天然产物治疗 2 型糖尿病的最新进展:迈向抗糖尿病药物研发。

Updates on Managing Type 2 Diabetes Mellitus with Natural Products: Towards Antidiabetic Drug Development.

机构信息

Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

King Fahd Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

出版信息

Curr Med Chem. 2018;25(39):5395-5431. doi: 10.2174/0929867323666160813222436.

Abstract

Over the years, natural products have shown success as antidiabetics in in vitro, in vivo studies and clinical trials. Because natural product-derived drugs are more affordable and effective with fewer side-effects compared to conventional therapies, pharmaceutical research is increasingly leaning towards the discovery of new antidiabetic drugs from natural products targeting pathways or components associated with type 2 diabetes mellitus (T2DM) pathophysiology. However, the drug discovery process is very lengthy and costly with significant challenges. Therefore, various techniques are currently being developed for the preclinical research phase of drug discovery with the aim of drug development with less time and efforts from natural products. In this review, we have provided an update on natural products including fruits, vegetables, spices, nuts, beverages and mushrooms with potential antidiabetic activities from in vivo, in vitro and clinical studies. Synergistic interactions between natural products and antidiabetic drugs, and potential antidiabetic active compounds from natural products are also documented to pave the way for combination treatment and new drug discovery, respectively. Additionally, a brief idea of the drug discovery process along with the challenges that arise during drug development from natural products and the methods to conquer those challenges are discussed to create a more convenient future drug discovery process.

摘要

多年来,天然产物已在体外、体内研究和临床试验中显示出作为抗糖尿病药物的成功。由于与传统疗法相比,天然产物衍生的药物更实惠、更有效且副作用更少,因此药物研究越来越倾向于从天然产物中发现针对 2 型糖尿病 (T2DM) 病理生理学相关途径或成分的新型抗糖尿病药物。然而,药物发现过程非常漫长且昂贵,面临着重大挑战。因此,目前正在开发各种技术用于药物发现的临床前研究阶段,旨在从天然产物中开发药物,减少时间和精力的投入。在本综述中,我们提供了来自体内、体外和临床研究的具有潜在抗糖尿病活性的天然产物,包括水果、蔬菜、香料、坚果、饮料和蘑菇的最新信息。天然产物与抗糖尿病药物之间的协同相互作用以及天然产物中潜在的抗糖尿病活性化合物也被记录下来,分别为联合治疗和新药发现铺平道路。此外,简要介绍了药物发现过程以及从天然产物中开发药物时出现的挑战,以及克服这些挑战的方法,旨在创造一个更便捷的未来药物发现过程。

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