Understanding Hepatic Insulin Resistance
Understanding Hepatic Insulin Resistance
INTRODUCTION
Glucose is an indispensable fuel for all cells and organs, but at the same time leads to
problems at high concentrations. As a consequence, blood glucose is controlled in a narrow
range to guarantee constant supply and on the other hand avoid damages associated with
elevated glucose levels. (DeFronzo RA et al.,2004). There is a general consensus that in the
postabsorptive state, the liver is the main source of free glucose generated via glycogenolysis
and gluconeogenesis (Stephen F. Previs et al,.2009).
The liver is crucial for the maintenance of normal glucose homeostasis and it produces
glucose during fasting and stores glucose postprandially. However, these hepatic processes are
dysregulated in type 1 and type 2 diabetes mellitus, and this imbalance contributes to
hyperglycaemia in the fasted and postprandial states. Net hepatic glucose production is the
summation of glucose fluxes from gluconeogenesis, glycogenolysis, glycogen synthesis,
glycolysis and other pathways (Max C. Petersen et al., 2018).
Liver is the main organ controlling blood glucose by (i) releasing newly synthesized or
stored glucose in the blood stream when blood glucose is low (ii) using and storing glucose
when blood glucose is elevated (Konig et al.,2012). In the liver, defects in insulin-stimulated
hepatic glycogen synthesis and increased rates of hepatic gluconeogenesis are the main factors
that contribute to insulin resistance and fasting hyperglycemia (Erion and Shulman 2010).
Chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and
failure of different organs. The vast majority of cases of diabetes fall into two broad
etiopathogenetic categories: type-1 and type-2 diabetes (Fatima Z Syed et al.,2022)
Gluconeogenesis is an endogenous metabolic pathway in which non-carbohydrate
substances are converted to glucose. This process is essential for maintaining blood glucose
during starvation, long-term muscle work, and when the body consumes more fats and proteins
than carbohydrates and contributes to increased glycemia in diabetes mellitus as well as
disorders associated with insulin resistance and muscle wasting. (Buchanan et al.,1999). The
major substrates for gluconeogenesis are lactate, glycerol, and gluconeogenic amino acids. The
main source of lactate is anaerobic glycolysis of red blood cells, the renal medulla, and skeletal
muscle. Therefore, lactate only contributes to glucose recycling, whereas other substrates
provide a new carbon skeleton (Milan Holecek et al,.2023) .
In the postabsorptive state, glucose is the obligatory fuel for the brain and provides
more than 90% of the energy needed for brain function. After absorption of the last meal,
endogenous glucose production gradually increases to prevent hypoglycemia. Liver glycogen
stores, as measured by liver biopsy, are limited to approximately 70 to 150 g after an overnight
fast; the kidney does not store glycogen. Consequently, glucose production during more
prolonged starvation depends on hepatic and renal gluconeogenesis.
The classical hormones involved in the regulation of hepatic glucose production are
insulin and the counterregulatory hormones glucagon, epinephrine, norepinephrine, cortisol,
and growth hormone. Besides their specific effects, all glucostimulatory hormones act by
increasing cytosolic free calcium levels, either directly or by stimulation of IP3 synthesis.
Increasing calcium levels is sufficient by itself to stimulate gluconeogenesis. (E.P.M. Corssmit
et al.,2001).
Insulin
Shortly after the discovery of insulin, it was shown that insulin inhibits hepatic glucose
production and stimulates peripheral glucose uptake. After an overnight fast, insulin
concentrations decrease to basal levels (5 U/mL, equivalent to (35 pmol/L). This results in a
major decrease in glucose uptake by insulin-dependent tissues such as resting muscle and
adipose tissue, which can use FFAs for their energy supply instead of glucose. Consequently,
glucose is available for non-insulin-dependent tissues such as the brain, blood cells, and renal
medulla, which depend strongly on glucose for their energy supply (Salim Bastaki et al., 2005).
Insulin inhibits gluconeogenesis by inhibiting the transcription of the gene of one of the
main gluconeogenic enzymes, phosphoenolpyruvate carboxykinase (which converts
oxaloacetate into 2-phosphoenolpyruvate) and by increasing the transcription of the gene
(Anila K Madiraju et al.,2019). Glycogenolysis seems to be more sensitive than
gluconeogenesis to inhibition by small increments in insulin secretion. The decrease in plasma
insulin from postprandial to basal concentrations is crucial for the stimulation of hepatic
glycogenolysis (Guoqing cao et al.,)
The effects of insulin on hepatic gluconeogenesis are less potent, are more complex,
and occur through multiple mechanisms. The direct inhibitory effect of insulin on the
transcription and activity of key hepatic gluconeogenic enzymes through forkhead box class
O-1 (FOXO1) phosphorylation, including phosphoenolpyruvate carboxykinase (PEPCK) is
well established. Further, insulin inhibits the secretion of glucagon, a known activator of
gluconeogenesis, thereby bringing about an indirect inhibitory effect on the process in the liver.
