Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2019

Open Access 01-12-2019 | Obesity | Research article

Helminthostachys zeylanica alleviates hepatic steatosis and insulin resistance in diet-induced obese mice

Authors: Ting-Chen Chang, Hao Chiang, Yu-Heng Lai, Yu-Ling Huang, Hsiu-Chen Huang, Yu-Chih Liang, Hui-Kang Liu, Cheng Huang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2019

Login to get access

Abstract

Background

Obesity and its associated health conditions, type 2 diabetes mellitus (T2DM) and nonalcoholic fatty liver disease (NAFLD), are worldwide health problems. It has been shown that insulin resistance is associated with increased hepatic lipid and causes hepatic steatosis through a myriad of mechanisms, including inflammatory signaling.

Methods

Helminthostachys zeylanica (HZ) is used widely as a common herbal medicine to relieve fever symptoms and inflammatory diseases in Asia. In the present study, we evaluated whether HZ has therapeutic effects on obesity, NAFLD and insulin resistance. The protective effects of HZ extract were examined using free fatty acid-induced steatosis in human HuS-E/2 cells and a high-fat diet-induced NAFLD in mice.

Results

The major components of the HZ extract are ugonins J and K, confirmed by HPLC. Incubation of human hepatocytes, HuS-E/2 cells, with palmitate markedly increased lipid accumulation and treatment with the HZ extract significantly decreased lipid deposition and facilitated AMPK and ACC activation. After 12 weeks of a high-fat diet with HZ extract treatment, the HFD mice were protected from hyperlipidemia and hyperglycemia. HZ extract prevented body weight gain, adipose tissue expansion and adipocyte hypertrophy in the HFD mice. In addition, fat accumulation was reduced in mice livers. Moreover, the insulin sensitivity-associated index, which evaluates insulin function, was also significantly restored.

