Department of Patanjali Herbal Research, Patanjali Research Institute, Haridwar-249405, Uttarakhand, India.
Curr Diabetes Rev. 2023;19(9):e250822207994. doi: 10.2174/1573399819666220825124510.
Diabetes and its associated complications including diabetic neuropathy have become a menacing headache for health workers and scientists all over the world. The number of diabetic individuals has been growing exponentially every day while the entire medical fraternity feels crippled and unable to handle such an enormous and anarchical scenario. The disease also demonstrates itself in the patients in numerous ways ranging from a little discomfort to death. Diabetic neuropathy has a poor prognosis since it might go unnoticed for years after the onset of diabetes. The etiology of the disease has been linked to oxidative stress caused by increased free radical production. Hyperglycemia causes multiple metabolic pathways to be activated, as well as significant oxidative stress, which becomes the major cause of cell death, culminating in Diabetic Neuropathy. So, it is the need of the hour to find out permanent treatment for this life-threatening disease. The primary goal of this study is to emphasize the potential importance of numerous processes and pathways in the development of diabetic neuropathy as well as the possible role of plant metabolites to control the disease at a molecular level. A possible mechanism was also summarized in the study about scavenging the reactive oxygen species by a flavonoid component. The study also covered the in vivo data of various plants and some of the flavonoid compounds actively studied against Diabetic Neuropathy by inhibiting or reducing the contributing factors such as proinflammatory cytokines, ROS, RNS inhibition, and upregulating the various cellular antioxidants such as GSH, SOD, and CAT.
糖尿病及其相关并发症,包括糖尿病性神经病,已经成为全世界卫生工作者和科学家的一个严重问题。糖尿病患者的数量每天都在呈指数级增长,而整个医学界感到束手无策,无法应对如此巨大和混乱的局面。这种疾病也以多种方式在患者身上表现出来,从轻微不适到死亡。糖尿病性神经病预后不良,因为它可能在糖尿病发病多年后仍未被发现。该疾病的病因与自由基产生增加引起的氧化应激有关。高血糖会激活多种代谢途径,并导致显著的氧化应激,这成为细胞死亡的主要原因,最终导致糖尿病性神经病。因此,找到这种危及生命的疾病的永久治疗方法是当务之急。本研究的主要目的是强调许多过程和途径在糖尿病性神经病发展中的潜在重要性,以及植物代谢物在分子水平上控制疾病的可能作用。研究还总结了一种可能的机制,即黄酮类成分通过清除活性氧来发挥作用。该研究还涵盖了各种植物的体内数据,以及一些黄酮类化合物在抑制或减少促炎细胞因子、ROS、RNS 抑制等方面的积极研究,以及上调各种细胞抗氧化剂如 GSH、SOD 和 CAT 等方面的作用,以对抗糖尿病性神经病。