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Guduchi Sawras (Tinospora cordifolia): An Ayurvedic drug treatment modulates the impaired lipid metabolism in alcoholics through dopaminergic neurotransmission and anti-oxidant defense system.

Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
October 1, 2016
Amey Shirolkar et al. (4 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to investigate the mechanistic approach of Tinospora cordifolia (Guduchi Sawras) in addressing alcohol-induced hyperlipidemia and its effects on oxidative stress and metabolic markers.

Results Summary

The study found that Guduchi Sawras treatment significantly reversed alcohol-induced metabolic disturbances, including elevated triglycerides and oxidative stress markers, by activating PPARα, CREB, and SREBP-1 through dopamine D1 receptor-mediated signaling. It also restored serotonin and dopamine levels and improved liver enzyme ratios.

Population

Moderate alcohol consumers (n=25) and healthy volunteers (n=27) aged 41±3.8 years.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (20)
InterventionDirectionEndpointPopulationDosageImpactClaim #
moderate chronic alcohol consumption
increase
hyperlipidemia
moderate alcohol consumers
-
lead to
#1
moderate chronic alcohol consumption
increase
oxidative burden
moderate alcohol consumers
-
lead to
#2
moderate chronic alcohol consumption
increase
serotonin levels
alcoholics
1.9-fold
demonstrated the increased
#3
moderate chronic alcohol consumption
decrease
dopamine levels
alcoholics
-2.3-fold
decreased
#4
moderate chronic alcohol consumption
increase
urinary BCAAs levels
alcoholics
>2.0-fold
revealed a significant increase in
#5
moderate chronic alcohol consumption
increase
pantothenic acid levels
alcoholics
1.8-fold
revealed a significant increase in
#6
moderate chronic alcohol consumption
increase
carnitines levels
alcoholics
>2-fold
revealed a significant increase in
#7
moderate chronic alcohol consumption
decrease
nicotinamide-1-oxide levels
alcoholics
-1.7-fold
decrease in
#8
moderate chronic alcohol consumption
decrease
N-methylnicotinamide levels
alcoholics
-1.6-fold
decrease in
#9
moderate chronic alcohol consumption
increase
AST/ALT ratio
alcoholics
1.91
showed the increased
#10
moderate chronic alcohol consumption
increase
triglycerides levels
alcoholics
20%
showed the increased
#11
moderate chronic alcohol consumption
increase
MDA levels
alcoholics
34%
showed the increased
#12
moderate chronic alcohol consumption
increase
GSH levels
alcoholics
56%
showed the increased
#13
GS treatment
decrease
the most of the discussed metabolites levels
alcoholics
-
significantly reverted
#14
GS treatment
decrease
enzymes activities
alcoholics
-
significantly reverted
#15
GS treatment
decrease
hyperlipidemia
alcoholics
-
ameliorates
#16
GS treatment
decrease
oxidative stress
alcoholics
-
ameliorates hyperlipidemia by decreasing
#17
GS treatment
increase
PPARα
alcoholics
-
ameliorates hyperlipidemia by activating
#18
GS treatment
increase
CREB
alcoholics
-
ameliorates hyperlipidemia by activating
#19
GS treatment
increase
SREBP-1
alcoholics
-
ameliorates hyperlipidemia by activating
#20
Abstract

Tinospora cordifolia (Guduchi Sawras) though has been clearly demonstrated in literature for its hypolipidemic and anti-alcoholism properties but its anti-hyperlipidemia mechanistic approach is still missing. Moreover, its direct implication with alcohol induced hyperlipidemia has also not been reported till date. In order to explore the answers of these questions, phytochemicals of Tinospora cordifolia water extract "Guduchi Sawras" (GS) was analyzed using HPLC-Q-TOF-MS. On the basis of relative peak volumes 110 compounds were selected and identified in GS. Besides that, protein targets of most abundant compounds present in GS were fetched from ChEMBL and protein interaction network (PIN) was constructed. GO enrichment analysis showed that GS targets various pathways including dopamine metabolism, cAMP-dependent signaling pathway, and glycolytic process. Biological processes obtained via PIN were correlated with hyperlipidemia markers and dopamine metabolism in moderate alcohol consumers (n=25) and healthy volunteers (n=27) of age 41±3.8years. Metabolic analysis demonstrated the increased serotonin (1.9-fold) and decreased dopamine (-2.3-fold) levels in alcoholics. Further data analysis revealed a significant increase in urinary BCAAs (>2.0-fold), pantothenic acid (1.8-fold), carnitines (>2-fold) levels, and decrease in PPARα activation markers levels i.e. nicotinamide-1-oxide (-1.7-fold), and N-methylnicotinamide (-1.6-fold) in alcoholics. Biochemical analysis showed the increased AST/ALT ratio (1.91), along with triglycerides (20%), and MDA (34%) and GSH (56%) levels in alcoholics. GS treatment significantly reverted the most of the discussed metabolites levels (p<0.05) and enzymes activities (p<0.05) in alcoholics. The data depict that moderate chronic alcohol consumption lead to hyperlipidemia and oxidative burden; whereas GS treatment ameliorates hyperlipidemia by decreasing oxidative stress, activating PPARα, CREB and SREBP-1 through stimulation of dopamine D1 receptors mediated signalling molecules i.e. cAMP and protein kinase A.

Medical Subject Headings (MeSH)
AdultAlcoholicsAlcoholismAntioxidantsCohort StudiesDopamineDopaminergic NeuronsHumansLipid MetabolismMaleMedicine, AyurvedicPlant ExtractsReceptors, Dopamine D1Synaptic TransmissionTinosporaTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Citation Metrics
Total Citations12
Citations/Year1.3
Relative Citation Ratio0.70
NIH Percentile37.5%
Research Impact Scores
APT Score0.25
Weight Score0.88
Normalized Score0.70
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