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INTRODUCTION
Chronic elevated blood sugar initiates a cascade of events that results in the production of excessive free radicals. These unstable molecules inflict cellular damage and significantly contribute to the development of long-term health issues associated with diabetes, including damage to blood vessels, nerves, and organs (Caturano et al., 2023). The oxidative stress experienced in diabetes is exacerbated as high blood sugar levels generate an overabundance of free radicals while simultaneously diminishing the body's inherent antioxidant defences (Li and Shen, 2019).
In recent years, extensive research has focused on innovative plant-based antioxidants as alternatives to synthetic food additives, aiming to alleviate oxidative stress (Sundaram et al., 2015).
Finding new plant antioxidants is a major goal for science today. Scientists examine leaves, roots, and fruits to identify natural substances that safeguard human cells from harm (Murugan, 2021a; Pung Rozar et al., 2024). The use of natural products for diabetes management has gained considerable popularity, as conventional medications such as insulin and oral tablets may lead to adverse effects, including hypoglycaemia or weight gain. Nevertheless, it is important to note that natural products and herbs can also produce side effects or interact with other medications, indicating that they are not entirely devoid of risks (Manzoor et al., 2026).
Although traditional medicinal plants provide significant therapeutic compounds and have a long-standing history of dietary application, the notion that they are completely "free from side effects" is misleading. Herbal and plant-based treatments can still lead to adverse reactions, toxicity, or harmful interactions with synthetic drugs (Murugan et al., 2020; Murugan, 2022; Murugan, 2023). Phytochemicals derived from plant sources are utilised in the prevention and treatment of conditions such as cancer, heart disease, diabetes, and hypertension, among others (Murugan, 2010; Kooti et al., 2016).
GA and THC are both naturally occurring plant phenols recognised for their antioxidant and anti-inflammatory effects. THC is a primary colourless metabolite derived from curcumin. It has been documented that THC shares similar physiological and pharmacological characteristics with curcumin. During intestinal absorption, curcumin is swiftly metabolised into THC, which has demonstrated the most potent antioxidant activity among all curcuminoids (Murugan and Pari, 2007). Numerous studies conducted on experimental animals have indicated that THC can inhibit cancer (Shu et al., 2020), provide protection against inflammation (Zeng et al., 2025), atherosclerotic lesions (Naito et al., 2002), hepatotoxicity (Pari and Murugan, 2004), nephrotoxicity (Pari and Murugan, 2006), and diabetes mellitus (Murugan and Pari, 2006). GA, a naturally occurring phenolic compound found in a variety of fruits and medicinal plants, exhibits considerable antioxidant, cardioprotective, analgesic, neuroprotective, anti-inflammatory, and anticancer effects (Tsai et al., 2021). Studies have indicated that GA can lower hyperglycaemia, boost insulin secretion, and elevate antioxidant levels (Hadidi et al., 2024). Its ability to modulate gene expression is associated with its antioxidant effects and its influence on transcription factors such as PPAR-γ (Fu et al., 2025).
The integration of natural bioactive compounds with traditional therapies presents a robust medical approach to enhance therapeutic results, address drug resistance, and reduce harmful side effects. Prior research has indicated that the combination of THC and GA enhances glycaemic control, boosts insulin sensitivity, and safeguards pancreatic β-cells (Murugan et al., 2026), lipid metabolism (Gajendhini and Murugan, 2026), and fatty acid composition (Gajendhini and Murugan, 2026). To our knowledge, no other biochemical studies have been conducted on the synergistic effects of THC and GA regarding the expression of key genes associated with glucose metabolism and insulin signalling in experimental diabetic rats.
MATERIALS AND METHODS
Animals
Adult male albino Wistar rats (8 weeks), weighing 180 to 200 g bred in the Central Animal House at J.J College of Arts and Science in Pudukkottai, which is affiliated with Bharathidasan University in Tiruchirappalli. These rats were housed in polypropylene cages within a pathogen-free environment, maintained at an ambient temperature of 28±2 °C and a relative humidity of 45-55%, with a 12-hr cycle of light and dark. The rats were provided with a pellet diet from Hindustan Lever Ltd., India, and had access to water ad libitum. The animals were cared for in accordance with the guidelines established by the National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, India, and received approval from the Institutional Animal Ethical Committee at J.J College of Arts and Science in Pudukkottai (JJC/BC/AH/002/2025).
Drugs and chemicals
THC was a gift provided by Sabinsa Corporation, USA. GA was purchased from Sigma Chemical Company, St. Louis, MO, USA, and all other chemicals utilised were of analytical grade sourced from Himedia, Mumbai, India.
Induction of diabetes
Experimental animals were given a freshly prepared solution of STZ (55 mg/kg) in 0.1 M citrate buffer at pH 4.5, administered intraperitoneally at a volume of 1 mL/kg (Furman, 2021). Normal rats received 1 mL of citrate buffer as a control. The animals were allowed to drink a 20% glucose solution overnight to mitigate drug-induced hypoglycaemia. Control rats were provided with the same volume of isotonic saline. After a period of 72 hours, plasma glucose levels were assessed, and those rats with fasting glucose levels exceeding 250 mg/dL were identified as diabetic rats and included in the current study.
Experimental design
The animals were divided into five groups of six animals in each group (24 diabetic and 6 normal). Group I: Normal rats. Group II: Diabetic control rats. Diabetes was induced by intraperitoneal STZ injection (55 mg/kg, pH 4.5 in citrate buffer solution). Group III: Diabetic rats administered with combined phytochemicals THC (60 mg/kg body weight) and GA (15 mg/kg body weight) in aqueous solution daily using an intragastric tube for 45 days (Gajendhini and Murugan, 2025). Group IV: Diabetic rats given THC (80 mg / kg body weight) in aqueous solution daily using an intragastric tube for 45 days (Pari and Murugan, 2007). Group V: Diabetic rats were given GA (20 mg/kg body weight) in aqueous solution daily using an intragastric tube for 45 days (Wong et al., 2022). At the end of 45 days, the animals were deprived of food overnight and sacrificed by decapitation. Blood was collected in tubes containing potassium oxalate and sodium fluoride mixture for the estimation of blood glucose. Plasma was separated for the estimation of insulin and other biochemical parameters.
Analytical procedure
Measurement of hormone and glucose index parameters
Blood glucose were estimated colorimetrically using commercial diagnostic kits (Sigma Diagnostics (I) Pvt. Ltd., Baroda, India) (Lott and Turner, 1975). Plasma insulin were assayed by ELISA using a Boehringer-Mannheim kit with an ES300 Boehringer analyzer (Mannheim, Germany).
Estimation of Lipid peroxidation
Lipid peroxidation in plasma was assessed colorimetrically by quantifying Thiobarbituric Acid Reactive Substances (TBARS) and hydroperoxides, utilising the methodologies established by Fraga et al. (1988) and Jiang et al. (1992), respectively. In summary, 0.5 mL of plasma was combined with 2 mL of a TBA-Trichloroacetic Acid (TCA)-HCl reagent (composed of 0.37% TBA, 0.25 N HCl, and 15% TCA in a 1:1:1 ratio), incubated for 15 min in a water bath, and subsequently cooled. The mixture was then centrifuged for 10 min at 1000 rpm at room temperature, and the resulting clear supernatant was analysed at 535 nm against a reference blank.
Hydroperoxides were quantified in mmoles/dL. A plasma sample of 0.5 mL was combined with 0.9 mL of Fox reagent, which consisted of 88 mg of BHT, 7.6 mg of xylenol orange, and 0.8 mg of ammonium iron sulfate dissolved in 90 mL of methanol and 10 mL of 250 mmoles sulfuric acid. The mixture was incubated at 37 °C for 30 min. The resulting colour intensity was measured at a wavelength of 560 nm.
Estimation of ascorbic acid (Vitamin C)
Vitamin C levels were determined according to the procedure outlined by Omaye et al. (1979). A sample of 0.5 mL was mixed with 1.5 mL of 6% TCA and centrifuged for 20 min. From the supernatant, 0.5 mL was taken and combined with 0.5 mL of DNPH reagent, mixed thoroughly, and allowed to stand at room temperature for 3 hr. Afterward, 2.5 mL of 85% sulfuric acid was added, and the mixture was allowed to sit for 30 min. Standards ranging from 10-50 µg of ascorbic acid were processed in the same way, along with a blank, and the absorbance was recorded at 530 nm. The results for ascorbic acid were expressed in mg/dL of plasma.
Estimation of Vitamin E
Vitamin E was analysed using the method established by Baker et al. (1951). To 0.1 mL of plasma, 1.5 mL of ethanol and 2.0 mL of petroleum ether were added, mixed thoroughly, and then centrifuged. The resulting supernatant was evaporated to dryness at a temperature of 80 °C. Subsequently, 0.2 mL of a 2,2'-dipyridyl solution and 0.2 mL of a ferric chloride solution were added. The mixture was well combined and kept in the dark for 5 min before adding 2 mL of butanol. The intense red colour that developed was measured at 520 nm. Standard tocopherol concentrations ranging from 10-100 µg were prepared and treated in the same manner, alongside a blank that contained only the reagents. The quantity of α-tocopherol was reported as mg/dL of plasma. The protein content was determined using the method described by Lowry et al. (1951).
Estimation of Ceruloplasmin
Plasma ceruloplasmin levels were determined using the method established by Ravin (1961). A volume of 0.05 mL of plasma was introduced. For the control, 1 mL of sodium azide was added and thoroughly mixed. Subsequently, 1.0 mL of p-phenylenediamine was added to both tubes, mixed, and incubated at 37 °C for 1 hr. Following this, 1 mL of sodium azide was added to the test sample. All tubes were then stored at a temperature range of 4 to 10 °C for 30 min. The resulting colour was measured at 540 nm, using the control as a blank. The ceruloplasmin concentrations were reported in mg/dL.
Estimation of reduced glutathione
The determination of Reduced Glutathione (GSH) was conducted using the method established by Ellman in 1959. An aliquot of 1.0 mL from the supernatant was combined with 0.5 mL of Ellman's reagent and 3.0 mL of phosphate buffer (0.2 M, pH 8.0), after which the absorbance was measured at 412 nm. The activity of GPx was quantified as μg of GSH consumed per minute per milligram of protein, while GSH levels were reported in mg per dL of plasma.
Statistical analysis
The data for various biochemical parameters were analysed using Analysis of Variance (ANOVA), and the group means were compared by Duncan's Multiple Range Test (DMRT). Values were considered statistically significant if p< 0.05 Duncan (1957).
RESULTS
Changes in blood glucose and plasma insulin
Figure 1 illustrates the blood glucose levels and plasma insulin concentrations across different experimental groups. The diabetic control rats exhibited a notable rise in blood glucose levels, accompanied by a significant reduction in plasma insulin concentrations. The oral administration of a combination of THC and GA to diabetic rats successfully reversed these biochemical alterations. In normal rats, the treatment with THC and GA significantly influenced both blood glucose and plasma insulin levels. The combination therapy of THC and GA demonstrated greater efficacy compared to the administration of either THC or GA alone.
Effect of THC and GA on plasma lipid peroxidation
Diabetic rats that were not treated exhibited a notable rise in the levels of lipid peroxide and TBARS in their plasma (Table 1). In contrast, rats that received a combination treatment of THC and GA displayed significantly reduced levels of plasma lipid peroxide and TBARS when compared to the untreated diabetic rats. Additionally, the simultaneous administration of THC and GA proved to be more effective than administering THC or GA individually.
Effect of THC on plasma antioxidants
Plasma levels of GSH and Vitamin C were markedly reduced in diabetic rats compared to normal rats, while plasma ceruloplasmin and α-tocopherol levels were significantly elevated in diabetic rats relative to their normal counterparts. Conversely, diabetic rats that received a combination treatment of THC and GA exhibited plasma antioxidant levels that were nearly normal (refer to Table 2). The concurrent administration of THC and GA demonstrated greater efficacy than the administration of either THC or GA alone.
