Cited by 18Berberine and alkaloids researchAdipokines, Inflammation, and Metabolic DiseasesPharmacology and Obesity Treatment

Comparative Effects of Gymnema sylvestre and Berberine on Adipokines, Body Composition, and Metabolic Parameters in Obese Patients: A Randomized Study

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Bandala, Cindy, Carro-Rodríguez, Jazmín, Cárdenas-Rodríguez, Noemí, Peña-Montero, Itzel, Gómez-López, Modesto, Hernández-Roldán, Ana Paola, Huerta-Cruz, Juan Carlos, Muñoz-González, Felipe +3 more·2024·Nutrients

Abstract

Gymnema sylvestre (GS) and berberine (BBR) are natural products that have demonstrated therapeutic potential for the management of obesity and its comorbidities, as effective and safe alternatives to synthetic drugs. Although their anti-obesogenic and antidiabetic properties have been widely studied, comparative research on their impact on the gene expression of adipokines, such as resistin (Res), omentin (Ome), visfatin (Vis) and apelin (Ap), has not been reported. Methodology: We performed a comparative study in 50 adult Mexican patients with obesity treated with GS or BBR for 3 months. The baseline and final biochemical parameters, body composition, blood pressure, gene expression of Res, Ome, Vis, and Ap, and safety parameters were evaluated. Results: BBR significantly decreased (p < 0.05) body weight, blood pressure and Vis and Ap gene expression and increased Ome, while GS decreased fasting glucose and Res gene expression (p < 0.05). A comparative analysis of the final measurements revealed a lower gene expression of Ap and Vis (p < 0.05) in patients treated with BBR than in those treated with GS. The most frequent adverse effects in both groups were gastrointestinal symptoms, which attenuated during the first month of treatment. Conclusion: In patients with obesity, BBR has a better effect on body composition, blood pressure, and the gene expression of adipokines related to metabolic risk, while GS has a better effect on fasting glucose and adipokines related to insulin resistance, with minimal side effects.

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Authors
Bandala, C., Carro-Rodríguez, J., Cárdenas-Rodríguez, N., Peña-Montero, I., Gómez-López, M., Hernández-Roldán, A. P., Huerta-Cruz, J. C., Muñoz-González, F., Ignacio-Mejía, I., Domínguez, B., & Lara-Padilla, E.
Affiliations
  • Instituto Politécnico Nacional (MX)
  • Laboratorio de Neurociencias, Instituto Nacional de Pediatría, Mexico City 04530, Mexico
  • Laboratorio de Obesidad, Escuela Superior de Medicina, Instituto Politécnico Nacional, Mexico City 11340, Mexico
  • Unidad de Investigación en Farmacología, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosio Villegas, Secretaria de Salud, Mexico City 14080, Mexico
  • Laboratorio de Medicina Traslacional, Escuela Militar de Graduados en Sanidad, Universidad del Ejército y Fuerza Aérea, Mexico City 11200, Mexico
Venue
Nutrients
Publisher
MDPI AG
Published
2024-07-16
Volume
16
Issue
14
Pages
2284
ISSN
2072-6643 (ISSN-L)
OpenAlex
W4400683279
Cited by
18
References
93
Citations by year
2026: 8 · 2025: 8 · 2024: 2
FWCI
5.11
Type
journal article
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Instituto Politecnico Nacional (2170253, 221826)
  • Consejo Nacional de Ciencia y Tecnología (2170253, 221826)
Topics
  • Health Sciences › Medicine › Pharmacology › Berberine and alkaloids research
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
Keywords
Gymnema sylvestre, berberine, obesity, adipokines, resistin, omentin, visfatin, apelin, body composition, blood pressure, fasting blood glucose, insulin resistance, gene expression, herbal medicine, antidiabetic drugs, adverse effects
MeSH terms
Apelin, Adult, Berberine, Blood Glucose, Blood Pressure, Body Composition, Female, Humans, Male, Middle Aged, Obesity, Plant Extracts, Cytokines, Anti-Obesity Agents, Gymnema sylvestre, Lectins, Resistin, Adipokines, Nicotinamide Phosphoribosyltransferase, GPI-Linked Proteins

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