(Dale S. Edgerton et al.,2009)
2. REVIEW OF LITERATURE
Diabetes mellitus (DM) is a metabolic disease caused by a malfunction in either the action
or secretion of insulin, or both. In turn, a lack of insulin causes chronic hyperglycemia along
with abnormalities in the metabolism of proteins, fats, and carbohydrates. The most prevalent
endocrine condition, diabetes mellitus is predicted to affect over 200 million individuals
globally by 2010, with another 300 million expected to develop the condition by 2025. As the
condition worsens, tissue or vascular damage occurs, which can result in serious diabetes
consequences such ulceration, retinopathy, neuropathy, nephropathy, and cardiovascular
problems. (Salim Bataki ,2005)
Classification of diabetes
are the two main forms of diabetes mellitus. Diabetes is defined as a hyperglycemic
state either fasting or postprandial. According to the International Diabetes Federation (IDF)
the overall prevalence of diabetes mellitus was 366 million in 2011 and is expected to rise to
552 million by 2038. (Whiting DR et al. 2011)
Type 1 and 2 have a genetic propensity and environmental influences that influence
how the genetic tendency manifests itself. The main problem in type 1 diabetes is a widespread
lack of beta cell activity. Insulin resistance arises in type 2 diabetes, making it impossible to
attain or sustain the significant compensatory increases in insulin secretion required to preserve
normal glucose tolerance. The patient moves from normal glucose tolerance to impaired
glucose tolerance, diabetes with mostly postprandial hyperglycemia, and finally diabetes with
fasting hyperglycemia as beta cell function continues to decline. (Lebovitz, 2001).
The pancreas is unable to produce insulin due to the destruction of the beta-cells that
can produce insulin hormone. It affects about 3–5% of people with diabetes and generally
occurs in childhood or adolescence but can also occur in adults. Type 1 diabetes is therefore
characterized by beta-cell destruction, on an autoimmune or idiopathic basis, which leads to
absolute insulin deficiency. (Tiziana Ciarambino et al.,2022). . Insulin replacement is essential
for management because this leads to hyperglycemia and ketosis. People with T1DM live for
a long time, prevalence is highest in adults. Polyuria, polydipsia, and weight loss are among
the symptoms. Diabetic ketoacidosis is one of the acute consequences that needs to be treated
right away. Both macrovascular and microvascular diseases are long-term consequences.
(Fatima Z Syed,2022).
Pregnancy-related hyperglycemia increases the risk of bad outcomes for the mother,
fetus, and newborn. This risk is present whether the hyperglycemia adopts the T2D form
diagnosed before or during pregnancy. Newborns born to mothers with gestational diabetes are
at an elevated risk of developing diabetes in adulthood. The increased incidence of pregnancy-
related complications, such as premature birth, large-for-gestational-age births, macrosomia
(birth weight > 4.5 kg), cesarean delivery, and preeclampsia is primarily due to hyperglycemia
during pregnancy, which leads to larger neonates. Gestational diabetes can be influenced by
several risk factors, such as having a family history of the condition, being obese, advanced
maternal age, having polycystic ovarian syndrome, leading a sedentary lifestyle, and exposure
to environmental pollutants. The identification of gestational diabetes relies on specific criteria,
which involve evaluating fasting blood sugar levels, blood sugar levels after a 75 g oral glucose
load, and other relevant parameters. (Uazman alam et al.,2013).
Today, antioxidants are an essential component of our life because they neutralize or
eliminate free radicals, also known as "reactive oxygen species" (ROS), before they cause cell
harm. The disintegration of cell membranes, damage to membrane proteins, and DNA
mutations brought on by ROS-induced oxidation cause aging and further trigger or spread the
onset of numerous illnesses, including cancer, diabetes mellitus, arteriosclerosis, liver damage,
inflammation, skin damage, coronary heart disease, and arthritis. (Sunitha Dontha,2016)
There are several degrees of cellular defense against oxidative stress, which is the
harmful impact of reactive oxidants produced during aerobic metabolism. Three degrees of
protection are included in defense strategies: repair, interception, and prevention. The
localization of antioxidant chemicals and enzymes as well as the maintenance of sufficient
antioxidant levels are all part of the regulation of antioxidant capacity. Cell specialization in
these tasks and adaptation in the short and long term are fresh topics of investigation. It is
essential to regulate the activity of prooxidant enzymes like NO synthases and NADPH
oxidase. Artificial antioxidants imitate biological processes. (Britton,1993).
