Key Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Pharmaceutical University, Guangzhou, China; Guangdong Metabolic Disease Research Center of Integrated Chinese and Western Medicine, Guangdong Pharmaceutical University, Guangzhou, China.
The First Affiliated Hospital/School of Clinical Medicine, Guangdong Pharmaceutical University, Guangzhou, China.
Biomed Pharmacother. 2021 Jan;133:110975. doi: 10.1016/j.biopha.2020.110975. Epub 2020 Nov 16.
Diabetes mellitus (type 1 and type 2) and its various complications continue to place a huge burden on global medical resources, despite the availability of numerous drugs that successfully lower blood glucose levels. The major challenging issue in diabetes management is the prevention of various complications that remain the leading cause of diabetes-related mortality. Moreover, the limited long-term durability of monotherapy and undesirable side effects of currently used anti-diabetic drugs underlie the urgent need for novel therapeutic approaches. Phytochemicals represent a rich source of plant-derived molecules that are of pivotal importance to the identification of compounds with therapeutic potential. In this review, we aim to discuss recent advances in the identification of a large array of phytochemicals with immense potential in the management of diabetes and its complications. Given that metabolic inflammation has been established as a key pathophysiological event that drives the progression of diabetes, we focus on the protective effects of representative phytochemicals in metabolic inflammation. This paper also discusses the potential of phytochemicals in the development of new drugs that target the inflammation in the management of diabetes and its complications.
糖尿病(1 型和 2 型)及其各种并发症尽管有许多成功降低血糖水平的药物,但仍给全球医疗资源带来巨大负担。糖尿病管理中的主要挑战问题是预防各种并发症,这些并发症仍然是糖尿病相关死亡的主要原因。此外,目前用于治疗糖尿病的单一疗法的长期效果有限,以及不良的副作用,都迫切需要新的治疗方法。植物化学物质是植物衍生分子的丰富来源,对于鉴定具有治疗潜力的化合物至关重要。在这篇综述中,我们旨在讨论在识别具有巨大潜力的大量植物化学物质方面的最新进展,这些物质可用于治疗糖尿病及其并发症。鉴于代谢炎症已被确立为推动糖尿病进展的关键病理生理事件,我们重点讨论了代表性植物化学物质在代谢炎症中的保护作用。本文还讨论了植物化学物质在开发针对糖尿病及其并发症管理中的炎症的新药方面的潜力。