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Potential Benefits of Antioxidant Phytochemicals in Type 2 Diabetes
Arman Arabshomali1, Shadi Bazzazzadehgan1, Fakhri Mahdi2
1Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS 38677, USA.
Abstract:
The clinical relationship between diabetes and inflammation is well established. Evidence clearly indicates that disrupting oxidant-antioxidant equilibrium and elevated lipid peroxidation could be a potential mechanism for chronic kidney disease associated with type 2 diabetes mellitus (T2DM). Under diabetic conditions, hyperglycemia, especially inflammation, and increased reactive oxygen species generation are bidirectionally associated. Inflammation, oxidative stress, and tissue damage are believed to play a role in the development of diabetes. Although the exact mechanism underlying oxidative stress and its impact on diabetes progression remains uncertain, the hyperglycemia-inflammation-oxidative stress interaction clearly plays a significant role in the onset and progression of vascular disease, kidney disease, hepatic injury, and pancreas damage and, therefore, holds promise as a therapeutic target. Evidence strongly indicates that the use of multiple antidiabetic medications fails to achieve the normal range for glycated hemoglobin targets, signifying treatment-resistant diabetes. Antioxidants with polyphenols are considered useful as adjuvant therapy for their potential anti-inflammatory effect and antioxidant activity. We aimed to analyze the current major points reported in preclinical, in vivo, and clinical studies of antioxidants in the prevention or treatment of inflammation in T2DM. Then, we will share our speculative vision for future diabetes clinical trials.
Insights
This study explores how antioxidants, particularly polyphenols, may combat inflammation and oxidative stress in type 2 diabetes (T2DM). They show promise as an adjuvant therapy for treatment-resistant diabetes and related complications.
Area of Science:
- Biochemistry
- Endocrinology
- Nephrology
Background:
- The link between diabetes and inflammation is well-established, with oxidative stress and lipid peroxidation implicated in chronic kidney disease in type 2 diabetes mellitus (T2DM).
- Hyperglycemia, inflammation, and reactive oxygen species are interconnected, contributing to diabetes development and progression.
- The hyperglycemia-inflammation-oxidative stress axis impacts vascular, kidney, liver, and pancreatic health, presenting a therapeutic target.
Purpose of the Study:
- To review preclinical, in vivo, and clinical research on antioxidants for preventing or treating inflammation in T2DM.
- To analyze the efficacy of antioxidants as adjuvant therapy for treatment-resistant diabetes.
- To propose future research directions for antioxidant-based diabetes clinical trials.
Main Methods:
- Systematic review of existing literature.
- Analysis of preclinical, in vivo, and clinical studies.
- Synthesis of findings on antioxidant and anti-inflammatory effects of polyphenols.
Main Results:
- Antioxidants, especially polyphenols, demonstrate potential anti-inflammatory and antioxidant activities.
- These agents may serve as beneficial adjuvant therapies, particularly in cases of treatment-resistant diabetes.
- Evidence suggests a role for antioxidants in mitigating T2DM-associated complications.
Conclusions:
- The interaction of hyperglycemia, inflammation, and oxidative stress is a key factor in T2DM complications.
- Antioxidants, particularly polyphenols, hold therapeutic promise for T2DM management and prevention of associated diseases.
- Further clinical trials are warranted to fully elucidate the role of antioxidants in T2DM treatment.
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