A) Enzymatic antioxidant:
Catalase
Glutathione peroxidase
Glutathione reductase
Superoxide dismutase
Catalase is an antioxidant enzyme that converts hydrogen peroxide to oxygen and water which
counteracts the effect of hydrogen peroxide found within cells. Most catalase activity during
tissue manipulation are destroyed. An imbalance between reactive oxygen species and
antioxidant interaction causes oxidative stress. A lot of diseases have oxidative stress as an
etiologic or exacerbating component (Aly DG et al., 2010).
Superoxide dismutase catalyzes the dismutation of superoxide and is found throughout the
body. As a side effect of this reaction, hydrogen peroxide is formed, which aids in the
transmission of free radical harm. Hydrogen peroxide, superoxide, and hydroxyl radicals are
only a few of the reactive oxidants produced by the human body (Ramasarma T, et al., 2007).
B) Non-enzymatic antioxidants:
Vitamin A, C, E
Polyphenols
Phenols
Flavonoids
Phenolic acids are benzoic and cinnamic acids that have been hydroxylated. In foods,
hydro benzoic acid is typically found as glucosides, but hydro cinnamic acid such as p-
coumaric, caffeic, and ferulic acid, is mostly found as simple esters (Mattila P et al.,2002).
Ascorbic acid or vitamin C is an organic acid that is the most crucial vitamin for human
nutrition. Ascorbic acid is synthesized in mitochondria and transported to other cell through
proton-electron chemical gradient or facilitated diffusion. It also has the ability to scavenge
many types of free radicals. The main sources of ascorbic acid are fruits and vegetables.
Ascorbic acid can fight against chronic diseases, such as cardiovascular diseases and certain
types of cancer (Ohad I et al., 2003).
3. AIM AND OBJECTIVE
The present study entitled “Evaluation of Anti diabetic effect of insulin on fructose induced
gluconeogenesis in goat liver” were designed with following objectives,
To compare the metabolic response of goat liver to insulin in the presence and absence
of fructose.
To assess the influence of fructose and insulin on hepatic glycogen content to determine
how these factors affect glycogen storage and mobilization in goat liver tissues.
4. MATERIALS AND METHODS
Phase I
Tissue preparation
Manual homogenization
Centrifugation
Extracting supernatant
Experimental Setup
Phase II
Glucose
Fructose
Carbohydrates
Protein
Free amino acids
Pyruvate
Phase III
Enzyme assays
Alanine transaminase
Aspartate transaminase
Lactate dehydrogenase
Phase IV
Catalase activity
Total antioxidants
Estimation of Non-Enzymatic assay
PHASE V
Principle
Glucose react with ortho-toluidine to give N-glucosamine and treated with glacial acetic
acid in which it gives green colour and colour developed is read calorimetrically at 640nm.
Reagents: Appendix I
Procedure
Into the series of test tubes working standard glucose solution was pipetted out in a
range of concentration 20-100µg and total volume was made upto 1ml with distilled water to
all the tubes .4ml of ortho-toluidine reagent added to all the tubes. Heat all the tubes in boiling
water bath for 10 minutes, cooled and read at 640nm. Made a standard graph with concentration
of the standard on the X-axis against its absorbance on Y-axis.
PRINCIPLE
Fructose in the presence of acid dehydratase to give a furfural derivative which form
complex with resorcinol to give a red colour complex which can be determined calorimetrically
at 520nm.
Reagents: Appendix II
Procedure
A working standard comparable to 40 -200 μg added to series of test tubes with distilled
water the capacity in all of the test tubes were increased to 2 ml. In each tube,4 ml of seliwanoff
reagent is added to all the tubes and boiled for 10 minutes. The test tubes cooled at room
temperature. The intensity of color developed was measured at 520nm. Concentration was
plotted on the X-axis and Y-axis of a typical graph. From the graph the concentration of the
unknown was determined.
Principle
Using weak hydrochloric acid, carbohydrates are first hydrolyzed into simple sugars.
Glucose is dehydrated to hydroxymethyl furfural in a hot acidic media. This compound reacts
with anthrone to produce a green-colored product with a maximum absorption wavelength of
630nm.
Procedure
0.2, 0.4, 0.6, 0.8, 1.0 ml pipetted as the working standard along with blank and make
up the volume to 1 ml. Then 5 mL of anthrone reagent is added and heat for 8 minutes, cooled
and read at 630nm. Make a standard graph with concentration of the standard on the X-axis
against its absorbance on the Y-axis.
