OBM Integrative and Complementary Medicine is an international peer-reviewed Open Access journal published quarterly online by LIDSEN Publishing Inc. It covers all evidence-based scientific studies on integrative, alternative and complementary approaches to improving health and wellness.

Topics contain but are not limited to:

  • Acupuncture
  • Acupressure
  • Acupotomy
  • Bioelectromagnetics applications
  • Pharmacological and biological treatments including their efficacy and safety
  • Diet, nutrition and lifestyle changes
  • Herbal medicine
  • Homeopathy
  • Manual healing methods (e.g., massage, physical therapy)
  • Kinesiology
  • Mind/body interventions
  • Preventive medicine
  • Research in integrative medicine
  • Education in integrative medicine
  • Related policies

The journal publishes a variety of article types: Original Research, Review, Communication, Opinion, Comment, Conference Report, Technical Note, Book Review, etc.

There is no restriction on paper length, provided that the text is concise and comprehensive. Authors should present their results in as much detail as possible, as reviewers are encouraged to emphasize scientific rigor and reproducibility.

Publication Speed (median values for papers published in 2023): Submission to First Decision: 5.9 weeks; Submission to Acceptance: 14.7 weeks; Acceptance to Publication: 8 days (1-2 days of FREE language polishing included)

Open Access Research Article

Preclinical Investigation of the Acute Effects of Trigonella foenum-graecum Seed Powder on Blood Glucose in Normal and Alloxan-Induced Diabetic Rabbits

Ramesh Alluri 1, 2, Hardik Ghelani 3, 4, Shayal Devi 3, Vamsi Krishna Inampudi 3, Srinivas Nammi 2, 3, 4, *

  1. Vishnu Institute of Pharmaceutical Education and Research, Vishnupur, Narsapur, Medak 502313, Telangana, India

  2. Past Address: Department of Pharmacology, College of Pharmaceutical Sciences, Andhra University, Visakhapatnam 530003, Andhra Pradesh, India

  3. Discipline of Medical Sciences, School of Science, Western Sydney University, NSW 2751, Australia

  4. NICM Health Research Institute, Western Sydney University, NSW 2751, Australia

Correspondence: Srinivas Nammi

Academic Editor: Gerhard Litscher

Special Issue: Herbal Medicines for the Treatment of Metabolic Syndrome

Received: May 03, 2020 | Accepted: August 3, 2020 | Published: August 6, 2020

OBM Integrative and Complementary Medicine 2020, Volume 5, Issue 3, doi:10.21926/obm.icm.2003036

Recommended citation: Alluri R, Ghelani H, Devi S, Inampudi VK, Nammi S. Preclinical Investigation of the Acute Effects of Trigonella foenum-graecum Seed Powder on Blood Glucose in Normal and Alloxan-Induced Diabetic Rabbits. OBM Integrative and Complementary Medicine 2020; 5(3): 036; doi:10.21926/obm.icm.2003036.

© 2020 by the authors. This is an open access article distributed under the conditions of the Creative Commons by Attribution License, which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is correctly cited.

Abstract

To investigate the blood glucose lowering effect of the seed powder of T. foenum-graecum Linn (Papilionaceae) in normal and alloxan-induced diabetic rabbits. The blood glucose lowering effect of the seed powder was determined in normal and alloxan-induced (100 mg/kg, i.v.) diabetic rabbits, after oral administration of doses of 50, 100 and 150 mg/kg body weight. Blood samples were collected from the marginal ear vein before and also at 4, 6, 8, 10, 12, 16, 18, 20 and 24 h after drug administration and blood glucose was analysed by Nelson-Somogyi's method using a visible spectrophotometer. The data was compared statistically by using Student's t-test. The seed powder of T. foenum-graecum produced a dose-dependent reduction in blood glucose of both normal and diabetic rabbits and comparable with that of standard drug, glibenclamide. The results indicate a prolonged action in reduction of blood glucose by T. foenum-graecum and the mode of action of the active compound (s) of T. foenum-graecum is probably mediated through enhanced secretion of insulin from the β-cells of Langerhans or through extrapancreatic mechanism. The present study clearly indicated a significant anti-diabetic activity with the seed powder of T. foenum-graecum and supported the traditional usage of the seed powder by Ayurvedic physicians for the control of diabetes.

