Anti-Hyperglycemic Activity of Urtica dioica Extract in Obese Male Sprague Dawley Rats: Evaluation of HOMA-IR and HOMA-β

Zaenudin Zaenudin (1), Jurnalis Gempaning Tyas (2), Kabir Ardiansyah Tangkari (3), Harni Sutiani (4), Arta Farmawati (5), Prasetyastuti (6)
(1) a:1:{s:5:"en_US";s:37:"Sekolah Tinggi Ilmu Kesehatan Cianjur";}, Indonesia,
(2) Bachelor of Medicine Program, Faculty of Medicine, Universitas Muhammadiyah Metro, Lampung, Indonesia,
(3) Bachelor of Medicine Program, Faculty of Medicine, Universitas Muhammadiyah Metro, Lampung, Indonesia,
(4) Department of Midwifery, Politeknik Kesehatan Kemenkes Pontianak, West Kalimantan, Indonesia,
(5) Departementof Biochemistry, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia,
(6) Departementof Biochemistry, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia

Abstract

Obesity is characterized by adipocyte accumulation that impairs glucose uptake, leading to insulin resistance, hyperglycemia, and an increased risk of diabetes mellitus. Given the limitations and adverse effects of pharmacological therapies for diabetes, alternative agents are needed. Urtica dioica contains flavonoids with anti-inflammatory and antioxidant properties that may improve glucose homeostasis. This experimental study employed a pre-test and post-test control group design using 25 male Sprague Dawley rats divided into five groups: healthy control (K1), obese control (K2), and three obese groups receiving Urtica dioica extract at doses of 125, 250, and 500 mg/kgBW (D1–D3) for four weeks. Data were analyzed using one-way ANOVA and paired t-test. Administration of Urtica dioica extract at 500 mg/kgBW (D3) significantly reduced blood glucose (79.90 ± 2.51 vs. 177.92 ± 3.30; p<0.05), increased insulin levels (16.20 ± 0.29 vs. 12.82 ± 0.28; p<0.05), decreased HOMA-IR (3.19 ± 0.07 vs. 5.63 ± 0.14; p<0.05), and enhanced HOMA-β (351.20 ± 58.77 vs. 40.21 ± 1.63; p<0.05) compared with untreated obese controls. In conclusion, four-week administration of Urtica dioica extract effectively improved insulin resistance and β-cell function in obese rats, with the most pronounced effect observed at a dose of 500 mg/kgBW.

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References

Ahangarpour, A., Mohammadian, M., & Dianat, M. (2012). Antidiabetic effect of hydroalcholic urtica dioica leaf extract in male rats with fructose-induced insulin resistance. Iranian Journal of Medical Sciences, 37(3), 181–186.

Al-Ishaq, R. K., Abotaleb, M., Kubatka, P., Kajo, K., & Büsselberg, D. (2019). Flavonoids and Their Anti-Diabetic Effects: Cellular Mechanisms and Effects to Improve Blood Sugar Levels. Biomolecules, 9(9). https://doi.org/10.3390/ biom9090430

Aryaeian, N., Sedehi, S. K., & Arablou, T. (2017). Polyphenols and their effects on diabetes management: A review. Medical Journal of the Islamic Republic of Iran, 31, 134. https://doi.org/10.14196/mjiri.31.134

Association, A. D. (2013). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 37(Supplement_1), S81–S90. https://doi.org/10.2337/dc14-S081

Ayoubi, A., Omidi, A., Valizade, R., & Mousaei, A. (2013). Effect of hydroalcoholic extract of Aloe vera and Teucrium on serum glucose and lipid profile in streptozotocin diabetic male rats TT - مقایسه اثر عصاره هیدروالکلی گیاهان آلوئه‌ورا (Aloe barbadensis) و کلپوره (Teucrium polium)، بر سطوح سرمی گلوکز و پروف. Journals of Birjand University of Medical Sciences, 20(2), 144–152. http://journal.bums.ac.ir/ article-1-1335-en.html

Barber, E., Houghton, M. J., & Williamson, G. (2021). Flavonoids as Human Intestinal α-Glucosidase Inhibitors. Foods (Basel, Switzerland), 10(8). https://doi.org/ 10.3390/foods10081939

