Skip to main content
Top
Published in: European Journal of Nutrition 2/2021

01-03-2021 | Insulins | Original Contribution

Hesperidin ameliorates signs of the metabolic syndrome and cardiac dysfunction via IRS/Akt/GLUT4 signaling pathway in a rat model of diet-induced metabolic syndrome

Authors: Patoomporn Prasatthong, Sariya Meephat, Siwayu Rattanakanokchai, Sarawoot Bunbupha, Parichat Prachaney, Putcharawipa Maneesai, Poungrat Pakdeechote

Published in: European Journal of Nutrition | Issue 2/2021

Login to get access

Abstract

Background

Hesperidin has been reported to have biological activities such as antihypertensive, hypoglycemic, and antioxidant effects. This study investigated whether hesperidin could improve signs of the metabolic syndrome and cardiac function in a high-fat diet (HFD) induced metabolic syndrome (MS) in rats.

Methods

Male Sprague–Dawley rats were fed HFD and 15% fructose for 16 weeks and treated with hesperidin (15 or 30 mg/kg, based on signs of MS from a preliminary study) or metformin, a positive control agent, (100 mg/kg) for the final four weeks. Cardiac function, blood pressure, fasting blood glucose, oral glucose tolerance, serum insulin, and lipid profiles were measured. Histomorphometrics of left ventricles, epidydimal fat pads and liver were evaluated. Expressions of phosphorylate insulin receptor substrate1(p-IRS1), p-Akt and GLUT4 in cardiac tissue were determined.

Results

Hesperidin and metformin attenuated MS in HFD rats (p < 0.05). The accumulation of visceral fat pads and fatty liver associated with increases in liver lipid contents and liver enzymes were found in MS rats that were alleviated in hesperidin or metformin-treated groups (p < 0.05). Hesperidin and metformin improved cardiac dysfunction and hypertrophy observed in MS rats (p < 0.05). Restoration of the insulin signaling pathway, IRS/Akt/GLUT4 protein expression, was demonstrated in hesperidin and metformin-treated groups (p < 0.05). Hesperidin (30 mg/kg) was more effective than the lower dose.

