Synthesis of a vanadyl (IV) folate complex for the treatment of diabetes: spectroscopic, structural, and biological characterization

Introduction

Vanadyl (IV) sulfate is a promising factor in the treatment of diabetes.¹ Vanadium is an oral insulin injector that improves the storage of insulin in beta cells and can reverse the sugary state.² Many studies in vitro and in vivo have shown that vanadium exerts insulin-like effects on the liver, skeletal muscle, and fatty tissues.³ It also improves the sensitivity of hepatic and muscular insulin in type-2 diabetes.⁴ The insulin-like abilities of various coordination modes of oxovanadium complexes VO(L) (where L=O₄, N₂O₂, N₂S₂, S₄, S₂O₂, and N₄) have been evaluated both in vivo and in vitro.^5,6

Diabetes is one of the diseases that cause renal failure and heart disease and lead to an amputation in parts of the body because of uncontrolled blood sugar levels.⁷ Diabetes is considered to be one of the most serious metabolic diseases with a high risk of death. It has been found that the total health care expenditure spent on the treatment of diabetics is 10% of the total health expenditure in the world.^8,9 Lack of β-cells in the pancreas is the essential cause of the pathophysiological symptom that leads to the progression of diabetes.¹⁰ Therefore, the therapeutic goal is to stimulate or mimic the production of insulin, which would ameliorate the disease or at least lessen its many complications.¹¹ Metal-complexes, used in agriculture and pharmaceutical industry, are considered essential elements with promising potential applications for the treatment of diabetes.¹²

Folic acid (FAH₂), also known as vitamin B₉ or folacin, belongs to the B vitamin family and is chemically referred to as pteroyl-L-glutamic acid.¹³ It consists of 2-amino-4-hydroxy-6-methyl pterin, para-aminobenzoic acid, and L-glutamic acid (Figure 1). FAH₂ was initially isolated from the leaves of spinach plants and used to treat megaloblastic anemia.¹⁴

Figure 1 Chemical structure of folic acid (FAH2).

FAH₂ is a main micronutrient that cannot be synthesized by humans and, therefore, must be ingested through the diet.¹⁵ FAH₂ is the general form of folate.¹⁶ It plays a crucial role in DNA synthesis and cell division.¹⁷ It has been reported that FAH₂ has a potent therapeutic effect on malignant anemia.¹⁸ Biochemical and clinical studies have confirmed that FAH₂ serves as a critical coenzyme in the biosynthesis of purines, pyrimidines, nucleic acids, and proteins.¹⁹ It is now widely accepted that FAH₂ deficiency contributes to higher plasma concentrations of homocysteine, which is an independent risk factor for birth defects and complications during pregnancy.²⁰ FAH₂ plays an important role in preventing neural tube defects in infants and may reduce the risk of vascular disease and some cancers.²¹ Accumulating evidence suggests that low dietary intake and blood concentration of vitamin B₁₂ and FAH₂ may be associated with decreased bone mineral density (BMD), increased bone loss, and a higher risk of osteoporotic fracture.²² The mechanism linking FAH₂ and BMD remains unclear: FAH₂ may exert a direct effect on the bone or an indirect effect mediated through homocysteine levels.²³

In this report, we describe the synthesis and characterization of a novel vanadyl (IV) folate complex with potential therapeutic application in the treatment of diabetes using a streptozotocin (STZ)-induced diabetes rat model.

Materials and methods

Chemicals and reagents

Chemicals and reagents of highest grade (VOSO₄·H₂O, FAH₂, BaCl₂ 2H₂O, CH₃OH, NH₃ solution, dimethylsulfoxide, and STZ) were procured from Sigma-Aldrich (St Louis, MO, USA) and employed without further analysis.

Synthesis of vanadyl (IV) folate complex

Double distilled water was employed as a solvent for vanadyl (IV) folate complex. The [(FA²⁻)(VO²⁺)]·3H₂O complex was synthesized using VOSO₄:FAH₂ in a 1:1 ratio. VOSO₄·H₂O (0.09 g, 1.0 mmol) salt was dissolved in aqueous media and then directly added to 40 mL of CH₃OH/H₂OFAH₂ (0.22 g, 1.0 mmol) solution. The CH₃OH/H₂O FAH₂ solution was pre-titrated with a 5% NH₃ solution to adjust to pH 9.5, then heated at ~60°C for 30 minutes until the precipitate settled, and left to evaporate at room temperature overnight. The precipitate was filtered, washed several times with minimal amounts of hot methanol, dried in an oven at 60°C, and then stored in a vacuum desiccator filled with anhydrous CaCl₂.

