IF 6.1 2区 医学 Q1 CHEMISTRY, MEDICINAL
Debajyoti Roy, Maitrayee Ghosh, Naresh Kumar Rangra
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引用次数: 0

摘要

糖尿病是一种以高血糖、胰岛素抵抗和胰岛β细胞功能受损为特征的慢性代谢性疾病;它会发展成更严重的并发症,如肾病、神经病变、心血管疾病和视网膜病变;中草药在缓解症状和控制并发症方面都大有可为。本综述旨在评估植物疗法西洋金合欢、薤白、荨麻和肉桂的药理学方面,以及它们的生物活性植物化学物质槲皮素、白藜芦醇、小檗碱和表没食子儿茶素没食子酸酯(EGCG)。在这篇综述中,我们将讨论它们分泌胰岛素增敏剂、碳水化合物水解酶、减少氧化应激和有效预防糖尿病并发症的机制--所有这些都是通过对胰岛素的敏感性实现的。在发现生物活性化合物的过程中,重点强调了基因组学、蛋白质组学、代谢组学和转录组学等多组学技术的整合。这些技术的性质可以评估草药药理学的内在复杂性,甚至确定候选疗法。最后,本综述提到了有关这些化合物在人体新陈代谢中的效率的临床试验很少。未来的高质量研究,如大规模人体试验,将受到重视;改进研究设计、更好地选择潜在可用的生物标志物,以及加强安全性以保证疗效并降低风险,都可能提高药物的临床有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Herbal Approaches to Diabetes Management: Pharmacological Mechanisms and Omics-Driven Discoveries.

Diabetes mellitus is a chronic metabolic disorder marked by hyperglycemia, resistance to insulin, and impaired function of the pancreatic β-cells; it advances into more serious complications like nephropathy, neuropathy, cardiovascular disease, and retinopathy; herbal medicine has indicated promise in not just mitigating the symptoms but also in managing the complications. This review would aim to evaluate the pharmacological aspect of the botanical therapies Anacardium occidentale, Allium sativum, Urtica dioica, and Cinnamomum zeylanicum, as well as their bioactive phytochemicals, quercetin, resveratrol, berberine, and epigallocatechin gallate (EGCG). In this review, we discuss their mechanisms for secreting the insulin sensitizers, carbohydrate-hydrolyzing enzymes, reduction in oxidative stress and effectiveness against diabetic complications-all through sensitivity to insulin. Great emphasis is laid on the integration of multi-omics technologies such as genomics, proteomics, metabolomics, and transcriptomics in the discovery of bioactive compounds. The nature of the technologies can evaluate the intrinsic complexities of herbal pharmacology and even identify therapeutic candidates. Finally, the review refers to the meagre clinical trials on the efficiency of these compounds in the metabolism of humans. High-quality future research, such as human large-scale trials, would be emphasized; improvement in the clinical validity of a drug might come from improved study design, better selection of potentially usable biomarkers, and enhanced safety profiles to guarantee efficacy with lessened risks.

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来源期刊
Phytotherapy Research
Phytotherapy Research 医学-药学
CiteScore
12.80
自引率
5.60%
发文量
325
审稿时长
2.6 months
期刊介绍: Phytotherapy Research is an internationally recognized pharmacological journal that serves as a trailblazing resource for biochemists, pharmacologists, and toxicologists. We strive to disseminate groundbreaking research on medicinal plants, pushing the boundaries of knowledge and understanding in this field. Our primary focus areas encompass pharmacology, toxicology, and the clinical applications of herbs and natural products in medicine. We actively encourage submissions on the effects of commonly consumed food ingredients and standardized plant extracts. We welcome a range of contributions including original research papers, review articles, and letters. By providing a platform for the latest developments and discoveries in phytotherapy, we aim to support the advancement of scientific knowledge and contribute to the improvement of modern medicine.
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