Conclusion

Hesperidin was effective in reducing signs of MS and alterations of LV hypertrophy and function. These beneficial effects on the heart were associated with the restoration of the cardiac insulin signaling pathway in MS rats.
Appendix
Available only for authorised users
Literature
1.
go back to reference Alberti KG, Zimmet PZ (1998) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diab Med J Br Diab Assoc 15(7):539–553. doi:10.1002/(sici)1096-9136(199807)15:7%3c539::aid-dia668%3e3.0.co;2-s Alberti KG, Zimmet PZ (1998) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diab Med J Br Diab Assoc 15(7):539–553. doi:10.1002/(sici)1096-9136(199807)15:7%3c539::aid-dia668%3e3.0.co;2-s
7.
go back to reference Ouwens DM, Diamant M, Fodor M, Habets DDJ, Pelsers M, El Hasnaoui M, Dang ZC, van den Brom CE, Vlasblom R, Rietdijk A, Boer C, Coort SLM, Glatz JFC, Luiken J (2007) Cardiac contractile dysfunction in insulin-resistant rats fed a high-fat diet is associated with elevated CD36-mediated fatty acid uptake and esterification. Diabetologia 50(9):1938–1948. https://doi.org/10.1007/s00125-007-0735-8CrossRefPubMedCentralPubMed Ouwens DM, Diamant M, Fodor M, Habets DDJ, Pelsers M, El Hasnaoui M, Dang ZC, van den Brom CE, Vlasblom R, Rietdijk A, Boer C, Coort SLM, Glatz JFC, Luiken J (2007) Cardiac contractile dysfunction in insulin-resistant rats fed a high-fat diet is associated with elevated CD36-mediated fatty acid uptake and esterification. Diabetologia 50(9):1938–1948. https://​doi.​org/​10.​1007/​s00125-007-0735-8CrossRefPubMedCentralPubMed
10.
go back to reference Corsale I, Carrieri P, Martellucci J, Piccolomini A, Verre L, Rigutini M, Panicucci S (2018) Flavonoid mixture (diosmin, troxerutin, rutin, hesperidin, quercetin) in the treatment of I–III degree hemorroidal disease: a double-blind multicenter prospective comparative study. Int J Colorectal Dis 33(11):1595–1600. https://doi.org/10.1007/s00384-018-3102-yCrossRefPubMed Corsale I, Carrieri P, Martellucci J, Piccolomini A, Verre L, Rigutini M, Panicucci S (2018) Flavonoid mixture (diosmin, troxerutin, rutin, hesperidin, quercetin) in the treatment of I–III degree hemorroidal disease: a double-blind multicenter prospective comparative study. Int J Colorectal Dis 33(11):1595–1600. https://​doi.​org/​10.​1007/​s00384-018-3102-yCrossRefPubMed
12.
go back to reference Wunpathe C, Potue P, Maneesai P, Bunbupha S, Prachaney P, Kukongviriyapan U, Kukongviriyapan V, Pakdeechote P (2018) Hesperidin suppresses renin-angiotensin system mediated NOX2 over-expression and sympathoexcitation in 2K-1C hypertensive rats. Am J Chin Med 46(04):751–767CrossRefPubMed Wunpathe C, Potue P, Maneesai P, Bunbupha S, Prachaney P, Kukongviriyapan U, Kukongviriyapan V, Pakdeechote P (2018) Hesperidin suppresses renin-angiotensin system mediated NOX2 over-expression and sympathoexcitation in 2K-1C hypertensive rats. Am J Chin Med 46(04):751–767CrossRefPubMed
14.
15.
go back to reference Guirro M, Gual-Grau A, Gibert-Ramos A, Alcaide-Hidalgo JM, Canela N, Arola L, Mayneris-Perxachs J (2020) Metabolomics elucidates dose-dependent molecular beneficial effects of hesperidin supplementation in rats fed an obesogenic diet. Antioxidants (Basel, Switzerland) 9(1). https://doi.org/10.3390/antiox9010079 Guirro M, Gual-Grau A, Gibert-Ramos A, Alcaide-Hidalgo JM, Canela N, Arola L, Mayneris-Perxachs J (2020) Metabolomics elucidates dose-dependent molecular beneficial effects of hesperidin supplementation in rats fed an obesogenic diet. Antioxidants (Basel, Switzerland) 9(1). https://​doi.​org/​10.​3390/​antiox9010079
17.
go back to reference Brownsey R, Boone A, Allard M (1997) Actions of insulin on the mammalian heart: metabolism, pathology and biochemical mechanisms. Cardiovasc Res 34:3–24CrossRefPubMed Brownsey R, Boone A, Allard M (1997) Actions of insulin on the mammalian heart: metabolism, pathology and biochemical mechanisms. Cardiovasc Res 34:3–24CrossRefPubMed
18.
go back to reference Neely JR, Whitmer M, Mochizuki S (1976) Effects of mechanical activity and hormones on myocardial glucose and fatty acid utilization. Circ Res 38(5 Suppl 1):I22–30PubMed Neely JR, Whitmer M, Mochizuki S (1976) Effects of mechanical activity and hormones on myocardial glucose and fatty acid utilization. Circ Res 38(5 Suppl 1):I22–30PubMed
19.
