Department of Internal Medicine, University of Genoa, Viale Benedetto XV 6, 16132 Genova, Italy.
Mediators Inflamm. 2013;2013:750540. doi: 10.1155/2013/750540. Epub 2013 May 2.
The primary function of pancreatic beta-cells is to produce and release insulin in response to increment in extracellular glucose concentrations, thus maintaining glucose homeostasis. Deficient beta-cell function can have profound metabolic consequences, leading to the development of hyperglycemia and, ultimately, diabetes mellitus. Therefore, strategies targeting the maintenance of the normal function and protecting pancreatic beta-cells from injury or death might be crucial in the treatment of diabetes. This narrative review will update evidence from the recently identified molecular regulators preserving beta-cell mass and function recovery in order to suggest potential therapeutic targets against diabetes. This review will also highlight the relevance for novel molecular pathways potentially improving beta-cell dysfunction.
胰岛β细胞的主要功能是在细胞外葡萄糖浓度增加时产生和分泌胰岛素,从而维持葡萄糖内环境稳定。β细胞功能缺陷可导致严重的代谢后果,引起高血糖,最终导致糖尿病。因此,靶向维持β细胞正常功能和防止β细胞损伤或死亡的策略可能是治疗糖尿病的关键。本综述将更新最近发现的维持β细胞质量和功能恢复的分子调控因子的证据,以提出针对糖尿病的潜在治疗靶点。本综述还将强调潜在改善β细胞功能障碍的新分子途径的相关性。