Instruments

The analyses of C, H, and N content (%) were performed using the Perkin Elmer CHN 2400 Elemental Analyzer (Waltham, MA, USA). The vanadium metal content was determined gravimetrically by the direct ignition of the respected complex at 800°C for 3 hours until constant weight was reached. The residue was then weighed in the form of vanadium oxide. The molar conductivity of freshly prepared 1.0×10⁻³ mol/cm³ vanadyl (IV) folate complex dimethylsulfoxide (DMSO) solution was measured using a JENWAY 4010 conductivity meter (Staffordshire, UK). The solid reflectance spectrum was measured by a Shimadzu UV-3101 PCUV–Vis Spectrophotometer (Kyoto, Kyoto Prefecture, Japan). The infrared spectra were recorded with KBr discs on a Bruker FT-IR Spectrophotometer (Billerica, MA, USA) (4,000–400 cm⁻¹). Magnetic data were calculated at 25°C using a Magnetic Susceptibility Balance (Sherwood Scientific, Cambridge, England). The electron spin resonance (ESR) spectrum was determined at 9.44 GHz using the JES-FE2XG ESR spectrometer and microwave unit, JEOL (Akishima, Tokyo, Japan). A thermal study (TG/DTG–50H) was carried out on the Shimadzu Thermogravimetric Analyzer (Kyoto) in atmospheric nitrogen up to 800°C. Scanning electron microscopy (SEM) images were acquired using the Quanta FEG 250 microscope (Waltham, MA, USA). The transmission electron microscopy (TEM) images were acquired using the JEOL 100s microscope (Akishima). The X-ray diffraction patterns were recorded on the X’Pert PRO PANalytical X-ray powder diffraction (USA) unit using target copper with a secondary monochromate.

Preparation of stock solutions

Ten grams of BaCl₂·2H₂O was weighed and dissolved in the small amount of distilled water possible. The volume was brought to 100 mL to achieve a final 10% solution. The stock solution of NH₄OH was prepared by diluting 15.15 mL of concentrated NH₃ (33% v/v) in 35 mL of distilled water. The volume was brought to 100 mL with methanol to approximate a 5% v/v solution. Each of the solid complexes (0.2 g) was dissolved in the least amount of 2 M nitric acid. The solution was then allowed to evaporate to near dryness. This process was repeated twice and the residue was dissolved in 50 mL of hot distilled water, which resulted in a clear solution. The volume was then brought to 100 mL.

Experimental animal design

Male albino rats (100–120 g) were purchased from the National Research Centre (Cairo, Egypt). The animals were maintained in solid-bottom polycarbonate cages with stainless steel wire-bar lids and wooden dust-free litter as bedding material. The animals were allowed free access to food and housed in an air-conditioned room for 2 weeks prior to starting any experiments. All animal procedures were performed in accordance with the European Community Directive (86/609/EEC) and the National Rules on Animal Care. Study protocol was approved by National Research Centre (Cairo, Egypt).

The animals were divided into four groups with ten animals per group:

• Group I: Untreated negative control.
• Group II: Untreated diabetic positive control with intraperitoneal (ip) injection of a single dose of STZ (50 mg/kg).²⁴
• Group III: Vanadyl (IV) sulfate alone, one-time ip injection of STZ (50 mg/kg) followed by ip injections of vanadyl (IV) sulfate alone (40 mg/kg) every other day for 30 days (15 total treatments).
• Group IV: Vanadyl (IV) folate complexes, one-time ip injection of STZ (50 mg/kg) followed by ip injections of vanadyl (IV) AMP AA complexes (I–VI) (40 mg/kg) every other day for 30 days (15 total treatments).