DISCUSSION
STZ induces hyperglycaemia by specifically targeting and destroying pancreatic β-cells through the action of Reactive Oxygen Species (ROS). Elevated sugar levels lead to oxidative stress, resulting in lipid peroxidation and a reduction in antioxidant defenses, which is why STZ-rodent models are commonly used for evaluating new antidiabetic and antioxidant therapies (Aboonabi et al., 2014). Pancreatic beta cells are particularly susceptible to nitric oxide and ROS due to their naturally low levels of free radical scavenging antioxidant enzymes (Eleazu et al., 2013). STZ directly causes lipid peroxidation through the generation of oxygen free radicals (Stadler et al., 2009). Consequently, this study was conducted to evaluate the antiperoxidative effects of THC and GA in STZ diabetic rats. The findings indicated that a 45-day combination treatment with THC at a dosage of 60 mg/ kg body weight and GA at 15 mg/kg body weight significantly lowers blood glucose levels in STZ-induced diabetic rats. The potential mechanisms through which THC and GA exert their antihyperglycemic effects may involve stimulating pancreatic insulin secretion from the remaining β-cells, enhancing the transport of blood glucose to peripheral tissues, or decreasing glucose absorption from the gastrointestinal tract.
Non-enzymatic glycosylation leads to the formation of detrimental advanced glycation end-products, while glucose autoxidation results in elevated levels of harmful oxidative stress. Additionally, the polyol pathway reduces protective cellular antioxidants such as NADPH and causes the accumulation of intracellular sorbitol. (Hussain et al., 2025). Hyperglycaemia has a direct impact on the balance between pro-oxidants and antioxidants, producing an overabundance of free radicals that systematically damage both structural and functional macromolecules throughout the body (Papachristoforou et al., 2020).
Elevated oxidative stress resulting from hyperglycaemia accelerates the generation of ROS and diminishes antioxidant defenses, which ultimately leads to cellular damage and the release of lipid peroxidation products into the bloodstream (Shams et al., 2011). Prior research has indicated an increase in lipid peroxidation in the plasma of diabetic rats (Murugan and Pari, 2006; Pari and Murugan, 2005; Murugan and Sakthivel, 2022). The combination of THC and GA provides protection to the liver and kidneys by enhancing GSH levels. This mechanism promotes the activity of enzymes that prevent detrimental cellular damage and facilitate the removal of toxic waste in diabetic rats (Pari and Murugan, 2007). THC and GA exhibit an antiperoxidative effect by aiding the body in responding to lipid peroxides. In diabetic rats, elevated plasma levels of ceruloplasmin and α-tocopherol serve as protective agents. Ceruloplasmin acts as a potent free radical scavenger, inhibiting lipid peroxidation (Pari and Murugan,). The administration of the THC and GA combination to STZ-induced diabetic rats resulted in a reduction of plasma levels of TBARS, hydroperoxides, ceruloplasmin, and α-tocopherol, thereby demonstrating the antiperoxidative properties of THC and GA.
Vitamin E is a potent, fat-soluble antioxidant that safeguards cell membranes from damage caused by free radicals. It mitigates oxidative stress by neutralising reactive oxygen species, thereby maintaining the stability and health of cell walls throughout the body (Wang and Quinn, 1999). It disrupts the chain reaction of lipid peroxidation by interacting with lipid proxy radicals, thus shielding cell structures from harm (Zheng et al., 2024). Additionally, it aids in reducing elevated levels of detrimental cell damage, referred to as lipid peroxidation, which is prevalent in diabetes (Murugan and Pari, 2006). The oral administration of THC and GA to diabetic rats restored Vitamin E levels to nearly normal.
Groups | TBARS (mmoles/dL) | Hydroperoxides (x 10-5 mM/100 mL) |
|---|---|---|
Normal | 0.20±0.01a | 10.87±0.60a |
Diabetic control | 0.46 ± 0.02b | 24.47±1.27b |
Diabetic + THC and GA | 0.22±0.01a | 10.98±0.65a |
Diabetic + THC | 0.26±0.01c | 12.93±0.93c |
Diabetic+ GA | 0.28±0.01c | 13.12±0.74c |
We have also noted considerable alterations in the levels of plasma antioxidants in diabetic rats. Vitamin C serves as the primary hydrophilic (water-soluble) antioxidant in human blood plasma. When plasma encounters reactive oxygen species, Vitamin C is indeed the first line of defence and is depleted prior to the oxidation of other lipids or antioxidants (Vani et al., 2015). A notable decrease in plasma Vitamin C frequently occurs as a result of elevated oxidative stress. Reactive oxygen species utilise Vitamin C in its role as an antioxidant, or insufficient levels of GSH hinder the recycling of oxidised Vitamin C back to its active state (Kaźmierczak-Barańska et al., 2020).
