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Volume 25, Issue 111, May 2021

Echinacea purpurea root extract modulates diabetes-induced renal dysfunction in rats through hypoglycemic, antioxidants, and anti-inflammatory activities

Zuhair M Mohammedsaleh1, Haya MA Aljadani2

1Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences. University of Tabuk, Tabuk 71491, Kingdom of Saudi Arabia
2Food and Nutrition Department, Faculty of Human Sciences and Design, King Abdul-Aziz University, Jeddah, Saudi Arabia

ABSTRACT

Introduction: Diabetes (DIAB)-related renal dysfunction is one of the most severe complications of the condition, which comes to an end with chronic renal failure. Aim: This study aimed to examine if Echinacea purpurea (E. purpurea) root extract could help protect kidneys from damage caused by DIAB in rats. Methods: DIAB was induced in four experimental rats groups (n = 10) by injecting STZ (65 mg/kg). One of the DIAB groups was left untreated, and the other three groups were treated with either E. purpurea root extract alone (200 mg/kg), metformin (Met) alone (200 mg/kg), or both together. A group of healthy rats (control) was also used for comparison. Results: In contrast to the DIAB group, E. Purpurea root extract alone and combined to Met improved body weight, kidney index, kidney function (creatinine and urea), and renal pathology. Compared to the DIAB group, the ingestion of E. purpurea extract alone or in combination with Met reduced blood glucose levels, bringing them back into the normal range in the combination group and ameliorating hemoglobin A1c(HbA1c) levels. The extract group’s antioxidant effect was clearly demonstrated by the decreased malondialdehyde (MDA) and increased superoxide dismutase (SOD) kidney concentrations in the extract group alone or in combination with Met where the combination showed superior activity. The extract group’s anti-inflammatory effect was observed from the reduced serum levels of interleukin 1β (IL-1β) and IL-6 in the extract group alone or mixed with Met, where the mixture showed a better action. Conclusion: In rats, E. purpurea root extract ameliorated DIAB-related nephrotoxicity induced by STZ. The hypoglycemic, antioxidant, and anti-inflammatory properties of the extract may be the underlying mechanisms.

Keywords: Diabetes, nephrotoxicity, Echinacea purpurea, antioxidants, antiinflammatory, histopathology

Medical Science, 2021, 25(111), 1033-1043
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