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探索天然植物在调节糖尿病神经病变相关分子和细胞途径中的治疗潜力:机制与生化评估

Exploring the Therapeutic Potential of Natural Plants in Modulating Molecular and Cellular Pathways Involved in Diabetic Neuropathy: Mechanism and Biochemical Evaluation.

作者信息

Ali Zeeshan, Bhandari Uma

机构信息

Department of Pharmacology, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.

出版信息

Curr Pharm Des. 2025;31(14):1087-1099. doi: 10.2174/0113816128335400241101115928.

Abstract

Diabetic neuropathy (DN) is a widespread and severely debilitating consequence of diabetes mellitus that impairs function, causes discomfort, and damages peripheral nerves. Numerous molecular pathways are involved in the pathogenesis of DN, including cyclooxygenase, polyol, protein kinase C, and inflammatory pathways. These molecular pathways may be responsible for the mechanism behind the onset and development of DN. The metabolic profile can be evaluated by examining the molecular mechanisms that connect diabetes to certain biochemical indicators. Historically, the use of plants and herbs as medicine has been highly valued in many populations. These traditional sources, either alone or in combination with contemporary drugs, are being studied by modern medicine for their potential applications in managing and treating diabetic neuropathy. The efficacy and potential negative effects of an herb are largely dependent on its purity and provenance. Rich supplies of bioactive chemicals with particular pharmacological qualities that don't have negative side effects can be found in many plants. Some phytoconstituents with antidiabetic properties are found in medicinal plants, including terpenoids, saponins, flavonoids or carotenoids, alkaloids, and glycosides. We conclude with the statement that developing novel therapeutic procedures for the therapy of DN would be aided by the effective manipulation of common molecular pathways.

摘要

糖尿病神经病变(DN)是糖尿病广泛且严重损害功能的后果,会导致功能障碍、引起不适并损害周围神经。DN的发病机制涉及众多分子途径,包括环氧化酶、多元醇、蛋白激酶C和炎症途径。这些分子途径可能是DN发病和发展背后机制的原因。通过研究将糖尿病与某些生化指标联系起来的分子机制,可以评估代谢谱。历史上,在许多人群中,使用植物和草药作为药物一直受到高度重视。现代医学正在研究这些传统来源单独使用或与现代药物联合使用在管理和治疗糖尿病神经病变方面的潜在应用。一种草药的功效和潜在负面影响在很大程度上取决于其纯度和来源。许多植物中都富含具有特定药理特性且无副作用的生物活性化学物质。药用植物中发现了一些具有抗糖尿病特性的植物成分,包括萜类化合物、皂苷、黄酮类化合物或类胡萝卜素、生物碱和糖苷。我们最后指出,有效操控常见分子途径将有助于开发治疗DN的新治疗方法。

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