Principle
In an alkaline medium, the aromatic amino acids tryptophan, tyrosine and peptide bond
create a complex with the cupric ion reducing the phenol reagent containing phosphomolybdic
acid and tungstic acid to a molybdenum blue colored complex which is measured
colorimetrically at 670nm.
Reagents: Appendix IV
Procedure
Principle
Reagents: Appendix V
Procedure
A working standard comparable to 20 -100 μg added to series of test tubes with distilled
water the capacity in all of the test tubes were increased to 1 ml. In each tube,1 ml of ninhydrin
was added except the blank that lacked the amino acid glycine. All the tubes were heated for
20 minutes and 5 ml of diluent solution added and thoroughly mixed. The intensity of purple
color developed was measured at 570 nm after 15 minutes and this color remains stable for an
hour. Concentration was plotted on the X-axis and Y-axis of a typical graph. From the graph
the concentration of the unknown was determined.
Principle
In the presence of sodium hydroxide, pyruvic acid produces a color with dinitrophenyl
hydrazine that may be read calorimetrically at 540nm.
Reagents: Appendix VI
Procedure
In separate test tubes, pipetted out 10-50 µg of standard pyruvic acid solution and 0.1
ml of the unknown sample solution and made up the volume to 3 ml with distilled water.1 ml
of DNPH reagent was added to all the test tubes and incubate for 20 minutes and add 2ml of
1N NaOH then incubate for 20 minutes at 540nm the color developed is read at
calorimetrically.
PHASE III
Principle
The enzyme is allowed to act on the substrate and the pyruvate is permitted to react
with 2,4-DNPH and at 520nm the color developed was read.
Procedure
1 ml of substrate was pipetted out into tubes test and control. Incubate the tubes for 10
minutes at 37°C and add 0.2 ml of supernatant followed by incubation for 30 minutes before
adding 1 ml of 2,4-DNPH to both of test and control. After that 0.2 ml of supernatant was added
to control and the developed color was measured at 520 nm. Pipette 0.2-1.0 ml of standard into
a succession of test tubes increasing the final volume to 5 ml with buffer.1 ml of 2,4-DNPH
was poured to each test tubes and incubate at 37°C for 30 minutes before adding 2 ml of IN
NaOH and the color developed was read at 520 mm.
Principle
The enzyme is allowed to work on the substrate and the liberated oxaloacetate is
allowed to react with 2,4-DNPH with the color generated being measured at 520 nm and
compared to a standard.
Procedure
2 ml of substrate pipetted into test and control tubes and incubate for 10 minutes at
37°C. Incubate for 1 hour after adding 0.2 ml of supernatant as the test. The addition of 1 ml
of 2,4-DNPH to both test and control is done. Finally, the control tube receive 0.2 ml of
supernatant and the developed color was measured at 520 nm the color intensity.
0.2-1.0 ml of standard pipetted into a succession of test tubes increasing the final
volume to 5 ml of buffer. 1 ml of 2,4-DNPH was added and incubated at 37°C for 30 minutes
before adding 2 ml of 1N NaOH and the color obtained was read at 520 nm.
Principle
Lactate dehydrogenase reacts with the lactate to produce pyruvate. With 2,4-DNPH
Pyruvate produces phenyl hydrazine. At 520 nm the color developed was measured.
Reagents: Appendix IX
Procedure
In each test and control tube pipette out 0.6 ml of buffered substrate reach. To test tubes,
add 0.2 ml of demineralized water mix well and incubate at 37°C for 15 minutes.0.2 ml NAD+
was added to each tube and thoroughly mixed. Tubes were incubated at 37 °C for 15 minutes
0.2 ml was added to the test and control tubes and thoroughly mixed. The reaction was arrested
by 1 ml of DNPH mix well and incubate for 15 minutes at 37°C. To this 2ml 1N NaOH was
added and the color was read at 540 mm. The standard is performed by adding all the reagents
as given in the protocol.
4.3. PHASE IV
Principle
Reagents: Appendix X
Procedure
ENZYMATIC ANTIOXIDANT
Principle
When dichromate in acetic acid was heated in the presence of hydrogen peroxide was
transformed to perchloric acid and then to chromic acetate. Spectrometrically, the chronic
acetate generated was measured at 620nm. The addition of dichromate acetic acid combination
stops the reaction at a predetermined time interval and the remaining hydrogen peroxide is
detected by measuring chromic acetate.
