Experimentally Induced Metabolic Syndrome

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Biochemical investigation of an experimentally induced metabolic syndrome


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RESEARCH ARTICLE Indian Journal of Animal Research, Volume 54 Issue 2: 168-172 (February 2020)

Biochemical investigation of an experimentally induced


metabolic syndrome in rats
N.G. Mustafa, M.K. Hasan1 10.18805/ijar.B-1028

ABSTRACT
Metabolic syndrome (MS) is a complex condition characterized by insulin resistance, hyperglycemia, dyslipidemia, and obesity. This
project aims to induce MS in rat and then a demonstration of the main biochemical parameters. In male, Sprague-Dawley rats, MS has
been prompted suitably and relatively by fast (six weeks) approach through a high fructose in drinking water (40%). It has been found
that serum urea, creatinine and total bilirubin raise in MS significantly. Moreover, dyslipidemia has arbitrated via some considerable
lipid profile deviations. In addition, BMI, blood glucose, and insulin monitoring evidently ensure achievement of MS. It is concluded
that a well-established rat model of MS could be employed by a 40% fructose in drinking water.

Key words: Dyslipidemia, Fructose, Insulin resistance, Metabolic syndrome.

INTRODUCTION
Department of Physiology, Biochemistry and Pharmacology,
Metabolic syndrome (MS) or insulin resistance syndrome,
College of Veterinary Medicine, University of Mosul, Mosul, Iraq.
proposed by Gerald Reaven, is the maj or worldwide 1
Department of Biology, College of Science, University of Mosul,
metabolic disorder contributed to the challenge of human
Mosul, Iraq.
health, (Reaven, 1988; Farag et al., 2018). Actually, about
Corresponding Author: N.G. Mustafa, Department of Physiology,
20-30% of the global population may suffer from MS
Biochemistry, and Pharmacology, College of Veterinary Medicine,
(Kennedy et al., 2010), as well as many animal species like
University of Mosul, Mosul, Iraq. Email: nashaat_ghalib@yahoo.com
dogs (Tvarijonaviciute et al., 2012), cattle (Pampori et al.,
2012), laboratory animals (Zhou et al., 2014) and horses it How to cite this article: Mustafa, N.G. and Hasan, M.K. (2020).
may be donated to laminitis (Morgan et al., 2015). Obesity, Biochemical investigation of an experimentally induced metabolic
insulin resistance, hyperglycemia, dyslipidemia and syndrome in rats. Indian Journal of Animal Research, 54(2): 168-172.
hypertension are the main features of MS (Zhou et al., 2014). Submitted: 01-09-2018 Accepted: 25-12-2018 Published: 13-02-2019
The pathophysiology of MS was not absolutely
recognized, therefore a number of suppositions were
mature adipocytes secrete more adipokines (a cytokine
submitted. The crucial one suggests that MS was the
delivered from adipose tissues, contributed to insulin
consequence of the genetics, standard of life and diet
resistance), leptin, adiponectin and proinflammatory
interactions (Martinez et al., 2018), but insulin resistance
cytokines [interleukin-6 (IL-6)] and tumor necrosis factor-
remains the leader of this syndrome (Sudarsanam et al.,
alpha (TNF-alpha). IL-6 and TNF-alpha promote lipolysis
2010; McCracken et al., 2018). On the account of the high
and hepatic fatty acid synthesis. They are also expanding
mass of adipose tissue in MS individual that results from
insulin resistance through negatively direct interaction with insulin
negative energy balance, a great amount of lipids,
receptors. Recently, a proteomic study of certain liver
particularly free fatty acids (FFAs) were liberated into the
proteins, like fructose1,6-bisphosphatase, 1-pyruvate
bloodstream leading to the negative triggering response of
dehydrogenase, fatty acid synthase, Acyl-CoA synthetase 1,
tissues (muscles) to insulin through inhibiting of insulin-
has indicated variable changes in the metabolism of carbohydrates
mediated glucose uptake. Consequently, hyperglycemia
and lipid and related pathways (Hsieh et al., 2016).
evokes the beta-cells of the pancreas to more insulin
Actually, MS is not entirely understood and it is in need
secretion which results in hyperinsulinemia (Sears and Perry,
of much more exploration (McCracken et al., 2018), i.e. little
2015). On the other hand, insulin resistance and elevated
attention has been paid to the assessment of the biochemical
FFAs in blood inhibit glycogenesis develop more
changes correlated to experimentally induced MS in the rat
hyperglycemia and hypertriacylglycerolemia due to the
as a model for this syndrome. In fact, this project aims to
principal role of insulin in the depression of lipolysis. Again,
the induction of MS in the rat by using a simplified way and
insulin resistance results in great lipolysis making more FFAs,
demonstration of the related biochemical profiles.
progressing the deleterious cycle (McCracken et al., 2018).
Kennedy et al., (2010) has proposed that leptin-
deficient mouse (Lep ob/ob) is a vital genetic model for MS MATERIALS AND METHODS
aroused by spontaneous mutation. Nowadays, it can be Experimental animals
experimentally induced in mice. W hereas, Bezerra and Three months old 30 male Sprague-Dawley rats weight 180-
Oliveira (2013) have documented that in the case of obesity, 200g were housed in the standard cages (dimension of