GSH is a crucial tripeptide found in cells that inhibits lipid peroxidation caused by free radicals. It functions directly as an antioxidant and is a vital cofactor for glutathione peroxidase enzymes, converting harmful lipid peroxides into harmless alcohols while safeguarding cell membranes from oxidative harm (Shi et al., 2014). Elevated blood sugar levels generate numerous free radicals (oxyradicals). The body rapidly depletes GSH and Vitamin C to neutralise these detrimental molecules and shield cells from injury (Phiwayinkosi et al., 2023). GSH serves as a primary defence mechanism for cells against prooxidant environments (Averill-Bates et al., 2023), and its levels were assessed following the administration of THC and GA. GSH systems assist cells in combating oxidative stress by altering the functionality of regulatory enzymes. In this study, THC and GA treatment led to a significant increase in GSH levels. Elevated GSH levels subsequently activate GSH-dependent enzymes such as glutathione peroxidase and glutathione-S-transferase (Brodzka et al., 2024). Ceruloplasmin is an essential plasma protein that functions as a ferroxidase, converting harmful Ferrous Iron (Fe²⁺) into non-toxic Ferric Iron (Fe³⁺). This enzyme is crucial because the optimal breakdown of fats driven by iron necessitates a balanced ratio of both iron forms at 1:1, thereby preventing cellular damage by eliminating reactive ferrous iron (Patel et al., 2002). During periods of oxidative stress and inflammation, ceruloplasmin levels increase as it serves as a positive acute-phase reactant. Additionally, as a copper-binding antioxidant enzyme, it plays a role in neutralising reactive oxygen species, such as superoxide radicals, thereby mitigating tissue damage (Goldstein et al., 1979). The rise in plasma ceruloplasmin levels observed in diabetic rats may be attributed to elevated lipid peroxides. Furthermore, Murugan and Sakthivel (2020) also noted an increase in ceruloplasmin levels in diabetic rats. The administration of THC and GA to these diabetic rats resulted in the restoration of ceruloplasmin levels to nearly normal values.
Groups | Normal | Diabetic control | Diab + THC and GA | Diabetic + THC | Diabetic + GA |
|---|---|---|---|---|---|
Vitamin C (mg/dL) | 1.78 ± 0.11a | 0.74±0.04b | 1.81±0.11a | 1.55±0.11c | 1.49±0.09c |
Vitamin E (mg/dL) | 1.64±0.07a | 0.72±0.03b | 1.57± 0.09a | 1.30±0.08c | 1.27±0.05c |
Ceruloplasmin (mg/ dL) | 20.33±1.13a | 35.21±2.12b | 22.31±1.14a | 27.12±1.45c | 27.87±1.32c |
Reduced Glutathione (mg / dL) | 25.12±1.44a | 12.47±0.65b | 24.01±1.47a | 21.07±1.38c | 20.85±5.28c |
Values are given as Mean ± S.D for 6 rats in each group. Values not sharing a common superscript letter differ significantly at p<0.05 (DMRT) (Lott and Turner, 1975).
Values are given as Mean ± S.D for 6 rats in each group. Values not sharing a common superscript letter differ significantly at p<0.05 (DMRT) (Li and Shen, 2019).
Values are given as Mean ± S.D for 6 rats in each group. Values not sharing a common superscript letter differ significantly at p<0.05 (DMRT) (Lott and Turner, 1975).
CONCLUSION
The combination of THC and GA has strong antioxidant properties. This combination lowers harmful fat breakdown and boosts cell defence systems. It helps protect the body from oxidative stress caused by diabetes. The combination effect of THC and GA was better when compared with that of THC or GA alone.
