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关于通过靶向 PTP1B 治疗胰岛素抵抗中可用合成药物和植物化学物质的作用的评论性综述。

A Critical Review on Role of Available Synthetic Drugs and Phytochemicals in Insulin Resistance Treatment by Targeting PTP1B.

机构信息

Amity Institute of Environmental Sciences, Amity University, Noida, Uttar Pradesh, 201303, India.

Amity Institute of Environmental Toxicology, Safety and Management, Amity University, Noida, Uttar Pradesh, 201303, India.

出版信息

Appl Biochem Biotechnol. 2022 Oct;194(10):4683-4701. doi: 10.1007/s12010-022-04028-x. Epub 2022 Jul 11.

Abstract

Insulin resistance (IR) is a condition of impaired response of cells towards insulin. It is marked by excessive blood glucose, dysregulated insulin signalling, altered pathways, damaged pancreatic β-cells, metabolic disorders, etc. Chronic hyperglycemic conditions leads to type 2 diabetes mellitus (T2DM) which causes excess generation of highly reactive free radicals, causing oxidative stress, further leading to development and progression of complications like vascular dysfunction, damaged cellular proteins, and DNA. One of the causes for IR is dysregulation of protein tyrosine phosphatase 1B (PTP1B). Advancements in drug therapeutics have helped people manage IR by regulating PTP1B, however have been reported to cause side effects. Therefore, there is a growing interest on usage of phytochemical constituents having IR therapeutic properties and aiding to minimize these complications. Medicinal plants have not been utilized to their full potential as a therapeutic drug due to lack of knowledge of their active and effective chemical constituents, mode of action, regulation of IR parameters, and dosage of administration. This review highlights phytochemical constituents present in medicinal plants or spices, their potential effectiveness on proteins (PTP1B) regulating IR, and reported possible mechanism of action studied on in vitro models. The study gives current knowledge and future recommendations on the above aspects and is expected to be beneficial in developing herbal drug using these phytochemical constituents, either alone or in combination, for medication of IR and diabetes.

摘要

胰岛素抵抗(IR)是细胞对胰岛素反应受损的一种状况。其特征为血糖过高、胰岛素信号传导失调、途径改变、胰岛β细胞受损、代谢紊乱等。慢性高血糖会导致 2 型糖尿病(T2DM),从而导致大量高反应性自由基的产生,引起氧化应激,进一步导致血管功能障碍、细胞蛋白和 DNA 损伤等并发症的发展和进展。IR 的一个原因是蛋白酪氨酸磷酸酶 1B(PTP1B)的失调。药物治疗的进步通过调节 PTP1B 帮助人们控制 IR,但据报道会引起副作用。因此,人们越来越关注具有 IR 治疗特性的植物化学物质的使用,并有助于最小化这些并发症。由于缺乏对其活性和有效化学成分、作用机制、IR 参数调节和给药剂量的了解,药用植物尚未被充分用作治疗药物。本综述重点介绍了药用植物或香料中存在的植物化学物质,它们对调节 IR 的蛋白质(PTP1B)的潜在有效性,以及在体外模型上研究的报告的可能作用机制。该研究提供了上述方面的当前知识和未来建议,有望有助于开发使用这些植物化学物质的草药药物,无论是单独使用还是联合使用,用于治疗 IR 和糖尿病。

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