Chemical induction of diabetes

Animals were fasted for 18 hours prior to a single ip injection of STZ (50 mg/kg)²⁵ that was freshly prepared in cold 0.1 M citrate buffer (pH 4.5). STZ-injected animals were given a 5% glucose solution to drink ad libitum for the first 24 hours post-injection to ensure survival.²⁶ Animals were considered to be diabetic when their blood glucose levels exceeded 220 mg/dL,²⁷ approximately 72 hours after STZ injection.

Collection of blood and tissue

Blood samples from the 18 hour-fasted animals were immediately drawn from the medial retro-orbital venous plexus in capillary tubes (Micro Haematocrit Capillaries, Mucaps) under ether-induced anesthesia.²⁸ Approximately 3 mL of blood was collected from each animal in two tubes – one tube contained EDTA and this sample was used for future hematological assays, whereas the sample in the other tube was allowed to clot for 30 minutes prior to centrifugation at 3,000 rpm for 15 minutes to separate the serum for future biochemical analyses. The animals were then dissected under ether-induced anesthesia and tissue samples (liver and pancreas) were collected, washed with 1.15% KCl and 0.5 mM EDTA, and stored at −20°C for future biochemical analyses.

Hb concentration

The Hb content (g/dL) of the blood was measured using a cell counter (Sysmex, Model KX21N).

Insulin and blood glucose levels

Insulin levels were determined as described by Woodhead et al (1974) using the Insulin-I125 Kit (Sigma-Aldrich) and Radioimmunoassay Kit (Sigma-Aldrich).²⁹ Blood sugar levels were measured using the Udind Spain React Kit (Spain). Briefly, 10 μL of serum was incubated with 1 mL of the provided working reagent at 37°C for 10 minutes after which the developed colors were measured photometrically at 450 nm using a Biosystem 320 spectrophotometer relative to a tube filled only with the working solution. Glucose concentration was calculated according to the following equation:

Lipid profile

Triglycerides, cholesterol, high- (HDL-c) and low-density lipoprotein (LDL-c) cholesterol levels were determined using fully automated chemistry analyzer Integra 400 Plus Analyzer.

Liver and kidney function

The levels of lactate dehydrogenase (LDH), alanine transaminase, creatinine, and uric acid were determined using auto-chemistry Integra 400 Plus Analyzer. Glucose-6-phosphate dehydrogenase (G6PD) activity was measured using a commercially available kit.

Blood superoxide dismutase (SOD) activity

SOD was determined by using biodiagnostic kit (Sigma-Aldrich). First, 0.5 mL of EDTA blood was washed four times with normal saline to obtain washed erythrocytes. The washed erythrocytes were made up to 2.0 mL with cold redistilled water, mixed, and then allowed to stand at 4°C for 15 minutes. A total of 100 mL of this lysate was mixed with working reagent and the absorbance was measured at 560 nm for 5 minutes for both control (control ΔA) and for sample (ΔA sample). The percent of inhibition was calculated according to the following equation:

Histopathological investigation

Small pieces of liver and pancreas tissues were freshly collected directly after dissection and immediately transferred to a 10% formalin solution for fixation. After 24 hours, the tissue samples were washed, dehydrated in ascending grades of alcohol, cleared in xylol, and embedded in paraffin. The paraffin blocks were cut into 5 μm sections using a microtome. Prior to staining with Harris’ H&E, the paraffin sections were deparaffinized in xylene and hydrated. After staining, the sections were dehydrated in alcohol, cleared in xylene, and mounted with Canada balsam.³⁰

Statistical analysis

Data were collected, arranged, and reported as mean ± standard error of the mean for all groups (each group was considered as one experimental unit). Differences between groups were determined using the one-way analysis of variance test (F-test), and if significant differences between the means were found, Duncan’s multiple range test was used. Statistical analyses were performed using the SPSS v15.0 software and P-values <0.05 were considered reflective of statistical significance.³¹

Results and discussion

Chemical structure

The vanadyl (IV) folate complex was a dark yellow, air stable, non-hygroscopic complex that is soluble in DMSO and DMF and insoluble in water and most organic solvents. The physical and analytical data revealed a 2:2 stoichiometry between vanadyl (IV): FAH₂.

