The improvement of modified Si-Miao granule on hepatic insulin resistance and glycogen synthesis in type 2 diabetes mellitus involves the inhibition of TNF-α/JNK1/IRS-2 pathway: network pharmacology, molecular docking, and experimental validation
View abstract on PubMed
Summary
This summary is machine-generated.Modified Si-Miao granule (mSMG) improves insulin resistance (IR) in type 2 diabetes by inhibiting the TNF-α/JNK1/IRS-2 pathway. This traditional Chinese medicine enhances glucose metabolism and glycogen synthesis, offering a potential therapeutic strategy for IR.
Area Of Science
- Pharmacology
- Traditional Chinese Medicine
- Metabolic Disease Research
Background
- Modified Si-Miao granule (mSMG) shows promise for type 2 diabetes (T2DM) and insulin resistance (IR).
- The precise molecular mechanisms underlying mSMG's therapeutic effects on IR remain largely unexplored.
Purpose Of The Study
- To elucidate the mechanism of mSMG in treating hepatic IR in T2DM using network pharmacology and molecular docking.
- To validate the predicted mechanisms through in vivo and in vitro experiments.
Main Methods
- Network pharmacology was employed to identify mSMG compounds, their targets, and pathways relevant to IR in T2DM.
- Molecular docking was used to assess the binding affinity between mSMG compounds and key targets, particularly TNF-α.
- Experimental validation was conducted in KK-Ay mice and HepG2 cells to confirm the effects on IR and related signaling pathways.
Main Results
- Network pharmacology identified 50 compounds and 170 targets for mSMG against IR, highlighting TNF and MAPK8 as hub targets.
- mSMG treatment ameliorated hyperglycemia, IR, and TNF-α levels, while enhancing glucose consumption and glycogen synthesis in KK-Ay mice.
- In vitro studies demonstrated that mSMG and berberine significantly increased glucose consumption and glycogen synthesis and modulated the TNF-α/JNK1/IRS-2 pathway in IR-HepG2 cells.
Conclusions
- Network pharmacology and molecular docking are effective tools for predicting the mechanisms of traditional Chinese medicines like mSMG.
- mSMG, and its compound berberine, demonstrate efficacy in improving hepatic IR and glycogen synthesis.
- The therapeutic mechanism of mSMG in IR is associated with the inhibition of the TNF-α/JNK1/IRS-2 signaling pathway.
Related Concept Videos
Insulin action is mediated through a receptor tyrosine kinase, akin to the IGF-1 receptor. The number of receptors per cell varies significantly, from 40 on erythrocytes to 300,000 on adipocytes and hepatocytes. The insulin receptor consists of linked α/β subunit dimers, forming a heterotetramer glycoprotein with two extracellular α subunits and two β subunits spanning the membrane. The α subunits inhibit the inherent tyrosine kinase activity of the β subunits, but...
Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a...
Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...

