
Frontiers in Endocrinology, Год журнала: 2024, Номер 15
Опубликована: Дек. 10, 2024
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease caused by insulin resistance (IR) and insufficient secretion. Its characteristic pathophysiological processes involve the interaction of multiple mechanisms. In recent years, globally, prevalence T2DM has shown sharp rise due to profound changes in socio-economic structure, persistent influence environmental factors, complex role genetic background. It worth noting that most patients show significant IR, which further exacerbates difficulty progression prevention. process extensively exploring pathogenesis T2DM, dynamic equilibrium gut microbes its diverse activities have increasingly emphasized central T2DM. Bile acids (BAs) metabolism, as crucial link between development not only precisely regulates lipid absorption metabolism but also profoundly influences glucose homeostasis energy balance through intricate signaling pathways, thus playing pivotal IR This review aims delve into specific mechanism BAs contribute especially emphasizing how mediate transformation based on current traditional Chinese medicine research. Ultimately, it seeks offer new insights prevention treatment Diet, genetics, environment intricately sculpt microbiota influencing T2DM-IR. The research illuminated impact single herbal medicine, TCM formulae, external therapeutic methods such electroacupuncture pool perturbations structure. affects well sensitivity. Additionally, pathways including BA-FXR-SHP, BA-FXR-FGFR15/19, BA-FXR-NLRP3, BA-TGR5-GLP-1, BAs-TGR5/FXR been identified significantly alter blood levels improve IR. These findings novel approaches for enhancing managing disorders among with
Язык: Английский