Keywords

Diabetes; alloxan; beta-cells; rabbit; Trigonella foenum-graecum

1. Introduction

Diabetes mellitus is a metabolic disease that emerges as one of the leading diseases all over the World. Global statistics on diabetes indicate that approximately 50% of diabetic population live in Asia. Recent estimates indicate that approximately 366 million people are affected with diabetes, with 90% suffering from T2D and by the year 2030, this number is expected to increase to 552 million [1]. Increased consumption of high-calorie fatty food associated with decreased physical activity also contributes to the pandemic of T2D [2]. The current therapeutic options such as diet modification, oral hypoglycaemic agents (OHA) and insulin treatment have their own limitations in treating T2D. Ayurveda, the indigenous Indian system of medicine, has offered many herbal medicines for the treatment of diabetes or ‘madhumeha’. Although, some of these traditional herbal medicines have been experimentally evaluated, search for new anti-diabetic drugs continues. [3,4,5,6,7,8,9].

Trigonella foenum-graecum Linn (Papilionaceae) commonly referred as fenugreek is a herb that belongs to the family, Papilionaceae and indigenous to the Indian sub-continent and Eastern Mediterranean [10]. In Ayurveda, the seeds and leaves of T. foenum-graecum have been regarded as carminative, tonic, aphrodisiac and used to treat diabetes and cardiovascular disorders [11-13]. Its dried ripe seeds are known as Trigonella seeds or fenugreek seeds. The seeds possess pungent aromatic properties [14] and often used as a spice in food preparations to enhance its flavor [15], while the leaves are widely consumed as a leafy vegetable in India [16]. A converging point of evidence from earlier investigations on the seed extract and leaf extracts of T. foenum-graecum revealed significant anti-diabetic effects in both animals [17-22] and humans [16,23-25]. The pharmacological effects of T. foenum-graecum are attributed to a range of bioactive compounds such as polyphenols, steroids, lipids, alkaloids, saponins, flavonoids, hydrocarbons, carbohydrates, galactomannan fiber, and amino acids. More recently, Sharma and colleagues have reported that the chronic administration of fenugreek seed extract showed protective effect against diabetes induced oxidative DNA damage in alloxan-induced diabetic rats [26]. Furthermore, it has also been demonstrated that fenugreek seed extract, protects brain tissue by mitigating oxidative stress induced by alloxan-exposed diabetic rats [27]. Diosgenin saponin is considered the most bioactive substance of T. foenum-graecum seeds and found to have anti-oxidative effects and plays a pivotal role in improving the diabetic condition in several in vivo and in vitro models [28]. 

However, some clinical trials did not show any benefit from fenugreek [29,30]. The seeds of T. foenum-graecum are also known to possess antiulcer [31], hepatoprotective [32] and hypocholesterolaemic effects [33,34]. Nevertheless, the seed powder of T. foenum-graecum is being prescribed by Ayurvedic physicians for the treatment of diabetes [35]. However, there are only meager reports on the direct usage of the seed powder. Therefore, the present study was aimed to study the influence of the seed powder of T. foenum-graecum on the fasting blood glucose in normal and alloxan diabetic rabbits.

2. Materials and Methods

2.1 Plant Material

The seeds of T. foenum-graecum were bought at the local market, botanically authenticated and a voucher specimen was preserved for future reference. Seeds were cleaned, dried for 4 hours and then grounded to fine powder.

2.2 Chemicals Used

Glibenclamide was a generous gift sample by Hoechst Pharmaceuticals, Mumbai whereas alloxan was purchased from Sigma-Aldrich, St. Louis, MO, USA. All other reagents used were of analytical grade and purchased from Loba-Chemie, Mumbai, India.

2.3 Animals

A total of fifty (50) adult albino rabbits (B.N. Ghosh & Co., Kolkata, India) weighing 1.5-2 kg of both sexes were chosen for investigation. The rabbits were maintained in a well-ventilated animal house with an ambient temperature (24 ± 2 ºC) and relative humidity (50-60%) with 12-h light and dark cycle. The rabbits were acclimatized to the laboratory environment for 1 week before the start of the experiments and fed with standard diet and water ad libitum. They were fasted for overnight, allowing only access to water, and deprived of both food and water during the 24-hour monitoring cycle of the experiment after treatment with either the drug or distilled water (control) to reduce plasma volume changes. For each treatment the same procedure has been followed. The local Institutional Animal Ethics Committee has approved the use and handling of the animals in the experimental protocol (Regd. No. 516/01/A/CPCSEA) following the guidelines of the Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA), Government of India.

