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. 2021 Jul 22;10(8):1162. doi: 10.3390/antiox10081162

Table 2.

Blueberries hepatoprotective effects in (pre)diabetic animal models.

Animal Model Source/Dose Duration Main Outcomes Ref
HFD-fed male C57BL/6J mice BB anthocyanin
extract (200 mg/kg BW)
8 weeks ↓ BW, liver and adipose tissue weight
↓ Insulin levels
↓ HOMA-IR
↓ TGs and T-Chol
↓ Hepatic steatosis
↓ Serum ceramide and DAG levels
↓ Serum PP2A and Prkcz mRNA expression
↓ ALT and AST activities
[32]
Obese Zucker rats Freeze-dried wild BB powder (8% of diet) 8 weeks = BW
↓ Fasting plasma TAG and T-Chol
↓ Hepatic SREBP-1 and FAS mRNA expression
= Hepatic PPAR-α and PPAR-γ mRNA expression
[126]
↓ Fasting plasma TNF- α, IL-6, and CRP
↑ Plasma adiponectin
↓ Hepatic TNF- α, IL-6, CRP and NF-kB mRNA expression
[153]
HFD-fed Sprague Dawley rat BB juice (15 g/kg) combined with probiotics 8 weeks ↓ Serum TGs, T-Chol, LDL-c and MDA
↓ Hepatic lipid accumulation
↑ Hepatic SIRT1and PPAR-α mRNA and protein expression
↓ Hepatic mRNA levels of SREBP-1c
↑ Serum SOD and GSH activities
↓ Serum ALT and AST activities
[151]
↑ Hepatic mitochondrial swelling
↓ State 3 and 4 respiration rates
↑ RCR and ADP/O ratio
↑ Hepatic mitochondrial GSH and SOD mRNA and protein expression levels
↑ Hepatic protein and mRNA expression of SIRT1
↑ Hepatic mRNA expression of PGC-1α
↓ Hepatic mitochondrial MDA levels and ROS activity
[146]
HFD-fed obese postmenopausal female C57BL/6J mice BB powder (4% of diet) 12 weeks = BW and fat mass
↑ Glucose tolerance
↓ Hepatic steatosis
↑ Hepatic FAO and lipid handling (↑ LCHAD, and FAT/CD36 mRNA expression)
↑ Fecal SCFAs levels
[154]
HFD-fed C57BL/6J mice BB polyphenol
extract
(200 mg/kg body weight (bw)/day)
12 weeks ↓ BW
↓ Serum LDL -c levels
↑ Serum HDL-c levels
↓ Hepatic TGS and T-Chol
↓ Hepatic PPAR-γ, FAS, and SREBP-1 mRNA expression
↑ Hepatic CPT1 and PPAR-α mRNA expression
↑ AMPK phosphorylation
[34]
HFD-fed male C57BL/6J mice BB anthocyanins
(200 mg/kg)
12 weeks ↓ BW
↓ Serum and hepatic lipid and MDA levels
↑ Hepatic SOD and GPx activities
↓ TNF-α, IL-6 and NF-kB mRNA expression
↑ Fecal SCFAS
Hepatic glycerophospholipids and glutathione metabolism and insulin-signaling pathways modulation
[155]
Diabetic male KK-Ay mice BB anthocyanin extract (10 g/Kg diet) 4 weeks = BW and ↓ liver weight
↓ Serum glucose levels
↑ Insulin sensitivity
↓ Serum TGs and TC-Chol
↓ HGP
↑ Hepatic AMPK phosphorylation
↓ Hepatic lipid content
↓ Hepatic gluconeogenesis (↓ PEPCK and G6Pase mRNA expression)
↑ FAO (↑ PPAR-α, ACO and CPT1 mRNA expression)
[136]
HFD-fed C57BL/6J mice Fermented BB juice 17 weeks ↑ BW gain
↑ Insulin sensitivity and glucose homeostasis
↓ Fasting serum glucose
↓ Serum LDL-c
↓ Serum TNF-α and ↑ IL-10
↓ Hepatic fat accumulation
↑ Hepatic mRNA expression of IR and IRS
↓ Hepatic SCD1, SREBP1c and FAS expression
↑ mRNA and protein expression of GLUT-1; GCK, LDL-receptor and PPAR-α
↓ mRNA and protein expression of PPAR-γ
↑ Akt phosphorylation
[156]
GK rats Decoctions of Vaccinium myrtillus L. (bilberry) leaves 4 weeks = BW
↑ Glucose tolerance
↓ Occasional glycaemia
↑ Mitochondrial oxidative and phosphorylative activities
↑ State 3 respiration, FCCP-uncoupled respiratory and RCR activities
[149]

ACO, acyl-CoA oxidase; Akt, protein kinase B; ALT, alanine aminotransferase; AMPK, 5′ adenosine monophosphate-activated protein kinase; AST, aspartate aminotransferase; BW, body weight; CPT1, carnitinepalmitoyltransferase-1A; DAG, diacylglycerol; FAO, fatty acid oxidation; FAS, fatty acid synthase; FCCP, carbonyl cyanide p-(tri-fluromethoxy)phenyl-hydrazone; G6Pase, glucose 6-phosphatase; GCK, Glucokinase; GLUT-1, glucose transporter 1; GPx, glutathione peroxidase; GK, Goto-Kakizaki; HGP, hepatic glucose production; HFD, high-fat diet; HOMA-IR, homeostatic model assessment for insulin resistance; IL, interleukin; LCHAD, long-chain hydroxyacyl-CoA dehydrogenase; LDL-c, low-density lipoprotein-cholesterol; MDA, malondialdehyde; PEPCK, phosphoenolpyruvate carboxykinase; RCR, respiratory control ratio; SCD1, stearoyl-CoA desaturase-1; SCFAS, short-chain fatty acids; SOD, superoxide dismutase; SREBP-1, sterol regulatory element-binding protein-1; TNF-α, tumor necrosis factor-α; T-Chol, total-cholesterol; ↑, increased; ↓, decreased; =, unchanged.