Bhusal, K. K., Magar, S. K., Thapa, R., Lamsal, A., Bhandari, S., Maharjan, R., Shrestha, S., & Shrestha, J. (2022). Nutritional and pharmacological importance of stinging nettle (Urtica dioica L.): A review. Heliyon, 8(6), e09717. https://doi.org/ 10.1016/j.heliyon.2022.e09717

Chaudhury, A., Duvoor, C., Reddy Dendi, V. S., Kraleti, S., Chada, A., Ravilla, R., Marco, A., Shekhawat, N. S., Montales, M. T., Kuriakose, K., Sasapu, A., Beebe, A., Patil, N., Musham, C. K., Lohani, G. P., & Mirza, W. (2017). Clinical Review of Antidiabetic Drugs: Implications for Type 2 Diabetes Mellitus Management. Frontiers in Endocrinology, 8, 6. https://doi.org/10.3389/fendo.2017.00006

Dhanya, R. (2022). Quercetin for managing type 2 diabetes and its complications, an insight into multitarget therapy. Biomedicine & Pharmacotherapy, 146, 112560. https://doi.org/https://doi.org/10.1016/j.biopha.2021.112560

Ellerbrock, J., Spaanderman, B., Drongelen, J. van, Mulder, E., Lopes van Balen, V., Schiffer, V., Jorissen, L., Alers, R.-J., Leenen, J., Ghossein-Doha, C., & Spaanderman, M. (2022). Role of Beta Cell Function and Insulin Resistance in the Development of Gestational Diabetes Mellitus. Nutrients, 14(12). https://doi.org/ 10.3390/nu14122444

Fadilah, N. N., & Susanti. (2020). Aktivitas Antihiperurisemia Ekstrak Tanaman Jelatang (Urtica dioca L.) pada Mencit. HIJP : HEALTH INFORMATION JURNAL PENELITIAN, 12.

Ghalavand, A., Motamedi, P., Delaramnasab, M., & Khodadoust, M. (2017). The Effect of Interval Training and Nettle Supplement on Glycemic Control and Blood Pressure in Men WithType 2 Diabetes. International Journal of Basic Science in Medicine, 2, 33–40. https://doi.org/10.15171/ijbsm.2017.08

Gohari, A., Noorafshan, A., Akmali, M., Zamani-Garmsiri, F., & Seghatoleslam, A. (2018). Urtica Dioica Distillate Regenerates Pancreatic Beta Cells in Streptozotocin-Induced Diabetic Rats. Iranian Journal of Medical Sciences, 43(2), 174–183.

Gołacki, J., Matuszek, M., & Matyjaszek-Matuszek, B. (2022). Link between Insulin Resistance and Obesity-From Diagnosis to Treatment. Diagnostics (Basel, Switzerland), 12(7). https://doi.org/10.3390/diagnostics12071681

Golovinskaia, O., & Wang, C.-K. (2023). The hypoglycemic potential of phenolics from functional foods and their mechanisms. Food Science and Human Wellness, 12(4), 986–1007. https://doi.org/https://doi.org/10.1016/j.fshw.2022.10.020

González, P., Lozano, P., Ros, G., & Solano, F. (2023). Hyperglycemia and Oxidative Stress: An Integral, Updated and Critical Overview of Their Metabolic Interconnections. International Journal of Molecular Sciences, 24(11). https:// doi.org/10.3390/ijms24119352

Hanchang, W., Khamchan, A., Wongmanee, N., & Seedadee, C. (2019). Hesperidin ameliorates pancreatic β-cell dysfunction and apoptosis in streptozotocin-induced diabetic rat model. Life Sciences, 235, 116858. https://doi.org/10.1016/j.lfs. 2019.116858

Jin, X., Qiu, T., Li, L., Yu, R., Chen, X., Li, C., Proud, C. G., & Jiang, T. (2023). Pathophysiology of obesity and its associated diseases. Acta Pharmaceutica Sinica B, 13(6), 2403–2424. https://doi.org/10.1016/j.apsb.2023.01.012

Kawser Hossain, M., Abdal Dayem, A., Han, J., Yin, Y., Kim, K., Kumar Saha, S., Yang, G.-M., Choi, H. Y., & Cho, S.-G. (2016). Molecular Mechanisms of the Anti-Obesity and Anti-Diabetic Properties of Flavonoids. International Journal of Molecular Sciences, 17(4), 569. https://doi.org/10.3390/ijms17040569

Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699.

