Progress in the discovery of naturally occurring anti-diabetic drugs and in the identification of their molecular targets

Fitoterapia. 2019 Apr:134:270-289. doi: 10.1016/j.fitote.2019.02.033. Epub 2019 Mar 3.

Abstract

Diabetes mellitus (DM), a chronic metabolic disease, severely affects patients' life and intensively increases risks of developing other diseases. It is estimated that 0.4 billion individuals worldwide are subjected to diabetes, especially type 2 diabetes mellitus. At present, although various synthetic drugs for diabetes such as Alogliptin and Rosiglitazone, etc. have been used to manage diabetes, some of them showed severe side effects. Given that the pathogenesis of type 2 diabetes mellitus, natural occurring drugs are beneficial alternatives for diabetes therapy with low adverse effects or toxicity. Recently, more and more plant-derived extracts or compounds were evaluated to have anti-diabetic activities. Their anti-diabetic mechanisms involve certain key targets like α-glucosidase, α-amylase, DPP-4, PPAR γ, PTP1B, and GLUT4, etc. Here, we summarize the newly found anti-diabetic (type 2 diabetes mellitus) natural compounds and extracts from 2011-2017, and give the identification of their molecular targets. This review could provide references for the research of natural agents curing type 2 diabetes mellitus (T2DM).

Keywords: Molecular targets; Natural occurring drugs; Type 2 diabetes mellitus.

Publication types

  • Review

MeSH terms

  • Biological Products / isolation & purification*
  • Biological Products / pharmacology
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Drug Discovery*
  • Humans
  • Hypoglycemic Agents / isolation & purification*
  • Hypoglycemic Agents / pharmacology
  • Molecular Structure
  • Molecular Targeted Therapy

Substances

  • Biological Products
  • Hypoglycemic Agents