The present study aims to reveal the compositions of
Zhenshu TiaoZhi formula (
FTZ) comprehensively, and investigate whether
FTZ ameliorate glucolipid metabolism disorders in diabetic rats with the involvement of
glucocorticoids in peripheral
insulin-sensitive tissues. The fingerprint was established based on 11 batches of
FTZ samples and chemical compostions of
FTZ were identified by ultra performance liquid chromatography-time of flight/mass spectrometry (UPLC-TOF/MS). High-fat diet (HFD) and
streptozotocin (STZ) induced diabetic rats were orally administrated with 3 and 6 g/kg
body weight of
FTZ for 8 weeks. Indices of glucolipid metabolism, including fasting
blood glucose (FBG), fasting
insulin,
insulin resistance index (IRI) and blood
lipids were evaluated
after treatment of
FTZ. The levels of HPA axis
hormones were examined. Reverse transcription-polymerase chain reaction (RT-PCR) was adopted to investigate the relative
mRNA expressions of 11β-hydroxysteroid
dehydrogenase 1 (11β-HSD1) and glucolipid metabolic indicators. A reference fingerprint was established and 93 compounds of
FTZ were tentatively identified. In vivo,
FTZ treatment exerted
antidiabetic and antidyslipidemic effects while decreased the level of
corticotropin releasing hormone (CRH). 11β-HSD1
mRNA showed similar trajectory in both liver, adipose and skeletal muscle tissues, which was up-regulated in diabetic group and ameliorated in
FTZ groups. Furthermore, the expressions of
glucose-6-phosphatase (G6Pase),
phosphoenolpyruvate carboxykinase (PEPCK) and adipose
triglyceride lipase (ATGL) were down-regulated in liver and skeletal muscle. These results elucidated the compositions of
FTZ comprehensively and indicated its effect on ameliorating glucolipid metabolism of diabetic rats involved hypothalamus-pituitary-adrenal (HPA) axis homeostasis. Down-regulating 11β-HSD1 in
insulin-sensitive tissues might be a potential mechanism of
FTZ in treating
type 2 diabetes mellitus (T2DM).