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Haider R, Asghari M, Aliasl F, Aghaali M, Borujerdi R, Saghafi H, Moradi H. Efficacy and safety of Plantago major seeds in patients with diabetic nephropathy: A randomized open-labeled controlled clinical trial. Explore (NY) 2024; 20:103005. [PMID: 38797623 DOI: 10.1016/j.explore.2024.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Revised: 04/25/2024] [Accepted: 05/03/2024] [Indexed: 05/29/2024]
Abstract
BACKGROUND Diabetic Nephropathy (DN) is characterized by albuminuria and a declining glomerular filtration rate (GFR) in diabetic patients. Plantago major (plantain) seed powder is traditionally used in these patients. Despite emerging and promising pre-clinical evidence, no clinical study investigated the potential efficacy of this intervention in patients with DN, which is the aim of this study. METHODS In a randomized clinical trial 60 DN patients were recruited from November 2022 to March 2023 and randomly assigned to the plantain group that received standard treatment (Losartan 25 mg twice a day) and plantain seeds' powder (10 gm sachet twice a day) plus sweet almond and the control group was received only standard treatment for 60 days. Proteinuria, as per 24-hour urinary protein, as well as fasting blood sugar (FBS), blood urea nitrogen (BUN), serum creatinine, serum potassium, and quality of life score were measured at baseline and after 60 days as study outcome measures. RESULTS Proteinuria was significantly decreased from 165.04 mg to 135.84 mg (p = 0.026) in the plantain group. The mean level of proteinuria was significantly lower in the plantain group (135.84 vs. 192.04, p = 0.039) compared to the control group after treatment. The plantain group showed more increase in quality of life score after treatment (33.89±9.67 vs 38.28±10.72, p = 0.041). Other outcomes showed no significant difference between the two study groups. CONCLUSION Adjuvant supplementation with plantain seeds powder may decrease proteinuria in patients with diabetic nephropathy. Further studies with larger sample sizes and longer duration are needed to confirm these results.
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Affiliation(s)
- Romella Haider
- Department of Traditional Persian Medicine, Qom University of Medical Sciences, Qom, Iran
| | - Majid Asghari
- Department of Traditional Persian Medicine, Qom University of Medical Sciences, Qom, Iran
| | - Fatemeh Aliasl
- Department of Persian Medicine, School of Traditional Medicine, Qom University of Medical Sciences, Qom, Iran
| | - Mohammad Aghaali
- Department of Family and Community Medicine, School of Medicine, Qom University of Medical Sciences, Qom, Iran
| | - Razieh Borujerdi
- Department of Traditional Persian Medicine, Qom University of Medical Sciences, Qom, Iran
| | - Hossein Saghafi
- Division of Nephrology, Department of Internal Medicine, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
| | - Hossein Moradi
- Department of Traditional Persian Medicine, Qom University of Medical Sciences, Qom, Iran.
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Essadek S, Bouchab H, El Kebbaj R, Gondcaille C, El Kamouni S, Savary S, Vamecq J, Essamadi A, Cherkaoui-Malki M, Nasser B, Andreoletti P. Effects of a Short-Term Lipopolysaccharides Challenge on Mouse Brain and Liver Peroxisomal Antioxidant and β-oxidative Functions: Protective Action of Argan Oil. Pharmaceuticals (Basel) 2022; 15:ph15040465. [PMID: 35455460 PMCID: PMC9030085 DOI: 10.3390/ph15040465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/27/2022] [Accepted: 04/05/2022] [Indexed: 01/27/2023] Open
Abstract
During sepsis, the imbalance between oxidative insult and body antioxidant response causes the dysfunction of organs, including the brain and liver. Exposing mice to bacterial lipopolysaccharides (LPS) results in a similar pathophysiological outcome. The protection offered by argan oil was studied against LPS-induced oxidative stress, dysregulation of peroxisomal antioxidants, and β-oxidation activities in the brain and liver. In a short-term LPS treatment, lipid peroxidation (malonaldehyde assay) increased in the brain and liver with upregulations of proinflammatory tumor necrosis factor (Tnf)-α and anti-inflammatory interleukin (Il)-10 genes, especially in the liver. Although exposure to olive oil (OO), colza oil (CO), and argan oil (AO) prevented LPS-induced lipid peroxidation in the brain and liver, only AO exposure protected against liver inflammation. Remarkably, only exposure to AO prevented LPS-dependent glutathione (GSH) dysregulation in the brain and liver. Furthermore, exposure to AO increased more efficiently than OO and CO in both organs, peroxisomal antioxidant capacity via induction of catalase (Cat) gene, protein and activity expression levels, and superoxide dismutase (Sod1) mRNA and activity levels. Interestingly, LPS decreased protein levels of the peroxisomal fatty acid-ATP binding cassette (ABC) transporters, ABCD1 and ABCD2, and increased acyl-CoA oxidase 1 (ACOX1) protein expression. Moreover, these LPS effects were attenuated for ABCD1 and ACOX1 in the brain of mice pretreated with AO. Our data collectively highlight the protective effects of AO against early oxidative stress caused by LPS in the brain and liver and their reliance on the preservation of peroxisomal functions, including antioxidant and β-oxidation activities, making AO a promising candidate for the prevention and management of sepsis.
