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Apitherapy for diabetes mellitus: mechanisms and clinical implications

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Veröffentlicht/Copyright: 1. Januar 2025

Abstract

Introduction

Diabetes mellitus is a complex disease in terms of its causes and pathophysiological processes, it produces a significant impact on health and leads to complications that are difficult to manage.

Content

This review summarizes and analyzes recent advances in the understanding of the mechanisms of diabetes mellitus and how apitherapy affects them. Also present the available clinical evidence on its application.

Summary

Apitherapy (complementary-integral use of beehive products) is a potentially useful therapeutic system with a significant level of evidence. This review shows and analyzes the preclinical and clinical evidence on the use of apitherapy in diabetes mellitus.

Outlook

Apitherapy shows significant effects on epigenetics, chronic inflammation, oxidative stress, metabolic control, dysbiosis, premature cell death and tissue remodeling. Clinical evidence shows an impact on these mechanisms. Apitherapy is a very useful complementary medicine in the treatment of diabetes mellitus.


Corresponding author: Andrés Jagua-Gualdrón, MD, Researcher, Professor, National University of Colombia, Bogota, Colombia; International Institute for Complementary and Alternative Medicine-IIMAN, Bogota, Colombia; and International College of Apitherapy, Kra 13 #59-24 L-135, Bogota, 110231, Colombia, E-mail:

Acknowledgments

The authors would like to extend their gratitude to Jose Roberto Garcia Reyes for his invaluable administrative support in facilitating the completion of this article.

  1. Research ethics: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: Andrés Jagua-Gualdrón. Design of conceptual categories, review of the pathophysiology, and examination of pre-clinical and clinical scientific evidence. Nicolai Andrés García-Reyes. Review of the pathophysiology, and examination of pre-clinical and clinical scientific evidence. Roger Edwin Fernández-Bernal. Review of the pathophysiology and clinical scientific evidence.

  4. Use of Large Language Models, AI and Machine Learning Tools: None declared.

  5. Conflict of interests: The authors state no conflict of interest

  6. Research funding: None declared.

  7. Data availability: Not applicable.

References

1. Saeedi, P, Petersohn, I, Salpea, P, Malanda, B, Karuranga, S, Unwin, N, et al.. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract 2019;157. https://doi.org/10.1016/j.diabres.2019.107843.Suche in Google Scholar PubMed

2. Arnardóttir, E, Sigurðardóttir, ÁK, Graue, M, Kolltveit, B-CH, Skinner, T. Using HbA1c measurements and the Finnish Diabetes Risk Score to identify undiagnosed individuals and those at risk of diabetes in primary care. BMC Publ Health 2023;23:211. https://doi.org/10.1186/s12889-023-15122-y.Suche in Google Scholar PubMed PubMed Central

3. Arokiasamy, P, Salvi, S, Selvamani, Y. Global burden of diabetes mellitus. In: Handb. Glob. Heal. Cham: Springer International Publishing; 2021:495–538 pp.10.1007/978-3-030-45009-0_28Suche in Google Scholar

4. Sahoo, J, Mohanty, S, Kundu, A, Epari, V. Medication adherence among patients of type II diabetes mellitus and its associated risk factors: a cross-sectional study in a tertiary care hospital of eastern India. Cureus 2022;14:e33074. https://doi.org/10.7759/cureus.33074.Suche in Google Scholar PubMed PubMed Central

5. Zhong, O, Hu, J, Wang, J, Tan, Y, Hu, L, Lei, X. Antioxidant for treatment of diabetic complications: a meta-analysis and systematic review. J Biochem Mol Toxicol 2022;36:e23038. https://doi.org/10.1002/jbt.23038.Suche in Google Scholar PubMed

6. Wibowo, RA, Nurámalia, R, Nurrahma, HA, Oktariani, E, Setiawan, J, Icanervilia, AV, et al.. The effect of yoga on health-related fitness among patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Int J Environ Res Publ Health 2022;19:4199. https://doi.org/10.3390/ijerph19074199.Suche in Google Scholar PubMed PubMed Central

7. Wei, Y, Ding, Q-Y, Yeung, C, Huang, Y, Zhang, B, Zhang, L, et al.. Evidence and potential mechanisms of traditional Chinese medicine for the adjuvant treatment of coronary heart disease in patients with diabetes mellitus: a systematic review and meta-analysis with trial sequential analysis. J Diabetes Res 2022;2022:1–16. https://doi.org/10.1155/2022/2545476.Suche in Google Scholar PubMed PubMed Central

8. Andrés, J-G. Cáncer Y terapéutica con productos de La colmena. Revisión sistemática de los estudios experimentales. Rev La Fac Med 2012;60:79–94.Suche in Google Scholar