Reagents: Appendix XI
Procedure
The sample (0.1g) with 0.1M phosphate buffer, pH 7.0 in a prechilled mortar and pestle.
Centrifuged at 10,000 rpm at 4·c for 10 minutes. The supernatant used as enzyme extract. 1ml
of enzyme extract taken in three different conical flask. Add 3ml of phosphate buffer, 2ml of
hydrogen peroxide in all the conical flask. 10ml of sulphuric acid is added and titrate against
potassium permanganate until a faint purple colour persist for 15 seconds.
Principle
By monitoring the rate of color generated at 460 nm, the rate of breakdown of hydrogen
peroxide by superoxide dismutase with Ortho dianisidine as a donor can be assessed.
0.2 mL of the sample weighed and mixed with 2 ml sodium phosphate buffer, centrifuge
for 5 minutes at 2000 rpm, and use the supernatant for the test. To 0.2 ml of enzyme extract,
0.06 ml of ortho-dianisidine and 0.2 ml of riboflavin were added. With phosphate buffer, the
final volume was increased to 5 ml. The test mixture was exposed to sunlight or UV for 15
minutes and read at 400 nm within 30 minutes. Simultaneously with the sample, a control
without the enzyme mixture was run.
Principle
PROCEDURE
5 ml of the working standard solution pipetted into a conical flask with a capacity of
100ml. Titrate against the color with 10ml of 4% oxalic acid (V1 ml). The arrival of pink color
that lasts a few minutes is the end point. The amount of colour is the same as the amount of
ascorbic acid swallowed. In 4% oxalic acid extract the sample and dilute to known volume
(100ml) before centrifuge. Pipette off 5ml of the supernatant mix in 10ml of 4% oxalic acid
and titrate against the dye (V2 ml).
PHASE V
Principle
The rate of glucose uptake by the cell was used to determine glucose uptake activity.
This approach is useful for determining the impact of a chemical on glucose uptake activity.
Reagents: Appendix XIV
Procedure
Commercial baker's yeast was washed by repeated centrifugation (3,000×g, 5 min) in distilled
water until supernatant fluids were clear and 10% (v/v) suspension was made in distilled water.
Insulin in various concentrations (1-5 mg/ml) were added to 1 ml of glucose solution (5, 10.
and 25 mM) and incubated at 37 °C for 10 minutes. The reaction was initiated by adding 100
µl of yeast suspension, vortexing it and then incubating it for 60 minutes at 37°C. After 60
minutes, the tubes were centrifuged (2,500 g, 5 min) and the glucose content of the supernatant
was measured. Metronidazole was used as the basic anti-diabetic medication. The increase in
glucose absorption by yeast cells was evaluated as a percentage increase.
Reagents: Appendix XV
Procedure
Test tubes were held at room temperature for 1 hour after adding the sample and
reagents. The mixture was then centrifuged and the supernatant was utilized to determine
methionine levels. The pellet (yeast cells) was then lysed using lysis buffer and MgCl, before
being centrifuged. Glucose was calculated from the supernatant.
Principle
Procedure
Assay combination of 5 mL buffer, 0.2 mL sodium succinate, 0.2 ml. sodium azide,
and 0.1 mL dichlorophenol indophenol dye. 0.4 mL of supernatant added and thoroughly mixed
before reading the absorbance at 600nm. This is the value of zero. Incubate the tubes at the
chosen temperature for 5 minutes and then measure the absorbance until there is no change.
On a graph sheet, the time sequence is drawn. In most cases, the graph is exponential. The rate
of change was calculated using the graph's linear section. Thus, the amount of dye decreased
in mole unit can be determined based on the change in absorbance.
Procedure
PHASE II
BIOCHEMICAL ASSAYS
ESTIMATION OF GLUCOSE
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.41±0.05 0.39±0.03 0.40±0.09
20 minute 0.48±0.03 0.43±0.05 0.44±0.06
40 minute 0.49±0.07 0.40±0.08 0.41±0.05
60 minute 0.58±0.09 0.46±0.06 0.50±0.08
80 minute 0.52±0.08 0.49±0.08 0.39±0.07
When fructose induction was used in this investigation, the glucose concentration in
liver tissues increases in group II compared to a normal group. Fructose stimulates
gluconeogenesis by increasing the activity of a critical key regulatory enzyme. Insulin inhibited
the activity of key enzymes in the glucose pathway by lowering the glucose levels. This
suggests that insulin inhibits gluconeogenesis.
Figure 1: Graphical representation of Glucose: Group 1 indicate normal culture. Group II
indicates induction of fructose at 0 minutes. Group III indicates Insulin induction along with
fructose at 20 minutes.
