Rampengan Derren David Christian Homenta, Lele Juan Alessandro Jeremis Maruli Nura, Romano Raffaele, Taslim Nurpudji Astuti, Tjandrawinata Raymond Rubianto, Santini Antonello, Nurkolis Fahrul
Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia.
Clinical Clerkship Program, UKI Hospital East Jakarta, Faculty of Medicine, Universitas Kristen Indonesia (UKI), Jakarta, Indonesia.
Front Nutr. 2025 Aug 6;12:1651804. doi: 10.3389/fnut.2025.1651804. eCollection 2025.
Diabetes mellitus (DM), particularly type 2 diabetes (T2DM), remains a significant global health concern, driven largely by oxidative stress-induced damage. Marine terpenoids, bioactive compounds extracted from diverse marine organisms such as algae, sponges, and corals, present promising antioxidant and antidiabetic potential. This review systematically evaluates the chemical diversity, biological sources, and mechanisms of action of marine terpenoids in mitigating diabetes-associated oxidative stress. Marine terpenoids exhibit potent antioxidant capabilities via radical scavenging, modulation of cellular antioxidant defenses, regulation of redox-sensitive pathways such as Nrf2/ARE and NF-κB, metal chelation, and pro-oxidant enzyme inhibition. Preclinical studies underscore their efficacy in reducing hyperglycemia, enhancing insulin sensitivity, preserving pancreatic β-cell function, and protecting against diabetic complications, including nephropathy and cardiovascular diseases. Despite the promising preliminary results, further studies addressing bioavailability, pharmacokinetics, long-term safety, and sustainability are imperative to establish marine terpenoids as viable therapeutic options for diabetes management.
糖尿病(DM),尤其是2型糖尿病(T2DM),仍然是一个重大的全球健康问题,主要由氧化应激诱导的损伤驱动。海洋萜类化合物是从藻类、海绵和珊瑚等多种海洋生物中提取的生物活性化合物,具有有前景的抗氧化和抗糖尿病潜力。本综述系统评估了海洋萜类化合物在减轻糖尿病相关氧化应激方面的化学多样性、生物来源和作用机制。海洋萜类化合物通过自由基清除、调节细胞抗氧化防御、调控如Nrf2/ARE和NF-κB等氧化还原敏感途径、金属螯合以及抑制促氧化酶等方式展现出强大的抗氧化能力。临床前研究强调了它们在降低高血糖、增强胰岛素敏感性、保护胰腺β细胞功能以及预防糖尿病并发症(包括肾病和心血管疾病)方面的功效。尽管有这些令人鼓舞的初步结果,但为了将海洋萜类化合物确立为糖尿病管理的可行治疗选择,进一步开展关于生物利用度、药代动力学、长期安全性和可持续性的研究势在必行。