go back to reference Opie LH (1976) Effects of regional ischemia on metabolism of glucose and fatty acids. Relative rates of aerobic and anaerobic energy production during myocardial infarction and comparison with effects of anoxia. Circ Res 38(5 Suppl 1):I52–74PubMed Opie LH (1976) Effects of regional ischemia on metabolism of glucose and fatty acids. Relative rates of aerobic and anaerobic energy production during myocardial infarction and comparison with effects of anoxia. Circ Res 38(5 Suppl 1):I52–74PubMed
21.
23.
go back to reference Paternostro G, Clarke K, Heath J, Seymour AM, Radda GK (1995) Decreased GLUT-4 mRNA content and insulin-sensitive deoxyglucose uptake show insulin resistance in the hypertensive rat heart. Cardiovasc Res 30(2):205–211CrossRefPubMed Paternostro G, Clarke K, Heath J, Seymour AM, Radda GK (1995) Decreased GLUT-4 mRNA content and insulin-sensitive deoxyglucose uptake show insulin resistance in the hypertensive rat heart. Cardiovasc Res 30(2):205–211CrossRefPubMed
27.
go back to reference Suman R, Mohanty I, Maheshwari U, Borde M, Deshmukh Y (2016) Metformin ameliorates diabetes with metabolic syndrome induced changes in experimental rats. Int J Biomed Adv Res 7(2):55–65 Suman R, Mohanty I, Maheshwari U, Borde M, Deshmukh Y (2016) Metformin ameliorates diabetes with metabolic syndrome induced changes in experimental rats. Int J Biomed Adv Res 7(2):55–65
38.
go back to reference Calle EE, Kaaks R (2004) Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer 4(8):579CrossRefPubMed Calle EE, Kaaks R (2004) Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer 4(8):579CrossRefPubMed
44.
go back to reference Raher MJ, Thibault HB, Buys ES, Kuruppu D, Shimizu N, Brownell A-L, Blake SL, Rieusset J, Kaneki M, Derumeaux G (2008) A short duration of high-fat diet induces insulin resistance and predisposes to adverse left ventricular remodeling after pressure overload. Am J Physiol Heart Circ Physiol 295(6):H2495–H2502CrossRefPubMedPubMedCentral Raher MJ, Thibault HB, Buys ES, Kuruppu D, Shimizu N, Brownell A-L, Blake SL, Rieusset J, Kaneki M, Derumeaux G (2008) A short duration of high-fat diet induces insulin resistance and predisposes to adverse left ventricular remodeling after pressure overload. Am J Physiol Heart Circ Physiol 295(6):H2495–H2502CrossRefPubMedPubMedCentral
45.
go back to reference Hussein Ael A, Omar NM, Sakr H, Elsamanoudy AZ, Shaheen D (2011) Modulation of metabolic and cardiac dysfunctions by insulin sensitizers and angiotensin receptor blocker in rat model of type 2 diabetes mellitus. Can J Physiol Pharmacol 89(3):216–226. https://doi.org/10.1139/y11-012CrossRef Hussein Ael A, Omar NM, Sakr H, Elsamanoudy AZ, Shaheen D (2011) Modulation of metabolic and cardiac dysfunctions by insulin sensitizers and angiotensin receptor blocker in rat model of type 2 diabetes mellitus. Can J Physiol Pharmacol 89(3):216–226. https://​doi.​org/​10.​1139/​y11-012CrossRef
46.
go back to reference Ouwens D, Diamant M, Fodor M, Habets D, Pelsers M, El Hasnaoui M, Dang Z, Van den Brom C, Vlasblom R, Rietdijk A (2007) Cardiac contractile dysfunction in insulin-resistant rats fed a high-fat diet is associated with elevated CD36-mediated fatty acid uptake and esterification. Diabetologia 50(9):1938–1948CrossRefPubMedPubMedCentral Ouwens D, Diamant M, Fodor M, Habets D, Pelsers M, El Hasnaoui M, Dang Z, Van den Brom C, Vlasblom R, Rietdijk A (2007) Cardiac contractile dysfunction in insulin-resistant rats fed a high-fat diet is associated with elevated CD36-mediated fatty acid uptake and esterification. Diabetologia 50(9):1938–1948CrossRefPubMedPubMedCentral
47.
go back to reference Watanabe S, Kumazaki S, Kusunoki K, Inoue T, Maeda Y, Usui S, Shinohata R, Ohtsuki T, Hirohata S, Kusachi S, Kitamori K, Mori M, Yamori Y, Oka H (2018) A high-fat and high-cholesterol diet induces cardiac fibrosis, vascular endothelial, and left ventricular diastolic dysfunction in SHRSP5/Dmcr rats. J Atheroscler Thromb 25(5):439–453. https://doi.org/10.5551/jat.40956CrossRefPubMedCentralPubMed Watanabe S, Kumazaki S, Kusunoki K, Inoue T, Maeda Y, Usui S, Shinohata R, Ohtsuki T, Hirohata S, Kusachi S, Kitamori K, Mori M, Yamori Y, Oka H (2018) A high-fat and high-cholesterol diet induces cardiac fibrosis, vascular endothelial, and left ventricular diastolic dysfunction in SHRSP5/Dmcr rats. J Atheroscler Thromb 25(5):439–453. https://​doi.​org/​10.​5551/​jat.​40956CrossRefPubMedCentralPubMed
48.
go back to reference Nascimento AR, Machado M, de Jesus N, Gomes F, Lessa MA, Bonomo IT, Tibirica E (2013) Structural and functional microvascular alterations in a rat model of metabolic syndrome induced by a high-fat diet. Obesity (Silver Spring, Md) 21(10):2046–2054. https://doi.org/10.1002/oby.20358CrossRef Nascimento AR, Machado M, de Jesus N, Gomes F, Lessa MA, Bonomo IT, Tibirica E (2013) Structural and functional microvascular alterations in a rat model of metabolic syndrome induced by a high-fat diet. Obesity (Silver Spring, Md) 21(10):2046–2054. https://​doi.​org/​10.​1002/​oby.​20358CrossRef