ESTIMATION OF FRUCTOSE
The seliwanoff’s method can be used to determine the amount of glucose present in a sample.
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.12±0.05 0.23±0.09 0.20±0.08
20 minutes 0.14±0.07 0.27±0.06 0.19±0.1
40 minutes 0.22±0.1 0.31±0.04 0.27±0.05
60 minutes 0.33±0.05 0.19±0.06 0.25±0.07
80 minutes 0.35±0.08 0.22±0.07 0.30±0.09
Group I: NOR-Normal
GROUPS I II III
NOR FRU FRU + INS
0 minutes 0.24±0.1 0.25±0.09 0.24±0.1
20 minutes 0.30±0.09 0.28±0.1 0.29±0.07
40 minutes 0.32±0.1 0.33±0.07 0.31±0.1
60 minutes 0.17±0.08 0.30±0.08 0.26±0.08
80 minutes 0.20±0.09 0.33±0.1 0.28±0.09
The total protein was calculated using Lowry's method with Bovine Serum Albumin as
a reference.
Table 4: Estimation of Total Protein
GROUPS I II III
NOR FRU FRU + INS
0 minute 0.35±0.05 0.32±0.07 0.34±0.08
20 minute 0.42±0.06 0.38±0.08 0.38±0.07
40 minute 0.28±0.03 0.42±0.05 0.25±0.1
60 minute 0.30±0.1 0.54±0.08 0.30±0.05
80 minute 0.32±0.1 0.58±0.1 0.20±0.1
Estimation of Total protein: It is expressed in µM/L. Values expressed as mean ±SD (n=3).
Group I: NOR-Normal
Group II : FRU-Fructose
When compared to the control group protein concentration in liver tissues began to
increase after 20 minutes of fructose induction with hydrocortisone. This demonstrates that
fructose increases protein levels within the cells resulting in the accumulation of tissue
primarily in the muscle. The protein concentration was measured at 40 minutes. Similarly, the
protein level induced insulin fluctuates between 60 and 80 minutes.
Figure 4: Graphical representation of Total Protein: Group I indicates normal culture. Group II
indicates fructose induced at 0 minutes. Group III indicates insulin induced with fructose at 20
minutes.
In the liver cell free amino acids were determines using ninhydrin assay with glycine with
standard.
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.34±0.05 0.41±0.03 0.39±0.07
20 minutes 0.32±0.03 0.27±0.08 0.30±0.07
40 minutes 0.35±0.08 0.29±0.09 0.26±0.05
60 minutes 0.31±0.05 0.23±0.07 0.25±0.06
80 minute 0.36±0.07 0.19±0.06 0.19±0.09
Estimation of free amino acids were expressed in µM/L. Values were expressed as mean ± SD
(n=3).
In this study the concentration of amino acids in each of three groups was compared. At 20
minutes the amino acids level in fructose of group II has reduced. Insulin lowers amino acid
content in liver tissues indicating that free amino acids are directed to gluconeogenesis.
Figure 5: Graphical representation of Free amino acids: Group I indicates normal culture.
Group II indicates fructose induced at 0 minutes. Group III indicates insulin is induced with
fructose at 20 minutes.
ESTIMATION OF PYRUVATE
The amount of pyruvate was estimated by DNPH method in the liver cells.
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.34±0.08 0.30±0.05 0.33±0.06
20 minutes 0.32±0.1 0.25±0.08 0.30±0.07
40 minutes 0.30±0.07 0.20±0.1 0.29±0.05
60 minutes 0.23±0.06 0.33±0.09 0.28±0.03
80 minutes 0.33±0.08 0.21±0.07 0.31±0.07
Estimation of pyruvate: Total Protein expressed in µM/L. Value were expressed as mean±S.D
(n=3)
Figure 6: Graphical representation of Pyruvate: Total Protein were expressed in µM/L. Group
I indicates normal culture. Group II indicates of fructose induced at 0 minutes. Group III
indicates insulin is induced with fructose at 20 minutes.
PHASE III
ENZYME ASSAY
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.50±0.09 0.52±0.04 0.55±0.05
20 minutes 0.31±0.05 0.73±0.06 0.45±0.07
40 minutes 0.40±0.03 0.51±0.09 0.35±0.1
60 minutes 0.70±0.08 0.60±0.1 0.40±0.07
80 minutes 0.88±0.1 0.66±0.08 0.29±0.09
Alanine transaminase activity were expressed in IU/mg/min. Value were expressed as
mean ± S.D (n=3).
Group II:FRU-Fructose
Fructose induced at 20 minutes increased the alanine transaminase level in Group I. Insulin
decreases the level at 40 minutes.
