Received: 6 June 2018
|
Revised: 1 November 2018
|
Accepted: 3 January 2019
DOI: 10.1002/jbt.22295
Protective effect of atorvastatin on oxidative stress in
streptozotocin‐induced diabetic rats independently their
lipid‐lowering effects
Göknur Aktay
1
| Şule Öner Gürsoy
1
| Umut Uyumlu
1
| Songül Ünüvar
2
|
Nevin İlhan
3
1
Department of Pharmacology, Faculty of
Pharmacy, İnönü University, Malatya, Turkey
2
Department of Pharmaceutical Toxicology,
Faculty of Pharmacy, İnönü University,
Malatya, Turkey
3
Department of Biochemistry, Faculty of
Medicine, Fırat University, Elazığ, Turkey
Correspondence
Songül Ünüvar, Department of Pharmaceutical
Toxicology, Faculty of Pharmacy, İnönü
University, Malatya, Turkey.
Email: songul.unuvar@inonu.edu.tr
Funding information
Inönü University Scientific Research Projects
Department, Grant/Award Number: 2011/68
Abstract
In the present study, we investigate the effects of atorvastatin on the lipid profile,
oxidative stress, and liver enzyme markers, and its protective activity against diabetic
complications, in streptozotocin (STZ)‐induced diabetic rats. Fasting blood glucose
(FBG), triglyceride (TG), total cholesterol (TC), and high‐density lipoprotein (HDL)
levels, as well as alanine aminotransferase (ALT) and aspartate aminotransferase
(AST) enzyme activities, were measured 7 weeks after the administration of STZ and
atorvastatin. Thiobarbituric acid reactive substances (TBARS), non‐protein associated
sulfhydryl (NP‐SH), total sulfhydryl (T‐SH), and nitric oxide (NO) levels were
measured to evaluate oxidative stress. Atorvastatin was found to inhibit ALT and
AST activities and to reduce FBG levels in rats with STZ‐induced diabetes. Moreover,
atorvastatin treatment significantly reduced lipid peroxidation in kidney, heart, and
eye tissues (P < 0.001, for all), and resulted in a significant increase in NP‐SH levels in
brain tissues (P < 0.001). Total NO and nitrate levels increased significantly after
atorvastatin treatment (P < 0.01). Our results revealed that atorvastatin has a
protective effect against STZ‐induced oxidative damage by reducing TBARS levels
and increasing NP‐SH levels, has a hepatoprotective effect by decreasing ALT and
AST activities. It also shows the antihyperglycemic activity by lowering FBG levels.
KEYWORDS
atorvastatin, diabetes mellitus, lipid peroxidation, liver enzymes, streptozotocin (STZ)
1 | INTRODUCTION
The World Health Organization reported that there were 422 million
patients with diabetes worldwide in 2014.
[1]
Diabetes is a metabolic
disease that has been linked to hyperglycemia and develops as a
result of defects in insulin release, insulin resistance, or both. There
are several mechanisms underlying the insulin resistance and
metabolic disorders in different subtypes of diabetes.
[2]
Type 1
diabetes results in damage to different tissues, including the heart,
kidneys, retina, and nerves, and leads to serious complications.
[3]
Combinations of insulin with other therapies, including statins,
for the treatment of type 1 diabetes has recently been suggested to
be effective in reducing cardiovascular risk.
[4]
Statins are drugs that
reduce cholesterol levels by inhibiting the hydroxymethylglutaryl‐
coenzyme A (HMG‐CoA) reductase enzyme, which plays a crucial role
in cholesterol synthesis in the liver.
[5–7]
These are among the most
commonly prescribed medicines worldwide for the prevention of
cardiovascular complications and mortality, and studies have
suggested that, in addition to decreasing serum lipids, statins also
show pleiotropic effects that are not directly associated with
cholesterol synthesis, such as improving endothelial dysfunction,
reducing inflammatory response, stabilizing atherosclerotic plaque,
and decreasing thrombogenic response.
[7]
Compared with hydro-
philic statins (eg, pravastatin), lipophilic statins (egatorvastatin and
J Biochem Mol Toxicol. 2019;e22295. wileyonlinelibrary.com/journal/jbt © 2019 Wiley Periodicals, Inc. | 1 of 6
https://doi.org/10.1002/jbt.22295