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Protein Kinases Signaling in Pancreatic Beta-cells Death and Type 2 Diabetes
Ayse Basak Engin1, Atilla Engin2
1Department of Toxicology, Faculty of Pharmacy, Gazi University, Ankara, Turkey. abengin@gmail.com.
Abstract:
Type 2 diabetes (T2D) is a worldwide serious public health problem. Insulin resistance and β-cell failure are the two major components of T2D pathology. In addition to defective endoplasmic reticulum (ER) stress signaling due to glucolipotoxicity, β-cell dysfunction or β-cell death initiates the deleterious vicious cycle observed in T2D. Although the primary cause is still unknown, overnutrition that contributes to the induction of the state of low-grade inflammation, and the activation of various protein kinases-related metabolic pathways are main factors leading to T2D. In this chapter following subjects, which have critical checkpoints regarding β-cell fate and protein kinases pathways are discussed; hyperglycemia-induced β-cell failure, chronic accumulation of unfolded protein in β-cells, the effect of intracellular reactive oxygen species (ROS) signaling to insulin secretion, excessive saturated free fatty acid-induced β-cell apoptosis, mitophagy dysfunction, proinflammatory responses and insulin resistance, and the reprogramming of β-cell for differentiation or dedifferentiation in T2D. There is much debate about selecting proposed therapeutic strategies to maintain or enhance optimal β-cell viability for adequate insulin secretion in T2D. However, in order to achieve an effective solution in the treatment of T2D, more intensive clinical trials are required on newer therapeutic options based on protein kinases signaling pathways.
Insights
Type 2 diabetes (T2D) involves insulin resistance and beta-cell failure. Understanding protein kinases and cellular stress is key to developing new T2D therapies targeting beta-cell health.
Area of Science:
- Endocrinology
- Cell Biology
- Metabolic Disease Research
Background:
- Type 2 diabetes (T2D) is a global health crisis driven by insulin resistance and beta-cell dysfunction.
- Glucolipotoxicity-induced endoplasmic reticulum (ER) stress and inflammation contribute to the vicious cycle of T2D pathology.
- Overnutrition and activated protein kinase pathways are implicated as primary factors in T2D development.
Purpose of the Study:
- To review critical checkpoints influencing beta-cell fate in T2D.
- To explore the role of protein kinases in T2D pathogenesis.
- To discuss therapeutic strategies for preserving beta-cell viability.
Main Methods:
- Literature review and synthesis of current research on T2D mechanisms.
- Analysis of factors affecting beta-cell function and survival, including ER stress, oxidative stress, and inflammation.
- Examination of protein kinase signaling pathways relevant to T2D.
Main Results:
- Hyperglycemia, unfolded protein accumulation, reactive oxygen species (ROS), and saturated fatty acids induce beta-cell failure and apoptosis.
- Mitophagy dysfunction, inflammation, and insulin resistance exacerbate T2D.
- Beta-cell dedifferentiation is observed in T2D, impacting insulin secretion.
Conclusions:
- Protein kinase signaling pathways are crucial in regulating beta-cell fate and function in T2D.
- Targeting these pathways offers potential therapeutic avenues for T2D treatment.
- Further clinical trials are necessary to validate novel therapeutic strategies for T2D.
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