Fructose induced at 20 minutes increased the level when compared to normal. Insulin induced
at 20 minutes decreases its activity compared to fructose(Group II). While insulin at 40 minutes
decreased its activity of AST level in Group III.
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.65±0.05 0.49±0.06 0.64±0.09
20 minutes 0.60±0.04 0.55±0.04 0.70±0.07
40 minutes 0.66±0.09 0.62±0.09 0.55±0.03
60 minutes 0.50±0.1 0.67±0.05 0.62±0.08
80 minutes 0.55±0.08 0.70±0.08 0.66±0.5
PHASE IV
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.75±0.05 0.76±0.09 0.75±0.09
20 minutes 0.70±0.03 0.72±0.1 0.69±0.08
40 minutes 0.68±0.08 0.77±0.08 0.63±0.06
60 minutes 0.73±0.7 0.69±0.07 0.58±0.13
80 minutes 0.74±0.04 0.55±0.09 0.60±0.1
The total antioxidant level in Group II lies above that of Group 1 at 40 minutes. The total
antioxidant activity was increased and closer to normal levels after inducted with insulin and
Fructose in group III lies below the normal at 80 minutes.
Figure 10: Graphical representation of antioxidant capacity: Group I indicates normal culture.
Group II indicates Fructose induced at 0 minutes. Group III indicates insulin is induced with
fructose at 20 minutes.
ASSAY OF CATALASE
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.21±0.05 0.25±0.03 0.20±0.06
20 minutes 0.18±0.04 0.22±0.02 0.15±0.03
40 minutes 0.17±0.06 0.19±0.08 0.14±0.02
60 minutes 0.19±0.09 0.19±0.03 0.13±0.04
80 minutes 0.20±0.03 0.17±0.05 0.16±0.03
Figure 11: Graphical representation of catalase. Group I indicates normal culture. Group II
indicates fructose induced at 0 minutes. Group III indicates insulin is induced with fructose at
20 minutes.
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.54±0.1 0.47±0.06 0.56±0.03
20 minutes 0.53±0.09 0.45±0.05 0.58±0.02
40 minutes 0.55±0.08 0.38±0.04 0.46±0.03
60 minutes 0.45±0.1 0.35±0.06 0.38±0.02
80 minutes 0.55±0.09 0.31±0.05 0.35±0.02
Group I: NOR-Normal
Group II: FRU-Fructose
The activity of Superoxide dismutase (SOD) was shown to be lower of the normal Group I in
this investigation owing to the formation of highly reactive oxygen species (ROS), Induction
of fructose decreases its activity SOD activity was observed to be increased and closer to
normal after treatment with the insulin.
Figure 12: Graphical representation of superoxide dismutase: Group I indicates normal culture.
Group II indicates fructose induced at 0 minutes. Group III indicates insulin is inducted with
fructose at 20 minutes.
GROUPS I II III
NOR FRU FRU+INS
0 minute 0.50±0.04 0.49±0.06 0.48±0.05
20 minutes 0.44±0.05 0.40±0.02 0.42±0.03
40 minutes 0.37±0.03 0.33±0.04 0.36±0.04
60 minutes 0.52±0.08 0.30±0.05 0.31±0.06
80 minutes 0.38±0.04 0.49±0.05 0.42±0.07
Estimation of ascorbic acid were expressed in µg of ascorbic acid equivalence. Values
expressed as mean ±SD (n=3).
Group I: NOR-Normal
Vitamin E and C are two of the most important antioxidants that fight free radicals and their
ROS damage. In Group II, fructose induction decreased its antioxidant levels. At 60 minutes,
administration of the compound Insulin resulted in increased vitamin C activity in Group I that
was similar to normal.
Figure 13: Graphical representation of ascorbic acid. Group I indicates normal culture. Group
II indicates fructose induced at 0 minutes. Group III indicates insulin is induced with fructose
at 20 minutes.
PHASE V
For one hour time spent for incubating methionine and liver cell suspension. Estimation
glucose are carried out after the incubation period. Methionine levels appear to be decreasing
because it is a glucogenic amino acid involved in gluconeogenesis. It shows that liver cells use
methionine to synthesize glucose which results in a rise in glucose concentration in the cells.
TABLE 14: PERCENTAGE OF METHIONINE UPTAKE
Group I: NOR-Normal
Figure 14: Methionine uptake assay: Group I indicates normal culture. Group II indicates
fructose induced at 0 minutes. Group III indicates insulin is induced with fructose at 20
minutes.
