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2型糖尿病中的氧化应激:从发病机制到生活方式改变的影响

Oxidative Stress in Type 2 Diabetes: Impacts from Pathogenesis to Lifestyle Modifications.

作者信息

Caturano Alfredo, D'Angelo Margherita, Mormone Andrea, Russo Vincenzo, Mollica Maria Pina, Salvatore Teresa, Galiero Raffaele, Rinaldi Luca, Vetrano Erica, Marfella Raffaele, Monda Marcellino, Giordano Antonio, Sasso Ferdinando Carlo

机构信息

Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, I-80138 Naples, Italy.

Department of Experimental Medicine, University of Campania Luigi Vanvitelli, I-80138 Naples, Italy.

出版信息

Curr Issues Mol Biol. 2023 Aug 12;45(8):6651-6666. doi: 10.3390/cimb45080420.

Abstract

Oxidative stress is a critical factor in the pathogenesis and progression of diabetes and its associated complications. The imbalance between reactive oxygen species (ROS) production and the body's antioxidant defence mechanisms leads to cellular damage and dysfunction. In diabetes, chronic hyperglycaemia and mitochondrial dysfunction contribute to increased ROS production, further exacerbating oxidative stress. This oxidative burden adversely affects various aspects of diabetes, including impaired beta-cell function and insulin resistance, leading to disrupted glucose regulation. Additionally, oxidative stress-induced damage to blood vessels and impaired endothelial function contribute to the development of diabetic vascular complications such as retinopathy, nephropathy, and cardiovascular diseases. Moreover, organs and tissues throughout the body, including the kidneys, nerves, and eyes, are vulnerable to oxidative stress, resulting in diabetic nephropathy, neuropathy, and retinopathy. Strategies to mitigate oxidative stress in diabetes include antioxidant therapy, lifestyle modifications, and effective management of hyperglycaemia. However, further research is necessary to comprehensively understand the underlying mechanisms of oxidative stress in diabetes and to evaluate the efficacy of antioxidant interventions in preventing and treating diabetic complications. By addressing oxidative stress, it might be possible to alleviate the burden of diabetes and improve patient outcomes.

摘要

氧化应激是糖尿病及其相关并发症发病机制和进展中的一个关键因素。活性氧(ROS)生成与机体抗氧化防御机制之间的失衡会导致细胞损伤和功能障碍。在糖尿病中,慢性高血糖和线粒体功能障碍会导致ROS生成增加,进一步加剧氧化应激。这种氧化负担对糖尿病的各个方面产生不利影响,包括β细胞功能受损和胰岛素抵抗,从而导致葡萄糖调节紊乱。此外,氧化应激诱导的血管损伤和内皮功能受损会导致糖尿病血管并发症的发生,如视网膜病变、肾病和心血管疾病。此外,全身的器官和组织,包括肾脏、神经和眼睛,都易受氧化应激影响,从而导致糖尿病肾病、神经病变和视网膜病变。减轻糖尿病氧化应激的策略包括抗氧化治疗、生活方式改变以及高血糖的有效管理。然而,有必要进行进一步研究,以全面了解糖尿病氧化应激的潜在机制,并评估抗氧化干预措施在预防和治疗糖尿病并发症方面的疗效。通过解决氧化应激问题,有可能减轻糖尿病负担并改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/10453126/a844d3be64f2/cimb-45-00420-g001.jpg

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