 1–13. Behnamrasuli M, Hoseinzadeh H, Ghafarimoghadam G: Empowering effect of Frankincense extract on memory, Tarbiat Moalem University. J Sci 2001, 1: 1–13.
10.
go back to reference Poeckel D, Werz O: Boswellic acids:biological actions and molecular targets. Curr Med Chem 2006, 13: 3359–3369. 10.2174/092986706779010333CrossRefPubMed Poeckel D, Werz O: Boswellic acids:biological actions and molecular targets. Curr Med Chem 2006, 13: 3359–3369. 10.2174/092986706779010333CrossRefPubMed
11.
go back to reference Singh GB, Atal CK: Pharmacology of an extract of salai guggal ex-Boswellia serrata, a new nonsteroidal anti-inflammatory agent. Agents Actions 1986, 18: 407–412. 10.1007/BF01965005CrossRefPubMed Singh GB, Atal CK: Pharmacology of an extract of salai guggal ex-Boswellia serrata, a new nonsteroidal anti-inflammatory agent. Agents Actions 1986, 18: 407–412. 10.1007/BF01965005CrossRefPubMed
12.
go back to reference Al-Awadi F, Fatania H, Shamte U: The effect of a plants mixture extract on liver gluconeogenesis in streptozocin induced diabetic rats. Diabetes Res 1991, 18: 163–168.PubMed Al-Awadi F, Fatania H, Shamte U: The effect of a plants mixture extract on liver gluconeogenesis in streptozocin induced diabetic rats. Diabetes Res 1991, 18: 163–168.PubMed
13.
go back to reference Kavitha JV, Rosario JF, Chandran J: Anbu Pand Bakkiyanathan, Hypoglycemic and other related effects of Boswellia glabra in alloxaninduced diabetic rats. Indian. J Physiol Pharmacol 2007, 51: 29–39. Kavitha JV, Rosario JF, Chandran J: Anbu Pand Bakkiyanathan, Hypoglycemic and other related effects of Boswellia glabra in alloxaninduced diabetic rats. Indian. J Physiol Pharmacol 2007, 51: 29–39.
14.
go back to reference Hartmann RM, Morgan Martins MI, Tieppo J, Fillmann HS, Marroni NP: Effect of Boswellia serrata on antioxidant status in an experimental model of colitis rats induced by acetic acid. Dig Dis Sci 2012, 57: 2038–2044. 10.1007/s10620-012-2134-3CrossRefPubMed Hartmann RM, Morgan Martins MI, Tieppo J, Fillmann HS, Marroni NP: Effect of Boswellia serrata on antioxidant status in an experimental model of colitis rats induced by acetic acid. Dig Dis Sci 2012, 57: 2038–2044. 10.1007/s10620-012-2134-3CrossRefPubMed
15.
go back to reference Pandey RS, Singh BK, Tripathi YB: Extract of gum resins of Boswellia serrata L. inhibits lipopolysaccharide induced nitric oxide production in rat macrophages along with hypolipidemic property. Indian J Exp Biol 2005, 43: 509–516.PubMed Pandey RS, Singh BK, Tripathi YB: Extract of gum resins of Boswellia serrata L. inhibits lipopolysaccharide induced nitric oxide production in rat macrophages along with hypolipidemic property. Indian J Exp Biol 2005, 43: 509–516.PubMed
16.
go back to reference Ahangarpour A, Ramezani Ali Akbari F, Heidari H, Pakmehr M, Shahbazian H, Ahmadi I, Mombeini Z, Babadi Hajani M: The effect of Boswellia serrata on blood glucose, insulin level and insulin resistance in type 2 diabetic patients. Daneshvar 2013, 103: 1–10. Ahangarpour A, Ramezani Ali Akbari F, Heidari H, Pakmehr M, Shahbazian H, Ahmadi I, Mombeini Z, Babadi Hajani M: The effect of Boswellia serrata on blood glucose, insulin level and insulin resistance in type 2 diabetic patients. Daneshvar 2013, 103: 1–10.
