Clinical Medicine Insights Endocrinology and Diabetes,
Год журнала:
2023,
Номер
16
Опубликована: Янв. 1, 2023
A
complex
metabolic
condition
referred
to
as
Type
2
diabetes
mellitus
(T2DM)
is
characterized
by
insulin
resistance
(IR)
and
decreased
production.
Obesity,
dyslipidemia,
hypertension,
chronic
inflammation
are
just
a
few
of
the
cardiometabolic
illnesses
that
people
with
T2DM
more
likely
acquire
results
in
cardiovascular
issues.
It
essential
comprehend
mechanistic
insights
into
these
risk
variables
order
prevent
manage
problems
effectively.
Impaired
glycemic
control
leads
upregulation
De
novo
lipogenesis
(DNL),
promote
hepatic
triglyceride
(TG)
synthesis,
worsening
dyslipidemia
accompanied
low
levels
high
density
lipoprotein
cholesterol
(HDL-C)
amounts
small,
dense
low-density
(LDL-C)
further
developing
atherosclerosis.
By
causing
endothelial
dysfunction,
oxidative
stress,
inflammation,
hyperglycemia
worsens
already
existing
factors.
Vasoconstriction,
platelet
aggregation
caused
which
nitric
oxide
production,
increased
release
vasoconstrictors,
proinflammatory
cytokines,
adhesion
molecules.
The
loop
IR
dysfunction
sustained
fueled
inflammatory
mediators
produced
adipose
tissue.
Infiltrating
cells
exacerbate
development
plaque
artery
wall.
In
addition,
combination
contributes
emergence
prevalent
comorbidity
T2DM.
ability
target
therapies
management
techniques
made
possible
improvements
our
knowledge
insights.
Aim
present
review
enhance
current
understanding
factors
related
provides
important
details
interaction
pathophysiological
processes
resulting
problems.
Understanding
pathways
will
enable
us
create
efficient
plans
for
prevention,
detection,
treatment
patients,
ultimately
leading
better
overall
health
outcomes.
Free Radical Biology and Medicine,
Год журнала:
2022,
Номер
184, С. 114 - 134
Опубликована: Апрель 7, 2022
Type
2
diabetes
(T2DM)
is
a
persistent
metabolic
disorder
rising
rapidly
worldwide.
It
characterized
by
pancreatic
insulin
resistance
and
β-cell
dysfunction.
Hyperglycemia
induced
reactive
oxygen
species
(ROS)
production
oxidative
stress
are
correlated
with
the
pathogenesis
progression
of
this
disease.
To
counteract
harmful
effects
ROS,
endogenous
antioxidants
body
or
exogenous
neutralise
it
maintain
bodily
homeostasis.
Under
hyperglycemic
conditions,
imbalance
between
cellular
antioxidant
system
ROS
results
in
stress,
which
subsequently
development
diabetes.
These
produced
endoplasmic
reticulum,
phagocytic
cells
peroxisomes,
mitochondrial
electron
transport
chain
(ETC)
playing
pivotal
role.
The
exacerbated
can
directly
cause
structural
functional
modifications
proteins,
lipids
nucleic
acids.
also
modulates
several
intracellular
signaling
pathways
that
lead
to
impairment
function.
In
addition,
hyperglycemia-induced
contributes
micro-
macro-vascular
diabetic
complications.
Various
in-vivo
in-vitro
studies
have
demonstrated
anti-oxidative
natural
products
their
derived
bioactive
compounds.
However,
there
conflicting
clinical
evidence
on
beneficial
these
therapies
prevention.
This
review
article
focused
multifaceted
role
caused
overproduction
related
complications
possible
antioxidative
therapeutic
strategies
targeting
Chemical Society Reviews,
Год журнала:
2023,
Номер
52(11), С. 3873 - 3926
Опубликована: Янв. 1, 2023
Oxidative
stress
is
closely
related
to
the
physiopathology
of
numerous
diseases.
Reactive
oxygen
species
(ROS),
reactive
nitrogen
(RNS),
and
sulfur
(RSS)
are
direct
participants
important
biomarkers
oxidative
stress.
Frontiers in Immunology,
Год журнала:
2021,
Номер
12
Опубликована: Фев. 5, 2021
The
Severe
Acute
Respiratory
Syndrome
Coronavirus
2
(SARS-CoV-2)
is
a
fast
spreading
virus
leading
to
the
development
of
Disease-2019
(COVID-19).
and
critical
cases
are
characterized
by
damage
respiratory
system,
endothelial
inflammation,
multiple
organ
failure
triggered
an
excessive
production
proinflammatory
cytokines,
culminating
in
high
number
deaths
all
over
world.
Sedentarism
induces
worse,
continuous,
progressive
consequences
health.
On
other
hand,
physical
activity
provides
benefits
health
improves
low-grade
systemic
inflammation.
aim
this
review
elucidate
effects
fitness,
immune
defense,
its
contribution
mitigate
severe
inflammatory
response
mediated
SARS-CoV-2.
