Targeting Glycoproteins as a therapeutic strategy for diabetes mellitus and its complications

Daru. 2020 Jun;28(1):333-358. doi: 10.1007/s40199-020-00327-y. Epub 2020 Jan 31.

Abstract

Objectives: Glycoproteins are organic compounds formed from proteins and carbohydrates, which are found in many parts of the living systems including the cell membranes. Furthermore, impaired metabolism of glycoprotein components plays the main role in the pathogenesis of diabetes mellitus. The aim of this study is to investigate the influence of glycoprotein levels in the treatment of diabetes mellitus.

Methods: All relevant papers in the English language were compiled by searching electronic databases, including Scopus, PubMed and Cochrane library. The keywords of glycoprotein, diabetes mellitus, glycan, glycosylation, and inhibitor were searched until January 2019.

Results: Glycoproteins are pivotal elements in the regulation of cell proliferation, growth, maturation and signaling pathways. Moreover, they are involved in drug binding, drug transportation, efflux of chemicals and stability of therapeutic proteins. These functions, structure, composition, linkages, biosynthesis, significance and biological effects are discussed as related to their use as a therapeutic strategy for the treatment of diabetes mellitus and its complications.

Conclusions: The findings revealed several chemical and natural compounds have significant beneficial effects on glycoprotein metabolism. The comprehension of glycoprotein structure and functions are very essential and inevitable to enhance the knowledge of glycoengineering for glycoprotein-based therapeutics as may be required for the treatment of diabetes mellitus and its associated complications. Graphical abstract.

Keywords: Biological activities; Diabetes mellitus; Glycoprotein; Glycosylation; Proteins.

Publication types

  • Review

MeSH terms

  • Animals
  • Biological Products / pharmacology
  • Biological Products / therapeutic use
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / metabolism*
  • