Patel Sita Sharan, Udayabanu Malairaman
Rev Neurosci. 2017 Apr 1;28(3):271-293. doi: 10.1515/revneuro-2016-0038.
Diabetes mellitus, a metabolic disorder, is associated with neurological complications such as depression, anxiety, hypolocomotion, cognitive dysfunction, phobias, anorexia, stroke, pain, etc. Traditional system of medicine is long known for its efficient management of diabetes. The current review discusses the scope of some common medicinal herbs as well as secondary metabolites with a special focus on diabetes-mediated central nervous system complications. Literatures suggest that natural products reduce diabetes-mediated neurological complications partly by reducing oxidative stress and/or inflammation or apoptosis in certain brain regions. Natural products are known to modulate diabetes-mediated alterations in the level of acetylcholinesterase, choline acetyltransferase, monoamine oxidase, serotonin receptors, muscarinic receptors, insulin receptor, nerve growth factor, brain-derived neurotrophic factor, and neuropeptide in brain. Further, there are several natural products reported to manage diabetic complications with unknown mechanism. In conclusion, medicinal plants or their secondary metabolites have a wide scope and possess therapeutic potential to effectively manage neurological complications associated with chronic diabetes.
糖尿病是一种代谢紊乱疾病,与多种神经并发症相关,如抑郁、焦虑、运动减少、认知功能障碍、恐惧症、厌食症、中风、疼痛等。传统医学体系长期以来以其对糖尿病的有效管理而闻名。本综述讨论了一些常见草药以及次生代谢产物的作用范围,特别关注糖尿病介导的中枢神经系统并发症。文献表明,天然产物部分通过降低某些脑区的氧化应激和/或炎症或细胞凋亡来减少糖尿病介导的神经并发症。已知天然产物可调节糖尿病介导的大脑中乙酰胆碱酯酶、胆碱乙酰转移酶、单胺氧化酶、5-羟色胺受体、毒蕈碱受体、胰岛素受体、神经生长因子、脑源性神经营养因子和神经肽水平的改变。此外,有几种天然产物被报道可治疗糖尿病并发症,但其作用机制尚不清楚。总之,药用植物或其次生代谢产物具有广泛的应用范围,并具有有效管理与慢性糖尿病相关的神经并发症的治疗潜力。