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天然药物:预防和治疗糖尿病的新方向。

Natural Drugs: A New Direction for the Prevention and Treatment of Diabetes.

机构信息

Endocrine and Metabolic Diseases Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250001, China.

出版信息

Molecules. 2023 Jul 20;28(14):5525. doi: 10.3390/molecules28145525.

Abstract

Insulin resistance, as a common pathological process of many metabolic diseases, including diabetes and obesity, has attracted much attention due to its relevant influencing factors. To date, studies have mainly focused on the shared mechanisms between mitochondrial stress and insulin resistance, and they are now being pursued as a very attractive therapeutic target due to their extensive involvement in many human clinical settings. In view of the complex pathogenesis of diabetes, natural drugs have become new players in diabetes prevention and treatment because of their wide targets and few side effects. In particular, plant phenolics have received attention because of their close relationship with oxidative stress. In this review, we briefly review the mechanisms by which mitochondrial stress leads to insulin resistance. Moreover, we list some cytokines and genes that have recently been found to play roles in mitochondrial stress and insulin resistance. Furthermore, we describe several natural drugs that are currently widely used and give a brief overview of their therapeutic mechanisms. Finally, we suggest possible ideas for future research related to the unique role that natural drugs play in the treatment of insulin resistance through the above targets.

摘要

胰岛素抵抗是包括糖尿病和肥胖症在内的许多代谢性疾病的共同病理过程,由于其相关影响因素而受到广泛关注。迄今为止,研究主要集中在线粒体应激和胰岛素抵抗之间的共同机制上,由于它们广泛涉及许多人类临床环境,因此它们现在作为一个非常有吸引力的治疗靶点正在被研究。鉴于糖尿病的复杂发病机制,天然药物因其广泛的作用靶点和较少的副作用而成为糖尿病预防和治疗的新手段。特别是植物酚类化合物因其与氧化应激的密切关系而受到关注。在这篇综述中,我们简要回顾了线粒体应激导致胰岛素抵抗的机制。此外,我们列出了一些最近发现的在线粒体应激和胰岛素抵抗中起作用的细胞因子和基因。此外,我们描述了几种目前广泛使用的天然药物,并简要概述了它们的治疗机制。最后,我们针对天然药物通过上述靶点在治疗胰岛素抵抗方面发挥的独特作用,提出了未来研究的可能思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b1d/10385698/ffe9c44a1701/molecules-28-05525-g001.jpg

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