168 Indian Journal of Animal Research


Biochemical investigation of an experimentally induced metabolic syndrome in rats

43×29×15 cm), under suitable conditions of humidity, assessment of β-cell function) were calculated according
temperature (22±2C) and 12-hour light-dark cycle, in the to Zhou et al., (2014) just as follows:
animal house unit, college of veterinary medicine, University HOMA-IR = FSG × FSI (fasting serum insulin) / 22.5
of Mosul, during March-April 2018. At the end of experiments, HOMA-β index = 20 × FSI / FSG – 3.5
all animals were sacrificed using diethyl ether (99.5%)
Statistical analysis
(Scharlau, Spain) anesthesia.
After one week of acclimatization, rats were divided By using Statistical Package for Social Sciences (SPSS,
randomly into three groups (10 rats per group) according to version 22), all experimental data were examined and
drinking water; control group on tap water, F20% group, and characterized as mean values with their standard deviation
F40% group. All three groups diet and water ad libitum and (Mean ± SD) and subjected to one-way analysis of variance
the chow were standard for rats (NRC, 1995). The (ANOVA), a probability (p) of 0.05 and 0.001 were
experimental procedures were approved ethically by the considered as the significant (p0.05) and highly significant
college of veterinary medicine, University of Mosul. (p0.001), respectively (Sweet and Grace-Martin, 2011).
Fructose drinking water
RESULTS AND DISCUSSION
Freshly fructose drinking water was prepared every Laboratory animals, mainly mice and rats, were employed
alternative day depending on weight to volume formula in MS projects, either transgenic or diet- or drinking water-
(W ong et al., 2016) by using D (-)-fructose 98.5-102% induced and because the syndrome in the human and most
(Scharlau, Spain), 20g of fructose dissolved in 100ml of tap animals usually develop from dietary source, therefore MS
water to prepare 20% fructose drinking water (F20%) and was induced in mice and rats by high fructose diet (Wong
40g of fructose dissolved in 100ml of tap water to prepare et al., 2016) or high fructose drinking water (Al-Agele and
40% fructose drinking water (F40%). Bottles of drinking water Khudiar, 2016). Biochemical parameters fluctuations
were covered using aluminum foil to avoid fermentation. associated with MS induced in rats by fructose in drinking
Physiological parameters water have not been thoroughly investigated. Therefore, it
is believed that more investigations are required in this area.
As far as body weight, an electronic weighing scale with an
In this project, MS was established in adult male normal
accuracy of 0.01 g, has been used whereas body length,
Sprague-Dawley rats (without genetic modification) through
and abdominal circumference has been measured by scale
40% (but not 20%) fructose in drinking water. MS was
tape at the beginning and end (six weeks later) of the confirmed by observed obesity, hyperglycemia, insulin
experiment. Body length measurement was from nose to resistance and dyslipidemia (Wong et al., 2016).
the origin of the tail (Poudyal et al., 2010). Abdominal
circumference was determined about the anterior region of Physiological parameters
the abdomen. Anyhow, body weight gain calculated from As can be seen in the Table 1, body weight, body weight
values of initial and final weight, while body mass index (BMI) gain and BMI were increased significantly (p0.05) and high
was found as BMI = body weight (g)/ body length 2 (cm 2) significantly (p0.001) in treated groups when compared with
(Novelli et al., 2007; Nutan and Kochar, 2014). All the initial and with the control group. Remarkable high body
measurements were done in anesthetized rats. weight gain and BMI must have been referred to obesity
which is undoubtedly one of the cardinal dramatic
Biochemical analysis
phenomena of the MS (Hsieh et al., 2016). Fructose in
The rats were starved overnight, then blood was collected drinking water directly contributes to hyperglycemia resulting
from the retro-ocular vein by a heparinized capillary tube. in positive energy balance which, by the time, encourage
The blood was immediately centrifuged at 3000xg for 15 adipocyte hyperplasia and hypertrophy, as an attempt to
minutes. The achieved serum was kept at -20C until storage “excess fuel”, giving rise to overweight.
biochemical analysis. Fasting serum glucose (FSG), total
Biochemical parameters
protein, albumin, globulin, urea, creatinine, alanine
transaminase (ALT), aspartate transaminase (AST) and total Total protein, albumin, globulin and ALT have non-significant
bilirubin and lipid profiles; cholesterol, TG, VLDL, LDL and changes in treated groups as illustrated by Table 2. W hereas
HDL were estimated using automated enzymatic method urea and creatinine were increased (p0.001) in F40% group
(Genri-GS200- China). W hile atherogenic index (AI) was at the end of experiments. There is depression (p0.05)
calculated as: in AST and a total bilirubin level of both treated group as
compared with their initials and with the control group.
AI = total cholesterol – HDL / HDL Raised blood urea could result from high production or
according to Yokozawa et al., (2006). impaired excretion, that may be due to various conditions
Serum insulin was measured using RayBio® rat insulin (Rodwell et al., 2015). W hereas Meyer and Hostetter,
ELISA kit (3607 Parkway Lane, GA 30092, USA), whereas (2007) supposed the strong relationship between high levels
HOMA-IR (homeostatic model assessment of insulin of serum urea and creatinine with insulin resistance,
resistance) and HOMA-β index (homeostatic model oxidative stress and free radicals production and systemic

