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Therapeutic effects of chiglitazar combined with Rosa roxburghii Tratt. in inpatients with antipsychotic-induced metabolic syndrome
Author(s):
1. Hui Jin: Department of Psychiatry, Wenzhou Seventh People's Hospital,Wenzhou,China
2. Jing Yi Zhang: Department of Endocrinology, Wenzhou Seventh People's Hospital,Wenzhou,China
3. Zi Yao Cai: Department of Outpatient, Wenzhou Seventh People's Hospital,Wenzhou,China
4. Shun Yao Xu: Department of Psychiatry, Wenzhou Seventh People's Hospital,Wenzhou,China
5. Xiao Dong Lin: Department of Traditional Chinese Medicine, Wenzhou Seventh People's Hospital,Wenzhou,China
6. Jia En Ye: Department of Psychiatry, Wenzhou Seventh People's Hospital,Wenzhou,China
7. Yan Shan Zheng: Department of Gastroenterology, Cangnan County People's Hospital,Wenzhou,China
8. Jin Xuan Zheng: Department of Psychiatry, Wenzhou Seventh People's Hospital,Wenzhou,China
Abstract:
The objective of this study was to evaluate the therapeutic effects of Chiglitazar combined with Rosa roxburghii Tratt (RRT) in inpatients diagnosed with psychiatric disorders and antipsychotic-induced metabolic syndrome (MetS).100 cases were included and divided into the Siglitazar group (n=50) and the Siglitazar + RRT group (n=50) Anthropometric measurements, lipid and glucose metabolism indicators, inflammatory markers, and PANSS scores were assessed at baseline, 8 weeks and 12 weeks post-treatment. Both treatment groups exhibited significant reductions in waist circumference and improvements in lipid profiles and glucose metabolism indicators over the 12-week study period. The siglitazar + RRT group performed better in improving the lipid profile, with significant decreases in triglyceride (TG) and total cholesterol (TC) levels. Furthermore, levels of inflammatory markers (CRP, IL-6, TNF-a) decreased significantly in both groups, with consistently lower levels observed in the Chiglitazar + RRT group at 8 weeks and 12 weeks. Importantly, the Chiglitazar + RRT group exhibited a significantly lower PANSS score at 12 weeks compared to baseline, indicating improved psychiatric symptoms. Chiglitazar combined with RRT effectively improves metabolic parameters, reduces inflammation and ameliorates psychiatric symptoms in inpatients with antipsychoticinduced MetS.
Page(s): 1343-1349
Published: Journal: Pakistan Journal of Pharmaceutical Sciences, Volume: 37, Issue: 6, Year: 2024
Keywords:
Metabolic syndrome , Rosa roxburghii Tratt , antipsychotic agents , chiglitazar
References:
[1] Cheng HS,Tan WR,Low ZS,Marvalim C,Lee JYH,Tan NS .2019 .Exploration and development of PPAR modulators in health and disease: An update of clinical evidence. Int. J. Mol. Sci, 20(20) : 176-185.
[2] Chu L,Zong Lin L,XLC L,Fang L,WJY LNJ L .2023 .Indirect comparison of efficacy and safety of chiglitazar and thiazolidinedione in patients with type 2 diabetes: A meta-analysis. World. J. Diabetes, 14(10) : 1573-1584.
[3] Deeks ED .2022 .. Chiglitazar: First Approval. Drugs, 82(1) : 87-92.
[4] DeFronzo RA .2021 .Chiglitazar: A novel pan-PPAR agonist. Sci. Bull, 66(15) : 1497-1498.
[5] Farzaneh M,Mohammad AM,Zahra S,Mehrdad N,Marjan J,Jafar H,Gordon AF,Mohammad HE .2024 .The effects of powdered drinks enriched with curcumin and probiotics on lipid profile and atherogenic indices in patients with metabolic syndrome: A randomized, double-blinded, placebocontrolled clinical trial. Food. Sci. Nutr, 12(2) : 1257-1267.
[6] Fei P,Xu J,Xie J,Huang J,Feng H,Chen X .2024 .Rosa roxburghii Tratt. pomace crude extract inactivates Cronobacter sakazakii isolated from powdered infant formula. Foodborne. Pathog. Dis., 21(4) : 268-274.
[7] Gaebel W,Stricker J,Riesbeck M,Zielasek J,Kerst A,Meisenzahl-Lechner E .2020 .Accuracy of diagnostic classification and clinical utility assessment of ICD-11 compared to ICD-10 in 10 mental disorders: Findings from a web-based field study. Eur. Arch. Psychiatry. Clin. Neurosci., 270(3) : 281-289.
[8] Han X,Meng F,Cao X,Du X,Bu G,Kong F G .2021 .FSH promotes fat accumulation by activating PPARgamma signaling in surgically castrated, but not immunocastrated, male pigs. Theriogenology, 15(160) : 10-7.
