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Endoplasmic reticulum as a therapeutic target in type 2 diabetes: Role of phytochemicals
Soraya Sajadimajd1, Niloofar Deravi2, Kimia Forouhar3
1Department of Biology, Faculty of Science, Razi University, Kermanshah, Iran.
Abstract:
Type 2 diabetes mellitus (T2DM) is a metabolic disorders characterized by insulin resistance and β-cell dysfunction with an increasing worldwide incidence. Several studies have revealed that long-term glucotoxicity results in β-cell failure and death through induction of endoplasmic reticulum (ER) stress. Owing to the chronic progression of T2DM and the low effectiveness of antidiabetic drugs in long-term use, medicinal plants and their secondary metabolites seem to be the promising alternatives. Here we have provided a comprehensive review regarding the role of phytochemicals to alleviate ER stress in T2DM. Ginsenoside compound K, baicalein, quercetin, isopulegol, kaempferol, liquiritigenin, aspalathin, and tyrosol have demonstrated remarkable improvement of T2DM via modulation of ER stress. Arctigenin and total glycosides of peony have been shown to be effective in the treatment of diabetic retinopathy through modulation of ER stress. The effectiveness of grape seed proanthocyanidins and wolfberry is also shown in the relief of diabetic neuropathy and retinopathy. Resveratrol is involved in the prevention of atherosclerosis via ER stress modulation. Taken together, the data described herein revealed the capability of herbal constituents to prevent different complications of T2DM via a decrease in ER stress which open new doors to the treatment of diabetes.
Insights
Medicinal plants offer promising alternatives for managing type 2 diabetes mellitus (T2DM). Phytochemicals alleviate endoplasmic reticulum (ER) stress, a key factor in T2DM progression and complications.
Area of Science:
- Biochemistry
- Pharmacology
- Endocrinology
Background:
- Type 2 diabetes mellitus (T2DM) is a global health issue marked by insulin resistance and beta-cell dysfunction.
- Chronic glucotoxicity induces endoplasmic reticulum (ER) stress, leading to beta-cell failure and disease progression.
- Existing antidiabetic drugs have limited long-term efficacy, necessitating alternative therapeutic strategies.
Purpose of the Study:
- To comprehensively review the role of phytochemicals in alleviating ER stress in T2DM.
- To explore the potential of herbal constituents as therapeutic agents for T2DM and its complications.
Main Methods:
- Literature review of studies investigating phytochemicals and their effects on ER stress in T2DM.
- Analysis of data on specific phytochemicals and their impact on T2DM-related pathways.
- Compilation of evidence for the efficacy of herbal compounds in managing T2DM complications.
Main Results:
- Ginsenoside compound K, baicalein, quercetin, and others improve T2DM by modulating ER stress.
- Arctigenin and peony glycosides show efficacy in diabetic retinopathy via ER stress modulation.
- Grape seed proanthocyanidins, wolfberry, and resveratrol demonstrate benefits for diabetic neuropathy, retinopathy, and atherosclerosis by targeting ER stress.
Conclusions:
- Herbal constituents possess the capability to prevent T2DM complications by reducing ER stress.
- Phytochemicals targeting ER stress represent a promising avenue for novel diabetes treatments.
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