Volume 54 Issue 2 (February 2020) 169


Biochemical investigation of an experimentally induced metabolic syndrome in rats

Table 1: Effects of fructose drinking water (F20% and F40%) on physiological parameters.
Control F20% F40%
Initial 6 weeks Initial 6 weeks Initial 6 weeks
Body weight (g) 189 ± 5.3 254 ± 6.7 193 ± 9.2 271 ± 7.8 A 186 ± 8.8 327 ± 15.4 b,d
Body weight gain (g) - 65 - 68 - 144
(%) (34.39) ± 4.3 (35.23) ± 7.4 (78.68) ± 12.2 d
BMI 0.39 ± 0.02 0.40 ± 0.04 0.36 ± 0.05 0.40 ± 0.05 A 0.35 ± 0.07 0.48 ± 0.09 B,D
Length (cm) 22 ± 1.2 25 ± 1.4 23 ± 1.1 26 ± 2.2 A 23 ± 1.8 26 ± 2.4 B
Abdomen circumference (cm) 17.9 ± 1.5 20.2 ± 1.8 17.3 ± 2.0 20.1 ± 2.1 A 17.5 ± 1.9 22.4 ± 2.1 B
Values are mean ± SD, n = 10 rats for each group.
A-D represent a significant difference (p0.05).
a-d represent a highly significant difference (p0.001).
A, a indicate a significant difference of 6 weeks group as compared to initial group within F20%.
B, b indicate a significant difference of 6 weeks group as compared to initial group within F40%.
D, d indicate a significant difference of 6 weeks of F40% as compared to 6 weeks of control.
Absence of letters means non-significant differences.

