Research Article

Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet

Volume: 39 Number: 2 May 21, 2026
  • Desak Made Wihandani *
  • I Gede Aswin Parisya Sasmana
  • I Gusti Ngurah Agung Surya Pratama
  • Putu Putri Agustini
  • Lalita Samala
  • I Made Suputra Dwipayana
EN

Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet

Abstract

Objective: Perivascular adipose tissue (PVAT) is an adipose depot found around blood vessels, and its dysregulation is associated with coronary heart disease and hypertension. This research aimed to investigate the potential of the aqueous extract of Clitoria ternatea extract (CTE), rich in anthocyanins, to improve PVAT dysregulation in rats induced by a high-fat diet. Materials and Methods: Experimental research involved 25 rats (Rattus norvegicus) divided into 5 groups, namely normal diet (ND), high-fat diet (HFD), HFD+CTE250, HFD+CTE500, and HFD+CTE750 mg/kgBW. Rats were fed a high-fat diet for 13 weeks, and CTE was administered during the last 3 weeks. The PVAT dysregulation was histologically assessed on abdominal aortic samples. Results: Results of the study demonstrated a reduction in the size of white adipose tissue–like perivascular adipose tissue (WAT-like PVAT) of 235.04 μm (95% CI: 71.83–398.24; p = 0.002) in the group given aqueous CTE. A decrease in the cell density of perivascular adipose tissue-like brown adipose tissue (BAT-like PVAT) was also found (MD: 1.98; 95% CI: – 48.59 to 52.55; p = 0.7) in the HFD+CTE250 group compared with the HFD group. Conclusion: The aqueous CTE can improve the dysregulation of WAT-like PVAT and BAT-like PVAT in rats on a high-fat diet.

Keywords

References

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Details

Primary Language

English

Subjects

Surgery (Other)

Journal Section

Research Article

Authors

Desak Made Wihandani * This is me
0000-0003-4270-8552
Indonesia

I Gusti Ngurah Agung Surya Pratama This is me
0000-0002-1446-3597
Indonesia

Putu Putri Agustini This is me
0000-0001-8325-4660
Indonesia

Lalita Samala This is me
0000-0002-4276-5488
Indonesia

I Made Suputra Dwipayana This is me
0009-0004-8439-9799
Indonesia

Publication Date

May 21, 2026

Submission Date

July 9, 2025

Acceptance Date

January 20, 2026

Published in Issue

Year 2026 Volume: 39 Number: 2

APA
Wihandani, D. M., Sasmana, I. G. A. P., Pratama, I. G. N. A. S., Agustini, P. P., Samala, L., & Dwipayana, I. M. S. (2026). Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet. Marmara Medical Journal, 39(2), 140-145. https://doi.org/10.5472/marumj.1955286
AMA
1.Wihandani DM, Sasmana IGAP, Pratama IGNAS, Agustini PP, Samala L, Dwipayana IMS. Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet. Marmara Med J. 2026;39(2):140-145. doi:10.5472/marumj.1955286
Chicago
Wihandani, Desak Made, I Gede Aswin Parisya Sasmana, I Gusti Ngurah Agung Surya Pratama, Putu Putri Agustini, Lalita Samala, and I Made Suputra Dwipayana. 2026. “Aqueous Extract of Clitoria Ternatea Improves Perivascular Adipose Tissue Dysregulation in Rats (Rattus Norvegicus) With High-Fat Diet”. Marmara Medical Journal 39 (2): 140-45. https://doi.org/10.5472/marumj.1955286.
EndNote
Wihandani DM, Sasmana IGAP, Pratama IGNAS, Agustini PP, Samala L, Dwipayana IMS (May 1, 2026) Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet. Marmara Medical Journal 39 2 140–145.
IEEE
[1]D. M. Wihandani, I. G. A. P. Sasmana, I. G. N. A. S. Pratama, P. P. Agustini, L. Samala, and I. M. S. Dwipayana, “Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet”, Marmara Med J, vol. 39, no. 2, pp. 140–145, May 2026, doi: 10.5472/marumj.1955286.
ISNAD
Wihandani, Desak Made - Sasmana, I Gede Aswin Parisya - Pratama, I Gusti Ngurah Agung Surya - Agustini, Putu Putri - Samala, Lalita - Dwipayana, I Made Suputra. “Aqueous Extract of Clitoria Ternatea Improves Perivascular Adipose Tissue Dysregulation in Rats (Rattus Norvegicus) With High-Fat Diet”. Marmara Medical Journal 39/2 (May 1, 2026): 140-145. https://doi.org/10.5472/marumj.1955286.
JAMA
1.Wihandani DM, Sasmana IGAP, Pratama IGNAS, Agustini PP, Samala L, Dwipayana IMS. Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet. Marmara Med J. 2026;39:140–145.
MLA
Wihandani, Desak Made, et al. “Aqueous Extract of Clitoria Ternatea Improves Perivascular Adipose Tissue Dysregulation in Rats (Rattus Norvegicus) With High-Fat Diet”. Marmara Medical Journal, vol. 39, no. 2, May 2026, pp. 140-5, doi:10.5472/marumj.1955286.
Vancouver
1.Desak Made Wihandani, I Gede Aswin Parisya Sasmana, I Gusti Ngurah Agung Surya Pratama, Putu Putri Agustini, Lalita Samala, I Made Suputra Dwipayana. Aqueous extract of Clitoria ternatea improves perivascular adipose tissue dysregulation in rats (Rattus norvegicus) with high-fat diet. Marmara Med J. 2026 May 1;39(2):140-5. doi:10.5472/marumj.1955286