2.4 Experimental Design and Treatments

The rabbits were matched in weight and split into 10 groups, each consisting of five rabbits. Groups I, II and III were respectively given the seed powder of T. foenum-graecum (suspended in distilled water) by oral gavage at doses of 50, 100 and 150 mg/kg body weight. Glibenclamide was given by oral gavage in Group IV (positive control) at a dose of 40 μg/kg body weight in a total volume of 3 mL for each rabbit. Group V used as normal control and administered with 3 mL of distilled water. Diabetes was induced in Groups VI to X by injecting 100 mg/kg of alloxan into the marginal ear vein after determining the baseline blood glucose levels. Two weeks post-alloxan treatment when stable diabetes was achieved, rabbits with blood glucose levels above 300 mg/dl were selected for the experiments. Animals in groups VI, VII & VIII, received by oral gavage, the seed powder of T. foenum-graecum at doses of 50, 100 and 150 mg/kg respectively. Group IX (positive control) received glibenclamide by oral gavage at a dose of 40 μg/kg while group X served as diabetic control.

2.5 Blood Collection and Analytical Procedure

Approximately 0.3 mL of blood samples were drawn from the marginal ear vein of rabbits before and also at 4, 6, 8, 10, 12, 16, 18, 20 & 24 h after treatment. The samples were collected in glass vials that contained a small amount of an anti-coagulant mixture of potassium oxalate and sodium fluoride. Separation of plasma was done by centrifuging at 2000 rpm and stored at -20°C until analysis for glucose by Nelson-Somogyi's method [36,37] using a visible spectrophotometer.

2.6 Data and Statistical Analysis

Data was presented as a means ± SEM. To examine the quantitative differences among the experimental groups, the respective data were subjected to analysis of variance (ANOVA) using GraphPad Prism-7.03 (GraphPad Software Inc., California, CA) statistical programme. Post hoc comparisons were made using Student’s unpaired t-test. In all tests, p<0.05 value was used as the criterion for statistical significance.

3. Results

3.1 T. foenum-graecum Lowered Blood Glucose in Normal Rabbits

In normal rabbits the seed powder of T. foenum-graecum produced dose-dependent hypoglycemia. A maximum reduction in blood glucose of 9.4% (105.8 vs 95.4; 6 h), 26.9% (106.4 vs 77.8; 8 h, p<0.01), and 39.2% (108.2 vs 65.8; 10 h, p<0.001) with doses of 50, 100 and 150 mg/kg body weight respectively (Table 1) and the glucose reduction tendency continued up to 24 hours with 100 and 150 mg/kg doses. Glibenclamide (40 μg/kg) produced a significant (p<0.01) reduction of blood glucose relative with control (31.9%, 8 h).

Table 1 Effect of T. foenum-graecum seed powder on blood glucose levels after oral administration in normal rabbits.

Table 2 Effect of T. foenum-graecum seed powder on blood glucose levels after oral administration in alloxan-induced diabetic rabbits.

3.2 T. foenum-graecum Lowered Blood Glucose in Diabetic Rabbits

The diabetic rabbits treated with T. foenum-graecum also displayed a dose-dependent decrease in blood glucose. However, a higher reduction of blood glucose was seen in the diabetic rabbits compared with the normal rabbits. A significant reduction (p<0.001) of blood glucose of 12.4% (316.5 vs 277.2; 6 h), 32.5% (312.8 vs 211.0; 8 h) and 44.6% (312.8 vs 173.5; 8 h) respectively was seen with T. foenum-graecum at doses of 50, 100 and 150 mg/kg body weight (Table 2). Although less significant, the glucose lowering tendency continued up to 20 hours with all the doses of T. foenum-graecum. Glibenclamide (40 μg/kg) resulted in a significant reduction (p<0.001) in blood glucose at 8 h (34.1%) compared to diabetic control.

4. Discussion

Diabetes mellitus is probably the biggest rising metabolic condition in the world, and as understanding of this complex condition is advanced, there is an increasing need for more effective treatment [9,36]. Traditional plant medicinal products are used for a variety of diabetic complications around the world. Studying such medicines could give a natural key for opening the potential pharmacy of a diabetologist. The seeds of T. foenum-graecum are commonly used for managing diabetes in India. For this reason, the seed powder of T. foenum-graecum was tested, and the results verified the conventional indications as well. The findings of our experiments on rabbits are also substantiated by earlier investigations [20,22,37,38]. In addition, our findings also suggest a prolonged period of antidiabetic activity that could be attributed to several sites of activity possessed by the active principles of T. foenum-graecum.