Table 2: Effects of fructose drinking water (F20% and F40%) on biochemical parameters.
Control F20% F40%
Initial 6 weeks Initial 6 weeks Initial 6 weeks
Total protein (g/dl) 6.4 ± 0.5 6.2 ± 0.4 6.3 ± 0.6 5.9 ± 0.5 6.4 ± 0.6 5.8 ± 0.5
Albumin (g/dl) 3.8 ± 0.3 3.5 ± 0.4 3.4 ± 0.3 3.3 ± 0.3 3.6 ± 0.5 3.4 ± 0.4
Globulin (g/dl) 2.7 ± 0.1 2.8 ± 0.3 2.9 ± 0.2 2.6 ± 0.1 2.8 ± 0.3 2.7 ± 0.2
Urea (mg/dl) 17 ± 2.2 16.8 ± 2.9 16.6± 3 19 ± 3.4 16.0 ± 3.7 33.2 ± 3.5 b,d
Creatinine (mg/dl) 0.59 ± 0.2 0.55 ± 0.1 0.67 ± 0.1 0.60 ± 0.2 0.71 ± 0.2 2.2 ± 0.3 B,d
ALT (IU/L) 39 ± 5 37 ± 6.7 41 ± 3.8 39 ± 4.5 37 ± 5 42 ± 4.4
AST (IU/L) 132 ± 13 115 ± 9 137 ± 11 97 ± 10 A,C 135 ± 11 78 ± 13 B,D
Total bilirubin (mg/dl) 0.06 ± 0.02 0.07 ± 0.01 0.07 ± 0.03 0.04 ± 0.01 A,C 0.07 ± 0.02 0.02 ± 0.01 b,d
Values are mean ± SD, n = 10 rats for each group.
A-D represent a significant difference (p0.05).
a-d represent a highly significant difference (p0.001).
A, a indicate a significant difference of 6 weeks group as compared to initial group within F20%.
B, b indicate a significant difference of 6 weeks group as compared to initial group within F40%.
C, c indicate a significant difference of 6 weeks of F20% as compared to 6 weeks of control.
D, d indicate a significant difference of 6 weeks of F40% as compared to 6 weeks of control.
Absence of letters means non-significant differences.

Table 3: Effects of fructose drinking water (F20% and F40%) on glucose and insulin.
Control F20% F40%
Initial 6 weeks Initial 6 weeks Initial 6 weeks
Glucose (mmol/l) 6.44 ± 0.40 6.65 ± 0.51 6.31 ± 0.39 6.70 ± 0.60 6.52 ± 0.4 13.30 ± 0.74 b,d
Insulin (µIU/l) 17.8 ± 1.1 18.3 ± 0.8 17.5 ± 1.3 18.1 ± 1.1 18.1 ± 0.9 41.91 ± 2.0 b,d
HOMA-IR 5.09 5.40 4.90 5.38 5.24 24.77 b,d
HOMA-β index 121.08 116.19 124.55 113.12 119.86 85.53 B,D
Values are mean ± SD, n = 10 rats for each group.
A-D represent a significant difference (p0.05).
a-d represent a highly significant difference (p0.001).
B, b indicate a significant difference of 6 weeks group as compared to initial group within F40%.
D, d indicate a significant difference of 6 weeks of F40% as compared to 6 weeks of control.
Absence of letters means non-significant differences.

170 Indian Journal of Animal Research


Biochemical investigation of an experimentally induced metabolic syndrome in rats

Table 4: Effects of fructose drinking water (F20% and F40%) on lipid profiles.
Control F20% F40%
Initial 6 weeks Initial 6 weeks Initial 6 weeks
Cholesterol (mg/dl) 98 ± 2.4 119 ± 3.6 102 ± 3.0 126 ± 4.3 A 105 ± 2.9 211 ± 6.1 b,d
TG (mg/dl) 64 ± 2.2 61 ± 2.0 67 ± 1.9 71 ± 3.3 66 ± 3.1 149 ± 5.8 b,d
VLDL (mg/dl) 14.1 ± 0.9 17.3 ± 1.1 13.4 ± 0.8 17.9 ± 1.9 A 13.9 ± 0.8 29.7 ± 2.3 b,D
LDL (mg/dl) 29.3 ± 2.0 32.9 ± 2.4 30.1 ± 2.6 35 ± 3.1 A 28.8 ± 2.4 61.5 ± 3.2 b,d
HDL (mg/dl) 44.2 ± 3.0 41.6 ± 3.1 43.8 ± 2.9 39.2 ± 2.9 A 44.4 ± 3.0 34.2 ± 2.0 B,D
Atherogenic index 1.21 ± 0.3 1.84 ± 0.2 1.32 ± 0.3 2.21 ± 0.5 A,C 1.36 ± 0.2 5.15 ± 0.8 b,d
Values are mean ± SD, n = 10 rats for each group.
A-D represent a significant difference (p0.05).
a-d represent a highly significant difference (p0.001).
A, a indicate a significant difference of 6 weeks group as compared to initial group within F20%.
B, b indicate a significant difference of 6 weeks group as compared to initial group within F40%.
C, c indicate a significant difference of 6 weeks of F20% as compared to 6 weeks of control.
D, d indicate a significant difference of 6 weeks of F40% as compared to 6 weeks of control.
Absence of letters means non-significant differences