Conclusions

These results suggest that HZ has a promising pharmacological effect on high-fat diet-induced obesity, hepatic steatosis and insulin resistance, which may have the potential for clinical application.
Appendix
Available only for authorised users
Literature
1.
go back to reference Dunn W, Xu R, Wingard DL, Rogers C, Angulo P, Younossi ZM, Schwimmer JB. Suspected nonalcoholic fatty liver disease and mortality risk in a population-based cohort study. Am J Gastroenterol. 2008;103(9):2263–71.PubMedPubMedCentralCrossRef Dunn W, Xu R, Wingard DL, Rogers C, Angulo P, Younossi ZM, Schwimmer JB. Suspected nonalcoholic fatty liver disease and mortality risk in a population-based cohort study. Am J Gastroenterol. 2008;103(9):2263–71.PubMedPubMedCentralCrossRef
2.
go back to reference Postic C, Girard J. Contribution of de novo fatty acid synthesis to hepatic steatosis and insulin resistance: lessons from genetically engineered mice. J Clin Invest. 2008;118(3):829–38.PubMedPubMedCentralCrossRef Postic C, Girard J. Contribution of de novo fatty acid synthesis to hepatic steatosis and insulin resistance: lessons from genetically engineered mice. J Clin Invest. 2008;118(3):829–38.PubMedPubMedCentralCrossRef
3.
4.
go back to reference Parekh S, Anania FA. Abnormal lipid and glucose metabolism in obesity: implications for nonalcoholic fatty liver disease. Gastroenterology. 2007;132(6):2191–207.PubMedCrossRef Parekh S, Anania FA. Abnormal lipid and glucose metabolism in obesity: implications for nonalcoholic fatty liver disease. Gastroenterology. 2007;132(6):2191–207.PubMedCrossRef
5.
go back to reference Marchesini G, Brizi M, Morselli-Labate AM, Bianchi G, Bugianesi E, McCullough AJ, Forlani G, Melchionda N. Association of nonalcoholic fatty liver disease with insulin resistance. Am J Med. 1999;107(5):450–5.PubMedCrossRef Marchesini G, Brizi M, Morselli-Labate AM, Bianchi G, Bugianesi E, McCullough AJ, Forlani G, Melchionda N. Association of nonalcoholic fatty liver disease with insulin resistance. Am J Med. 1999;107(5):450–5.PubMedCrossRef
7.
go back to reference Nobili V, Manco M, Devito R, Di Ciommo V, Comparcola D, Sartorelli MR, Piemonte F, Marcellini M, Angulo P. Lifestyle intervention and antioxidant therapy in children with nonalcoholic fatty liver disease: a randomized, controlled trial. Hepatology. 2008;48(1):119–28.PubMedCrossRef Nobili V, Manco M, Devito R, Di Ciommo V, Comparcola D, Sartorelli MR, Piemonte F, Marcellini M, Angulo P. Lifestyle intervention and antioxidant therapy in children with nonalcoholic fatty liver disease: a randomized, controlled trial. Hepatology. 2008;48(1):119–28.PubMedCrossRef
8.
go back to reference Kitade H, Chen G, Ni Y, Ota T. Nonalcoholic Fatty Liver Disease and Insulin Resistance: New Insights and Potential New Treatments. Nutrients. 2017;9(4).PubMedCentralCrossRef Kitade H, Chen G, Ni Y, Ota T. Nonalcoholic Fatty Liver Disease and Insulin Resistance: New Insights and Potential New Treatments. Nutrients. 2017;9(4).PubMedCentralCrossRef
9.
go back to reference Su LH, Li YP, Li HM, Dai WF, Liu D, Cao L, Li RT. Anti-inflammatory Prenylated flavonoids from Helminthostachys zeylanica. Chem Pharm Bull (Tokyo). 2016;64(5):497–501.CrossRef Su LH, Li YP, Li HM, Dai WF, Liu D, Cao L, Li RT. Anti-inflammatory Prenylated flavonoids from Helminthostachys zeylanica. Chem Pharm Bull (Tokyo). 2016;64(5):497–501.CrossRef
10.
go back to reference Huang YC, Hwang TL, Yang YL, Wu SH, Hsu MH, Wang JP, Chen SC, Huang LJ, Liaw CC. Acetogenin and prenylated flavonoids from Helminthostachys zeylanica with inhibitory activity on superoxide generation and elastase release by neutrophils. Planta Med. 2010;76(5):447–53.PubMedCrossRef Huang YC, Hwang TL, Yang YL, Wu SH, Hsu MH, Wang JP, Chen SC, Huang LJ, Liaw CC. Acetogenin and prenylated flavonoids from Helminthostachys zeylanica with inhibitory activity on superoxide generation and elastase release by neutrophils. Planta Med. 2010;76(5):447–53.PubMedCrossRef