[9] Hempel B,Crissman M,Pari S,Klein B,Alton GHB,H GHB .2023 .PPARα and PPARγ are expressed in midbrain dopamine neurons and modulate dopamineand cannabinoid-mediated behavior in mice. Mol. Psychiatry, 28(10) : 4203-4214.
[10] Hong Y,Chun Z,Y Z .2024 .MiR-18 regulates lipid metabolism of non-alcoholic fatty liver disease via IGF1. Cell. Mol. Biol, 70(4) : 237-241.
[11] Ji J,Zhang S,Yuan M,Zhang M,Tang L,Wang P .2022 .Fermented Rosa roxburghii Tratt. juice alleviates high-fat diet-induced hyperlipidemia in rats by modulating gut microbiota and metabolites. , 13 : 883629.
[12] Jiang G,Li B,Ding Z,Zhu J,Li S J .2024 .Effect of cellulase on antioxidant activity and flavor of Rosa roxburghii Tratt. Food. Chem. X., 21 : 101148.
[13] Li J,Zhang J,Zhang Y,Shi Y,Feng D,Zuo Y .2022 .Effect and correlation of Rosa roxburghii Tratt. fruit vinegar on obesity, dyslipidemia and intestinal microbiota disorder in high-fat diet mice. Foods, 11(24) : 472-478.
[14] Ma L,Hou T,Zhu K,Zhang A .2023 .Inhibition of Histone H3K18 acetylation-dependent antioxidant pathways involved in arsenic-induced liver injury in rats and the protective effect of Rosa roxburghii Tratt. juice. Toxics, 11(6) : 503-509.
[15] Rostami H,Babaali F,Moradi L,Golfakhrabadi F,Abdi L F .2023 .Evaluation of the effect of barberry root (Berberis Vulgaris) on the prevention of metabolic syndrome caused by atypical antipsychotic drugs in patients with schizophrenia: A three-blind placebocontrolled clinical trial. Iran. J. Psychiatry, 18(3) : 362-368.
[16] Saarinen HJ,Lahtela J,Mahonen P,Palomaki A .2024 .The association between inflammation, arterial stiffness, oxidized LDL and cardiovascular disease in Finnish men with metabolic syndrome a 15-year follow-up study. BMC. Caraiovasc. Disori., 24(1) : 162-162.
[17] Tang L,Zhang S,Zhang M,Wang PJ,Liang GY,Gao XL .2022 .Analysis of protective effects of Rosa Roxburghii Tratt. fruit polyphenols on lipopolysaccharide-induced acute lung injury through network pharmacology and metabolomics. Food. Sci. Nutr, 10(12) : 4258-4269.
[18] Wang L,Li C,Huang Q,Fu X .2020 .Polysaccharide from Rosa roxburghii Tratt. fruit attenuates hyperglycemia and hyperlipidemia and regulates colon microbiota in diabetic db/db Mice. J. Agric. Food. Chem, 68(1) : 147-159.
[19] Wang Q,Fang X,Sun B,Zhu K,Yao M,Wei S and Zhang A .2024 .Rosa roxburghii Tratt. juice inhibits NF-kappaB and increases IL-2 to alleviates the Foxp3- mediated Tregs imbalance in the peripheral blood of arseniasis patients. Food. Sci. Biotechnol, 33(4) : 935-44.
[20] Wang X,Wang Y,Hou J,Liu H,Zeng R,Li X .2024 .Plasma proteome profiling reveals the therapeutic effects of the PPAR pan-agonist chiglitazar on insulin sensitivity, lipid metabolism, and inflammation in type 2 diabetes. Sci. Rep, 14(1) : 638.
[21] Pavlova Yasiukaits N,O Yasiukaits N .2021 .Role of inflammation and oxidative stress in the development of arterial hypertension. , 13(4) : 608-615.
[22] Yuan M,Fu H,Mo Q,Wang S,Wang C,Wang D C .2024 .Protective mechanism of Rosa roxburghii Tratt fermentation broth against ultraviolet-a-induced photoaging of human embryonic skin fibroblasts. Antioxidants (Basel), 13(3) : 382-389.
[23] Yuko N,Kayano Y,Takeshi H Y .2024 .Impacts of a self-directed social resources study program on negative symptoms and quality of life in schizophrenia outpatients: A randomized controlled trial. Kobe. J. Med. Sci., 70(1) : 15-21.
[24] Zhang XH,Tian YF,Huang GL,Cui WY,Sun Q,He WJ .2023 .Advances in Studies of Chiglitazar Sodium, a Novel PPAR Pan-Agonist, for the Treatment of Type 2 Diabetes Mellitus. Curr. Med, 43(5) : 890-896.
[25] Zhu Y,Zhai S,Li B,Zhao Z,Xie J,Ren T .2023 .Wild Rosa roxburghii Tratt juices grown at different altitudes regulate blood glucose in type 1 diabetic mice via the PI3K/Akt pathway. J. Med, 26(11) : 831-842.
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