9. Jagua-Gualdrón, A, Peña-Latorre, JA, Fernadez-Bernal, RE. Apitherapy for osteoarthritis: perspectives from basic research. Complement Med Res 2020;27:184–92. https://doi.org/10.1159/000505015.Suche in Google Scholar PubMed

10. Wehbe, R, Frangieh, J, Rima, M, El Obeid, D, Sabatier, J-M, Fajloun, Z. Bee venom: overview of main compounds and bioactivities for therapeutic interests. Molecules 2019;24:2997. https://doi.org/10.3390/molecules24162997.Suche in Google Scholar PubMed PubMed Central

11. ElSayed, NA, Aleppo, G, Aroda, VR, Bannuru, RR, Brown, FM, Bruemmer, D, et al.. 3. Prevention or delay of diabetes and associated comorbidities: Standards of Care in diabetes–2023. Diabetes Care 2023;46:S41–8. https://doi.org/10.2337/dc23-S003.Suche in Google Scholar PubMed PubMed Central

12. ElSayed, NA, Aleppo, G, Aroda, VR, Bannuru, RR, Brown, FM, Bruemmer, D, et al.. 2. Classification and diagnosis of diabetes: standards of care in diabetes–2023. Diabetes Care 2023;46:S19–40. https://doi.org/10.2337/dc23-S002.Suche in Google Scholar PubMed PubMed Central

13. Sousa, M, Rego, T, Armas, JB. Insights into the genetics and signaling pathways in maturity-onset diabetes of the young. Int J Mol Sci 2022;23:12910. https://doi.org/10.3390/ijms232112910.Suche in Google Scholar PubMed PubMed Central

14. Salvatore, T, Galiero, R, Caturano, A, Rinaldi, L, Criscuolo, L, Di Martino, A, et al.. Current knowledge on the pathophysiology of lean/normal-weight type 2 diabetes. Int J Mol Sci 2022;24:658. https://doi.org/10.3390/ijms24010658.Suche in Google Scholar PubMed PubMed Central

15. Poston, L. Intergenerational transmission of insulin resistance and type 2 diabetes. Prog Biophys Mol Biol 2011;106:315–22. https://doi.org/10.1016/j.pbiomolbio.2010.11.011.Suche in Google Scholar PubMed

16. Jimenez-Chillaron, JC, Isganaitis, E, Charalambous, M, Gesta, S, Pentinat-Pelegrin, T, Faucette, RR, et al.. Intergenerational transmission of glucose intolerance and obesity by in utero undernutrition in mice. Diabetes 2009;58:460–8. https://doi.org/10.2337/db08-0490.Suche in Google Scholar PubMed PubMed Central

17. Klastrup, LK, Bak, ST, Nielsen, AL. The influence of paternal diet on sncRNA-mediated epigenetic inheritance. Mol Genet Genom 2019;294:1–11. https://doi.org/10.1007/s00438-018-1492-8.Suche in Google Scholar PubMed

18. Rosen, ED, Kaestner, KH, Natarajan, R, Patti, M-E, Sallari, R, Sander, M, et al.. Epigenetics and epigenomics: implications for diabetes and obesity. Diabetes 2018;67:1923–31. https://doi.org/10.2337/db18-0537.Suche in Google Scholar PubMed PubMed Central

19. Agarwal, P, Wicklow, BA, Dart, AB, Hizon, NA, Sellers, EAC, McGavock, JM, et al.. Integrative analysis reveals novel associations between DNA methylation and the serum metabolome of adolescents with type 2 diabetes: a cross-sectional study. Front Endocrinol 2022;13. https://doi.org/10.3389/fendo.2022.934706.Suche in Google Scholar PubMed PubMed Central

20. Kanney, N, Patki, A, Chandler-Laney, P, Garvey, WT, Hidalgo, BA. Epigenetic age acceleration in mothers and offspring 4–10 Years after a pregnancy complicated by gestational diabetes and obesity. Metabolites 2022;12:1226. https://doi.org/10.3390/metabo12121226.Suche in Google Scholar PubMed PubMed Central

21. Patricia da Silva, E, da Silva Feltran, G, Alexandre Alcântara dos Santos, S, Cardoso de Oliveira, R, Assis, RIF, Antônio Justulin Junior, L, et al.. Hyperglycemic microenvironment compromises the homeostasis of communication between the bone-brain axis by the epigenetic repression of the osteocalcin receptor, Gpr158 in the hippocampus. Brain Res 2023;1803. https://doi.org/10.1016/j.brainres.2023.148234.Suche in Google Scholar PubMed

22. Yudhani, RD, Sari, Y, Nugrahaningsih, DAA, Sholikhah, EN, Rochmanti, M, Purba, AKR, et al.. In vitro insulin resistance model: a recent update. J Obes 2023;2023:1–13. https://doi.org/10.1155/2023/1964732.Suche in Google Scholar PubMed PubMed Central

23. Fernando Carrasco, N, José Eduardo Galgani, F, Marcela Reyes, J. Síndrome de resistencia a la insulina. estudio y manejo. Rev Médica Clínica Las Condes 2013;24:827–37. https://doi.org/10.1016/S0716-8640(13)70230-X.Suche in Google Scholar

24. Taniguchi, K, Karin, M. NF-κB, inflammation, immunity and cancer: coming of age. Nat Rev Immunol 2018;18:309–24. https://doi.org/10.1038/nri.2017.142.Suche in Google Scholar PubMed

25. Meyerovich, K, Ortis, F, Cardozo, AK. The non-canonical NF-κB pathway and its contribution to β-cell failure in diabetes. J Mol Endocrinol 2018;61:F1–6. https://doi.org/10.1530/JME-16-0183.Suche in Google Scholar PubMed

26. Lingappan, K. NF-κB in oxidative stress. Curr Opin Toxicol 2018;7:81–6. https://doi.org/10.1016/j.cotox.2017.11.002.Suche in Google Scholar PubMed PubMed Central

27. Lin, X, Li, H. Obesity: epidemiology, pathophysiology, and therapeutics. Front Endocrinol 2021;12. https://doi.org/10.3389/fendo.2021.706978.Suche in Google Scholar PubMed PubMed Central

28. Lee, S-H, Park, S-Y, Choi, CS. Insulin resistance: from mechanisms to therapeutic strategies. Diabetes Metab J 2022;46:15–37. https://doi.org/10.4093/dmj.2021.0280.Suche in Google Scholar PubMed PubMed Central

29. Feng, J, Lu, S, Ou, B, Liu, Q, Dai, J, Ji, C, et al.. The role of JNk signaling pathway in obesity-driven insulin resistance. Diabetes, Metab Syndrome Obes Targets Ther 2020;13:1399–406. https://doi.org/10.2147/DMSO.S236127.Suche in Google Scholar PubMed PubMed Central

30. Chen, L, Deng, H, Cui, H, Fang, J, Zuo, Z, Deng, J, et al.. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget 2018;9:7204–18. https://doi.org/10.18632/oncotarget.23208.Suche in Google Scholar PubMed PubMed Central

31. Takano, C, Ogawa, E, Hayakawa, S. Insulin resistance in mitochondrial diabetes. Biomolecules 2023;13:126. https://doi.org/10.3390/biom13010126.Suche in Google Scholar PubMed PubMed Central

32. Yuan, Q, Zeng, ZL, Yang, S, Li, A, Zu, X, Liu, J. Mitochondrial stress in metabolic inflammation: modest benefits and full losses. Oxid Med Cell Longev 2022;2022:1–17. https://doi.org/10.1155/2022/8803404.Suche in Google Scholar PubMed PubMed Central

33. Kuppuswami, J, Senthilkumar, GP. Nutri-stress, mitochondrial dysfunction, and insulin resistance–role of heat shock proteins. Cell Stress Chaperones 2023;28:35–48. https://doi.org/10.1007/s12192-022-01314-9.Suche in Google Scholar PubMed PubMed Central

34. AlZaim, I, Eid, AH, Abd-Elrahman, KS, El-Yazbi, AF. Adipose tissue mitochondrial dysfunction and cardiometabolic diseases: on the search for novel molecular targets. Biochem Pharmacol 2022;206. https://doi.org/10.1016/j.bcp.2022.115337.Suche in Google Scholar PubMed

35. Mitrofanova, A, Fontanella, AM, Burke, GW, Merscher, S, Fornoni, A. Mitochondrial contribution to inflammation in diabetic kidney disease. Cells 2022;11:3635. https://doi.org/10.3390/cells11223635.Suche in Google Scholar PubMed PubMed Central

36. Wronka, M, Krzemińska, J, Młynarska, E, Rysz, J, Franczyk, B. The influence of lifestyle and treatment on oxidative stress and inflammation in diabetes. Int J Mol Sci 2022;23:15743. https://doi.org/10.3390/ijms232415743.Suche in Google Scholar PubMed PubMed Central

37. Kulkarni, A, Muralidharan, C, May, SC, Tersey, SA, Mirmira, RG. Inside the β cell: molecular stress response pathways in diabetes pathogenesis. Endocrinology 2022;164. https://doi.org/10.1210/endocr/bqac184.Suche in Google Scholar PubMed PubMed Central

38. Li, J, Guan, R, Pan, L. Mechanism of Schwann cells in diabetic peripheral neuropathy: a review. Med (Baltim) 2023;102:e32653. https://doi.org/10.1097/MD.0000000000032653.Suche in Google Scholar PubMed PubMed Central

39. Sun, D, Wang, J, Toan, S, Muid, D, Li, R, Chang, X, et al.. Molecular mechanisms of coronary microvascular endothelial dysfunction in diabetes mellitus: focus on mitochondrial quality surveillance. Angiogenesis 2022;25:307–29. https://doi.org/10.1007/s10456-022-09835-8.Suche in Google Scholar PubMed

40. Martinez, JE, Kahana, DD, Ghuman, S, Wilson, HP, Wilson, J, Kim, SCJ, et al.. Unhealthy lifestyle and gut dysbiosis: a better understanding of the effects of poor diet and nicotine on the intestinal microbiome. Front Endocrinol 2021;12. https://doi.org/10.3389/fendo.2021.667066.Suche in Google Scholar PubMed PubMed Central

41. Gradisteanu Pircalabioru, G, Corcionivoschi, N, Gundogdu, O, Chifiriuc, M-C, Marutescu, LG, Ispas, B, et al.. Dysbiosis in the development of type I diabetes and associated complications: from mechanisms to targeted gut microbes manipulation therapies. Int J Mol Sci 2021;22:2763. https://doi.org/10.3390/ijms22052763.Suche in Google Scholar PubMed PubMed Central

42. Liaqat, I, Ali, NM, Arshad, N, Sajjad, S, Rashid, F, Hanif, U, et al.. Gut dysbiosis, inflammation and type 2 diabetes in mice using synthetic gut microbiota from diabetic humans. Braz J Biol 2021;83:e242818. https://doi.org/10.1590/1519-6984.242818.Suche in Google Scholar PubMed

43. Gurung, M, Li, Z, You, H, Rodrigues, R, Jump, DB, Morgun, A, et al.. Role of gut microbiota in type 2 diabetes pathophysiology. EBioMedicine 2020;51:102590. https://doi.org/10.1016/j.ebiom.2019.11.051.Suche in Google Scholar PubMed PubMed Central

44. Galicia-Garcia, U, Benito-Vicente, A, Jebari, S, Larrea-Sebal, A, Siddiqi, H, Uribe, KB, et al.. Pathophysiology of type 2 diabetes mellitus. Int J Mol Sci 2020;21:6275. https://doi.org/10.3390/ijms21176275.Suche in Google Scholar PubMed PubMed Central

45. Eguchi, K, Nagai, R. Islet inflammation in type 2 diabetes and physiology. J Clin Invest 2017;127:14–23. https://doi.org/10.1172/JCI88877.Suche in Google Scholar PubMed PubMed Central

46. Almaça, J, Caicedo, A, Landsman, L. Beta cell dysfunction in diabetes: the islet microenvironment as an unusual suspect. Diabetologia 2020;63:2076–85. https://doi.org/10.1007/s00125-020-05186-5.Suche in Google Scholar PubMed PubMed Central

47. Li, X, Wu, Y, Song, Y, Ding, N, Lu, M, Jia, L, et al.. Activation of NF-κB-Inducing kinase in islet β cells causes β cell failure and diabetes. Mol Ther 2020;28:2430–41. https://doi.org/10.1016/j.ymthe.2020.07.016.Suche in Google Scholar PubMed PubMed Central

48. Uzuner, SÇ, Birinci, E, Tetikoğlu, S, Birinci, C, Kolaylı, S. Distinct epigenetic reprogramming, mitochondrial patterns, cellular morphology, and cytotoxicity after bee venom treatment. Recent Pat Anti-Cancer Drug Discov 2021;16:377–92. https://doi.org/10.2174/1574892816666210422125058.Suche in Google Scholar PubMed

49. Omene, C, Kalac, M, Wu, J, Marchi, E, Frenkel, K, O’Connor, OA. Propolis and its active component, caffeic acid phenethyl ester (CAPE), modulate breast cancer therapeutic targets via an epigenetically mediated mechanism of action. J Cancer Sci Ther 2013;5:334–42.Suche in Google Scholar

50. Makino, J, Ogasawara, R, Kamiya, T, Hara, H, Mitsugi, Y, Yamaguchi, E, et al.. Royal jelly constituents increase the expression of extracellular superoxide dismutase through histone acetylation in monocytic THP-1 cells. J Nat Prod 2016;79:1137–43. https://doi.org/10.1021/acs.jnatprod.6b00037.Suche in Google Scholar PubMed

51. Hashim, K-N, Chin, K-Y, Ahmad, F. The mechanism of honey in reversing metabolic syndrome. Molecules 2021;26:808. https://doi.org/10.3390/molecules26040808.Suche in Google Scholar PubMed PubMed Central

