Using Metabolomics in Diabetes Management with Traditional Chinese Medicine: A Review

The incidence of diabetes worldwide continues to rise, placing a huge economic and medical burden on human society. More than 90% of diabetic cases are type 2 diabetes (T2D). At present, the pathogenesis of T2D is not yet fully understood. Metabolomics uses high-resolution analytical techniques (typ...

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Published inThe American journal of Chinese medicine (1979) Vol. 49; no. 8; p. 1813
Main Authors He, Yanling, Zhang, Hefang, Yang, Yufei, Yu, Xianghui, Zhang, Xiao, Xing, Qiaolin, Zhang, Gengliang
Format Journal Article
LanguageEnglish
Published Singapore 2021
Subjects
Amino Acids, Branched-Chain
Animals
Biomarkers
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - drug therapy
Insulin Resistance
Medicine, Chinese Traditional
Metabolomics
Mice
Biomarkers
Metabolomics
Review
Type 2 Diabetes
Traditional Chinese Medicine
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Summary:The incidence of diabetes worldwide continues to rise, placing a huge economic and medical burden on human society. More than 90% of diabetic cases are type 2 diabetes (T2D). At present, the pathogenesis of T2D is not yet fully understood. Metabolomics uses high-resolution analytical techniques (typically NMR and MS) to help identify biomarkers associated with the risk of T2D and reveal potential pathogenesis. Many metabolites such as branched-chain amino acids (BCAAs), aromatic amino acids, glycine, 2-hydroxybutyric acid (2-HB), lysophosphatidylcholine (LPC) (18:2), and trehalose have proven to be biomarkers of T2D. Insulin resistance (IR) induced by BCAA in T2D mice is related to the activation of mammalian target of rapamycin (mTOR) and phosphorylation of insulin receptor substrate-1 (IRS1). Incomplete LCFA [Formula: see text]-oxidation promote acylcarnitine byproduct accumulation and stimulates proinflammatory NF[Formula: see text]B-related pathways to inhibit insulin action. Traditional Chinese Medicine (TCM) presents unique advantages in the treatment of T2D. Multiple metabolites and metabolic pathways have been identified in the treatment of TCM, providing valuable biomarkers and novel targets for drug therapy and pharmacological mechanism. Therefore, this paper reviews the modern achievements of metabolomics in T2D research and the progress of TCM management in recent years, in order to provide valuable information for related research.
ISSN:1793-6853
DOI:10.1142/S0192415X21500865