Earlier, it was reported that the seed powder of T. foenum-graecum lowered blood glucose in normal and streptozotocin-induced diabetic rats [37]. Our present study in rabbit model also substantiates the previous results observed in rats. Herefele and colleagues isolated galactomannan and 4-hydroxy isoleusine, an insulin releasing substance from the seeds that appears to be responsible for the hypoglycaemic effect of T. foenum-graecum [39]. Additionally, another potential action mechanism of T. foenum-graecum is an effect on the digestion of intestinal carbohydrate, as shown by the strong inhibitory effect on the digestive enzymes [40,41].

Alloxan, a beta-cytotoxin induces significant death of pancreatic β-cells leading to decreased synthesis and release of insulin [42,43,44]. Sulphonylureas are well known to cause hypoglycaemia by increasing insulin secretion from the pancreas [45,46] and these compounds are active in mild diabetes induced by alloxan while they are inactive in intense alloxan diabetes (nearly all β-cells were destroyed). Since our findings have shown that glibenclamide has decreased blood glucose levels in hyperglycemic animals, diabetes status is not severe. Alloxan-treated animals receiving the seed powder of T. foenum-graecum showed rapid normalisation of blood glucose levels relative to control and this may be due to the fact that certain β-cells still survive to function on T. foenum-graecum to exert its insulin releasing effect. In addition, hypoglycaemia was produced in normal animals by oral administration of T. foenum-graecum in the same way as sulphonylureas. This indicates that the mode of action of the active ingredients of T. foenum-graecum is possibly mediated by an increased insulin secretion, like sulphonylureas. Nevertheless, the likelihood increased tissue glucose utilization by T. foenum-graecum cannot be ruled out. It is speculated that one or more of the previously isolated bioactive compounds of T. foenum-graecum could be responsible for the observed acute lowering of blood glucose. Further work on fractionation, purification, identification of active principle(s) and detailed mechanistic evaluation is obviously required on the seeds of T. foenum-graecum.

5. Conclusion

Our research clearly showed a major anti-diabetic activity with T. foenum-graecum seed powder, and supports the traditional use of seed powder for diabetes control. This can also help to avoid diabetic complications and act as a strong adjuvant in the new anti-diabetic medication armamentarium.

Author Contributions

SN, RA, HG and VI made substantial contributions to conception design and conduction of research. SN and RA designed the study and executed the project. Data collection, analysis, graphical representation and interpretation were done by HG and SN. Article was written by HG and VI. Critical revision of the article was done by SN and RA. Critical statistical analysis was done by HG and VI. All Authors read and approved the final manuscripts.

Funding

The financial assistance provided by University Grants Commission, New Delhi, India to SN is greatly acknowledged.

Competing Interests

The authors declare that they have no conflicts of interest concerning this article.