52. Nikbaf-Shandiz, M, Tutunchi, H, Khoshbaten, M, Nazari Bonab, H, Ebrahimi-Mameghani, M. Propolis supplementation in obese patients with non-alcoholic fatty liver disease: effects on glucose homeostasis, lipid profile, liver function, anthropometric indices and meta-inflammation. Food Funct 2022;13:11568–78. https://doi.org/10.1039/D2FO01280D.Suche in Google Scholar PubMed

53. Yoshida, M, Hayashi, K, Watadani, R, Okano, Y, Tanimura, K, Kotoh, J, et al.. Royal jelly improves hyperglycemia in obese/diabetic KK-Ay mice. J Vet Med Sci 2017;79:299–307. https://doi.org/10.1292/jvms.16-0458.Suche in Google Scholar PubMed PubMed Central

54. El-Seedi, HR, Eid, N, Abd El-Wahed, AA, Rateb, ME, Afifi, HS, Algethami, AF, et al.. Honey bee products: preclinical and clinical studies of their anti-inflammatory and immunomodulatory properties. Front Nutr 2022;8. https://doi.org/10.3389/fnut.2021.761267.Suche in Google Scholar PubMed PubMed Central

55. Zulhendri, F, Lesmana, R, Tandean, S, Christoper, A, Chandrasekaran, K, Irsyam, I, et al.. Recent update on the anti-inflammatory activities of propolis. Molecules 2022;27:8473. https://doi.org/10.3390/molecules27238473.Suche in Google Scholar PubMed PubMed Central

56. Bueno-Silva, B, Rosalen, PL, Alencar, SM, Mayer, MPA. Anti-inflammatory mechanisms of Neovestitol from Brazilian red propolis in LPS-activated macrophages. J Funct Foods 2017;36:440–7. https://doi.org/10.1016/j.jff.2017.07.029.Suche in Google Scholar

57. Aslan, A, Gok, O, Beyaz, S, Parlak, G, Can, MI, Gundogdu, R, et al.. Royal jelly arranges apoptotic and oxidative stress pathways and reduces damage to liver tissues of rats by down-regulation of Bcl-2, GSK3 and NF-κB and up-regulation of caspase and Nrf-2 protein signalling pathways. Biomarkers 2022;28:217–26. https://doi.org/10.1080/1354750X.2022.2159526.Suche in Google Scholar PubMed

58. Zakerkish, M, Jenabi, M, Zaeemzadeh, N, Hemmati, AA, Neisi, N. The effect of Iranian propolis on glucose metabolism, lipid profile, insulin resistance, renal function and inflammatory biomarkers in patients with type 2 diabetes mellitus: a randomized double-blind clinical trial. Sci Rep 2019;9:7289. https://doi.org/10.1038/s41598-019-43838-8.Suche in Google Scholar PubMed PubMed Central

59. Lei, X, Zhou, Y, Ren, C, Chen, X, Shang, R, He, J, et al.. Typhae pollen polysaccharides ameliorate diabetic retinal injury in a streptozotocin-induced diabetic rat model. J Ethnopharmacol 2018;224:169–76. https://doi.org/10.1016/j.jep.2018.05.030.Suche in Google Scholar PubMed

60. You, M-M, Chen, Y-F, Pan, Y-M, Liu, Y-C, Tu, J, Wang, K, et al.. Royal jelly attenuates LPS-induced inflammation in BV-2 microglial cells through modulating NF- κ B and p38/JNK signaling pathways. Mediators Inflamm 2018;2018:1–11. https://doi.org/10.1155/2018/7834381.Suche in Google Scholar PubMed PubMed Central

61. Kim, K-H, Kum, Y-S, Park, Y-Y, Park, J-H, Kim, S-J, Lee, W-R, et al.. The protective effect of bee venom against ethanol-induced hepatic injury via regulation of the mitochondria-related apoptotic pathway. Basic Clin Pharmacol Toxicol 2010;107:619–24. https://doi.org/10.1111/j.1742-7843.2010.00549.x.Suche in Google Scholar PubMed

62. Zhang, X, Lu, X, Zhou, Y, Guo, X, Chang, Y. Major royal jelly proteins prevents NAFLD by improving mitochondrial function and lipid accumulation through activating the AMPK/SIRT3 pathway in vitro. J Food Sci 2021;86:1105–13. https://doi.org/10.1111/1750-3841.15625.Suche in Google Scholar PubMed

63. Takahashi, Y, Hijikata, K, Seike, K, Nakano, S, Banjo, M, Sato, Y, et al.. Effects of royal jelly administration on endurance training-induced mitochondrial adaptations in skeletal muscle. Nutrients 2018;10:1735. https://doi.org/10.3390/nu10111735.Suche in Google Scholar PubMed PubMed Central

