Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Aug. 16, 2024
A
major
and
irreversible
complication
of
diabetes
is
diabetic
peripheral
neuropathy
(DPN),
which
can
lead
to
significant
disability
decreased
quality
life.
Prior
work
demonstrates
the
peptide
hormone
Angiotensin
II
(Ang
II)
released
locally
in
drives
inflammation
impaired
endoneurial
blood
flow.
Therefore,
we
proposed
that
by
utilizing
a
local
thermoresponsive
hydrogel
injection,
could
deliver
inhibitors
angiotensin-converting
enzyme
(ACE)
suppress
Ang
production
reduce
nerve
dysfunction
DPN
through
drug
release.
The
ACE
inhibitor
captopril
was
encapsulated
into
micelle,
then
embedded
reversibly
pluronics-based
matrix.
Drug-free
captopril-loaded
hydrogels
demonstrated
excellent
product
stability
sterility.
Rheology
testing
confirmed
sol
properties
with
low
viscosity
at
ambient
temperature
increased
gelation
37
°C.
Captopril-loaded
significantly
inhibited
comparison
drug-free
hydrogels.
mice
treated
displayed
normalized
mechanical
sensitivity
reduced
inflammation,
without
side-effects
associated
systemic
exposure.
Our
data
demonstrate
feasibility
repurposing
as
delivered
anti-inflammatories
for
treatment
sensory
deficits
DPN.
To
best
our
knowledge,
this
first
example
Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Feb. 28, 2024
Metabolic
diseases
and
their
complications
impose
health
economic
burdens
worldwide.
Evidence
from
past
experimental
studies
clinical
trials
suggests
our
body
may
have
the
ability
to
remember
metabolic
environment,
such
as
hyperglycemia
or
hyperlipidemia,
thus
leading
chronic
inflammatory
disorders
other
even
after
elimination
of
these
environments.
The
long-term
effects
that
aberrant
metabolism
on
been
summarized
memory
are
found
assume
a
crucial
role
in
states
disease.
Multiple
molecular
mechanisms
collectively
participate
management,
resulting
different
cellular
alterations
well
tissue
organ
dysfunctions,
culminating
disease
progression
affecting
offspring.
elucidation
expansion
concept
provides
more
comprehensive
insight
into
pathogenic
underlying
promises
be
new
target
detection
management.
Here,
we
retrace
history
relevant
research
summarize
its
salient
characteristics.
We
provide
detailed
discussion
by
which
involved
development
at
molecular,
cellular,
levels,
with
emphasis
impact
epigenetic
modulations.
Finally,
present
some
pivotal
findings
arguing
favor
targeting
develop
therapeutic
strategies
for
latest
reflections
consequences
implications
human
diseases.
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(3), P. 589 - 589
Published: Feb. 28, 2025
Diabetic
peripheral
neuropathy
(DPN)
is
a
debilitating
complication
of
diabetes
mellitus,
characterized
by
progressive
nerve
damage
driven
chronic
hyperglycemia
and
systemic
inflammation.
The
pathophysiology
DPN
significantly
influenced
pro-inflammatory
cytokines,
such
as
IL-1β,
IL-6,
TNF-α.
These
cytokines
promote
oxidative
stress,
vascular
dysfunction,
neuronal
degeneration
activating
important
signaling
pathways
including
NF-κB
MAPK.
While
IL-6
promotes
microenvironment,
increasing
neuropathic
pain,
TNF-α
IL-1β
worsen
Schwann
cell
failure
compromising
axonal
support
causing
demyelination.
Immune
infiltration
TLR
activation
increase
the
inflammatory
cascade
in
DPN,
resulting
persistent
neuroinflammatory
state
that
sustains
injury.
main
characteristics
are
degeneration,
decreased
neurotrophic
support,
which
weaken
transmission
susceptibility
to
damage.
Advanced
glycation
end-products,
TNF-α,
CXCL10
examples
biomarkers
may
be
used
for
early
diagnosis
disease
progression
monitoring.
Additionally,
crucial
molecular
targets
have
been
found
using
proteomic
transcriptome
techniques,
enabling
precision
medicine
treatment
DPN.
This
review
emphasizes
importance
cytokine
pathogenesis
how
cytokine-targeted
treatments
might
reduce
inflammation,
restore
function,
improve
clinical
outcomes
diabetic
patients.
Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Jan. 2, 2024
Abstract
Advanced
diabetic
cardiomyopathy
(DCM)
patients
are
often
accompanied
by
severe
peripheral
artery
disease.
For
with
DCM
combined
foot
ulcer
(DFU),
there
currently
no
good
therapeutic
targets
and
drugs.
Here,
we
investigated
the
underlying
network
of
molecular
actions
associated
occurrence
these
two
complications.
The
datasets
were
downloaded
from
Gene
Expression
Omnibus
(GEO)
database.
We
performed
enrichment
protein–protein
interaction
analyses,
screened
for
hub
genes.
Construct
transcription
factors
(TFs)
microRNAs
regulatory
networks
validated
Finally,
drug
prediction
docking
verification
performed.
identified
299
common
differentially
expressed
genes
(DEGs),
many
which
involved
in
inflammation
lipid
metabolism.
6
DEGs
as
(PPARG,
JUN,
SLC2A1,
CD4,
SCARB1
SERPINE1).
These
immune
response.
31
TFs
2
key
miRNAs
closely
related
to
Interestingly,
our
study
suggested
that
fenofibrate,
a
lipid-lowering
medication,
holds
promise
potential
treatment
DFU
due
its
stable
binding
revealed
involves
target
DFU.
Understanding
is
pivotal
advancing
comprehension
multifaceted
complications
diabetes
facilitating
development
future
interventions.
Medicine,
Journal Year:
2024,
Volume and Issue:
103(13), P. e37767 - e37767
Published: March 29, 2024
Diabetes
peripheral
neuropathy
is
one
of
the
most
common
complications
diabetes.
Early
symptoms
are
insidious,
while
late
mainly
include
numbness,
pain,
swelling,
and
loss
sensation
in
limbs,
which
can
lead
to
disability,
foot
ulcers,
amputation,
so
on.
At
present,
pathogenesis
also
complex
diverse,
it
not
yet
clear.
Western
medicine
treatment
focuses
on
controlling
blood
sugar
nourishing
nerves,
but
effect
ideal.
In
recent
years,
has
been
found
that
many
drug
monomers
have
shown
good
therapeutic
prognostic
effects
prevention
diabetes
neuropathy,
related
research
become
a
hot
topic.
To
understand
specific
mechanism
action
traditional
Chinese
treatment,
this
article
provides
review
their
key
roles.
It
includes
flavonoids,
phenols,
terpenes,
saponins,
alkaloids,
polysaccharides,
etc.
By
nuclear
factor-κB
(NF-κB),
signaling
pathways
adenosine
monophosphate-activated
protein
kinase
(AMPK),
Nrf2/ARE,
SIRT1/p53,
etc,
play
role
lowering
sugar,
antioxidant,
anti-inflammatory,
inhibiting
cell
apoptosis,
autophagy,
promoting
sciatic
nerve
regeneration,
great
potential
disease.
A
systematic
summary
its
mechanisms
was
conducted,
providing
ideas
for
in-depth
exploration
richer
components,
relatively
complete
theoretical
reference
clinical
treatment.
Pharmaceutical Biology,
Journal Year:
2024,
Volume and Issue:
62(1), P. 544 - 561
Published: June 30, 2024
Context
Diabetic
peripheral
neuropathy
(DPN)
results
in
an
enormous
burden
and
reduces
the
quality
of
life
for
patients.
Considering
there
is
no
specific
drug
management
DPN,
traditional
Chinese
medicine
(TCM)
has
increasingly
drawn
attention
clinicians
researchers
around
world
due
to
its
characteristics
multiple
targets,
active
components,
exemplary
safety.
Frontiers in Nutrition,
Journal Year:
2022,
Volume and Issue:
9
Published: Nov. 8, 2022
Eugenol
has
been
used
in
dietary
interventions
for
metabolic
diseases
such
as
diabetes
and
obesity.
However,
the
protective
effect
of
eugenol
on
muscle
function
is
unclear.
In
this
study,
a
high-fat
diet
(HFD)
with
streptozocin
(STZ)
injection
induced
type
II
mellitus
mouse
model.
Oral
lowered
blood
glucose
insulin
resistance
HFD/STZ-treated
mice.
reduced
HFD/STZ-induced
inflammation
prevented
weakness
atrophy.
administration
significantly
increased
GLUT4
translocation
AMPK
phosphorylation
skeletal
muscle,
thereby
enhancing
uptake.