Microanalytical and physical data

The melting point of the binuclear vanadyl (IV) folate complex was above 260°C and an 85% yield was obtained. The microanalytical data of its chemical formula (C₃₈H₄₀N₁₄O₁₇V₂) indicated a molecular weight of 1,066.69 g/mol: C=42.79%, H=3.78%, N=18.38%, V=9.55% (calculated value); C=42.56%, H=3.72%, N=18.11%, V=9.43% (observed value). Therefore, the general formula of the complex is [(FA²⁻)(VO²⁺)]·3H₂O. The absence of SO₄⁻ ions was confirmed using a 10% stock solution of BaCl₂ 2H₂O.

The molar conductivity value of the vanadyl (IV) folate complex in DMSO was 22 Ω⁻¹ cm² mol⁻¹ at room temperature, which suggests that it is not an electrolyte.³² These values confirmed that no ions were present outside of the coordination sphere, so it was concluded the SO₄⁻ ions were absent.

Electronic and magnetic measurements

The electronic spectra and magnetic analyses provided an overview of the structural aspects of the chemical compounds. The diffuse reflectance spectrum of vanadyl (IV) folate complex revealed that vanadyl (IV) has a square pyramidal configuration. The absorption bands at 12,500 and 15,625 cm⁻¹ were assigned to the ²B₂→²E and ²B₂→²B₁ transitions, respectively.³³ The weak bands at about 17,857 and 21,739 cm⁻¹ were assigned to the ligand-to-metal charge transfer (L–M_CT). The magnetic moment of the vanadyl (IV) folate complex was measured by Gauy method at room temperature and the μ_eff value was1.76 BM, which assigned to the square-pyramidal configuration.³³

ESR spectrum

The ESR spectrum of the vanadyl (IV) folate complex was determined in DMSO at room temperature (Figure 2). The values of g_|| and g_⊥ factors aligned with the square pyramidal vanadyl complexes.³⁴ The (g_||, g_⊥, A_||, and A_⊥) values were calculated from the ESR spectrum (Table 1), as was the trend of g values (g_||<g_⊥<2); all these values were in good agreement with its square pyramidal structure. Figure 2 shows the evidence of splitting, due to the chelation between two differentially located electrons from the vanadium metal and FAH₂.

Figure 2 ESR spectrum of the vanadyl (IV) folate complex. Abbreviation: ESR, electron spin resonance.

Table 1 ESR spectral data of vanadyl (IV) folate complex Abbreviations: A|| and A⊥, hyperfine constants; A, hyperfine splitting constant; ΔB, full width at half max.

Infrared spectra

The essential infrared spectra of FAH₂ and its vanadyl (IV) complex are summarized in Table 2. The spectra were similar but there are some differences related to the place of coordination. The FAH₂ exhibited a very strong absorption band at 1,694 cm⁻¹ due to the stretching vibration of ν(C=O) of the free ketone of the carboxyl group.³⁵ This band was slightly shifted to lower frequencies in the spectrum of the complex (1,689 cm⁻¹) due to the overlap between the amide (C=O) and carboxyl (C=O) groups of free FAH₂.³⁵ This decreased markedly in intensity and was accompanied by the appearance of two bands at 1,510 and 1,406 cm⁻¹ corresponding to ν_as(COO⁻) and ν_s(COO⁻) vibration motions. Accordingly, the asymmetric and symmetric stretching vibration modes [ν_as(COO⁻) and ν_s(COO⁻)] of the COO⁻ group helped to elucidate the complex’s structure.³⁵ Deacon and Phillips (1980) studied the criteria that can be used to distinguish between the three binding states of the carboxylate complexes.³⁶ These criteria are as follows: (a) Δν>200 cm⁻¹ (where Δν = [ν_as(COO⁻)–ν_s(COO⁻)]) found in the case of monodentate carboxylate complexes; (b) bidentate or chelating carboxylate complexes exhibit Δν significantly smaller than ionic values (Δν<100 cm⁻¹); and (c) bridging complexes show Δν comparable to ionic values (Δν ~150 cm⁻¹). Therefore, the difference value Δν is a useful characteristic for determining the coordination mode of the carboxylate group of the ligands. The observed Δν of the vanadyl (IV) folate complex was 104 cm⁻¹, indicative of a bidentate coordination mode.³⁵ The spectrum of FAH₂ showed a sharp absorption band at 1,607 cm⁻¹ that was assigned to δ(NH₂). This peak was also found in the spectrum of the vanadyl (IV) complex without any change, suggesting that the NH₂ group is not involved in the coordination. The presence of H₂O molecules in this complex was evidenced by the presence of a broad band with strong intensity at the 3,360 cm⁻¹, which was attributed to the ν(O–H) stretching vibration of H₂O molecules.³⁵ The oxovanadium (IV) folate complex had a new band at 1,115 cm⁻¹ due to the ν(V=O) stretching vibration motion, which agreed with the known values of other vanadyl complexes.³⁵ The analytical and spectroscopic data obtained for the vanadyl (IV) folate complex conformed to its proposed stoichiometric formulations (Figure 3).

