Study of 5-aminolevulinic acid in enhancing anti-diabetic efficacy of metformin
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1001-1978.2014.08.018
   		
        
        	
        		- VernacularTitle:5-氨基乙酰丙酸辅助二甲双胍的降血糖作用
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Huafeng JIANG
			        		
			        		;
		        		
		        		
		        		
			        		Shuijiang CAO
			        		
			        		;
		        		
		        		
		        		
			        		Feng SHEN
			        		
			        		;
		        		
		        		
		        		
			        		Jie HOU
			        		
			        		;
		        		
		        		
		        		
			        		Lei TANG
			        		
			        		;
		        		
		        		
		        		
			        		Sixiang FAN
			        		
			        		;
		        		
		        		
		        		
			        		Tingting ZHONG
			        		
			        		;
		        		
		        		
		        		
			        		Xiangwei ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Li CAO
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		5-aminolevulinic acid;
			        		
			        		
			        		
				        		metformin;
			        		
			        		
			        		
				        		com-bined effects;
			        		
			        		
			        		
				        		hpyerglycemic;
			        		
			        		
			        		
				        		insulin sensitivity;
			        		
			        		
			        		
				        		his-tomorphology
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Pharmacological Bulletin
	            		
	            		 2014;(8):1127-1130,1131
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Aim Toexaminethecombinedeffectsof 5-ALA and metformin on diabetes mellitus induced by streptozotocin( STZ) in mice, and to discuss the mech-anisminitially.Methods Thediabeticmiceinduced by intraperitoneal injection of STZ were treated with 5-ALA and/or metformin for 30 days. Physical signs, fasting blood glucose ( FBG ) , fasting plasma insulin ( FIns) , plasma leptin ( Lep) , glucose tolerance, and histological changes of liver and pancreas were as-sessed. Insulin resistance was evaluated by the homeo-stasismodelassessment(HOMA).Results There were more significant effects when 5-ALA combined with metformin than only using metformin on lowering FBG, FIns and Lep. And 5-ALA combined with met-formin could improve glucose tolerance and the insulin sensitivity. Microscopic analysis demonstrated that sig-nificant changes in pancreatic islet and characteristic feature of the vacuolization phenotype in liver was ob-served on diabetic mice, and use of 5-ALA could in-hibit shrinking pancreatic islet number and hepatic morphological changes, especially in combination with metformin.Conclusions Asynergisticeffectof5-ALA and metformin is observed. Combined therapy of 5-ALA and metformin can decrease FBG and improve glucose tolerance, insulin sensitivity and islet ? cells function and morphology.