摘要
Ⅱ型糖尿病日益普遍,具有多种信号通路,发病机理可变,其并发症的治疗迫切需要一个具有多重作用的分子。白藜芦醇(3,5,4 '' -trihydroxy-trans-stilbene)是一种存在于红酒中的多酚类抗氧化剂,因其对糖尿病和其他危及生命的疾病具有多靶点效应,引起世界范围的关注。改善胰岛素敏感性,提高GLUT4易位,降低氧化应激性,调节碳水化合物代谢酶,激活SIRT1和AMPK,减少脂肪性基因,是一些目前为止研究白藜芦醇很有前途的机制。除了这些,白藜芦醇可减轻器官损伤和减少糖尿病并发症。从体外,临床前和临床研究中得到证明,白藜芦醇在抗糖尿病方面发挥有效作用。考虑到白藜芦醇在糖尿病中的功效、基于白藜芦醇的具有不同营养功能的产品已开发并已用于人类。然而,这种化合物因其使用的局限性,现仍在探究中。通过克服所有的障碍和困难,白藜芦醇可被考虑用于糖尿病的治疗。本文以基础科学为依据,通过动物实验和人体/临床数据,讨论白藜芦醇的抗糖尿病作用,阐明采取的措施和存在的挑战,为白藜芦醇从临床前到临床的使用提供参考。
关键词: 临床研究,胰岛素抗药性,分子机制,白藜芦醇,糖尿病,抗衰老酶
Current Molecular Medicine
Title:Application of Resveratrol in Diabetes: Rationale, Strategies and Challenges
Volume: 15 Issue: 4
Author(s): P.K. Bagul and S.K. Banerjee
Affiliation:
关键词: 临床研究,胰岛素抗药性,分子机制,白藜芦醇,糖尿病,抗衰老酶
摘要: The increasing prevalence, involvement of several signaling pathways, variable pathogenesis, progressive natural history and complications of type 2 diabetes emphasize an urgent need for a molecule with multiple actions. Resveratrol (3,5,4'-trihydroxy-trans-stilbene) is a polyphenolic antioxidant present in red wine gaining a worldwide interest because of its multi-target effect against diabetes and other life-threatening diseases. Improving insulin sensitivity, enhancing GLUT4 translocation, reducing oxidative stress, regulating carbohydrate metabolizing enzymes, activating SIRT1 and AMPK, and decreasing adipogenic genes are some promising mechanisms established until now for resveratrol. Apart from these, resveratrol attenuates the end organ damage and reduced diabetic complications. Resveratrol exerts its beneficial antidiabetic action as evidenced from the in vitro, preclinical and clinical studies. Considering all the benefits of resveratrol in diabetes, resveratrol based different nutraceutical products have been developed commercially to use in humans. However, this compound is still under investigation because of some limitations. Resveratrol can be taken in to account in the treatment of diabetes after overcoming all hurdles and difficulties. This article examines the basic scientific evidences, animal experiments, and human/clinical data supporting the antidiabetic action of resveratrol and describes the strategies and challenges to recommend resveratrol from preclinical to clinical use.
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Cite this article as:
P.K. Bagul and S.K. Banerjee , Application of Resveratrol in Diabetes: Rationale, Strategies and Challenges, Current Molecular Medicine 2015; 15 (4) . https://dx.doi.org/10.2174/1566524015666150505155702
DOI https://dx.doi.org/10.2174/1566524015666150505155702 |
Print ISSN 1566-5240 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5666 |
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