64. Balion, Z, Ramanauskienė, K, Jekabsone, A, Majienė, D. The role of mitochondria in brain cell protection from ischaemia by differently prepared propolis extracts. Antioxidants 2020;9:1262. https://doi.org/10.3390/antiox9121262.Suche in Google Scholar PubMed PubMed Central

65. Da Cunha, GA, Carlstrom, PF, Franchin, M, Alencar, SM, Ikegaki, M, Rosalen, PL. A systematic review of the potential effects of propolis extracts on experimentally-induced diabetes. Planta Med 2023;89:236–44. https://doi.org/10.1055/a-1910-3505.Suche in Google Scholar PubMed

66. Xu, W, Lu, H, Yuan, Y, Deng, Z, Zheng, L, Li, H. The antioxidant and anti-inflammatory effects of flavonoids from propolis via Nrf2 and NF-κB pathways. Foods 2022;11:2439. https://doi.org/10.3390/foods11162439.Suche in Google Scholar PubMed PubMed Central

67. El Adham, EK, Hassan, AI, Dawoud, MMA. Evaluating the role of propolis and bee venom on the oxidative stress induced by gamma rays in rats. Sci Rep 2022;12:2656. https://doi.org/10.1038/s41598-022-05979-1.Suche in Google Scholar PubMed PubMed Central

68. Aslan, A, Beyaz, S, Gok, O, Parlak, G, Can, MI, Agca, CA, et al.. Royal jelly protects brain tissue against fluoride-induced damage by activating Bcl-2/NF-κB/caspase-3/caspase-6/Bax and Erk signaling pathways in rats. Environ Sci Pollut Res 2023;30:49014–25. https://doi.org/10.1007/s11356-023-25636-y.Suche in Google Scholar PubMed

69. Oyarzún, JE, Andia, ME, Uribe, S, Núñez Pizarro, P, Núñez, G, Montenegro, G, et al.. Honeybee pollen extracts reduce oxidative stress and steatosis in hepatic cells. Molecules 2020;26:6. https://doi.org/10.3390/molecules26010006.Suche in Google Scholar PubMed PubMed Central

70. Roquetto, AR, Monteiro, NES, Moura, CS, Toreti, VC, de Pace, F, Santos, A, et al.. Green propolis modulates gut microbiota, reduces endotoxemia and expression of TLR4 pathway in mice fed a high-fat diet. Food Res Int 2015;76:796–803. https://doi.org/10.1016/j.foodres.2015.07.026.Suche in Google Scholar PubMed

71. Koya-Miyata, S, Arai, N, Mizote, A, Taniguchi, Y, Ushio, S, Iwaki, K, et al.. Propolis prevents diet-induced hyperlipidemia and mitigates weight gain in diet-induced obesity in mice. Biol Pharm Bull 2009;32:2022–8. https://doi.org/10.1248/bpb.32.2022.Suche in Google Scholar PubMed

72. Chien, Y-H, Yu, Y-H, Chen, Y-W. Taiwanese green propolis ameliorates metabolic syndrome via remodeling of white adipose tissue and modulation of gut microbiota in diet-induced obese mice. Biomed Pharmacother 2023;160. https://doi.org/10.1016/j.biopha.2023.114386.Suche in Google Scholar PubMed

73. Okamura, T, Hamaguchi, M, Bamba, R, Nakajima, H, Yoshimura, Y, Kimura, T, et al.. Brazilian green propolis improves gut microbiota dysbiosis and protects against sarcopenic obesity. J Cachexia Sarcopenia Muscle 2022;13:3028–47. https://doi.org/10.1002/jcsm.13076.Suche in Google Scholar PubMed PubMed Central

74. Cárdenas-Escudero, J, Mármol-Rojas, C, Escribano Pintor, S, Galán-Madruga, D, Cáceres, JO. Honey polyphenols: regulators of human microbiota and health. Food Funct 2023;14:602–20. https://doi.org/10.1039/D2FO02715A.Suche in Google Scholar

75. Schell, KR, Fernandes, KE, Shanahan, E, Wilson, I, Blair, SE, Carter, DA, et al.. The potential of honey as a prebiotic food to Re-engineer the gut microbiome toward a healthy state. Front Nutr 2022;9. https://doi.org/10.3389/fnut.2022.957932.Suche in Google Scholar PubMed PubMed Central

76. Stine, JG, Wang, J, Cornella, SL, Behm, BW, Henry, Z, Shah, NL, et al.. Treatment of type-1 hepatorenal syndrome with pentoxifylline: a randomized placebo controlled clinical trial. Ann Hepatol 2018;17:300–6. https://doi.org/10.5604/01.3001.0010.8661.Suche in Google Scholar PubMed

