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Searching for phytoinsulins as cardiovascular protector in metabolic syndrome
Lele Ji1, Wenjuan Xing, Ling Dong
1Department of Physiology, School of Basic Medical Sciences, Fourth Military Medical University, Xi'an 710032, China.
Abstract:
Metabolic syndrome is well known to increase the risk of cardiovascular disease and diabetes. As the key feature of metabolic syndrome, insulin resistance occurs when target tissues cannot respond properly to insulin and develops in multiple organs, including the vasculature and heart. Accumulating evidence has suggested insulin-induced PI3K-Akt-eNOS survival signaling as a potent therapeutic target for cardiovascular disorders and highlighted the impaired survival signaling as a key link between insulin resistance and cardiovascular disease. However, long-term insulin treatment is inconvenient and may increase the risk of hypoglycemia. More importantly, the effects of insulin are significantly blunted in patients with insulin resistance due to the pathway-specific impairment of PI3K-Akt signaling, and exogenous chronic insulin administration may lead to the over-activation of Ras-MAPK signaling which may result in unwanted side effects. Our recent study has shown that some Chinese medicinal herbs can directly activate PI3K-Akt-eNOS survival signals and improve tissue insulin sensitivity to exert endothelial and cardiac protective effects in diabetic animals. These herbs or phytoinsulins as we named, targeting insulin-activated cell survival signals and exert insulin-like actions, have promising beneficial effects on prevention and treatment of diabetes- and insulin resistance-induced cardiovascular disorders. Another advantage of phytoinsulins is that they generally exert multiple actions, including mild blood glucose-lowering effect, pancreatic β cells protection and adipogenesis reduction, for better cardiovascular protection. In this review, we discussed our strategies of searching for phytoinsulins and their potential beneficial effects in the treatment of metabolic syndrome, especially their values in prevention of diabetic cardiovascular disease.
Insights
Phytoinsulins, derived from Chinese medicinal herbs, activate survival signals to improve insulin sensitivity and protect against cardiovascular disease. These natural compounds offer a promising alternative to insulin for managing metabolic syndrome and its complications.
Area of Science:
- Cardiovascular Pharmacology
- Metabolic Disease Research
- Traditional Chinese Medicine
Background:
- Metabolic syndrome and insulin resistance significantly elevate risks for cardiovascular disease and diabetes.
- Impaired PI3K-Akt-eNOS survival signaling is a critical link between insulin resistance and cardiovascular complications.
- Current insulin therapies present challenges like hypoglycemia and potential adverse effects via Ras-MAPK over-activation.
Purpose of the Study:
- To explore phytoinsulins as a novel therapeutic strategy for metabolic syndrome and associated cardiovascular disorders.
- To investigate the potential of specific Chinese medicinal herbs to activate insulin-like survival pathways.
- To evaluate the efficacy of phytoinsulins in improving insulin sensitivity and providing cardioprotection.
Main Methods:
- Identification and characterization of Chinese medicinal herbs with phytoinsulin properties.
- Assessment of phytoinsulins' ability to activate the PI3K-Akt-eNOS signaling pathway.
- Evaluation of phytoinsulin effects on tissue insulin sensitivity and cardiovascular protection in preclinical models.
Main Results:
- Certain Chinese herbs, termed phytoinsulins, were found to directly activate PI3K-Akt-eNOS survival signals.
- Phytoinsulins demonstrated the ability to improve tissue insulin sensitivity, offering endothelial and cardiac protection in diabetic animal models.
- These compounds exhibit multiple beneficial actions, including glucose-lowering, pancreatic beta-cell protection, and adipogenesis reduction.
Conclusions:
- Phytoinsulins represent a promising therapeutic avenue for preventing and treating cardiovascular complications associated with diabetes and metabolic syndrome.
- Targeting insulin-activated cell survival signals with phytoinsulins offers a safer and potentially more effective approach compared to chronic insulin administration.
- The multifaceted actions of phytoinsulins contribute to comprehensive cardiovascular protection in the context of metabolic disorders.
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