11.
go back to reference Huang YL, Yeh PY, Shen CC, Chen CC. Antioxidant flavonoids from the rhizomes of Helminthostachys zeylanica. Phytochemistry. 2003;64(7):1277–83.PubMedCrossRef Huang YL, Yeh PY, Shen CC, Chen CC. Antioxidant flavonoids from the rhizomes of Helminthostachys zeylanica. Phytochemistry. 2003;64(7):1277–83.PubMedCrossRef
12.
go back to reference Lee CH, Huang YL, Liao JF, Chiou WF. Ugonin K-stimulated osteogenesis involves estrogen receptor-dependent activation of non-classical Src signaling pathway and classical pathway. Eur J Pharmacol. 2012;676(1–3):26–33.PubMedCrossRef Lee CH, Huang YL, Liao JF, Chiou WF. Ugonin K-stimulated osteogenesis involves estrogen receptor-dependent activation of non-classical Src signaling pathway and classical pathway. Eur J Pharmacol. 2012;676(1–3):26–33.PubMedCrossRef
13.
go back to reference Yang CM, Yang SH, Lee TH, Fang JY, Lin CF, Jou MJ, Hsieh HL. Evaluation of anti-inflammatory effects of Helminthostachys zeylanica extracts via inhibiting Bradykinin-induced MMP-9 expression in brain astrocytes. Mol Neurobiol. 2016;53(9):5995–6005.PubMedCrossRef Yang CM, Yang SH, Lee TH, Fang JY, Lin CF, Jou MJ, Hsieh HL. Evaluation of anti-inflammatory effects of Helminthostachys zeylanica extracts via inhibiting Bradykinin-induced MMP-9 expression in brain astrocytes. Mol Neurobiol. 2016;53(9):5995–6005.PubMedCrossRef
14.
go back to reference Pan CH, Li PC, Chien YC, Yeh WT, Liaw CC, Sheu MJ, Wu CH. Suppressive activities and mechanisms of ugonin J on vascular smooth muscle cells and balloon angioplasty-induced neointimal hyperplasia. Phytother Res. 2018;32(2):312–20.PubMedCrossRef Pan CH, Li PC, Chien YC, Yeh WT, Liaw CC, Sheu MJ, Wu CH. Suppressive activities and mechanisms of ugonin J on vascular smooth muscle cells and balloon angioplasty-induced neointimal hyperplasia. Phytother Res. 2018;32(2):312–20.PubMedCrossRef
15.
go back to reference Suja SR, Latha PG, Pushpangadan P, Rajasekharan S. Evaluation of hepatoprotective effects of Helminthostachys zeylanica (L.) hook against carbon tetrachloride-induced liver damage in Wistar rats. J Ethnopharmacol. 2004;92(1):61–6.PubMedCrossRef Suja SR, Latha PG, Pushpangadan P, Rajasekharan S. Evaluation of hepatoprotective effects of Helminthostachys zeylanica (L.) hook against carbon tetrachloride-induced liver damage in Wistar rats. J Ethnopharmacol. 2004;92(1):61–6.PubMedCrossRef
16.
go back to reference Liu HK, Hung TM, Huang HC, Lee IJ, Chang CC, Cheng JJ, Lin LC, Huang C. Bai-Hu-Jia-Ren-Shen-tang decoction reduces fatty liver by activating AMP-activated protein kinase in vitro and in vivo. Evid Based Complement Alternat Med. 2015;2015:651734.PubMedPubMedCentral Liu HK, Hung TM, Huang HC, Lee IJ, Chang CC, Cheng JJ, Lin LC, Huang C. Bai-Hu-Jia-Ren-Shen-tang decoction reduces fatty liver by activating AMP-activated protein kinase in vitro and in vivo. Evid Based Complement Alternat Med. 2015;2015:651734.PubMedPubMedCentral
18.
go back to reference Aly HH, Watashi K, Hijikata M, Kaneko H, Takada Y, Egawa H, Uemoto S, Shimotohno K. Serum-derived hepatitis C virus infectivity in interferon regulatory factor-7-suppressed human primary hepatocytes. J Hepatol. 2007;46(1):26–36.PubMedCrossRef Aly HH, Watashi K, Hijikata M, Kaneko H, Takada Y, Egawa H, Uemoto S, Shimotohno K. Serum-derived hepatitis C virus infectivity in interferon regulatory factor-7-suppressed human primary hepatocytes. J Hepatol. 2007;46(1):26–36.PubMedCrossRef
19.
go back to reference Huang HC, Tao MH, Hung TM, Chen JC, Lin ZJ, Huang C. Epigallocatechin-3-gallate inhibits entry of hepatitis B virus into hepatocytes. Antivir Res. 2014;111:100–11.PubMedCrossRef Huang HC, Tao MH, Hung TM, Chen JC, Lin ZJ, Huang C. Epigallocatechin-3-gallate inhibits entry of hepatitis B virus into hepatocytes. Antivir Res. 2014;111:100–11.PubMedCrossRef
20.
