Peganum harmala (P. harmala) is a folk medicinal herb used in the Sinai Peninsula (Egypt) as a remedy for central disorders. The main constituents,
harmine and
harmaline, have displayed therapeutic efficacy against
Alzheimer's disease (AD); however, the P. harmala potential on sensitizing central
insulin to combat AD remains to be clarified. An AD-like rat model was induced by
aluminum chloride (
AlCl3; 50 mg/kg/day for six consecutive weeks; i.p), whereas a methanolic standardized P. harmala seed extract (187.5 mg/kg; p.o) was given to AD rats starting 2 weeks post
AlCl3 exposure. Two additional groups of rats were administered either the vehicle to serve as the normal control or the vehicle + P. harmala seed extract to serve as the P. harmala control group. P. harmala enhanced cognition appraised by Y-maze and Morris water maze tests and improved histopathological structures altered by
AlCl3. Additionally, it heightened the hippocampal contents of
glucagon-like peptide (GLP)-1 and
insulin, but abated
insulin receptor substrate-1 phosphorylation at
serine 307 (pS307-IRS-1). Besides, P. harmala increased phosphorylated Akt at
serine 473 (pS473-Akt) and
glucose transporter type (GLUT)4. The extract also curtailed the hippocampal content of
beta amyloid (Aβ)42,
glycogen synthase (GSK)-3β and phosphorylated tau. It also enhanced Nrf2, while reduced
lipid peroxides and replenished
glutathione. In conclusion, combating
insulin resistance by P. harmala is a novel machinery in attenuating the insidious progression of AD by enhancing both
insulin and
GLP-1 trajectories in the hippocampus favoring GLUT4 production.