Nanoformulation of Plant-Based Natural Products for Type 2 Diabetes Mellitus: From Formulation Design to Therapeutic Applications

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Akurange Sujeevi Dammadinna Wickramasinghe , Pabasara Kalansuriya , Anoja Priyadarshani Attanayake
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引用次数: 8

Abstract

Background

Herbal remedies are used to manage type 2 diabetes mellitus (type 2 DM) as the sole treatment or as a complementary therapy. Limitations of herbal remedies, such as poor stability and limited absorption, impede their development as therapeutic agents, which could be overcome by nanoformulations.

Objectives

This review attempts to summarize the studies reported between 2009 and 2020 in the development of medicinal plant-based nanoformulations for the management of type 2 DM, discuss formulation methods, mechanisms of action, and identify gaps in the literature to conduct future research on nanoparticle-based herbal treatment options targeting type 2 DM.

Methods

To retrieve articles published between January 2009 and December 2020, the electronic databases PubMed, Science Direct, and Google Scholar were searched with the keywords nanoparticle, plant, and diabetes in the entire text. Peer-reviewed research articles on herbal nanoformulations published in English-language based on in vitro and/or in vivo models of type 2 DM and/or its complications were included. The literature search and selection of titles/abstracts were carried out independently by 2 authors. The list of full-text articles was selected considering inclusion and exclusion criteria, with the agreement of all the authors.

Results

Among the reported studies, 68% of the studies were on inorganic herbal nanoformulations, whereas 17% and 8% were of polymer-based and lipid-based herbal nanoformulations, respectively. Some of the important biological properties of nanoformulations included improvement in glycemic control and insulin levels, inhibition of the formation of advanced glycation end products, and regeneration of pancreatic β cells. The aforementioned properties were observed by screening nanoformulations using in vitro cellular and noncellular models, as well as in vivo animal models of type 2 DM studied for acute or subacute durations. Only 2 clinical trials with patients with diabetes were reported, indicating the need for further research on medicinal plant-based nanoformulations as a therapeutic option for the management of type 2 DM.

Conclusions

Medicinal plant extracts and isolated compounds have been nanoformulated using various methods. The properties of the nanoformulations were found superior to those of the corresponding herbal extracts and isolated compounds. At both the preclinical and clinical levels, there are a number of poorly explored research areas in the development and bioactivity assessment of herbal nanoformulations. (Curr Ther Res Clin Exp. 2022; 83:XXX–XXX) © 2022 Elsevier HS Journals, Inc.

治疗2型糖尿病的植物性天然产品纳米配方:从配方设计到治疗应用
背景:草药治疗是治疗2型糖尿病(2型糖尿病)的唯一疗法或辅助疗法。草药的局限性,如稳定性差和吸收有限,阻碍了它们作为治疗剂的发展,而纳米制剂可以克服这些局限性。本综述旨在总结2009年至2020年间用于治疗2型糖尿病的药用植物纳米制剂的研究报告,讨论配方方法、作用机制,并找出文献中的空白,以开展针对2型糖尿病的基于纳米颗粒的草药治疗方案的未来研究。方法检索2009年1月至2020年12月发表的电子数据库PubMed、Science Direct、和谷歌Scholar在全文中搜索关键词纳米粒子、植物和糖尿病。基于2型糖尿病和/或其并发症的体外和/或体内模型,以英文发表的同行评议的草药纳米配方研究文章被纳入研究范围。文献检索和题目/摘要的选择由2位作者独立完成。在所有作者同意的情况下,根据纳入和排除标准选择全文文章列表。结果在报告的研究中,68%的研究是无机草药纳米制剂,17%和8%分别是聚合物基和脂质基草药纳米制剂。纳米制剂的一些重要生物学特性包括改善血糖控制和胰岛素水平,抑制晚期糖基化终产物的形成,以及胰腺β细胞的再生。上述特性是通过筛选纳米制剂,使用体外细胞和非细胞模型,以及2型糖尿病急性或亚急性持续时间的体内动物模型来观察的。仅报道了2例糖尿病患者的临床试验,表明需要进一步研究药用植物纳米制剂作为治疗2型糖尿病的治疗选择。结论药用植物提取物和分离化合物已通过各种方法制备纳米制剂。纳米制剂的性能优于相应的草药提取物和分离化合物。在临床前和临床水平上,在草药纳米制剂的开发和生物活性评估方面,有许多探索不足的研究领域。(中国临床医学杂志,2022;83: XXX-XXX)©2022 Elsevier HS Journals, Inc。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
31
审稿时长
3 months
期刊介绍: We also encourage the submission of manuscripts presenting preclinical and very preliminary research that may stimulate further investigation of potentially relevant findings, as well as in-depth review articles on specific therapies or disease states, and applied health delivery or pharmacoeconomics. CTR encourages and supports the submission of manuscripts describing: • Interventions designed to understand or improve human health, disease treatment or disease prevention; • Studies that focus on problems that are uncommon in resource-rich countries; • Research that is "under-published" because of limited access to monetary resources such as English language support and Open Access fees (CTR offers deeply discounted English language editing); • Republication of articles previously published in non-English journals (eg, evidence-based guidelines) which could be useful if translated into English; • Preclinical and clinical product development studies that are not pursued for further investigation based upon early phase results.
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