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Published on: April 23, 2018
Developing Insulin and BDNF Mimetics for Diabetes Therapy
Chi Bun Chan1, Palak Ahuja1, Keqiang Ye2
1School of Biological Sciences, The University of Hong Kong, Hong Kong.
Abstract:
Diabetes is a global public health concern nowadays. The majority of diabetes mellitus (DM) patients belong to type 2 diabetes mellitus (T2DM), which is highly associated with obesity. The general principle of current therapeutic strategies for patients with T2DM mainly focuses on restoring cellular insulin response by potentiating the insulin-induced signaling pathway. In late-stage T2DM, impaired insulin production requires the patients to receive insulin replacement therapy for maintaining their glucose homeostasis. T2DM patients also demonstrate a drop of brain-derived neurotrophic factor (BDNF) in their circulation, which suggests that replenishing BDNF or enhancing its downstream signaling pathway may be beneficial. Because of their protein nature, recombinant insulin or BDNF possess several limitations that hinder their clinical application in T2DM treatment. Thus, developing orally active "insulin pill" or "BDNF pill" is essential to provide a more convenient and effective therapy. This article reviews the current development of non-peptidyl chemicals that mimic insulin or BDNF and their potential as anti-diabetic agents.
Insights
Developing non-peptidyl chemicals to mimic insulin or brain-derived neurotrophic factor (BDNF) offers a promising oral therapy for type 2 diabetes. These "pills" aim to overcome limitations of protein-based treatments for improved glucose control.
Area of Science:
- Endocrinology and Metabolism
- Pharmacology
- Molecular Biology
Background:
- Type 2 diabetes mellitus (T2DM) is a global health issue, often linked to obesity.
- Current T2DM therapies focus on enhancing insulin signaling, but late-stage disease requires insulin replacement.
- Reduced circulating brain-derived neurotrophic factor (BDNF) in T2DM suggests its potential therapeutic role.
Purpose of the Study:
- To review the development of non-peptidyl small molecules that mimic insulin and BDNF.
- To explore the potential of these novel compounds as orally active anti-diabetic agents.
- To address the limitations of current protein-based insulin and BDNF therapies.
Main Methods:
- Literature review of current research on non-peptidyl chemical mimetics.
- Analysis of studies investigating insulin and BDNF signaling pathways in T2DM.
- Evaluation of the therapeutic potential and challenges of small molecule drug development.
Main Results:
- Non-peptidyl chemicals are being developed to replicate the functions of insulin and BDNF.
- These small molecules offer potential for oral administration, overcoming protein limitations.
- Research indicates these mimetics could offer a more convenient and effective T2DM treatment.
Conclusions:
- Orally active non-peptidyl insulin and BDNF mimetics represent a significant advancement in T2DM therapeutics.
- These agents have the potential to improve glucose homeostasis and address unmet clinical needs.
- Further development is crucial for translating these findings into effective patient treatments.
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