References

  1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27: 1047-1053. [CrossRef]
  2. Aude YW, Mego P, Mehta JL. Metabolic syndrome: Dietary interventions. Curr Opin Cardiol. 2004; 19: 473-479. [CrossRef]
  3. Ivorra MD, Paya M, Villar A. A review of natural products and plants as potential antidiabetic drugs. J Ethnopharmacol. 1989; 27: 243-275. [CrossRef]
  4. Alarcon-Aguilara FJ, Roman-Ramos R, Perez-Gutierrez S, Aguilar-Contreras A, Contreras-Weber CC, Flores-Saenz JL. Study of the anti-hyperglycemic effect of plants used as antidiabetics. J Ethnopharmacol. 1998; 61: 101-110. [CrossRef]
  5. Kar A, Choudhary BK, Bandyopadhyay NG. Preliminary studies on the inorganic constituents of some indigenous hypoglycaemic herbs on oral glucose tolerance test. J Ethnopharmacol. 1999; 64: 179-184. [CrossRef]
  6. Grover JK, Yadav S, Vats V. Medicinal plants of India with anti-diabetic potential. J Ethnopharmacol. 2002; 81: 81-100. [CrossRef]
  7. Rao N, Nammi S. Antidiabetic and renoprotective effects of the chloroform extract of Terminalia chebula Retz. seeds in streptozotocin-induced diabetic rats. BMC Complement Altern Med. 2006; 6: 17. [CrossRef]
  8. Patel DK, Prasad SK, Kumar R, Hemalatha S. An overview on antidiabetic medicinal plants having insulin mimetic property. Asian Pac J Trop Biomed. 2012; 2: 320-330. [CrossRef]
  9. Nammi S, Boini M, Lodagala S, Behara RB. The juice of fresh leaves of Catharanthus roseus Linn. reduces blood glucose in normal and alloxan diabetic rabbits. BMC Complement Altern Med. 2003; 3: 4. [CrossRef]
  10. Morton JF. Mucilaginous plants and their uses in medicine. J Ethnopharmacol. 1990; 29: 245-266. [CrossRef]
  11. Kirtikar KR. BB. Indian Medicinal Plant. 3rd ed. Allahabad: Lalit Mohan Prakashan; 2000.
  12. Fazli FRY Hardman R. The spice, fenugrek (Trigonella foenum-graecum): Its commercial varieties of seed as a source of diosgenin. Trop Sci. 1986; 10: 66-78.
  13. Chopra RN CI, Honda KL, Kapur LD. Chopra’s Indigenous Drugs of India. Calcutta,: Academic Publishers; 1982.
  14. Girardon P, Bessiere JM, Baccou JC, Sauvaire Y. Volatile constituents of fenugreek seeds. Planta Medica. 1985; 51: 533-534. [CrossRef]
  15. Max B. This and that: The essential pharmacology of herbs and spices. Trends Pharmacol Sci. 1992; 13: 15-20. [CrossRef]
  16. Sharma RD. Effect of fenugreek seeds and leaves on blood glucose and serum insulin responses in human subjects. Nutr Res. 1986; 6: 1353-1364. [CrossRef]
  17. Hannan JM, Ali L, Rokeya B, Khaleque J, Akhter M, Flatt PR, et al. Soluble dietary fibre fraction of Trigonella foenum-graecum (fenugreek) seed improves glucose homeostasis in animal models of type 1 and type 2 diabetes by delaying carbohydrate digestion and absorption, and enhancing insulin action. Br J Nutr. 2007; 97: 514-521. [CrossRef]
  18. Vijayakumar MV, Singh S, Chhipa RR, Bhat MK. The hypoglycaemic activity of fenugreek seed extract is mediated through the stimulation of an insulin signalling pathway. Br J Nutr. 2005; 146: 41-48. [CrossRef]
  19. Broca C, Manteghetti M, Gross R, Baissac Y, Jacob M, Petit P, et al. 4-Hydroxyisoleucine: Effects of synthetic and natural analogues on insulin secretion. Eur J Pharmacol. 2000; 390: 339-345. [CrossRef]
  20. Abdel-Barry JA, Abdel-Hassan IA, Al-Hakiem MH. Hypoglycaemic and antihyperglycaemic effects of Trigonella foenum-graecum leaf in normal and alloxan induced diabetic rats. J Ethnopharmacol. 1997; 58: 149-155. [CrossRef]
  21. Ribes G, Sauvaire Y, Baccou JC, Valette G, Chenon D, Trimble ER, et al. Effects of fenugreek seeds on endocrine pancreatic secretions in dogs. Ann Nutr Metab. 1984; 28: 37-43. [CrossRef]
  22. Vats V, Grover JK, Rathi SS. Evaluation of anti-hyperglycemic and hypoglycemic effect of Trigonella foenum-graecum Linn, Ocimum sanctum Linn and Pterocarpus marsupium Linn in normal and alloxanized diabetic rats. J Ethnopharmacol. 2002; 79: 95-100. [CrossRef]
