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Targeting Inflammatory Cytokines to Improve Type 2 Diabetes Control
Tsvetelina V Velikova1, Plamena P Kabakchieva2,3, Yavor S Assyov2
1Department of Clinical Immunology, University Hospital "Lozenetz", Sofia University "St. Kliment Ohridski", Sofia 1407, Bulgaria.
Anticytokine therapies, targeting inflammation in type 2 diabetes (T2D), show potential for improving blood sugar control. These treatments, including disease-modifying antirheumatic drugs (DMARDs), may offer new therapeutic options for T2D patients.
Area of Science:
- Immunology
- Endocrinology
- Pharmacology
Background:
- Type 2 diabetes (T2D) involves immune dysregulation and inflammation.
- Cytokine imbalance is linked to T2D progression and severity.
Purpose of the Study:
- To review the antihyperglycemic effects of disease-modifying antirheumatic drugs (DMARDs) and anticytokine agents.
- To explore the molecular mechanisms and clinical rationale for using anticytokine therapies in T2D.
- To summarize experimental and clinical evidence on anticytokine therapies for T2D.
Main Methods:
- Literature review of existing evidence on DMARDs and specific anticytokine agents (anti-TNF-α, anti-IL-6, anti-IL-1, anti-IL-17, anti-IL-23).
- Analysis of molecular mechanisms and biological rationale for T2D treatment.
- Summary of findings from experimental models and clinical trials.
Main Results:
- Anticytokine agents demonstrate potential antihyperglycemic properties.
- These therapies impact systemic and islet inflammation, beta-cell function, insulin secretion, and insulin sensitivity.
- Promising results from preclinical and clinical studies indicate therapeutic potential.
Conclusions:
- Anticytokine therapies represent a potential additional treatment strategy for type 2 diabetes.
- Targeting cytokine dysregulation offers a novel approach to managing T2D.
- Further clinical investigation is warranted to establish the efficacy and safety of these agents in T2D management.
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