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Can targeting SIRT-1 to treat type 2 diabetes be a good strategy? A review
Venkat Koushik Pulla1, Madhu Babu Battu, Mallika Alvala
1Birla Institute of Technology & Science- Pilani, Hyderabad Campus, Department of Pharmacy, Drug Discovery Research Laboratory, R.R. District-500078, Andhra Pradesh, India.
Introduction:
Dysregulation of metabolic pathways, caused by imbalances in energy homeostasis, leads to type 2 diabetes characterized by high glucose concentration in the blood due to insulin resistance which is a major disorder in developed countries.
Areas Covered:
One of the recent treatment strategies is using activators of SIRT1, which has been in clinical trials. Many of the cellular processes including insulin secretion, cell cycle, and apoptosis are imperatively regulated by a family of mediators called sirtuins. First known mammalian sirtuin, SIRT1 is a positive regulator of insulin secretion, which triggers glucose uptake and utilization. Since the past decade, a major outstanding question is whether SIRT1 activation is a safe therapy for human diseases such as type 2 diabetes? This review summarizes and discusses the advances of the past decade and the challenges that will brazen out perplexity about homeostasis and metabolic pathways linked to SIRT1 and type 2 diabetes. Furthermore, we described the interlink between SIRT1 metabolic pathways of various tissues such as pancreas, skeletal muscle, adipose tissue and liver.
Expert Opinion:
However be the complexity of the pathways involved, T2DM regulated by SIRT1 affected metabolism is dropping down progressively due to profound research. In the context of interlinking all the SIRT1 pathways in T2DM we found various crucial intermediaries in metabolic tissues, which can also be targeted for future prospects.
Insights
SIRT1 activators show promise for treating type 2 diabetes by improving insulin secretion and glucose metabolism. Ongoing research is clarifying SIRT1
Area of Science:
- Metabolic pathways
- Endocrinology
- Molecular biology
Background:
- Type 2 diabetes (T2DM) arises from metabolic pathway dysregulation and insulin resistance, a significant global health issue.
- Imbalances in energy homeostasis disrupt normal metabolic functions, leading to hyperglycemia.
- Insulin resistance is a hallmark of T2DM, contributing to elevated blood glucose levels.
Purpose of the Study:
- To review advances in SIRT1 activation as a therapeutic strategy for type 2 diabetes over the past decade.
- To discuss the safety and efficacy of SIRT1 activation in human diseases.
- To elucidate the complex interplay between SIRT1, metabolic pathways, and T2DM across various tissues.
Main Methods:
- Literature review summarizing research on SIRT1 and T2DM.
- Analysis of SIRT1's role in insulin secretion, glucose uptake, and cellular processes.
- Examination of SIRT1's metabolic functions in pancreas, skeletal muscle, adipose tissue, and liver.
Main Results:
- SIRT1 is a key regulator of insulin secretion and glucose metabolism.
- SIRT1 activation is being investigated as a potential treatment for T2DM.
- Research has identified crucial intermediaries in metabolic tissues linked to SIRT1 and T2DM.
Conclusions:
- Despite pathway complexity, SIRT1's role in T2DM metabolism is increasingly understood.
- Targeting SIRT1 pathways offers future therapeutic prospects for type 2 diabetes.
- Continued research is refining our understanding of SIRT1's impact on metabolic homeostasis in T2DM.
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