Physical
exercise
effective
therapeutic
strategy
SARS-CoV-2
infection.
In
sense,
studies
have
shown
that
acute
myokines
secreted
tissues
into
bloodstream,
supporting
modulatory
effect.
Therefore,
maintaining
influence
balance
system
increases
vigilance,
also
might
promote
potent
against
infectious
diseases
chronic
associated
with
forms
COVID-19.
Protocols
maintain
practice
suggested
been
strongly
established,
such
as
home-based
(HBE)
outdoor-based
(OBE).
regard,
HBE
help
reduce
levels
inactivity,
bed
rest,
sitting
time,
impacting
on
adherence
activity,
promoting
related
exercise,
attracting
patients
different
stages
treatment
for
parallel,
OBE
must
improve
health,
but
prevent
COVID-19
outcomes
populations.
conclusion,
or
models
can
be
progress
infection,
coadjutant
therapy
at
ages
conditions.
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
24(1), С. 340 - 340
Опубликована: Дек. 25, 2022
(‒)-Epigallocatechin-3-gallate
(EGCG)
is
the
most
abundant
polyphenol
in
green
tea.
Thanks
to
multiple
interactions
with
cell
surface
receptors,
intracellular
signaling
pathways,
and
nuclear
transcription
factors,
EGCG
possesses
a
wide
variety
of
anti-inflammatory,
antioxidant,
antifibrotic,
anti-remodelation,
tissue-protective
properties
which
may
be
useful
treatment
various
diseases,
particularly
cancer,
neurological,
cardiovascular,
respiratory,
metabolic
disorders.
This
article
reviews
current
information
on
biological
effects
above-mentioned
disorders
relation
molecular
pathways
controlling
inflammation,
oxidative
stress,
apoptosis.
World Journal of Diabetes,
Год журнала:
2023,
Номер
14(3), С. 130 - 146
Опубликована: Март 15, 2023
Insulin
resistance
and
pancreatic
β-cell
dysfunction
are
major
pathological
mechanisms
implicated
in
the
development
progression
of
type
2
diabetes
(T2D).
Beyond
detrimental
effects
insulin
resistance,
inflammation
oxidative
stress
have
emerged
as
critical
features
T2D
that
define
dysfunction.
Predominant
markers
such
C-reactive
protein,
tumor
necrosis
factor
alpha,
interleukin-1β
consistently
associated
with
failure
preclinical
models
people
T2D.
Similarly,
important
stress,
increased
reactive
oxygen
species
depleted
intracellular
antioxidants,
consistent
damage
conditions
Such
illustrate
a
relationship
between
an
abnormal
inflammatory
response
generation
during
The
current
review
explores
clinical
research
on
patho-logical
implications
Moreover,
molecular
relevant
biomarkers
involved
this
process
discussed
to
divulge
link
Underpinning
relevance
review,
systematic
analysis
evidence
from
randomized
controlled
trials
is
covered,
potential
therapeutic
some
commonly
used
antidiabetic
agents
modulating
makers
improve
function.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(9), С. 7910 - 7910
Опубликована: Апрель 26, 2023
Recent
advances
have
greatly
improved
our
understanding
of
the
molecular
mechanisms
behind
atherosclerosis
pathogenesis.
However,
there
is
still
a
need
to
systematize
this
data
from
general
pathology
perspective,
particularly
with
regard
atherogenesis
patterns
in
context
both
canonical
and
non-classical
inflammation
types.
In
review,
we
analyze
various
typical
phenomena
outcomes
cellular
pro-inflammatory
stress
atherosclerosis,
as
well
role
endothelial
dysfunction
local
systemic
manifestations
low-grade
inflammation.
We
also
present
features
immune
development
productive
stable
unstable
plaques,
along
their
similarities
differences
compared
There
are
numerous
factors
that
act
inducers
inflammatory
process
including
vascular
endothelium
aging,
metabolic
dysfunctions,
autoimmune,
some
cases,
infectious
damage
factors.
Life-critical
complications
such
cardiogenic
shock
severe
strokes,
associated
acute
hyperinflammation.
Additionally,
critical
atherosclerotic
ischemia
lower
extremities
induces
paracoagulation
chronic
Conversely,
sepsis,
other
conditions,
diseases
contribute
atherogenesis.
summary,
can
be
characterized
an
independent
form
inflammation,
sharing
but
having
fundamental
variants
(classic
vasculitis).
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
23(24), С. 15743 - 15743
Опубликована: Дек. 12, 2022
Diabetes
is
considered
a
new
pandemic
of
the
modern
world,
and
number
sufferers
steadily
increasing.
Sustained
hyperglycemia
promotes
production
free
radicals
leads
to
persistent,
low-grade
inflammation.