By
silencing
transient
receptor
potential
vanilloid
channel
1
(TRPV1)
gene
C2C12
myotube
cells,
was
found
to
increase
intracellular
Ca2+
levels
through
TRPV1,
which
then
activated
calmodulin-dependent
protein
kinase-2
(CaMKK2)
affected
phosphorylation.
conclusion,
nutraceutical
preventing
high-glucose-induced
impairments,
could
be
explained
by
its
mediating
effects
absorption
inflammatory
responses
muscle.
Journal of Pharmaceutical Analysis,
Journal Year:
2023,
Volume and Issue:
14(2), P. 225 - 243
Published: Sept. 22, 2023
Diabetic
peripheral
neuropathy
(DPN)
is
a
common
and
devastating
complication
of
diabetes,
for
which
effective
therapies
are
currently
lacking.
Disturbed
energy
status
plays
crucial
role
in
DPN
pathogenesis.
However,
the
integrated
profile
metabolism,
especially
central
carbohydrate
remains
unclear
DPN.
Here,
we
developed
metabolomics
approach
by
targeting
56
metabolites
using
high-performance
ion
chromatography-tandem
mass
spectrometry
to
illustrate
integrative
characteristics
metabolism
patients
with
streptozotocin-induced
rats.
Furthermore,
JinMaiTong
(JMT),
traditional
Chinese
medicine
(TCM)
formula,
was
found
be
DPN,
improving
neurological
function
alleviating
neuropathology
rats
even
after
demyelination
axonal
degeneration.
JMT
ameliorated
regulating
aberrant
balance
mitochondrial
functions,
including
excessive
glycolysis
restoration,
tricarboxylic
acid
cycle
improvement,
increased
adenosine
triphosphate
(ATP)
generation.
Bioenergetic
cultured
rat
Schwann
cells
under
high-glucose
conditions,
remarkably
corrected
treatment.
In
vivo
vitro
studies
revealed
that
these
effects
were
mainly
attributed
activation
AMP-activated
protein
kinase
downstream
peroxisome
proliferator-activated
receptor
gamma
coactivator
1-alpha.
Our
results
expand
therapeutic
framework
suggest
modulation
TCMs,
such
as
JMT,
an
strategy
its
Drug Design Development and Therapy,
Journal Year:
2025,
Volume and Issue:
Volume 19, P. 325 - 347
Published: Jan. 1, 2025
This
study
aims
to
explore
the
mechanism
of
Yangxuerongjin
pill
(YXRJP)
in
treatment
diabetic
peripheral
neuropathy
(DPN)
by
network
pharmacology
and
metabolomics
technology
combined
with
animal
experiments,
provide
scientific
basis
for
DPN.
In
this
study,
analysis
was
applied
identify
active
compounds,
core
targets
signal
pathways,
which
might
be
responsible
effect
The
DPN
model
established
high-fat
diet
streptozotocin
(STZ)
injection,
rats
were
given
administration
12
weeks.
body
weight,
thermal
withdrawal
latency
(TWL),
sciatic
motor
nerve
conduction
velocity
(MNCV),
biochemical
indexes,
pathological
sections
nerve,
oxidative
stress
factors
expression
levels
neuroprotection-related
proteins
detected.
Metabolomics
used
analyze
potential
biomarkers
metabolic
pathways
treated
YXRJP.
results
showed
that
YXRJP
could
treat
through
baicalin,
β-sitosterol,
7-methoxy-2-methylisoflavone,
aloe-emodin
luteolin
on
insulin
resistance,
Toll-like
receptor
(TLR),
tumor
necrosis
factor
(TNF)
other
signaling
pathways.
can
prolong
TWL,
increase
MNCV
alleviate
injury
reduce
triglyceride
(TG),
improve
Insulin-like
growth
1
(IGF-1)
protein
kinase
B
(AKT)
protein.
mainly
involved
amino
acid
metabolism
such
as
arginine,
alanine,
aspartic
acid,
lipid
nucleotide
metabolism.
effectively
symptoms
damage.
effects
are
related
reducing
injury,
promoting
proteins,
inflammation-related
affecting
metabolism,
Our
findings
revealed
has
a
good
therapeutic
DPN,
provides
reference
further
studies