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p21在糖尿病及相关代谢紊乱中的新作用

The Emerging Role of p21 in Diabetes and Related Metabolic Disorders.

作者信息

Elmitwalli Omar, Darwish Radwan, Al-Jabery Lana, Algahiny Ahmed, Roy Sornali, Butler Alexandra E, Hasan Ammar S

机构信息

Department of Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain Busaiteen, Adliya P.O. Box 15503, Bahrain.

Department of Postgraduate Studies and Research, Royal College of Surgeons in Ireland-Medical University of Bahrain Busaiteen, Adliya P.O. Box 15503, Bahrain.

出版信息

Int J Mol Sci. 2024 Dec 9;25(23):13209. doi: 10.3390/ijms252313209.

Abstract

In the context of cell cycle inhibition, anti-proliferation, and the dysregulation observed in certain cancer pathologies, the protein p21 assumes a pivotal role. p21 links DNA damage responses to cellular processes such as apoptosis, senescence, and cell cycle arrest, primarily functioning as a regulator of the cell cycle. However, accumulating empirical evidence suggests that p21 is both directly and indirectly linked to a number of different metabolic processes. Intriguingly, recent investigations indicate that p21 significantly contributes to the pathogenesis of diabetes. In this review, we present a comprehensive evaluation of the scientific literature regarding the involvement of p21 in metabolic processes, diabetes etiology, pancreatic function, glucose homeostasis, and insulin resistance. Furthermore, we provide an encapsulated overview of therapies that target p21 to alleviate metabolic disorders. A deeper understanding of the complex interrelationship between p21 and diabetes holds promise for informing current and future therapeutic strategies to address this rapidly escalating health crisis.

摘要

在细胞周期抑制、抗增殖以及某些癌症病理中观察到的失调的背景下,蛋白质p21发挥着关键作用。p21将DNA损伤反应与细胞凋亡、衰老和细胞周期停滞等细胞过程联系起来,主要作为细胞周期的调节因子发挥作用。然而,越来越多的经验证据表明,p21与许多不同的代谢过程直接或间接相关。有趣的是,最近的研究表明,p21在糖尿病发病机制中起重要作用。在这篇综述中,我们对关于p21参与代谢过程、糖尿病病因、胰腺功能、葡萄糖稳态和胰岛素抵抗的科学文献进行了全面评估。此外,我们提供了针对p21以缓解代谢紊乱的疗法的简要概述。深入了解p21与糖尿病之间的复杂相互关系有望为当前和未来应对这一迅速升级的健康危机的治疗策略提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4958/11641910/0709f470378c/ijms-25-13209-g001.jpg

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