go back to reference Chiang H, Lee JC, Huang HC, Huang H, Liu HK, Huang C. Delayed intervention with a novel SGLT2 inhibitor NGI001 suppresses diet-induced metabolic dysfunction and non-alcoholic fatty liver disease in mice. Br J Pharmacol. 2019. Chiang H, Lee JC, Huang HC, Huang H, Liu HK, Huang C. Delayed intervention with a novel SGLT2 inhibitor NGI001 suppresses diet-induced metabolic dysfunction and non-alcoholic fatty liver disease in mice. Br J Pharmacol. 2019.
22.
go back to reference Hardie DG. AMP-activated/SNF1 protein kinases: conserved guardians of cellular energy. Nat Rev Mol Cell Biol. 2007;8(10):774–85.PubMedCrossRef Hardie DG. AMP-activated/SNF1 protein kinases: conserved guardians of cellular energy. Nat Rev Mol Cell Biol. 2007;8(10):774–85.PubMedCrossRef
23.
go back to reference Yamauchi K, Mitsunaga T, Itakura Y, Batubara I. Extracellular melanogenesis inhibitory activity and the structure-activity relationships of ugonins from Helminthostachys zeylanica roots. Fitoterapia. 2015;104:69–74.PubMedCrossRef Yamauchi K, Mitsunaga T, Itakura Y, Batubara I. Extracellular melanogenesis inhibitory activity and the structure-activity relationships of ugonins from Helminthostachys zeylanica roots. Fitoterapia. 2015;104:69–74.PubMedCrossRef
24.
go back to reference Kwon EY, Jung UJ, Park T, Yun JW, Choi MS. Luteolin attenuates hepatic steatosis and insulin resistance through the interplay between the liver and adipose tissue in mice with diet-induced obesity. Diabetes. 2015;64(5):1658–69.PubMedCrossRef Kwon EY, Jung UJ, Park T, Yun JW, Choi MS. Luteolin attenuates hepatic steatosis and insulin resistance through the interplay between the liver and adipose tissue in mice with diet-induced obesity. Diabetes. 2015;64(5):1658–69.PubMedCrossRef
25.
go back to reference Lopez-Vinas E, Bentebibel A, Gurunathan C, Morillas M, de Arriaga D, Serra D, Asins G, Hegardt FG, Gomez-Puertas P. Definition by functional and structural analysis of two malonyl-CoA sites in carnitine palmitoyltransferase 1A. J Biol Chem. 2007;282(25):18212–24.PubMedCrossRef Lopez-Vinas E, Bentebibel A, Gurunathan C, Morillas M, de Arriaga D, Serra D, Asins G, Hegardt FG, Gomez-Puertas P. Definition by functional and structural analysis of two malonyl-CoA sites in carnitine palmitoyltransferase 1A. J Biol Chem. 2007;282(25):18212–24.PubMedCrossRef
26.
go back to reference Canals M, Figueroa D, Alfaro C, Kawamoto T, Torres-Contreras H, Sabat P, Veloso C. Effects of diet and water supply on energy intake and water loss in a mygalomorph spider in a fluctuating environment of the Central Andes. J Insect Physiol. 2011;57(11):1489–94.PubMedCrossRef Canals M, Figueroa D, Alfaro C, Kawamoto T, Torres-Contreras H, Sabat P, Veloso C. Effects of diet and water supply on energy intake and water loss in a mygalomorph spider in a fluctuating environment of the Central Andes. J Insect Physiol. 2011;57(11):1489–94.PubMedCrossRef
27.
go back to reference Williams T. Metabolic syndrome: nonalcoholic fatty liver disease. FP Essent. 2015;435:24–9.PubMed Williams T. Metabolic syndrome: nonalcoholic fatty liver disease. FP Essent. 2015;435:24–9.PubMed
28.
go back to reference Asrih M, Jornayvaz FR. Metabolic syndrome and nonalcoholic fatty liver disease: is insulin resistance the link? Mol Cell Endocrinol. 2015;418(Pt 1):55–65.PubMedCrossRef Asrih M, Jornayvaz FR. Metabolic syndrome and nonalcoholic fatty liver disease: is insulin resistance the link? Mol Cell Endocrinol. 2015;418(Pt 1):55–65.PubMedCrossRef
29.
go back to reference Cassidy WM, Reynolds TB. Serum lactic dehydrogenase in the differential diagnosis of acute hepatocellular injury. J Clin Gastroenterol. 1994;19(2):118–21.PubMedCrossRef Cassidy WM, Reynolds TB. Serum lactic dehydrogenase in the differential diagnosis of acute hepatocellular injury. J Clin Gastroenterol. 1994;19(2):118–21.PubMedCrossRef
30.