77. Afrin, S, Gasparrini, M, Forbes-Hernández, TY, Cianciosi, D, Reboredo-Rodriguez, P, Manna, PP, et al.. Protective effects of Manuka honey on LPS-treated RAW 264.7 macrophages. Part 1: enhancement of cellular viability, regulation of cellular apoptosis and improvement of mitochondrial functionality. Food Chem Toxicol 2018;121:203–13. https://doi.org/10.1016/j.fct.2018.09.001.Suche in Google Scholar PubMed

78. Sayed, HM, Awaad, AS, Abdel Rahman, FE-ZS, Al-Dossari, M, Abd El-Gawaad, NS, Ahmed, OM. Combinatory effect and modes of action of chrysin and bone marrow-derived mesenchymal stem cells on streptozotocin/nicotinamide-induced diabetic rats. Pharmaceuticals 2022;16:34. https://doi.org/10.3390/ph16010034.Suche in Google Scholar PubMed PubMed Central

79. Nna, VU, Abu Bakar, AB, Md Lazin, MRML, Mohamed, M. Antioxidant, anti-inflammatory and synergistic anti-hyperglycemic effects of Malaysian propolis and metformin in streptozotocin–induced diabetic rats. Food Chem Toxicol 2018;120:305–20. https://doi.org/10.1016/j.fct.2018.07.028.Suche in Google Scholar PubMed

80. Nna, VU, Bakar, ABA, Mohamed, M. Malaysian propolis, metformin and their combination, exert hepatoprotective effect in streptozotocin-induced diabetic rats. Life Sci 2018;211:40–50. https://doi.org/10.1016/j.lfs.2018.09.018.Suche in Google Scholar PubMed

81. Al-Shaeli, SJJ, Ethaeb, AM, Al-Zaidi, EAN. Serological and histological evaluation of the effect of honeybee venom on pancreas and liver in diabetic mice. Arch Razi Inst 2022;77:1125–31. https://doi.org/10.22092/ARI.2022.357385.2025.Suche in Google Scholar PubMed PubMed Central

82. Zhang, J, Cao, W, Zhao, H, Guo, S, Wang, Q, Cheng, N, et al.. Protective mechanism of fagopyrum esculentum moench. Bee pollen EtOH extract against type II diabetes in a high-fat diet/streptozocin-induced C57bl/6J mice. Front Nutr 2022;9. https://doi.org/10.3389/fnut.2022.925351.Suche in Google Scholar PubMed PubMed Central

83. Yang, S, Qu, Y, Chen, J, Chen, S, Sun, L, Zhou, Y, et al.. Bee pollen polysaccharide from rosa rugosa thunb. (Rosaceae) promotes pancreatic β-cell proliferation and insulin secretion. Front Pharmacol 2021;12. https://doi.org/10.3389/fphar.2021.688073.Suche in Google Scholar PubMed PubMed Central

84. Tohamy, HG, El-Neweshy, MS, Soliman, MM, Sayed, S, Shukry, M, Ghamry, HI, et al.. Protective potential of royal jelly against hydroxyurea -induced hepatic injury in rats via antioxidant, anti-inflammatory, and anti-apoptosis properties. PLoS One 2022;17:e0265261. https://doi.org/10.1371/journal.pone.0265261.Suche in Google Scholar PubMed PubMed Central

85. Mohamed, HK, Mobasher, MA, Ebiya, RA, Hassen, MT, Hagag, HM, El-Sayed, R, et al.. Anti-inflammatory, anti-apoptotic, and antioxidant roles of honey, royal jelly, and propolis in suppressing nephrotoxicity induced by doxorubicin in male albino rats. Antioxidants 2022;11:1029. https://doi.org/10.3390/antiox11051029.Suche in Google Scholar PubMed PubMed Central

86. Özkan, İ, Taylan, S, Polat Dünya, C. Investigation of the relationship between the use of complementary alternative medicine and illness perception and illness cognition in patients with diabetic foot ulcer. J Tissue Viability 2022;31:637–42. https://doi.org/10.1016/j.jtv.2022.08.005.Suche in Google Scholar PubMed

87. Meo, SA, Ansari, MJ, Sattar, K, Chaudhary, HU, Hajjar, W, Alasiri, S. Honey and diabetes mellitus: obstacles and challenges – road to be repaired. Saudi J Biol Sci 2017;24:1030–3. https://doi.org/10.1016/j.sjbs.2016.12.020.Suche in Google Scholar PubMed PubMed Central

88. Ahmad, NN, Khairatun, SN. Exploring fraudulent honey cases from readily available food fraud databases. GATR Glob J Bus Soc Sci Rev 2021;9:99–113. https://doi.org/10.35609/gjbssr.2021.9.2.Suche in Google Scholar

