Published online Dec 28, 2018. doi: 10.3748/wjg.v24.i48.5505
Peer-review started: September 25, 2018
First decision: October 24, 2018
Revised: October 31, 2018
Accepted: November 16, 2018
Article in press: November 16, 2018
Published online: December 28, 2018
Processing time: 96 Days and 17.9 Hours
Dyslipidemia is an important risk factor for many vicious diseases such as diabetes and cardiovascular disease. Developing dyslipidemia regulators from traditional Chinese medicines (TCMs) to remedy lipid disorders represents attractive strategies for disease therapy. In China, Polygonatum kingianum (P. kingianum) has been used as an herb and nutritional food for centuries. Known pharmacological activities of P. kingianum include immune system stimulation, anti-aging effects and blood glucose regulation.
To date, studies on the effects of P. kingianum on dyslipidemia and the mechanism for these effects have not been investigated.
We aimed to identify the effects and mechanism of action of P. kingianum on dyslipidemia using an integrated untargeted metabolomic method.
A rat model of dyslipidemia was induced with a high-fat diet (HFD) and rats were given P. kingianum [4 g/(kg•day)] intragastrically for 14 wk. Changes in serum and hepatic lipid parameters were evaluated. Metabolites in serum, urine and liver samples were profiled using ultra-high performance liquid chromatography/mass spectrometry followed by multivariate statistical analysis to identify potential biomarkers and metabolic pathways.
P. kingianum significantly inhibited the HFD-induced increase in total cholesterol and low density lipoprotein cholesterol in serum, and total cholesterol and triglyceride in the liver. P. kingianum also reduced hepatic high density lipoprotein cholesterol. P. kingianum significantly regulated metabolites in the analyzed samples toward normal status. Nineteen, twenty-four and thirty-eight potential biomarkers were identified in serum, urine and liver samples, respectively. These biomarkers involved 11 main metabolic pathways, including seven in serum and in the liver, and one in urine.
P. kingianum alleviated HFD-induced dyslipidemia by regulating many endogenous metabolites in serum, urine and liver samples. This involved phenylalanine, tyrosine, tryptophan, valine, leucine and isoleucine biosynthesis, and tryptophan, tyrosine, phenylalanine, starch, sucrose, glycerophospholipid, arachidonic acid, linoleic acid, nicotinate, nicotinamide and sphingolipid metabolism.
P. kingianum may be a promising lipid regulator to treat dyslipidemia and associated diseases.