Antidiabetic activity of Embelia ribes, embelin and its derivatives: A systematic review and meta-analysis
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- 作者：Sharanbasappa Durga ; sharanabasappadurg@yahoo.com ; Veeresh P. Veerapurb ; Satrasala Neelimac ; Shivsharan B. Dhadded
- 关键词：Embelia ribes ; Blood glucose ; Insulin ; Alloxan monohydrate ; Streptozotocin ; Meta-analysis
- 刊名：Biomedicine & Pharmacotherapy
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：86
- 期：Complete
- 页码：195-204
- 全文大小：830 K
- 卷排序：86
文摘
Embelia ribes (ER) has been documented in Ayurveda for treating various diseases, including diabetes mellitus (DM). The present systematic review and meta-analysis evaluated the efficacy and safety of ER and its active bio-marker, embelin and its derivatives in the treatment of DM. Literature search was performed in PubMed/MEDLINE, EMBASE, Scopus, ScienceDirect, Scifinder, and Google Scholar. Using Review Manager, meta-analysis of ER/embelin/derivatives of embelin versus diabetic control was performed with inverse-variance model, providing mean differences (MDs) and 95% confidence intervals (CIs). Heterogeneity was determined by I2 statistic. A total of 13 studies were included in the systematic review and meta-analysis, and were conducted in experimental rats. ER and embelin significantly (P ≤ 0.01) resorted blood glucose (MD, −231.30; CI, −256.79, −205.82; and MD, −154.70; CI, −168.65, −140.74) and glycosylated haemoglobin (MD, −6.36; CI, −8.33, −4.39; and MD,−4.68; CI, −7.76, −1.60), respectively. Meta-analysis findings also reported considerable restoration of insulin, lipid profile, haemodynamic parameters, serum and oxidative stress markers. The derivatives of embelin, 6-bromoembelin and vilangin, also improved diabetic condition. In addition, treatments also ameliorated body weight changes due to diabetes. The present systematic review and meta-analysis supports scientific evidence for the antidiabetic activity of ER/embelin/derivatives of embelin. However, further research is warranted in clinical trials to validate the present findings.