ASSAY OF SUCCINATE DEHYDROGENASE
Group I: Nor-Normal
One hour was time spent incubating tryptophan and liver cell suspension. After incubation
glucose levels are measured. Tryptophan levels should be reduced because it is involved in
gluconeogenesis. It indicates that tryptophan is used by liver cells to synthesize glucose
resulting in an increase in glucose content.
Figure 15: Tryptophan uptake assay: Group 1 indicates normal culture. Group II indicates
fructose induced at 0 minutes. Group III indicates Insulin induced along with fructose at 20
minutes.
SUMMARY AND CONCLUSION
A work on anti-diabetic effect effect of Insulin on fructose induced gluconeogenesis in
goat liver showed a significant reduction in the gluocose levels.
The protein level increased on fructose induction and insulin induction to the liver tissues
decreases it.
Certain metabolites like pyruvate, free amino acids level were decreased on fructose
because it involved in synthesis of glucose via gluconeogenesis pathway.
The total antioxidant level was also decreased in fructose induced group which came to
normal on Insulin treatment.
Enzymic antioxidants such as superoxide dismutase and catalase estimated for all the
three groups in the anti-hyperglycemic study. The normal and Insulin treated liver tissues
showed almost same value, but fructose induced group had decreased enzymic levels.
Non enzymic antioxidant Vitamin C level decreased in fructose induced group and the
level increased on induction of Insulin. The compound can decrease elevated glucose level by
increasing the rate of glucose uptake by the liver tissues.
The methionine and tryptophan uptake assay shows that the steroid induced group have
increased amino acid uptake and increases the intracellular glucose level. This shows that
increased amino acid uptake entered to gluconeogenesis. The succinate dehydrogenase level
seems to be increased in fructose induced group and the compound Insulin brought down the
activity enzyme to normal level.
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APPENDIX I
Estimation of glucose
1. O-Toluidine reagent: 50 ml of O-Toluidine is added and make upto 1 litre with glacial acetic
acid. 1.5g of thiourea is dissolved in the reagent.
APPENDIX II
Estimation of fructose
APPENDIX III
Estimation of carbohydrates
1. Anthrone reagent: 200mg Anthrone was dissolved in 100ml of the cold 95% H2SO4.
APPENDIX IV
Estimation of protein
3. Reagent C: Alkaline copper sulphate: 50ml of reagent A was mixed with 1ml of B prior to
use.
5. Stock standard: 50mg of BSA was weighed and dissolved in distilled water and made up
to 50ml in a flask.
6. Working standard: Dilute 10ml of stock solution to 50ml with distilled water. 1ml
APPENDIX V
3. Standard solution: Dissolve 100mg of glycine in 100ml of water. Working solutions can be
made by diluting suitable volumes of standards.
APPENDIX VI
Estimation of pyruvate
2. 0.4 N NaOH
3. Standard Pyruvic acid-Dissolve 125mg of sodium pyruvate in 10ml distilled water. Dilute
this stock solution in the ratio of 1:5. The concentrated of working standard is 20µg/ml.
APPENDIX VII
APPENDIX VIII
APPENDIX IX
3. Buffered substrate: 150 ml of glycine buffer and 75 ml of 0.1N NaOH was added to 5ml of
lactate solution.
5. 2,4 DNPH
6. Standard sodium pyruvate: 7mg of sodium pyruvate in 100ml of the phosphate buffer.
APPENDIX X
1. To 100ml of distilled water 5ml [Link], 0.3g sodium phosphate, 0.49g ammonium molybdate
added.
APPENDIX XI
Estimation of Catalase
2. 2mol/l HO
3.5% potassium dichromate and glacial acetic acid were mixed in 1:3 ratio.
APPENDIX XII
APPENDIX XIII
2. Stock standard solution: Dissolved 100 mg ascorbic acid in 100 ml of 4% oxalic acid solution
in a standard (1mg/ml).
[Link] standard: Diluted 10ml of the stock solution to 100ml with 4% oxalic acid. The
concentration of working standard is 100µg/ml.
APPENDIX XIV
[Link] solution
APPENDIX XV
Estimation of Methionine
5. Glycine: 3%
APPENDIX XVI
4. Dichlorophenol indophenol dye: Prepare the dye solution by dissolving 6mg/ml water
APPENDIX XVII
Estimation of Tryptophan
[Link] tryptophan: Transfer 100mg of tryptophan to a standard flask. Suspend the amino
acid in 20-30 ml of distilled water. Dissolve the amino acid by adding 2ml of 5N HCl and make
up to 100ml with distilled water. The working standard is prepared by diluting 10ml of the
stock to 100ml.