Table 2 FTIR frequencies (cm−1) of FAH2 and its vanadyl (IV) complex Abbreviation: FTIR, Fourier-transform infrared spectroscopy.

Figure 3 Proposed structure of the vanadyl (IV) folate complex.

Thermal analysis and kinetic thermodynamic studies

The thermal stability of the solid [(FA²⁻)(VO²⁺)]·3H₂O complex was studied using thermogravimetric (TG), differential thermogravimetric, and DTA analyses from room temperature to 800°C under atmospheric nitrogen. The TG curve was redrawn as the mg mass loss against temperature and the DTA curve was redrawn as the rate of mass loss against temperature. The thermoanalytical results are summarized in Table 3. The thermal decomposition of [(FA²⁻)(VO²⁺)]·3H₂O complex occurred in three steps. First, degradation took place at 42°C–177°C at DTG_max =105°C and DTA =175°C (endo), with loss of three H₂O molecules; its observed weight was 5.39% and calculated weight 5.06%. The second step was at 178°C–384°C at DTG_max =294°C and DTA =203°C–224°C (endo) and 247°C (exo), with loss of C₁₂H₆N₆O₂ (organic moiety); its observed weight was 24.70% and calculated weight 24.95%. The third step occurred at 385°C–718°C at DTG_max =551°C and DTA =557°C (endo), with loss of C₂₆H₂₈N₈O₁₂ (organic moiety); its observed weight was 60.46% and calculated weight 60.41%. The vanadium metal was the final residue and remained stable until 800°C.

Table 3 Thermal data of the [(FA2−)(VO2+)]·3H2O complex Note: Final residue =2V (observed =9.51%, calculated =9.56%). Abbreviations: exo, exothermic peak; endo, endothermic peak; DTA, differential thermal analyses; DTG, differential thermogravimetric.

The kinetic parameters, such as activation (ΔE*), (ΔH*), (ΔS*), and (ΔG*), were evaluated graphically by employing the Coats–Redfern and Horowitz–Metzger relations.^37,38 The calculated values of ΔE*, ΔA*, ΔS*, ΔH*, and ΔG* for the decomposition steps of the [(FA²⁻)(VO²⁺)]·3H₂O complex are given in Table 4. The most interesting result was the considerable thermal stability of the complex, reflected in the high ΔE* values of the decomposition. The second essential result was that the ΔS* values for the formation of the activated complex were, in most cases, negative, suggesting that the thermodynamic behavior of the vanadyl (IV) complex is non-spontaneous (more ordered). Also, the thermodynamic behavior of this complex was endothermic (ΔH*>0) and endergonic (ΔG*>0) during the reaction. The thermodynamic data obtained from the two methods were in harmony with each other and the correlation coefficient from the Arrhenius plots of the thermal decomposition was ~0.99 and thus described a good linear fit.

Table 4 Kinetic and thermodynamic parameters of the thermal decomposition of the [(FA2−)(VO2+)]·3H2O complex Abbreviations: CR, Coats–Redfern; HM, Horowitz–Metzger relations.