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Affiliation(s)
- Soukaina Essadek
- Laboratoire Biochimie, Neurosciences, Ressources Naturelles et Environnement, Faculté des Sciences et Techniques, Université Hassan I, BP577, Settat 26000, Morocco; (S.E.); (H.B.); (R.E.K.); (S.E.K.); (A.E.); (B.N.)
- Laboratoire Bio-PeroxIL EA7270, University Bourgogne Franche-Comté, 6 Bd Gabriel, 21000 Dijon, France; (C.G.); (S.S.)
| | - Habiba Bouchab
- Laboratoire Biochimie, Neurosciences, Ressources Naturelles et Environnement, Faculté des Sciences et Techniques, Université Hassan I, BP577, Settat 26000, Morocco; (S.E.); (H.B.); (R.E.K.); (S.E.K.); (A.E.); (B.N.)
| | - Riad El Kebbaj
- Laboratoire Biochimie, Neurosciences, Ressources Naturelles et Environnement, Faculté des Sciences et Techniques, Université Hassan I, BP577, Settat 26000, Morocco; (S.E.); (H.B.); (R.E.K.); (S.E.K.); (A.E.); (B.N.)
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University, Settat 26000, Morocco
| | - Catherine Gondcaille
- Laboratoire Bio-PeroxIL EA7270, University Bourgogne Franche-Comté, 6 Bd Gabriel, 21000 Dijon, France; (C.G.); (S.S.)
| | - Soufiane El Kamouni
- Laboratoire Biochimie, Neurosciences, Ressources Naturelles et Environnement, Faculté des Sciences et Techniques, Université Hassan I, BP577, Settat 26000, Morocco; (S.E.); (H.B.); (R.E.K.); (S.E.K.); (A.E.); (B.N.)
| | - Stéphane Savary
- Laboratoire Bio-PeroxIL EA7270, University Bourgogne Franche-Comté, 6 Bd Gabriel, 21000 Dijon, France; (C.G.); (S.S.)
| | - Joseph Vamecq
- INSERM and HMNO, CBP, CHRU Lille, 59037 Lille, France;
- RADEME EA 7364, Faculté de Médecine, Université de Lille 2, 59045 Lille, France
| | - Abdelkhalid Essamadi
- Laboratoire Biochimie, Neurosciences, Ressources Naturelles et Environnement, Faculté des Sciences et Techniques, Université Hassan I, BP577, Settat 26000, Morocco; (S.E.); (H.B.); (R.E.K.); (S.E.K.); (A.E.); (B.N.)
| | - Mustapha Cherkaoui-Malki
- Laboratoire Bio-PeroxIL EA7270, University Bourgogne Franche-Comté, 6 Bd Gabriel, 21000 Dijon, France; (C.G.); (S.S.)
- Correspondence: (M.C.-M.); (P.A.); Tel.: +33-380-39-6237 (M.C.-M.); +33-380-39-6255 (P.A.)
| | - Boubker Nasser
- Laboratoire Biochimie, Neurosciences, Ressources Naturelles et Environnement, Faculté des Sciences et Techniques, Université Hassan I, BP577, Settat 26000, Morocco; (S.E.); (H.B.); (R.E.K.); (S.E.K.); (A.E.); (B.N.)
| | - Pierre Andreoletti
- Laboratoire Bio-PeroxIL EA7270, University Bourgogne Franche-Comté, 6 Bd Gabriel, 21000 Dijon, France; (C.G.); (S.S.)
- Correspondence: (M.C.-M.); (P.A.); Tel.: +33-380-39-6237 (M.C.-M.); +33-380-39-6255 (P.A.)
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