糖尿病中胰腺 β 细胞的功能障碍、分子机制和治疗策略。

Dysfunctions, molecular mechanisms, and therapeutic strategies of pancreatic β-cells in diabetes.

机构信息

Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur, 603 203, Tamil Nadu, India.

出版信息

Apoptosis. 2023 Aug;28(7-8):958-976. doi: 10.1007/s10495-023-01854-0. Epub 2023 Jun 5.

Abstract

Pancreatic beta-cell death has been established as a critical mediator in the progression of type 1 and type 2 diabetes mellitus. Beta-cell death is associated with exacerbating hyperglycemia and insulin resistance and paves the way for the progression of DM and its complications. Apoptosis has been considered the primary mechanism of beta-cell death in diabetes. However, recent pieces of evidence have implicated the substantial involvement of several other novel modes of cell death, including autophagy, pyroptosis, necroptosis, and ferroptosis. These distinct mechanisms are characterized by their unique biochemical features and often precipitate damage through the induction of cellular stressors, including endoplasmic reticulum stress, oxidative stress, and inflammation. Experimental studies were identified from PubMed literature on different modes of beta cell death during the onset of diabetes mellitus. This review summarizes current knowledge on the crucial pathways implicated in pancreatic beta cell death. The article also focuses on applying natural compounds as potential treatment strategies in inhibiting these cell death pathways.

摘要

胰岛β细胞死亡已被确立为 1 型和 2 型糖尿病进展的关键介质。β细胞死亡与加重高血糖和胰岛素抵抗有关,并为糖尿病及其并发症的进展铺平了道路。细胞凋亡被认为是糖尿病中β细胞死亡的主要机制。然而,最近的一些证据表明,几种其他新型细胞死亡模式也有实质性的参与,包括自噬、细胞焦亡、坏死性凋亡和铁死亡。这些不同的机制具有独特的生化特征,通常通过诱导细胞应激物,包括内质网应激、氧化应激和炎症,引发细胞损伤。通过对 PubMed 文献中关于糖尿病发生时不同类型β细胞死亡的研究进行了实验研究。本综述总结了目前关于涉及胰岛β细胞死亡的关键途径的知识。文章还重点介绍了天然化合物作为抑制这些细胞死亡途径的潜在治疗策略的应用。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索