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蛋白激酶 C(PKC)介导的糖尿病神经病变中 TGF-β的调节:重视神经炎症和痛觉过敏。

Protein Kinase C (PKC)-mediated TGF-β Regulation in Diabetic Neuropathy: Emphasis on Neuro-inflammation and Allodynia.

机构信息

Pharmacology and Drug Discovery Research Laboratory, Division of Life Sciences, Institute of Advanced Study in Science and Technology (IASST), An Autonomous Institute Under - Department of Science & Technology (Govt. of India) Vigyan Path, Guwahati, PIN- 781035 Assam, India.

Department of Mechanical, Manufacturing and Biomedical Engineering, Trinity College Dublin, The University of Dublin, Dublin, Ireland.

出版信息

Endocr Metab Immune Disord Drug Targets. 2024;24(7):777-788. doi: 10.2174/0118715303262824231024104849.

Abstract

According to the World Health Organization (WHO), diabetes has been increasing steadily over the past few decades. In developing countries, it is the cause of increased morbidity and mortality. Diabetes and its complications are associated with education, occupation, and income across all levels of socioeconomic status. Factors, such as hyperglycemia, social ignorance, lack of proper health knowledge, and late access to medical care, can worsen diabetic complications. Amongst the complications, neuropathic pain and inflammation are considered the most common causes of morbidity for common populations. This review is focused on exploring protein kinase C (PKC)-mediated TGF-946; regulation in diabetic complications with particular emphasis on allodynia. The role of PKC-triggered TGF-946; in diabetic neuropathy is not well explored. This review will provide a better understanding of the PKC-mediated TGF-946; regulation in diabetic neuropathy with several schematic illustrations. Neuroinflammation and associated hyperalgesia and allodynia during microvascular complications in diabetes are scientifically illustrated in this review. It is hoped that this review will facilitate biomedical scientists to better understand the etiology and target drugs effectively to manage diabetes and diabetic neuropathy.

摘要

根据世界卫生组织(WHO)的数据,糖尿病在过去几十年中一直在稳步增加。在发展中国家,它是发病率和死亡率上升的原因。糖尿病及其并发症与社会经济地位的各个层面的教育、职业和收入有关。高血糖、社会无知、缺乏适当的健康知识以及医疗保健的延迟获取等因素会使糖尿病并发症恶化。在这些并发症中,神经病理性疼痛和炎症被认为是常见人群发病率的最常见原因。本综述重点探讨蛋白激酶 C(PKC)介导的 TGF-β 调节在糖尿病并发症中的作用,特别强调了痛觉过敏。PKC 触发的 TGF-β 在糖尿病性神经病中的作用尚未得到充分探索。本综述将通过几个示意图提供对 PKC 介导的糖尿病性神经病中 TGF-β 调节的更好理解。本综述科学地说明了糖尿病微血管并发症期间的神经炎症及其相关的痛觉过敏和痛觉过敏。希望本综述将有助于生物医学科学家更好地了解病因,并有效地靶向药物来管理糖尿病和糖尿病性神经病。

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