Sino-German Biomedical Center, Hubei Provincial Key Laboratory of Industrial Microbiology, Cooperative Innovation Center of Industrial Fermentation (Ministry of Education & Hubei Province), Key Laboratory of Fermentation Engineering (Ministry of Education), National "111" Center for Cellular Regulation and Molecular Pharmaceutics, Hubei University of Technology, Wuhan 430068, China.
Nutrients. 2023 Feb 22;15(5):1096. doi: 10.3390/nu15051096.
Diabetes mellitus is a complex disorder characterized by insufficient insulin production or insulin resistance, which results in a lifelong dependence on glucose-lowering drugs for almost all patients. During the fight with diabetes, researchers are always thinking about what characteristics the ideal hypoglycemic drugs should have. From the point of view of the drugs, they should maintain effective control of blood sugar, have a very low risk of hypoglycemia, not increase or decrease body weight, improve β-cell function, and delay disease progression. Recently, the advent of oral peptide drugs, such as semaglutide, brings exciting hope to patients with chronic diabetes. Legumes, as an excellent source of protein, peptides, and phytochemicals, have played significant roles in human health throughout human history. Some legume-derived peptides with encouraging anti-diabetic potential have been gradually reported over the last two decades. Their hypoglycemic mechanisms have also been clarified at some classic diabetes treatment targets, such as the insulin receptor signaling pathway or other related pathways involved in the progress of diabetes, and key enzymes including α-amylase, α-glucosidase, and dipeptidyl peptidase-IV (DPP-4). This review summarizes the anti-diabetic activities and mechanisms of peptides from legumes and discusses the prospects of these peptide-based drugs in type 2 diabetes (T2D) management.
糖尿病是一种复杂的疾病,其特征是胰岛素分泌不足或胰岛素抵抗,导致几乎所有患者都需要终身依赖降血糖药物。在与糖尿病作斗争的过程中,研究人员一直在思考理想的降血糖药物应该具有哪些特性。从药物的角度来看,它们应该能够有效地控制血糖,低血糖风险非常低,不会增加或减轻体重,改善β细胞功能,并延缓疾病进展。最近,口服肽类药物(如司美格鲁肽)的出现为慢性糖尿病患者带来了令人兴奋的希望。豆类作为蛋白质、肽和植物化学物质的优质来源,在人类历史上一直对人类健康发挥着重要作用。在过去的二十年中,人们逐渐报道了一些具有令人鼓舞的抗糖尿病潜力的豆类衍生肽。它们的降血糖机制在一些经典的糖尿病治疗靶点上也得到了阐明,如胰岛素受体信号通路或其他与糖尿病进展相关的相关通路,以及包括α-淀粉酶、α-葡萄糖苷酶和二肽基肽酶-4(DPP-4)在内的关键酶。本文综述了豆类来源的肽的抗糖尿病活性和作用机制,并讨论了这些基于肽的药物在 2 型糖尿病(T2D)管理中的应用前景。