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Published on: January 7, 2018
Recent Advances in the Treatment of Insulin Resistance Targeting Molecular and Metabolic Pathways: Fighting a Losing
Marta Wolosowicz1, Slawomir Prokopiuk2, Tomasz W Kaminski3
1Department of Physiology, Medical University of Bialystok, 15-222 Bialystok, Poland.
Abstract:
Diabetes Mellitus (DM) is amongst the most notable causes of years of life lost worldwide and its prevalence increases perpetually. The disease is characterized as multisystemic dysfunctions attributed to hyperglycemia resulting directly from insulin resistance (IR), inadequate insulin secretion, or enormous glucagon secretion. Insulin is a highly anabolic peptide hormone that regulates blood glucose levels by hastening cellular glucose uptake as well as controlling carbohydrate, protein, and lipid metabolism. In the course of Type 2 Diabetes Mellitus (T2DM), which accounts for nearly 90% of all cases of diabetes, the insulin response is inadequate, and this condition is defined as Insulin Resistance. IR sequela include, but are not limited to, hyperglycemia, cardiovascular system impairment, chronic inflammation, disbalance in oxidative stress status, and metabolic syndrome occurrence. Despite the substantial progress in understanding the molecular and metabolic pathways accounting for injurious effects of IR towards multiple body organs, IR still is recognized as a ferocious enigma. The number of widely available therapeutic approaches is growing, however, the demand for precise, safe, and effective therapy is also increasing. A literature search was carried out using the MEDLINE/PubMed, Google Scholar, SCOPUS and Clinical Trials Registry databases with a combination of keywords and MeSH terms, and papers published from February 2021 to March 2022 were selected as recently published papers. This review paper aims to provide critical, concise, but comprehensive insights into the advances in the treatment of IR that were achieved in the last months.
Insights
This review highlights recent advances in treating insulin resistance (IR), a key factor in Type 2 Diabetes Mellitus (T2DM). It summarizes new therapeutic strategies for managing this complex metabolic dysfunction.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pharmacology
Background:
- Diabetes Mellitus (DM) is a leading cause of global mortality, characterized by hyperglycemia due to insulin resistance (IR) or inadequate insulin secretion.
- Insulin Resistance (IR) is central to Type 2 Diabetes Mellitus (T2DM), leading to hyperglycemia, cardiovascular issues, inflammation, and metabolic syndrome.
- Despite progress, IR remains a significant challenge, driving the need for novel and effective therapeutic interventions.
Purpose of the Study:
- To provide a comprehensive overview of recent advancements in the treatment of insulin resistance.
- To critically analyze new therapeutic approaches for IR based on literature published between February 2021 and March 2022.
- To offer insights into the evolving landscape of IR management.
Main Methods:
- Literature search conducted across major databases: MEDLINE/PubMed, Google Scholar, SCOPUS, and Clinical Trials Registry.
- Selection criteria focused on recently published papers (February 2021 - March 2022) relevant to IR treatment.
- Systematic review and synthesis of findings on novel therapeutic strategies for IR.
Main Results:
- Recent research has yielded promising new therapeutic avenues for managing insulin resistance.
- Advances include novel pharmacological agents and therapeutic strategies targeting the complex pathways of IR.
- The review synthesizes key findings from recent studies, highlighting progress in effective IR treatment.
Conclusions:
- The field of insulin resistance treatment is rapidly evolving, with significant recent progress.
- Emerging therapies offer potential for more precise, safe, and effective management of IR and T2DM.
- Continued research and clinical application of these advances are crucial for combating the global burden of diabetes.
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