  23. Kassaian N, Azadbakht L, Forghani B, Amini M. Effect of fenugreek seeds on blood glucose and lipid profiles in type 2 diabetic patients. Int J Vitam Nutr Res. 2009; 79: 34-39. [CrossRef]
  24. Alamdari KA CS, Jadidi JP. Antidiabetic effects of exercise and fenugreek supplementation in males with NIDDM. Med Sport. 2009; 62: 315-324.
  25. Gopalpura PB JC, Dubey S Effect of Trigonella foenum-graecum seeds on the glycemic index of food: A clinical evaluation. Int J Diab Dev Ctries. 2007; 27: 41-45. [CrossRef]
  26. Sharma S, Mishra V, Srivastava N. Protective effect of Trigonella foenum-graecum and Cinnamomum zeylanicum against diabetes induced oxidative DNA damage in rats. Indian J Biochem Biophys. 2020; 57: 15-26
  27. Pradeepkiran JA, Venkata SN, Matcha B. Trigonella foenum-graecum seeds extract plays a beneficial role on brain antioxidant and oxidative status in alloxan-induced Wistar rats. Food Qual Safe. 2020; 4: 83-89. [CrossRef]
  28. Ota A, Ulrih NP: An overview of herbal products and secondary metabolites used for management of type two diabetes. Front Pharmacol. 2017; 8: 436. [CrossRef]
  29. Chevassus H, Molinier N, Costa F, Galtier F, Renard E, Petit P. A fenugreek seed extract selectively reduces spontaneous fat consumption in healthy volunteers. Eur J Clin Pharmacol. 2009; 65: 1175-1178. [CrossRef]
  30. Mathern JR, Raatz SK, Thomas W, Slavin JL. Effect of fenugreek fiber on satiety, blood glucose and insulin response and energy intake in obese subjects. Phytothe Res. 2009; 23: 1543-1548. [CrossRef]
  31. Al Meshal IA PN, Tariq M, Aqeel AM. Gastric antiulcer activity in rats of Trigonella foenum-graecum (Hu-Lupa). Fitoterarapia. 1985; 56: 232-235.
  32. Zargar S. Protective effect of Trigonella foenum-graecum on thioacetamide induced hepatotoxicity in rats. Saudi J Biol Sci. 2014; 21: 139-145. [CrossRef]
  33. Singhal P, Gupta, RK, Joshi, LD. Hypochlesterolaemic effect of Trigonella foenum-graecum (Methi). Curr Sci. 1982.; 51: 136-137.
  34. Valette G SY, Beccou JC, Ribes G. Hypocholesterolemic effect of fenugreek seeds in dogs. Athersclerosis. 1984: 105-111. [CrossRef]
  35. Neelakantan N, Narayanan M, de Souza R, van Dam R. Effect of fenugreek (Trigonella foenum-graecum L.) intake on glycemia: A meta-analysis of clinical trials. Nutr J. 2014; 13: 7. [CrossRef]
  36. Patel D, Prasad S, Kumar R, Hemalatha S. An overview on antidiabetic medicinal plants having insulin mimetic property. Asian Pac J Trop Biomed. 2012; 2: 320-330. [CrossRef]
  37. Ali L, Azad Khan AK, Hassan Z, Mosihuzzaman M, Nahar N, Nasreen T, et al. Characterization of the hypoglycemic effects of Trigonella foenum graecum seed. Planta Med. 1995; 61: 358-360. [CrossRef]
  38. Khosla P, Gupta DD, Nagpal RK. Effect of Trigonella foenum graecum (Fenugreek) on blood glucose in normal and diabetic rats. Indian J Physiol Pharmacol. 1995; 39: 173-174.
  39. Haefele C, Bonfils C, Sauvaire Y. Characterization of a dioxygenase from Trigonella foenum-graecum involved in 4-hydroxyisoleucine biosynthesis. Phytochemistry. 1997; 44: 563-566. [CrossRef]
  40. Wong S, Traianedes K, O'Dea K. Factors affecting the rate of hydrolysis of starch in legumes. Am J Clin Nutr. 1985; 42: 38-43. [CrossRef]
  41. Edwards CA, Johnson IT, Read NW. Do viscous polysaccharides slow absorption by inhibiting diffusion or convection? Eur J Clin Nutr. 1988; 42: 307-312.
  42. Lenzen S. The mechanisms of alloxan- and streptozotocin-induced diabetes. Diabetologia. 2008; 51: 216-226. [CrossRef]
  43. Szkudelski T. The mechanism of alloxan and streptozotocin action in B cells of the rat pancreas. Physiolo Res. 2001; 50: 537-546.
  44. Rohilla A, Ali S. Alloxan induced diabetes: Mechanisms and effects. Int J Res Pharm Biomed Sci. 2012; 3: 819-823.
  45. Grodsky GM EG, Fanska R, Karam JH. Pancreatic action of sulphonylurea. Fed Proc. 1971; 36: 2719-2728.
  46. Yalow RS, Black H, Villazon M, Berson SA. Comparison of plasma insulin levels following administration of tolbutamide and glucose. Diabetes. 1960; 9: 356-362. [CrossRef]
Newsletter
Download PDF Download Full-Text XML Download Citation
0 0

TOP