Oxidative
stress
causes
mitochondrial
destruction,
which
along
with
activation
hexosamine
pathway,
nuclear
factor-κB
(Nf-κb),
p38
mitogen-activated
protein
kinase
(p38
MAPK),
c-jun
NH2
terminal
kinase/stress-activated
(JNK/SAPK)
or
toll-like
receptors
(TLRs),
pancreatic
β-cell
dysfunction.
However,
there
also
protective
mechanism
that
counteracts
oxidative
inflammation
in
diabetes,
mitophagy,
autophagy.
An
important
part
strategy
control
diabetes
lead
healthy
lifestyle
based
on,
among
other
things,
regular
physical
activity,
giving
up
smoking,
eating
balanced
diet
containing
ingredients
antioxidant
potential,
including
vegetables
fruits,
using
hypoglycemic
pharmacotherapy.
Tobacco
smoke
recognized
modifiable
risk
factor
for
many
diseases
it
has
been
shown
disease
increases
proportion
intensity
smoking.
Physical
activity
as
another
component
therapy
can
effectively
reduce
glucose
fluctuations,
high
interval
exercise
appears
have
most
beneficial
effect.
A
proper
not
only
cellular
sensitivity
insulin,
but
able
stress.
Pharmacotherapy
affect
Some
oral
drugs,
such
metformin,
pioglitazone,
vildagliptin,
liraglutide,
exenatide,
cause
reduction
markers
and/or
inflammation,
while
drug
Imeglimin
reverses
In
studies
sitagliptin,
vildagliptin
effects
on
were
achieved
by,
reducing
glycemic
excursions.
For
insulin
therapy,
no
corresponding
correlation
was
observed.
Insulin
did
parameters.
There
between
variability
patients
therapy.
The
data
used
this
study
obtained
by
searching
PubMed
online
databases,
taking
into
account
recent
studies.
Molecules,
Год журнала:
2023,
Номер
28(10), С. 3996 - 3996
Опубликована: Май 10, 2023
Type
II
diabetes
mellitus
and
its
related
complications
are
growing
public
health
problems.
Many
natural
products
present
in
our
diet,
including
polyphenols,
can
be
used
treating
managing
type
different
diseases,
owing
to
their
numerous
biological
properties.
Anthocyanins,
flavonols,
stilbenes,
curcuminoids,
hesperidin,
hesperetin,
naringenin,
phenolic
acids
common
polyphenols
found
blueberries,
chokeberries,
sea-buckthorn,
mulberries,
turmeric,
citrus
fruits,
cereals.
These
compounds
exhibit
antidiabetic
effects
through
pathways.
Accordingly,
this
review
presents
an
overview
of
the
most
recent
developments
using
food
for
mellitus,
along
with
various
mechanisms.
In
addition,
work
summarizes
literature
about
anti-diabetic
effect
evaluates
potential
as
complementary
or
alternative
medicines
treat
mellitus.
Results
obtained
from
survey
show
that
anthocyanins,
manage
by
protecting
pancreatic
β-cells
against
glucose
toxicity,
promoting
β-cell
proliferation,
reducing
apoptosis,
inhibiting
α-glucosidases
α-amylase.
these
antioxidant
anti-inflammatory
activities,
modulate
carbohydrate
lipid
metabolism,
optimize
oxidative
stress,
reduce
insulin
resistance,
stimulate
pancreas
secrete
insulin.
They
also
activate
signaling
inhibit
digestive
enzymes,
regulate
intestinal
microbiota,
improve
adipose
tissue
absorption,
formation
advanced
glycation
end
products.
However,
insufficient
data
available
on
effective
mechanisms
necessary
diabetes.
Healthcare Analytics,
Год журнала:
2024,
Номер
5, С. 100301 - 100301
Опубликована: Янв. 21, 2024
This
study
introduces
the
first-ever
self-explanatory
interface
for
diagnosing
diabetes
patients
using
machine
learning.
We
propose
four
classification
models
(Decision
Tree
(DT),
K-nearest
Neighbor
(KNN),
Support
Vector
Classification
(SVC),
and
Extreme
Gradient
Boosting
(XGB))
based
on
publicly
available
dataset.
To
elucidate
inner
workings
of
these
models,
we
employed
learning
interpretation
method
known
as
Shapley
Additive
Explanations
(SHAP).
All
exhibited
commendable
accuracy
in
with
diabetes,
XGB
model
showing
a
slight
edge
over
others.
Utilising
SHAP,
delved
into
model,
providing
in-depth
insights
reasoning
behind
its
predictions
at
granular
level.
Subsequently,
integrated
SHAP's
local
explanations
an
to
predict
patients.
serves
critical
role
it
diagnoses
offers
transparent
decisions
made,
users
heightened
awareness
their
current
health
conditions.
Given
high-stakes
nature
medical
field,
this
developed
can
be
further
enhanced
by
including
more
extensive
clinical
data,
ultimately
aiding
professionals
decision-making
processes.