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Targeting mitochondrial alterations to prevent type 2 diabetes--evidence from studies of dietary redox-active
Zhiyong Cheng1, Eva M Schmelz, Dongmin Liu
1Department of Human Nutrition, Foods and Exercise, Fralin Translational Obesity Research Center, Virginia Tech Center for Drug Discovery, College of Agriculture and Life Science, Virginia Tech, VA, USA.
Abstract:
As a growing epidemic, type 2 diabetes mellitus (T2DM) has significantly affected the individual's quality of life and economy of the society. Understanding the mechanisms of the disease and discovery of new therapeutic options has become more urgent than ever before. Mitochondrial alterations (e.g. functional alterations, and impaired biogenesis and dynamics) are strongly associated with the development of T2DM. Accumulation of reactive oxygen species or intermediates of incomplete fatty acid oxidation due to mitochondrial deficiency activates stress kinases and dampens insulin signaling. Redox-active compounds such as resveratrol, pyrroloquinoline quinone, and hydroxytyrosol can potently counteract reactive oxygen species, and improve mitochondrial function and biogenesis. Therefore, targeting the mitochondrial alterations with these redox-active compounds may lead to new therapeutic or preventive options for T2DM. In this article, we review the molecular mechanisms of mitochondrial alterations in T2DM, and the action of redox-active compounds to reverse mitochondrial changes and oxidative stress in T2DM. In addition, the current challenges and future directions are discussed and prospected.
Insights
Type 2 diabetes mellitus (T2DM) is linked to mitochondrial dysfunction and oxidative stress. Redox-active compounds show promise in reversing these changes, offering potential new treatments for T2DM.
Area of Science:
- Biochemistry
- Cell Biology
- Endocrinology
Background:
- Type 2 diabetes mellitus (T2DM) is a growing epidemic with significant health and economic impacts.
- Mitochondrial alterations, including impaired function, biogenesis, and dynamics, are strongly implicated in T2DM pathogenesis.
- Mitochondrial dysfunction leads to oxidative stress and impaired insulin signaling.
Purpose of the Study:
- To review the molecular mechanisms of mitochondrial alterations in T2DM.
- To explore the therapeutic potential of redox-active compounds in reversing mitochondrial dysfunction and oxidative stress in T2DM.
- To discuss current challenges and future directions in T2DM mitochondrial research.
Main Methods:
- Literature review of molecular mechanisms linking T2DM and mitochondrial alterations.
- Analysis of the role of reactive oxygen species and oxidative stress in T2DM.
- Examination of the effects of redox-active compounds (resveratrol, pyrroloquinoline quinone, hydroxytyrosol) on mitochondrial health.
Main Results:
- Mitochondrial deficiency contributes to T2DM by increasing reactive oxygen species and impairing insulin signaling.
- Redox-active compounds effectively counteract oxidative stress and enhance mitochondrial function and biogenesis.
- Targeting mitochondrial alterations with these compounds presents a promising therapeutic strategy for T2DM.
Conclusions:
- Mitochondrial health is critical in T2DM development and progression.
- Redox-active compounds offer a novel approach for T2DM prevention and treatment by targeting mitochondrial dysfunction.
- Further research is needed to fully elucidate the therapeutic potential and clinical application of these compounds.
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