Diabetes Mellitus: Exploring Biomarkers, Complications, and Therapeutic Strategies with a Spotlight on Cyanobacterial

Suhail Ahmad1, Salman Akhtar1,2, Mohammad Amjad Kamal2,3,4,5,6

  • 1Department of Bioengineering, Integral University, Lucknow, Uttar Pradesh, 226026, India.

Current Diabetes Reviews
|December 2, 2024
PubMed

Insights

Diabetes mellitus causes severe complications. Natural antidiabetic drugs from cyanobacteria offer promising alternatives to synthetic medications, with compounds showing effectiveness in clinical trials.

Area of Science:

  • Metabolic disorders
  • Pharmacology
  • Natural product chemistry

Background:

  • Diabetes mellitus is a prevalent metabolic disorder with multifactorial origins, leading to severe complications like kidney failure, blindness, and cardiovascular diseases.
  • Current synthetic antidiabetic medications have undesirable side effects, driving research towards natural alternatives.
  • Cyanobacteria are a rich source of bioactive metabolites with significant pharmaceutical and nutraceutical potential.

Purpose of the Study:

  • To provide a comprehensive understanding of diabetes mellitus, including its clinical manifestations, epidemiology, and complications.
  • To review current treatment modalities for diabetes mellitus.
  • To highlight the potential of natural antidiabetic compounds, particularly from cyanobacteria, as therapeutic agents.

Main Methods:

  • Literature review of scientific articles and clinical trial data.
  • Analysis of biomarkers associated with diabetes progression (DPP-4, PPAR-ϒ, SGLT-2, α-amylase, α-glucosidase).
  • Exploration of bioactive compounds from cyanobacteria for antidiabetic properties.

Main Results:

  • Identified key biomarkers linked to diabetes onset and progression.
  • Highlighted the adverse effects of existing synthetic antidiabetic drugs.
  • Demonstrated the potential of cyanobacterial compounds, with some showing success in clinical trials.

Conclusions:

  • Diabetes mellitus presents a significant global health challenge with diverse complications.
  • Natural antidiabetic drugs derived from sources like cyanobacteria offer a promising avenue for safer and effective treatment.
  • Further research into cyanobacterial compounds could lead to novel drug discovery for diabetes management.

Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
235
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
504
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.4K
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
866
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
152
Insulin: Biosynthesis, Chemistry, and Preparation01:25

Insulin: Biosynthesis, Chemistry, and Preparation

The endoplasmic reticulum (ER) of pancreatic β-cells synthesizes preproinsulin, which consists of a signal peptide, A and B chains, and a C-peptide. Preproinsulin is then cleaved and folded into proinsulin, which translocates to the Golgi apparatus for sorting and packaging into secretory granules. In these granules, enzymatic clipping generates insulin and C-peptide.
Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment...
357