89. Nazir, L, Samad, F, Haroon, W, Kidwai, SS, Siddiqi, S, Zehravi, M. Comparison of glycaemic response to honey and glucose in type 2 diabetes. J Pak Med Assoc 2014;64:69–71. 24605717.Suche in Google Scholar PubMed

90. Abdulrhman, M, El-Hefnawy, M, Hussein, R, El-Goud, AA. The glycemic and peak incremental indices of honey, sucrose and glucose in patients with type 1 diabetes mellitus: effects on C-peptide level – a pilot study. Acta Diabetol 2011;48:89–94. https://doi.org/10.1007/s00592-009-0167-7. 19941014.Suche in Google Scholar PubMed

91. Abdulrhman, MM, El-Hefnawy, MH, Aly, RH, Shatla, RH, Mamdouh, RM, Mahmoud, DM, et al.. Metabolic effects of honey in type 1 diabetes mellitus: a randomized crossover pilot study. J Med Food 2013;16:66–72. https://doi.org/10.1089/jmf.2012.0108. 23256446.Suche in Google Scholar PubMed

92. Abdulrhman, M, El Hefnawy, M, Ali, R, Abdel Hamid, I, Abou El-Goud, A, Refai, D. Effects of honey, sucrose and glucose on blood glucose and C-peptide in patients with type 1 diabetes mellitus. Complement Ther Clin Pract 2013;19:15–19. https://doi.org/10.1016/j.ctcp.2012.08.002. 23337559.Suche in Google Scholar PubMed

93. Bahrami, M, Ataie-Jafari, A, Hosseini, S, Foruzanfar, MH, Rahmani, M, Pajouhi, M. Effects of natural honey consumption in diabetic patients: an 8-week randomized clinical trial. Int J Food Sci Nutr 2009;60:618–626. https://doi.org/10.3109/09637480801990389. 19817641.Suche in Google Scholar PubMed

94. Sadeghi, F, Salehi, S, Kohanmoo, A, Akhlaghi, M. Effect of natural honey on glycemic control and anthropometric measures of patients with type 2 diabetes: a randomized controlled crossover trial. Int J Prev Med 2019;10:3. https://doi.org/10.4103/ijpvm.IJPVM_109_18. 30774837.Suche in Google Scholar PubMed PubMed Central

95. Alzahrani, AS, Greenfield, SM, Paudyal, V. Complementary and alternative medicine use in self-management of diabetes: a qualitative study of patient and user conversations in online forums. Int J Clin Pharm 2022;44:1312–24. https://doi.org/10.1007/s11096-022-01469-6.Suche in Google Scholar PubMed PubMed Central

Received: 2024-10-16
Accepted: 2024-12-09
Published Online: 2025-01-01

© 2024 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. From ancient wisdom to modern practices: transformative potential of digital health innovations in advancing traditional medicine
  4. Reviews
  5. Unveiling the phyto-restorative potential of ethereal distillates for atopic dermatitis: an advanced therapeutic approach
  6. Apitherapy for diabetes mellitus: mechanisms and clinical implications
  7. Unlocking the potential: integrating phytoconstituents and nanotechnology in skin cancer therapy – A comprehensive review
  8. Research Articles
  9. Analgesic activity of aqueous and methanol fruit pulp extracts of Hyphaene thebaica (Arecaceae) (Linn) mart in mice
  10. Behavioral and histopathological insights into phenylthiazolyl-1,3,5-triazines: potential antidepressant candidates in a rat model of depression
  11. Effect of amifostine on apoptotic inflammatory makers in cisplatin induced brain damage in rats
  12. Efficiency of medical leech on experimentally induced incisional wound healing in rats
  13. Ellagic acid mitigates alpha-naphthyl isothiocyanate-induced cholestasis in rats via FXR activation and inflammatory pathway modulation
  14. Exploring the wound healing potential of Ixora coccinea and Rhododendron arboreum formulation: integrating experimental and computational approaches
  15. Phytochemical characterization, biochemical profiling and evaluation of anticancer potential of methanolic extract of Withania somnifera stem
  16. Anticancer effects of Plantago major extract on colorectal and gastric cancer cell lines: an in vitro study and molecular docking analysis
  17. Protective mechanisms of icariin in methotrexate-induced renal damage: role of Nrf2/HO-1 and apoptosis reduction
  18. The active ingredients and mechanism of Zuoqing San in the treatment of sigmoid ulcerative colitis by retention enema
  19. Effect of self-hypnosis on fear and pain of natural childbirth: a randomized controlled trial
  20. Exploring the anticancer potential of Jerantinine A from Tabernaemontana coronaria against prostate, breast, and ovarian cancers: a computational approach
  21. Short Communication
  22. Exploring the impact of herbaceous Apiaceae family plants on primary dysmenorrhea: a systematic review protocol
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