17.
go back to reference Khan A, Mohammad M: Cinnamon Improves Glucose and Lipids of Pepole With Type 2 Diabetes. Diabetes Care 2003, 26: 3215–3218. 10.2337/diacare.26.12.3215CrossRefPubMed Khan A, Mohammad M: Cinnamon Improves Glucose and Lipids of Pepole With Type 2 Diabetes. Diabetes Care 2003, 26: 3215–3218. 10.2337/diacare.26.12.3215CrossRefPubMed
18.
go back to reference Khadem Haghighian H, Farsad Naimi A, Pourghassem Gargari B, Ali-Asgharzadeh A, Nemati A: Effect of cinnamon supplementation on blood glucose and lipid levels in type2 diabetic patients. Journal of Paramedical Sciences (JPS) 2011, 2: 1–6. Khadem Haghighian H, Farsad Naimi A, Pourghassem Gargari B, Ali-Asgharzadeh A, Nemati A: Effect of cinnamon supplementation on blood glucose and lipid levels in type2 diabetic patients. Journal of Paramedical Sciences (JPS) 2011, 2: 1–6.
19.
go back to reference Russell-jones D, Cuddihy RM, Hanefeld M, Kumar A, Gonzalez JG, Chan M, Wolka AM, Marilyn K: Efficacy and Safety of Exenatide Once Weekly Versus Metformin, Pioglitazone and Sitagliptin Used asMonotherapy in Drug-Naive PatientsWith Type 2 Diabetes (DURATION-4). Diabetes Care 2012, 35: 252–258. 10.2337/dc11-1107CrossRefPubMedPubMedCentral Russell-jones D, Cuddihy RM, Hanefeld M, Kumar A, Gonzalez JG, Chan M, Wolka AM, Marilyn K: Efficacy and Safety of Exenatide Once Weekly Versus Metformin, Pioglitazone and Sitagliptin Used asMonotherapy in Drug-Naive PatientsWith Type 2 Diabetes (DURATION-4). Diabetes Care 2012, 35: 252–258. 10.2337/dc11-1107CrossRefPubMedPubMedCentral
20.
go back to reference Mohamed-A O, Moneim-A A, Yazid-I A, Mahmoud-A M: Antihyperglycemic, Antihyperlipidemic and Antioxidant effects and the probable mechanisms of action of Ruta Graveolens Infusion and Rutin in Nicotinamide-Streptozotocin Induced Diabetic Rats. Diabetol Croat 2010, 39(1):15–35. Mohamed-A O, Moneim-A A, Yazid-I A, Mahmoud-A M: Antihyperglycemic, Antihyperlipidemic and Antioxidant effects and the probable mechanisms of action of Ruta Graveolens Infusion and Rutin in Nicotinamide-Streptozotocin Induced Diabetic Rats. Diabetol Croat 2010, 39(1):15–35.
21.
go back to reference Donnelly JG: Carbohydrates and alterations in lucose metabolism. In Clinical chemistry (principles, procedures, correlations). Edited by: Bishop ML, Fody EP. Philadelphia: Lippincott; 1996:308–309. Donnelly JG: Carbohydrates and alterations in lucose metabolism. In Clinical chemistry (principles, procedures, correlations). Edited by: Bishop ML, Fody EP. Philadelphia: Lippincott; 1996:308–309.
22.
go back to reference Elgawish A, Glomb M, Freelander M, Monnier VM: Involvement of hydrogen peroxide in collagen cross-linking by high glucose in vitro and in vivo. J Biol Chem 1996, 271: 12964–12971. 10.1074/jbc.271.22.12964CrossRefPubMed Elgawish A, Glomb M, Freelander M, Monnier VM: Involvement of hydrogen peroxide in collagen cross-linking by high glucose in vitro and in vivo. J Biol Chem 1996, 271: 12964–12971. 10.1074/jbc.271.22.12964CrossRefPubMed
23.