49.
go back to reference Nemoto O, Kawaguchi M, Yaoita H, Miyake K, Maehara K, Maruyama Y (2006) Left ventricular dysfunction and remodeling in streptozotocin-induced diabetic rats. Circ J 70(3):327–334CrossRefPubMed Nemoto O, Kawaguchi M, Yaoita H, Miyake K, Maehara K, Maruyama Y (2006) Left ventricular dysfunction and remodeling in streptozotocin-induced diabetic rats. Circ J 70(3):327–334CrossRefPubMed
50.
go back to reference Kolter T, Uphues I, Eckel J (1997) Molecular analysis of insulin resistance in isolated ventricular cardiomyocytes of obese Zucker rats. Am J Physiol Endocrinol Metab 273(1):E59–E67CrossRef Kolter T, Uphues I, Eckel J (1997) Molecular analysis of insulin resistance in isolated ventricular cardiomyocytes of obese Zucker rats. Am J Physiol Endocrinol Metab 273(1):E59–E67CrossRef
52.
go back to reference Mayneris-Perxachs J, Alcaide-Hidalgo JM, de la Hera E, del Bas JM, Arola L, Caimari A (2019) Supplementation with biscuits enriched with hesperidin and naringenin is associated with an improvement of the metabolic syndrome induced by a cafeteria diet in rats. J Funct Foods 61:103504CrossRef Mayneris-Perxachs J, Alcaide-Hidalgo JM, de la Hera E, del Bas JM, Arola L, Caimari A (2019) Supplementation with biscuits enriched with hesperidin and naringenin is associated with an improvement of the metabolic syndrome induced by a cafeteria diet in rats. J Funct Foods 61:103504CrossRef
55.
59.
go back to reference Akiyama S, Katsumata S-i, Suzuki K, Ishimi Y, Wu J, Uehara M (2009) Dietary hesperidin exerts hypoglycemic and hypolipidemic effects in streptozotocin-induced marginal type 1 diabetic rats. J Clin Biochem Nutr 46(1):87–92CrossRefPubMedPubMedCentral Akiyama S, Katsumata S-i, Suzuki K, Ishimi Y, Wu J, Uehara M (2009) Dietary hesperidin exerts hypoglycemic and hypolipidemic effects in streptozotocin-induced marginal type 1 diabetic rats. J Clin Biochem Nutr 46(1):87–92CrossRefPubMedPubMedCentral
60.
go back to reference Zhou G, Myers R, Li Y, Chen Y, Shen X, Fenyk-Melody J, Wu M, Ventre J, Doebber T, Fujii N (2001) Role of AMP-activated protein kinase in mechanism of metformin action. J Clin Investig 108(8):1167–1174CrossRefPubMedPubMedCentral Zhou G, Myers R, Li Y, Chen Y, Shen X, Fenyk-Melody J, Wu M, Ventre J, Doebber T, Fujii N (2001) Role of AMP-activated protein kinase in mechanism of metformin action. J Clin Investig 108(8):1167–1174CrossRefPubMedPubMedCentral
61.
go back to reference Efentakis P, Kremastiotis G, Varela A, Nikolaou PE, Papanagnou ED, Davos CH, Tsoumani M, Agrogiannis G, Konstantinidou A, Kastritis E, Kanaki Z, Iliodromitis EK, Klinakis A, Dimopoulos MA, Trougakos IP, Andreadou I, Terpos E (2019) Molecular mechanisms of carfilzomib-induced cardiotoxicity in mice and the emerging cardioprotective role of metformin. Blood 133(7):710–723. https://doi.org/10.1182/blood-2018-06-858415CrossRefPubMed Efentakis P, Kremastiotis G, Varela A, Nikolaou PE, Papanagnou ED, Davos CH, Tsoumani M, Agrogiannis G, Konstantinidou A, Kastritis E, Kanaki Z, Iliodromitis EK, Klinakis A, Dimopoulos MA, Trougakos IP, Andreadou I, Terpos E (2019) Molecular mechanisms of carfilzomib-induced cardiotoxicity in mice and the emerging cardioprotective role of metformin. Blood 133(7):710–723. https://​doi.​org/​10.​1182/​blood-2018-06-858415CrossRefPubMed
64.
go back to reference El Messaoudi S, Rongen GA, de Boer RA, Riksen NP (2011) The cardioprotective effects of metformin. Curr Opin Lipidol 22(6):445–453CrossRefPubMed El Messaoudi S, Rongen GA, de Boer RA, Riksen NP (2011) The cardioprotective effects of metformin. Curr Opin Lipidol 22(6):445–453CrossRefPubMed
Metadata
Title
Hesperidin ameliorates signs of the metabolic syndrome and cardiac dysfunction via IRS/Akt/GLUT4 signaling pathway in a rat model of diet-induced metabolic syndrome
Authors
Patoomporn Prasatthong
Sariya Meephat
Siwayu Rattanakanokchai
Sarawoot Bunbupha
Parichat Prachaney
Putcharawipa Maneesai
Poungrat Pakdeechote
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 2/2021
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-020-02291-4

Other articles of this Issue 2/2021

European Journal of Nutrition 2/2021 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

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.