Morphological studies (XRD, SEM, and TEM)

Nanoparticles of the [(FA²⁻)(VO²⁺)]·3H₂O complex were generated and characterized by XRD at 2θ =4°–80°, SEM, and TEM. The XRD analysis showed that the vanadyl (IV) folate complex was pure with good crystalline nature as no characteristic impurity peaks were present. The XRD pattern of the [(FA²⁻)(VO²⁺)]·3H₂O complex (Figure 4) revealed the presence of peaks characteristic of vanadium (41.61, 60.72, and 69.53) in accordance with JCPDS File 22–1,058,³⁹ and FAH₂ (14.99, 16.68, 17.99, 20.43, 21.35, 22.67, 26.80, 28.09, 36.54, 38.61, 52.85, and 56.41),⁴⁰ in the range 2θ =4–80. The crystallite size of the vanadyl (IV) folate complex was calculated using Sherrer formula.⁴¹ The particle size of the complex was calculated from the highest diffraction peak at 20.43°. The XRD pattern of the vanadyl (IV) folate complex was indicative of nanocrystalline (6.0 nm) behavior.

Figure 4 XRD of the solid [(FA2−)(VO2+)]·3H2O complex. Abbreviation: XRD, X-ray diffraction.

In order to collect more information about the particle size and surface morphology of the isolated solid [(FA²⁻)(VO²⁺)]·3H₂O complex, SEM and TEM analyses were performed. The SEM and TEM images revealed that the solid dark yellow complex was aggregated into slices with a flower-like shape ranging in size between 5 and 100 nm and no well-defined particles (Figure 5). Increasing the magnification did not provide better differentiation of the particles (Figure 5A). The TEM images confirmed that the [(FA²⁻)(VO²⁺)]·3H₂O particles were irregular in shape and 5–100 nm in size (Figure 5B).

Figure 5 (A) SEM and (B) TEM micrographs of the solid [(FA2−)(VO2+)]·3H2O complex. Abbreviations: SEM, scanning electron microscopy; TEM, transmission electron microscopy.

Biological effects of vanadyl (IV) folate complex in vivo

Insulin and blood glucose levels

The insulin and blood glucose levels of the different experimental groups are presented in Table 5. As expected, induction of diabetes using STZ significantly decreased the amount of insulin present in the blood from 57.64±1.76 IU/mL (Group I) to 23.78±2.50 IU/mL (Group II) (P≤0.05). Administration of vanadyl (IV) sulfate (Group III) and FAH₂ vanadyl (IV) complex (Group IV) to the diabetic animals elicited significant changes to their insulin levels. Compared to Group II, the insulin levels in Group III increased to 41.44±1.23 IU/mL (P≤0.05) and Group IV to 44.87±1.61 IU/mL (P≤0.05).

Table 5 Biological measures in animal groups at experimental endpoint Note: Data are presented as mean ± standard deviation. Abbreviations: GPT, glutamate pyruvate transaminase; LDH, lactate dehydrogenase; G6PD, glucose-6-phosphate dehydrogenase; SOD, superoxide dismutase; TC, total cholesterol; TG, triglycerides; HDL-c, high-density lipoprotein cholesterol; LDL-c, low-density lipoprotein cholesterol.

The glucose concentration in the blood of the diabetic animals (Group II: 410.23±14.52 mg/dL) was significantly higher (P≤0.05) than the healthy controls (Group I: 77.55±4.93 mg/dL), thus confirming the efficacy of this disease model. Compared to Group II, the blood glucose levels decreased significantly in the animals treated with vanadyl (IV) sulfate alone (Group III: P≤0.05) and the FAH₂ vanadyl (IV) complex (Group IV: P≤0.05). This decrease was slightly more pronounced in Group IV (261.62±4.75 mg/dL) and Group III (283.51±9.21 mg/dL). These data indicate that treatment with vanadyl (IV) sulfate alone and in complex with FAH₂ effectively reduces blood glucose in vivo. These data align with previous reports that vanadyl salts mimic many of the metabolic actions of insulin both in vitro and in vivo and improve glycemic control in diabetes.⁴² This effect may be attributed to the insulin-like effect of vanadyl (IV) sulfate on various tissues including increasing glucose transport and metabolism in skeletal muscle, liver, and adipose tissue.⁴²

Glutamate pyruvate transaminase (GPT) enzyme activity

Serum GPT is the major enzyme used in the determination of liver function since it is released upon liver cell damage.⁴³ The activity of the GPT enzyme in the different experimental groups is presented in Table 5. The results indicated that the injection of vanadyl (IV) sulfate alone slightly increased the activity of the GPT enzyme from 111.50±7.44 U/L in Group II to 124.31±10.53 U/L in Group III, while the injection of the vanadyl (IV) complex decreased the serum GPT activity in Group IV to 98.50±4.34 U/L. These results indicate that treatment with vanadyl (IV) complex had little effect on liver cells compared to Group II, which had much higher levels than Group I, 72.33±6.61 U/L. Taken together, these data suggest that the vanadyl (IV) complex is less toxic than vanadyl (IV) sulfate alone.

