Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Evid Based Complement Alternat Med. 2013;2013:718049. doi: 10.1155/2013/718049. Epub 2013 Nov 12.
Insulin resistance is a key factor in metabolic disorders like hyperglycemia and hyperinsulinemia, which are promoted by obesity and may later lead to Type II diabetes mellitus. In recent years, researchers have identified links between insulin resistance and many noncommunicable illnesses other than diabetes. Hence, studying insulin resistance is of particular importance in unravelling the pathways employed by such diseases. In this review, mechanisms involving free fatty acids, adipocytokines such as TNF α and PPAR γ and serine kinases like JNK and IKK β , asserted to be responsible in the development of insulin resistance, will be discussed. Suggested mechanisms for actions in normal and disrupted states were also visualised in several manually constructed diagrams to capture an overall view of the insulin-signalling pathway and its related components. The underlying constituents of medicinal significance found in the Stevia rebaudiana Bertoni plant (among other plants that potentiate antihyperglycemic activities) were explored in further depth. Understanding these factors and their mechanisms may be essential for comprehending the progression of insulin resistance towards the development of diabetes mellitus.
胰岛素抵抗是代谢紊乱的一个关键因素,如高血糖和高胰岛素血症,这些都是由肥胖引起的,并可能导致 II 型糖尿病。近年来,研究人员已经发现胰岛素抵抗与许多非传染性疾病之间存在联系,而不仅仅是糖尿病。因此,研究胰岛素抵抗对于揭示这些疾病的发病机制具有特别重要的意义。在这篇综述中,我们将讨论涉及游离脂肪酸、TNFα 和 PPARγ 等脂肪细胞因子以及 JNK 和 IKKβ 等丝氨酸激酶的机制,这些机制被认为在胰岛素抵抗的发展中起作用。我们还通过几张手动构建的图表来可视化正常和紊乱状态下的作用机制,以捕捉胰岛素信号通路及其相关成分的整体视图。我们还进一步深入探讨了甜叶菊(Stevia rebaudiana Bertoni 植物)(以及其他增强抗高血糖活性的植物)中具有医学意义的潜在成分。了解这些因素及其机制对于理解胰岛素抵抗向糖尿病发展的进展可能至关重要。