Feng Yuhan, Ren Yan, Zhang Xia, Yang Songqin, Jiao Qian, Li Qiuhong, Jiang Wenwen
School of Pharmaceutical Sciences, Guizhou University, Guiyang, China.
Front Pharmacol. 2024 May 10;15:1373711. doi: 10.3389/fphar.2024.1373711. eCollection 2024.
Type 2 diabetes mellitus is a chronic metabolic disease characterized by insulin resistance, with high morbidity and mortality worldwide. Due to the tightly intertwined connection between the insulin resistance pathway and the PI3K/AKT signaling pathway, regulating the PI3K/AKT pathway and its associated targets is essential for hypoglycemia and the prevention of type 2 diabetes mellitus. In recent years, metabolites isolated from traditional Chinese medicine has received more attention and acceptance for its superior bioactivity, high safety, and fewer side effects. Meanwhile, numerous and studies have revealed that the metabolites present in traditional Chinese medicine possess better bioactivities in regulating the balance of glucose metabolism, ameliorating insulin resistance, and preventing type 2 diabetes mellitus via the PI3K/AKT signaling pathway. In this article, we reviewed the literature related to the metabolites of traditional Chinese medicine improving IR and possessing therapeutic potential for type 2 diabetes mellitus by targeting the PI3K/AKT signaling pathway, focusing on the hypoglycemic mechanism of the metabolites of traditional Chinese medicine in type 2 diabetes mellitus and elaborating on the significant role of the PI3K/AKT signaling pathway in type 2 diabetes mellitus. In order to provide reference for clinical prevention and treatment of type 2 diabetes mellitus.
2型糖尿病是一种以胰岛素抵抗为特征的慢性代谢性疾病,在全球范围内发病率和死亡率都很高。由于胰岛素抵抗途径与PI3K/AKT信号通路紧密相连,调节PI3K/AKT通路及其相关靶点对于降低血糖和预防2型糖尿病至关重要。近年来,从中药中分离出的代谢产物因其卓越的生物活性、高安全性和较少的副作用而受到更多关注和认可。同时,大量研究表明,中药中的代谢产物通过PI3K/AKT信号通路在调节糖代谢平衡、改善胰岛素抵抗和预防2型糖尿病方面具有更好的生物活性。在本文中,我们综述了与中药代谢产物通过靶向PI3K/AKT信号通路改善胰岛素抵抗及具有2型糖尿病治疗潜力相关的文献,重点关注中药代谢产物在2型糖尿病中的降糖机制,并阐述PI3K/AKT信号通路在2型糖尿病中的重要作用。以期为2型糖尿病的临床防治提供参考。