Creatinine and uric acid levels

Serum creatinine is an important measure of the viability and health of the kidney: increasing creatinine levels are highly indicative of kidney failure,⁴⁴ and this parameter is highly elevated in diabetics.⁴⁴ According to the results shown in Table 5, the treatment of diabetic rats with vanadyl (IV) sulfate alone and vanadyl (IV) complex decreased creatinine levels compared to untreated diabetic rats. This was particularly pronounced in Group IV where the serum creatinine decreased to 0.72±0.11 mg/dL from 1.14±0.18 mg/dL in Group II. These data indicate that the vanadyl (IV) complex had no major effect on kidney tissues in vivo and greatly improved kidney function, which confirms the ameliorating effect of vanadyl (IV) complex on kidney functions.

The increased value of uric acid (hyperuricemia) that was observed in diabetic rats in this study compared to the healthy control coincides with a previous report.⁴⁵ Uric acid levels decreased with the treatment of the vanadyl (IV) complex, particularly in Group IV where the uric acid decreased by 22% relative to Group II. This reduction can be explained by the inhibition of oxidative phosphorylation, which leads to a decrease in protein synthesis.⁴⁴

LDH and G6PD activities

LDH is used as a marker of tissue breakdown as this enzyme is abundant in red blood cells and is released upon hemolysis.⁴⁶ The activity of the LDH enzyme in the different experimental groups is presented in Table 5. In general, the activity of serum LDH in the diabetic animals (Group II) was significantly increased compared to the healthy control group (Group I). The administration of vanadyl (IV) complex (Group IV) elicited a significant 11.50% decrease in LDH activity compared to Group II. The increased LDH activity in this animal model of diabetes is mainly due to the leakage of LDH into the blood caused by STZ toxicity in the liver. Our findings are similar to Ashakiran et al (2010), who reported the same response in alloxan-induced diabetic mice.⁴⁶

G6PD is the principal source of the intracellular reductant NADPH, which is required by many enzymes including those of the antioxidant pathway.⁴⁶ The level of G6PD decreased in all of the diabetic animals as compared to the healthy control (Table 5), as has been previously reported.⁴⁶ Treatment with vanadyl (IV) complex (Group IV) significantly increased G6PD activity relative to the diabetic group (Group II).

Hb levels

The levels of Hb in the different experimental groups are presented in Table 5. Results indicated that the level of Hb decreased in diabetic rats (Group II) compared to the healthy animals (Group I). The reduction of Hb and the ensuing anemia associated with diabetes is mainly due to the increased non-enzymatic glycosylation of red blood cell membrane proteins.⁴⁷ The administration of vanadyl (IV) complex countered the increase in Hb at the study’s 30-day endpoint (Group IV) compared to the untreated diabetic group. Furthermore, Group IV showed a significant 14.36% increase compared to Group I. These data confirm previous determinations of minimal toxicity induced by vanadyl (IV) complex in vivo.

Superoxide dismutase enzyme (SOD) activity

SOD is a major component of the antioxidant system that neutralizes superoxide radicals by converting them into H₂O₂ and molecular oxygen. SOD activity is low in diabetes,⁴⁸ and this reduced activity could be due to its degradation or inhibition as a result of the increased free radical production. Our results indicated that SOD is significantly decreased in the diabetic animals (Group II) compared to the healthy ones (Group I) while there was a slight decrease in the diabetic group treated with the vanadyl (IV) complex (Table 5). The increased SOD activity induced by vanadyl (IV) complex treatment would help manage the effects of the elevated free radicals associated with diabetes.