go back to reference Ramzi AM, Lindequist U, Gruenert R, Bednarski PJ: Studies of the in vitro anticancer, antimicrobial and antioxidant potentials of selected Yemeni medicinal plants from the island Soqotra. BMC Complement Altern Med 2009, 9: 7–11. 10.1186/1472-6882-9-7CrossRef Ramzi AM, Lindequist U, Gruenert R, Bednarski PJ: Studies of the in vitro anticancer, antimicrobial and antioxidant potentials of selected Yemeni medicinal plants from the island Soqotra. BMC Complement Altern Med 2009, 9: 7–11. 10.1186/1472-6882-9-7CrossRef
24.
go back to reference Mothana RAA: Anti-inflammatory, antinociceptive and antioxidant activities of the endemic Soqotraen Boswellia elongata Balf. f. and Jatropha unicostata Balf. in different experimental models. Food Chem Toxicol 2011, 49: 2594–2599. 10.1016/j.fct.2011.06.079CrossRefPubMed Mothana RAA: Anti-inflammatory, antinociceptive and antioxidant activities of the endemic Soqotraen Boswellia elongata Balf. f. and Jatropha unicostata Balf. in different experimental models. Food Chem Toxicol 2011, 49: 2594–2599. 10.1016/j.fct.2011.06.079CrossRefPubMed
25.
go back to reference Safayhi H, Mack T, Ammon HP: Protection by boswellic acids against galactosamine/endotoxin-induced hepatitis in mice. Biochem Pharmacol 1991, 41: 1536–1537. 10.1016/0006-2952(91)90575-PCrossRefPubMed Safayhi H, Mack T, Ammon HP: Protection by boswellic acids against galactosamine/endotoxin-induced hepatitis in mice. Biochem Pharmacol 1991, 41: 1536–1537. 10.1016/0006-2952(91)90575-PCrossRefPubMed
26.
go back to reference Jyothi Y, Jagadish VK, Asad M: Effect of hexane extract of boswellia serrata oleo-gum resin on cheically induced liver damage. Pak J Pharm Sci 2006, 19: 125–129. Jyothi Y, Jagadish VK, Asad M: Effect of hexane extract of boswellia serrata oleo-gum resin on cheically induced liver damage. Pak J Pharm Sci 2006, 19: 125–129.
27.
go back to reference Majano PL, Medina J, Zubia I, Sunyer L, Lara-Pezzi E, Maldonado-Rodriguez A, Lopez-Cabrera M, Moreno OR: N-Acetyl-cysteine modulates inducible nitric oxide synthase gene expression in human hepatocytes. J Hepatol 2004, 40: 632–637. 10.1016/j.jhep.2003.12.009CrossRefPubMed Majano PL, Medina J, Zubia I, Sunyer L, Lara-Pezzi E, Maldonado-Rodriguez A, Lopez-Cabrera M, Moreno OR: N-Acetyl-cysteine modulates inducible nitric oxide synthase gene expression in human hepatocytes. J Hepatol 2004, 40: 632–637. 10.1016/j.jhep.2003.12.009CrossRefPubMed
28.
go back to reference Shirwaikar A, Rajendran K, Dinesh Kumar C, Bodla R: Antidiabetic activity of aqueous leaf extract of Annona squamosa in streptozotocin–nicotinamide type 2 diabetic rats. J Ethnopharmacol 2004, 91: 171–175. 10.1016/j.jep.2003.12.017CrossRefPubMed Shirwaikar A, Rajendran K, Dinesh Kumar C, Bodla R: Antidiabetic activity of aqueous leaf extract of Annona squamosa in streptozotocin–nicotinamide type 2 diabetic rats. J Ethnopharmacol 2004, 91: 171–175. 10.1016/j.jep.2003.12.017CrossRefPubMed
Metadata
Title
Effect of Boswellia serrata supplementation on blood lipid, hepatic enzymes and fructosamine levels in type2 diabetic patients
Authors
Akram Ahangarpour
Hamid Heidari
Ramezani Ali Akbari Fatemeh
Mostafa Pakmehr
Hajeye Shahbazian
Iraj Ahmadi
Zahra Mombeini
Babadi Hajani Mehrangiz
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Diabetes & Metabolic Disorders / Issue 1/2014
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1186/2251-6581-13-29

Other articles of this Issue 1/2014

Journal of Diabetes & Metabolic Disorders 1/2014 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine