Department of Clinical Medicine (K1), University of Bergen, Norway.
Mitochondrion. 2024 Mar;75:101850. doi: 10.1016/j.mito.2024.101850. Epub 2024 Feb 7.
The interplay between mitochondrial function and diabetes has gained significant attention due to its crucial role in the pathogenesis and progression of the disease. Mitochondria, known as the cellular powerhouses, are essential for glucose metabolism. Dysfunction of these organelles has been implicated in the development of insulin resistance and beta-cell failure, both prominent features of diabetes. This comprehensive review explores the intricate mechanisms involved, including the generation of reactive oxygen species and the impact of mitochondrial DNA (mtDNA) mutations. Moreover, the review delves into emerging therapeutic strategies that specifically target mitochondria, such as mitochondria-targeted antioxidants, agents promoting mitochondrial biogenesis, and compounds modulating mitochondrial dynamics. The potential of these novel approaches is critically evaluated, taking into account their benefits and limitations, to provide a well-rounded perspective. Ultimately, this review emphasizes the importance of advancing our understanding of mitochondrial biology to revolutionize the treatment of diabetes.
线粒体功能与糖尿病之间的相互作用备受关注,因为它在糖尿病的发病机制和进展中起着关键作用。线粒体被称为细胞的动力源,对于葡萄糖代谢至关重要。这些细胞器的功能障碍与胰岛素抵抗和β细胞衰竭的发展有关,而这两者都是糖尿病的突出特征。这篇综合综述探讨了所涉及的复杂机制,包括活性氧的产生和线粒体 DNA(mtDNA)突变的影响。此外,该综述还深入探讨了专门针对线粒体的新兴治疗策略,例如线粒体靶向抗氧化剂、促进线粒体生物发生的试剂以及调节线粒体动态的化合物。考虑到这些新方法的益处和局限性,对它们的潜力进行了批判性评估,以提供全面的视角。最终,本综述强调了深入了解线粒体生物学的重要性,以彻底改变糖尿病的治疗方法。