Lipid profile

The levels of total cholesterol (TC), triglycerides (TG), HDL-c, and LDL-c are presented in Table 5. The results indicate that the levels of TC, TG, and LDL-c were significantly increased in the STZ-induced diabetic animals (Group II) compared to Group I. This is in contrast to data published by Bolkent et al,¹ which showed a reduction in serum HDL-c levels in STZ-induced diabetic animals.⁴⁹ High levels of serum lipids in diabetes are mainly caused by the increased mobilization of free fatty acids from their peripheral stores because insulin inhibits hormone-sensitive lipases. The present study showed that the administration of the vanadyl (IV) complex led to significant improvements in the lipid metabolism parameters: TC, TG, and LDL-c were significantly decreased while HDL-c levels were significantly increased. This mechanism can be discussed as vanadyl (IV) sulfate exerts its cholesterol-lowering effect seems to be a decrease in choabsorption from the intestine, by binding to bile in the intestine and increasing its excretion.⁴⁹ However, vanadyl (IV) sulfate also decreases cholesterol biosynthesis, specifically by reducing3-hydroxy-3-methylglutaryl-CoA reductase activity, a key enzyme in cholesterol biosynthesis, and/or by reducing the NADPH required for fatty acid and cholesterol biosynthesis. In addition, vanadyl may improve hypercholesterolemia by modulating lipoprotein metabolism: enhancing LDL uptake by increasing LDL receptor expression⁴⁹ and/or by increasing lecithin cholesterol acyltransferase activity.⁵⁰ Overall, these results indicate that treatment with the complex developed in this study could help combat the diverse metabolic issues associated with diabetes beyond glucose metabolism.

Histopathology of pancreas

Photomicrograph of pancreatic tissue (Figure 6) from a diabetic rat treated with the [(FA²⁻)(VO²⁺)]·3H₂O complex showed a moderate increase in the size of the islets of Langerhans (↕) surrounded by healthy pancreatic acini (H&E stain 400×).

Figure 6 Histology of pancreas showing markedly dilated congested central vein (o) filled with red blood cells and surrounded by aggregates of inflammatory cells with rows and cords of hepatocytes showing severe fatty changes (↑) (H&E stain 400×). (A) Untreated healthy pancreas (negative control, Group I), (B) pancreas from diabetic rat (positive control, Group II), (C) pancreas from diabetic rat (positive control, Group II), (D) pancreas from diabetic rat treated with VOSO4 (Group III), (E) pancreas from diabetic rat treated with VOSO4 (Group III), and (F) pancreas from diabetic rat treated with the [(FA2−)(VO2+)]·3H2O complex (Group IV).

Histopathology of liver

Photomicrograph of liver tissue (Figure 7) from a diabetic rat showing markedly dilated congested central vein (↕) filled with red blood cells and surrounded by aggregates of inflammatory cells with rows and cords of hepatocytes showing severe fatty changes (↑) (H&E stain 400×).

Figure 7 Histology of liver. (A) Untreated healthy liver (negative control, Group I), (B) liver from diabetic rat (positive control, Group II), (C) liver from diabetic rat (positive control, Group II), (D) liver from diabetic rat treated with [(FA2−)(VO2+)]·3H2O complex (Group IV). H&E stain 400×.

Conclusion

In conclusion, the study demonstrated the synthesis of a new antidiabetic compound that consists of vanadyl (IV) sulfate and folic acid in a 1:1 molar ratio and molecular formula [(FA²⁻)(VO²⁺)]·3H₂O. These characteristics of this compound were discussed based on spectroscopic techniques like FTIR, UV–Vis, and ESR. The results confirmed that high dose of vanadyl (IV) folate compound is more effective and safer for the treatment of hyperglycemia and oxidative stress that resulted from the induction of diabetes mellitus by STZ; a high synergistic effect was observed between folate and vanadyl. Therefore, this compound has been proved be a highly effective antidiabetic drug model. Therefore, this study is aimed to designed a novel vanadyl (IV) complexity and determine the effectiveness of this complex on pancreas structural alterations which induced by STZ.

Acknowledgments

The authors would like to extend their sincere appreciation to the Deanship of Scientific Research at King Saud University for funding this research through the Research Group (No: RG-1436-015).

Disclosure

The authors report no conflicts of interest in this work.

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