Khalili, D., Khayamzadeh, M., Kohansal, K., Ahanchi, N. S., Hasheminia, M., Hadaegh, F., Tohidi, M., Azizi, F., & Habibi-Moeini, A. S. (2023). Are HOMA-IR and HOMA-B good predictors for diabetes and pre-diabetes subtypes? BMC Endocrine Disorders, 23(1), 39. https://doi.org/10.1186/s12902-023-01291-9

Lin, X., & Li, H. (2021). Obesity: Epidemiology, Pathophysiology, and Therapeutics. Frontiers in Endocrinology, 12(September), 1–9. https://doi.org/10.3389/ fendo.2021.706978

Lu, X., Xie, Q., Pan, X., Zhang, R., Zhang, X., Peng, G., Zhang, Y., Shen, S., & Tong, N. (2024). Type 2 diabetes mellitus in adults: pathogenesis, prevention and therapy. Signal Transduction and Targeted Therapy, 9(1), 262. https://doi.org/10.1038/ s41392-024-01951-9

Obanda, D. N., Ribnicky, D., Yu, Y., Stephens, J., & Cefalu, W. T. (2016). An extract of Urtica dioica L. mitigates obesity induced insulin resistance in mice skeletal muscle via protein phosphatase 2A (PP2A). Scientific Reports, 6(February), 1–9. https://doi.org/10.1038/srep22222

Oteiza, P. I., Fraga, C. G., & Galleano, M. (2021). Linking biomarkers of oxidative stress and disease with flavonoid consumption: From experimental models to humans. Redox Biology, 42, 101914. https://doi.org/10.1016/j.redox.2021.101914

Ranjbari, A., Azarbayjani, M. A., Yusof, A., Halim Mokhtar, A., Akbarzadeh, S., Ibrahim, M. Y., Tarverdizadeh, B., Farzadinia, P., Hajiaghaee, R., & Dehghan, F. (2016). In vivo and in vitro evaluation of the effects of Urtica dioica and swimming activity on diabetic factors and pancreatic beta cells. BMC Complementary and Alternative Medicine, 16, 101. https://doi.org/10.1186/s12906-016-1064-6

Salau, V. F., Erukainure, O. L., Olofinsan, K. O., Bharuth, V., Ijomone, O. M., & Islam, M. S. (2023). Ferulic acid improves glucose homeostasis by modulation of key diabetogenic activities and restoration of pancreatic architecture in diabetic rats. Fundamental & Clinical Pharmacology, 37(2), 324–339. https://doi.org/10.1111 /fcp.12860

Shahwan, M., Alhumaydhi, F., Ashraf, G. M., Hasan, P. M. Z., & Shamsi, A. (2022). Role of polyphenols in combating Type 2 Diabetes and insulin resistance. International Journal of Biological Macromolecules, 206, 567–579. https://doi.org/ 10.1016/j.ijbiomac.2022.03.004

Wang, J., & Wang, H. (2017). Oxidative Stress in Pancreatic Beta Cell Regeneration. Oxidative Medicine and Cellular Longevity, 2017, 1930261. https://doi.org/10.1155/ 2017/1930261

WHO. (2022). World Obesity Day 2022 – Accelerating action to stop obesity (Issue February 2024, pp. 1–23).

Authors

Zaenudin Zaenudin
zaenudin0396@mail.ugm.ac.id (Primary Contact)
Jurnalis Gempaning Tyas
Kabir Ardiansyah Tangkari
Harni Sutiani
Arta Farmawati
Prasetyastuti
Zaenudin, Z., Tyas, J. G., Tangkari, K. A., Sutiani, H., Farmawati, A., & Prasetyastuti. (2026). Anti-Hyperglycemic Activity of Urtica dioica Extract in Obese Male Sprague Dawley Rats: Evaluation of HOMA-IR and HOMA-β. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 10(01). https://doi.org/10.30651/jqm.v10i01.28178

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