inflammation characterized by elevated level of TNF-alpha, Lipid profiles were presented in Table 4, although, there
IL-6. It could be suggested that hyperglycemia may have were age-related changes, it is clear that the total
deleteriously effected on the renal tissue impairing the cholesterol, TG, VLDL, LDL were elevated significantly and
glomerular function in the clearance of urea. On the other HDL decreased as compared with their initial groups and
hand, Al-Agele and Kuduair (2016) believed that renal controlled groups. Anyway, disorders related to adipose
damage by fructose may be due to enhancing proteinuria tissue resulting in a defect in the metabolism of FFAs that
and renal incompetence to excrete fructose. worse insulin resistance. However, Rodwell et al., (2015)
The serum creatinine level estimation was utilized to suggest that large amount of FFAs encourages more
monitoring of renal failure progressing. High creatinine may production of lipoproteins and promote the process of
be the byproduct of muscular energy metabolism that shifts gluconeogenesis which subsequent in dyslipidemia. Again,
to depend on non-glucose sources to attain energy due to insulin resistance may be the creator of dyslipidemia by
insulin resistance to which a little amount of glucose can be several means. It is familiar that in normal conditions, insulin
utilized. Likewise, the raised level of both serum total bilirubin suppresses lipolysis in adipocytes. Therefore, when insulin
may indicate liver injury, while serum AST due to various action is unsuitable, lipolysis will grow to produce more FFAs
tissues damage (Rodwell et al., 2015). in the liver and subsequently the excess amount of TG will
Serum glucose, insulin, and HOMA-IR were elevated form (Yokozawa et al., 2006). Further, FFAs support
(p0.001) in the group of F40%, Table 3. In the same group, formation of apoB is the chief lipoprotein of VLDL. Eventually,
HOMA-β index was depressed (p0.05). Hyperglycemia that serum VLDL will be elevated. Insulin contributes to apoB
concomitant MS agrees with almost all results of other degradation via the PI3K pathway, but when insulin
papers dealt with MS. Actually, it has been believed that resistance exists, more VLDL will be produced. Finally, it is
insulin resistance evident by higher HOMA-IR is the leading believed that insulin regulates the activity of lipoprotein lipase
contributor to the pathogenesis of MS (Mehta et al., 2010). that adjusts VLDL metabolism and clearance so insulin
In insulin resistance, the normal concentration of insulin resistance causes dyslipidemia through excessive VLDL
cannot give rise to an adequate response or predicted effect, production. However, VLDL uptake to remnant lipoprotein
particularly in adipose tissue, muscles, and liver. As a and LDL (both accused to the development of
compensatory mechanism pancreatic, beta cells produce atherosclerosis), while TG in VLDL has a preference to
more insulin that ensured by depressed HOMA-β index in uptake to HDL, TG enriched HDL consider favored substrate
our findings, to overcome hyperglycemia (Nolan et al., 2015). to the hepatic lipase, therefore HDL clear immediately
W hen insulins combined with their receptors, tyrosine leading to low serum HDL level (Chiang et al., 2011). Future
phosphorylation of substrates lead to the activation of two work should focus on the detailed molecular pathophysiology
parallel cell signaling pathways; phosphoinositol 3-kinase of induced MS.
(PI3K) and mitogen activated protein kinase (MAPK). In the
case of insulin resistance, MAPK works ordinarily, in contrast CONCLUSION
to PI3K which lacks their usual path triggering trouble in A well-established rat model of MS could be employed simply
related signaling pathways, ultimately reduced endothelial by a 40% fructose in drinking water, that is ready for the
NO production that contributing to atherosclerosis (Lawan further future work, and it seems that insulin resistance is
et al., 2018). essential to MS and related biochemical changes. To the

Volume 54 Issue 2 (February 2020) 171


Biochemical investigation of an experimentally induced metabolic syndrome in rats

knowledge of the authors, certain parameters as urea, against metabolic stress: Implications for the management
creatinine and AST were examined in MS for the first time. of subsets of type 2 diabetes. Diabetes. 64(3): 673-686.
Novelli, E. L., Diniz, Y. S., Galhardi, C. M., Ebaid, G.M., Rodrigues,
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