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The Role of Glutathione and Its Precursors in Type 2 Diabetes
Dawn Tuell1, George Ford1, Evan Los1
1Department of Pediatrics, Quillen College of Medicine, Johnson City, TN 37614, USA.
Insights
Glutathione (GSH) and its precursors, N-acetyl-cysteine (NAC) and glycine (GLY), show promise in managing type 2 diabetes (T2D) by combating oxidative stress. Further research in children is crucial for early intervention against T2D complications.
Area of Science:
- Biochemistry
- Endocrinology
- Nutritional Science
Background:
- Type 2 diabetes (T2D) is a global health issue, with rising rates of prediabetes in children.
- Oxidative stress (OxS) is implicated in T2D development and progression.
- Glutathione (GSH), a major antioxidant, and its precursors (NAC, GLY) are being investigated for T2D management.
Purpose of the Study:
- To review the pathophysiological and molecular mechanisms linking GSH and its precursors to T2D and OxS.
- To evaluate the in vivo effects of GSH/NAC/GLY on T2D progression, including hyperglycemia.
- To highlight the need for pediatric research in T2D prevention and intervention.
Main Methods:
- Literature review of studies on GSH, NAC, GLY, T2D, and oxidative stress.
- Analysis of molecular mechanisms connecting these factors.
- Evaluation of clinical trial data, with a focus on potential pediatric applications.
Main Results:
- GSH and its precursors demonstrate potential in mitigating T2D through antioxidant pathways.
- These supplements may modulate hyperglycemia and other pro-oxidant factors driving T2D.
- Existing research predominantly focuses on adults, indicating a gap in pediatric data.
Conclusions:
- GSH and its precursors (NAC, GLY) offer a promising therapeutic avenue for T2D and associated oxidative stress.
- Early intervention strategies targeting pediatric populations are essential for long-term T2D prevention.
- Further investigation into the efficacy and safety of these supplements in children is warranted.
Abstract:
Type 2 diabetes (T2D) is a major worldwide health crisis affecting about 6.2% of the world's population. Alarmingly, about one in five children in the USA have prediabetes. Glutathione (GSH) and its precursors play a promising role in the prevention and management of type T2D. Oxidative stress (OxS) is a probable factor in both T2D initiation and progression. GSH is the major cytosolic water-soluble chemical antioxidant and emerging evidence supports its role in improving T2D outcomes. Dietary supplementation with N-acetyl-cysteine (NAC) and/or glycine (GLY), which are GSH precursors, has also been studied for possible beneficial effects on T2D. This review will focus on the underlying pathophysiological and molecular mechanisms linking GSH and its precursors with T2D and OxS. In addition to their traditional antioxidant roles, the in vivo effects of GSH/NAC/GLY supplements will be evaluated for their potential abilities to modulate the complex pro-oxidant pathophysiological factors (e.g., hyperglycemia) driving T2D progression. Positive feedback loops that amplify OxS over long time intervals are likely to result in irreversible T2D micro- and macro-vascular damage. Most clinical studies with GSH/NAC/GLY have focused on adults or the elderly. Future research with pediatric populations should be a high priority since early intervention is critical.
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