Effect of glycyrrhizin and canagliflozin on treatment of non alcoholic fatty liver disease in a rat model.

Nada Azam, Mahwash Malik, Akfish Zaheer, Rabab Miraj, Sadia Chiragh, Sadia Sharif
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Abstract

Objective: To observe the effect of canagliflozin and glycyrrhizin in prevention of non-alcoholic fatty liver disease. Study Design: Randomized Control Trial. Setting: Animal House, Post Graduate Medical Institute, Lahore. Period: March 2018 to August 2019. Material & Methods: It was an experimental study in which twenty-four adult healthy male Sprague- Dawley rats were categorized in four groups. All groups except normal control (A) were fed high fat high cholesterol diet throughout the study period. After 8 weeks group Disease Control (B) was administered distilled water, Glycyrrhizin treatment group (C) was given glycyrrhizin 60 mg/kg, Canagliflozin treatment group (D) was given canagliflozin 10 mg/kg. At the end of study, animals were sacrificed and liver tissue was prepared for histopathological analysis. Data was analyzed by SPSS 25 using Kruskal Wallis ANOVA followed by Mann Whitney U test. P value < 0.05 was considered significant. Results: Both showed significant lower grade of hepatic steatosis when compared to disease control. Canagliflozin treated group had significant decrease in hepatic steatosis, hepatic inflammation and ballooning than glycyrrhizin treated group. Conclusion: Glycyrrhizin halted the progression of fatty liver disease. The prevention of disease by canagliflozin infers their beneficial effect for treatment of non-alcoholic fatty liver disease.
甘草酸苷和卡格列净对大鼠模型非酒精性脂肪肝治疗的影响
目的观察卡格列净和甘草酸苷预防非酒精性脂肪肝的效果。研究设计:随机对照试验。研究地点拉合尔医学研究生院动物房。时间:2018 年 3 月至 2019 年 8 月2018 年 3 月至 2019 年 8 月。材料与方法:这是一项实验研究,将 24 只成年健康雄性 Sprague- Dawley 大鼠分为四组。在整个研究期间,除正常对照组(A)外,其他各组均喂食高脂肪高胆固醇饮食。8 周后,疾病对照组(B)服用蒸馏水,甘草酸苷治疗组(C)服用甘草酸苷 60 毫克/千克,卡格列净治疗组(D)服用卡格列净 10 毫克/千克。研究结束后,动物被处死,肝脏组织用于组织病理学分析。数据由 SPSS 25 使用 Kruskal Wallis 方差分析和 Mann Whitney U 检验进行分析。P 值小于 0.05 为差异显著。结果与疾病对照组相比,两者的肝脂肪变性程度均明显降低。与甘草酸苷治疗组相比,卡格列净治疗组的肝脏脂肪变性、肝脏炎症和气胀明显减轻。结论甘草酸苷能阻止脂肪肝的进展。卡格列净对疾病的预防作用推断了其对治疗非酒精性脂肪肝的益处。
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