go back to reference Dufour DR, Lott JA, Nolte FS, Gretch DR, Koff RS, Seeff LB. Diagnosis and monitoring of hepatic injury. II. Recommendations for use of laboratory tests in screening, diagnosis, and monitoring. Clin Chem. 2000;46(12):2050–68.PubMedPubMedCentral Dufour DR, Lott JA, Nolte FS, Gretch DR, Koff RS, Seeff LB. Diagnosis and monitoring of hepatic injury. II. Recommendations for use of laboratory tests in screening, diagnosis, and monitoring. Clin Chem. 2000;46(12):2050–68.PubMedPubMedCentral
31.
go back to reference Huang T, Beaty T, Li J, Liu H, Zhao W, Wang Y. Association between dietary fat intake and insulin resistance in Chinese child twins. Br J Nutr. 2017;117(2):230–6.PubMedCrossRef Huang T, Beaty T, Li J, Liu H, Zhao W, Wang Y. Association between dietary fat intake and insulin resistance in Chinese child twins. Br J Nutr. 2017;117(2):230–6.PubMedCrossRef
32.
go back to reference Ling JC, Mohamed MN, Jalaludin MY, Rampal S, Zaharan NL, Mohamed Z. Determinants of high fasting insulin and insulin resistance among overweight/obese adolescents. Sci Rep. 2016;6:36270.PubMedPubMedCentralCrossRef Ling JC, Mohamed MN, Jalaludin MY, Rampal S, Zaharan NL, Mohamed Z. Determinants of high fasting insulin and insulin resistance among overweight/obese adolescents. Sci Rep. 2016;6:36270.PubMedPubMedCentralCrossRef
33.
go back to reference Morimoto A, Tatsumi Y, Soyano F, Miyamatsu N, Sonoda N, Godai K, Ohno Y, Noda M, Deura K. Increase in homeostasis model assessment of insulin resistance (HOMA-IR) had a strong impact on the development of type 2 diabetes in Japanese individuals with impaired insulin secretion: the Saku study. PLoS One. 2014;9(8):e105827.PubMedPubMedCentralCrossRef Morimoto A, Tatsumi Y, Soyano F, Miyamatsu N, Sonoda N, Godai K, Ohno Y, Noda M, Deura K. Increase in homeostasis model assessment of insulin resistance (HOMA-IR) had a strong impact on the development of type 2 diabetes in Japanese individuals with impaired insulin secretion: the Saku study. PLoS One. 2014;9(8):e105827.PubMedPubMedCentralCrossRef
34.
35.
go back to reference Haas JT, Francque S, Staels B. Pathophysiology and mechanisms of nonalcoholic fatty liver disease. Annu Rev Physiol. 2016;78:181–205.PubMedCrossRef Haas JT, Francque S, Staels B. Pathophysiology and mechanisms of nonalcoholic fatty liver disease. Annu Rev Physiol. 2016;78:181–205.PubMedCrossRef
36.
go back to reference Jang S, Jang BH, Ko Y, Sasaki Y, Park JS, Hwang EH, Song YK, Shin YC, Ko SG. Herbal medicines for treating metabolic syndrome: a systematic review of randomized controlled trials. Evid Based Complement Alternat Med. 2016;2016:5936402.PubMedPubMedCentral Jang S, Jang BH, Ko Y, Sasaki Y, Park JS, Hwang EH, Song YK, Shin YC, Ko SG. Herbal medicines for treating metabolic syndrome: a systematic review of randomized controlled trials. Evid Based Complement Alternat Med. 2016;2016:5936402.PubMedPubMedCentral
37.
go back to reference Huang YC, Hwang TL, Chang CS, Yang YL, Shen CN, Liao WY, Chen SC, Liaw CC. Anti-inflammatory flavonoids from the rhizomes of Helminthostachys zeylanica. J Nat Prod. 2009;72(7):1273–8.PubMedCrossRef Huang YC, Hwang TL, Chang CS, Yang YL, Shen CN, Liao WY, Chen SC, Liaw CC. Anti-inflammatory flavonoids from the rhizomes of Helminthostachys zeylanica. J Nat Prod. 2009;72(7):1273–8.PubMedCrossRef
38.
go back to reference Hardie DG. AMPK: a key regulator of energy balance in the single cell and the whole organism. Int J Obes. 2008;32(S4):S7–S12.CrossRef Hardie DG. AMPK: a key regulator of energy balance in the single cell and the whole organism. Int J Obes. 2008;32(S4):S7–S12.CrossRef
39.
go back to reference Higuchi N, Kato M, Tanaka M, Miyazaki M, Takao S, Kohjima M, Kotoh K, Enjoji M, Nakamuta M, Takayanagi R. Effects of insulin resistance and hepatic lipid accumulation on hepatic mRNA expression levels of apoB, MTP and L-FABP in non-alcoholic fatty liver disease. Experimental and Therapeutic Medicine. 2011;2(6):1077–81.PubMedPubMedCentralCrossRef Higuchi N, Kato M, Tanaka M, Miyazaki M, Takao S, Kohjima M, Kotoh K, Enjoji M, Nakamuta M, Takayanagi R. Effects of insulin resistance and hepatic lipid accumulation on hepatic mRNA expression levels of apoB, MTP and L-FABP in non-alcoholic fatty liver disease. Experimental and Therapeutic Medicine. 2011;2(6):1077–81.PubMedPubMedCentralCrossRef
