Department of Cosmetic Science, Providence University, Taichung 43301, Taiwan.
Department of Nutrition and Health Sciences, Chang Gung University of Science and Technology, Kweishan, Taoyuan 33303, Taiwan.
Molecules. 2020 Dec 3;25(23):5713. doi: 10.3390/molecules25235713.
Diabetes mellitus is a well-known chronic metabolic disease that poses a long-term threat to human health and is characterized by a relative or absolute lack of insulin, resulting in hyperglycemia. Type 2 diabetes mellitus (T2DM) typically affects many metabolic pathways, resulting in β-cell dysfunction, insulin resistance, abnormal blood glucose levels, inflammatory processes, excessive oxidative reactions, and impaired lipid metabolism. It also leads to diabetes-related complications in many organ systems. Antidiabetic drugs have been approved for the treatment of hyperglycemia in T2DM; these are beneficial for glucose metabolism and promote weight loss, but have the risk of side effects, such as nausea or an upset stomach. A wide range of active components, derived from medicinal plants, such as alkaloids, flavonoids, polyphenol, quinones, and terpenoids may act as alternative sources of antidiabetic agents. They are usually attributed to improvements in pancreatic function by increasing insulin secretions or by reducing the intestinal absorption of glucose. Ease of availability, low cost, least undesirable side effects, and powerful pharmacological actions make plant-based preparations the key player of all available treatments. Based on the study of therapeutic reagents in the pathogenesis of humans, we use the appropriate animal models of T2DM to evaluate medicinal plant treatments. Many of the rat models have characteristics similar to those in humans and have the advantages of ease of genetic manipulation, a short breeding span, and access to physiological and invasive testing. In this review, we summarize the pathophysiological status of T2DM rat models and focus on several bioactive compounds from herbal medicine with different functional groups that exhibit therapeutic potential in the T2DM rat models, in turn, may guide future approach in treating diabetes with natural drugs.
糖尿病是一种众所周知的慢性代谢疾病,长期威胁着人类健康,其特征是胰岛素相对或绝对缺乏,导致高血糖。2 型糖尿病(T2DM)通常影响许多代谢途径,导致β细胞功能障碍、胰岛素抵抗、血糖水平异常、炎症过程、过度氧化反应和脂质代谢受损。它还会导致许多器官系统的糖尿病相关并发症。抗糖尿病药物已被批准用于治疗 T2DM 中的高血糖;这些药物有益于葡萄糖代谢,促进体重减轻,但有副作用的风险,如恶心或胃部不适。来自药用植物的各种活性成分,如生物碱、类黄酮、多酚、醌和萜类化合物,可能作为抗糖尿病药物的替代来源。它们通常归因于通过增加胰岛素分泌或减少肠道对葡萄糖的吸收来改善胰腺功能。易于获得、成本低、副作用最小和强大的药理作用使植物制剂成为所有可用治疗方法的关键。基于对人类发病机制中治疗试剂的研究,我们使用 T2DM 的适当动物模型来评估药用植物的治疗方法。许多大鼠模型具有与人类相似的特征,并且具有易于遗传操作、短繁殖周期和获得生理和侵入性测试的优点。在这篇综述中,我们总结了 T2DM 大鼠模型的病理生理状态,并重点介绍了几种具有不同功能基团的草药中的生物活性化合物,它们在 T2DM 大鼠模型中表现出治疗潜力,从而可能指导未来用天然药物治疗糖尿病的方法。