Annals of Medicine (Jan 2021)

Pioglitazone improves skeletal muscle functions in reserpine-induced fibromyalgia rat model

  • Fatma E. Hassan,
  • Hader I. Sakr,
  • Passant M. Mohie,
  • Howayda Saeed Suliman,
  • Ayman Saber Mohamed,
  • Mohamed H. Attia,
  • Dalia M. Eid

DOI
https://doi.org/10.1080/07853890.2021.1916069
Journal volume & issue
Vol. 53, no. 1
pp. 1033 – 1041

Abstract

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AbstractBackground Fibromyalgia (FM) is characterized by musculoskeletal pain, fatigue, sleep and memory disturbance. There is no definitive cure yet for FM-related health problems. Peroxisome proliferator-activated receptor’s (PPAR’s) activation is associated with insulin sensitisation and improved glucose metabolism. PPAR-γ was reported to alleviate FM allodynia. Limited data are discussing its effect on motor disorders.Objective To investigate the potential effect of PPAR-γ agonists (pioglitazone, as one member of thiazolidinediones (TZD)) on motor dysfunction in reserpine-induced FM in a rat model.Materials and methods Thirty-six male Wistar rats were divided into negative control (n = 9) and reserpine-induced FM (n = 27) groups. The latter was subdivided into three equal subgroups (n = 9), positive control (untreated FM model), pioglitazone-treated and GW9662-treated. We evaluated muscle functions and activity of chloramphenicol acetyltransferase, superoxide dismutase, malondialdehyde, and serum levels of interleukin-8 and monocyte chemoattractant protein-1.Results Pioglitazone significantly relieved fatigue, improved muscle performance, reduced inflammatory cytokines and enhanced antioxidant’s activity, while GW9662, a known PPAR-γ antagonist, aggravated the FM manifestations in the rat model.Conclusion PPAR-γ agonists show a promising role against FM-associated motor dysfunctions.

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