40.
42.
43.
go back to reference Dai Q, Shu XO, Jin F, Potter JD, Kushi LH, Teas J, Gao YT, Zheng W. Population-based case-control study of soyfood intake and breast cancer risk in Shanghai. Br J Cancer. 2001;85(3):372–8.PubMedPubMedCentralCrossRef Dai Q, Shu XO, Jin F, Potter JD, Kushi LH, Teas J, Gao YT, Zheng W. Population-based case-control study of soyfood intake and breast cancer risk in Shanghai. Br J Cancer. 2001;85(3):372–8.PubMedPubMedCentralCrossRef
44.
go back to reference Wu KC, Ho YL, Kuo YH, Huang SS, Huang GJ, Chang YS. Hepatoprotective Effect of Ugonin M, A Helminthostachyszeylanica Constituent, on Acetaminophen-Induced Acute Liver Injury in Mice. Mol. 2018;23(10).PubMedCentralCrossRef Wu KC, Ho YL, Kuo YH, Huang SS, Huang GJ, Chang YS. Hepatoprotective Effect of Ugonin M, A Helminthostachyszeylanica Constituent, on Acetaminophen-Induced Acute Liver Injury in Mice. Mol. 2018;23(10).PubMedCentralCrossRef
45.
go back to reference Yetley EA. Multivitamin and multimineral dietary supplements: definitions, characterization, bioavailability, and drug interactions. Am J Clin Nutr. 2007;85(1):269S–76S.PubMedCrossRef Yetley EA. Multivitamin and multimineral dietary supplements: definitions, characterization, bioavailability, and drug interactions. Am J Clin Nutr. 2007;85(1):269S–76S.PubMedCrossRef
46.
go back to reference McGowan MP, Proulx S. Nutritional supplements and serum lipids: does anything work? Curr Atheroscler Rep. 2009;11(6):470–6.PubMedCrossRef McGowan MP, Proulx S. Nutritional supplements and serum lipids: does anything work? Curr Atheroscler Rep. 2009;11(6):470–6.PubMedCrossRef
47.
go back to reference Sheng X, Zhang Y, Gong Z, Huang C, Zang YQ. Improved insulin resistance and lipid metabolism by cinnamon extract through activation of peroxisome proliferator-activated receptors. PPAR Res. 2008;2008:581348.PubMedPubMedCentralCrossRef Sheng X, Zhang Y, Gong Z, Huang C, Zang YQ. Improved insulin resistance and lipid metabolism by cinnamon extract through activation of peroxisome proliferator-activated receptors. PPAR Res. 2008;2008:581348.PubMedPubMedCentralCrossRef
48.
go back to reference Qin B, Polansky MM, Anderson RA. Cinnamon extract regulates plasma levels of adipose-derived factors and expression of multiple genes related to carbohydrate metabolism and lipogenesis in adipose tissue of fructose-fed rats. Horm Metab Res. 2010;42(3):187–93.PubMedCrossRef Qin B, Polansky MM, Anderson RA. Cinnamon extract regulates plasma levels of adipose-derived factors and expression of multiple genes related to carbohydrate metabolism and lipogenesis in adipose tissue of fructose-fed rats. Horm Metab Res. 2010;42(3):187–93.PubMedCrossRef
49.
go back to reference Zhu W, Jia Q, Wang Y, Zhang Y, Xia M. The anthocyanin cyanidin-3-O-β-glucoside, a flavonoid, increases hepatic glutathione synthesis and protects hepatocytes against reactive oxygen species during hyperglycemia: involvement of a cAMP–PKA-dependent signaling pathway. Free Radic Biol Med. 2012;52(2):314–27.PubMedCrossRef Zhu W, Jia Q, Wang Y, Zhang Y, Xia M. The anthocyanin cyanidin-3-O-β-glucoside, a flavonoid, increases hepatic glutathione synthesis and protects hepatocytes against reactive oxygen species during hyperglycemia: involvement of a cAMP–PKA-dependent signaling pathway. Free Radic Biol Med. 2012;52(2):314–27.PubMedCrossRef
Metadata
Title
Helminthostachys zeylanica alleviates hepatic steatosis and insulin resistance in diet-induced obese mice
Authors
Ting-Chen Chang
Hao Chiang
Yu-Heng Lai
Yu-Ling Huang
Hsiu-Chen Huang
Yu-Chih Liang
Hui-Kang Liu
Cheng Huang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2019
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-019-2782-3

Other articles of this Issue 1/2019

BMC Complementary Medicine and Therapies 1/2019 Go to the issue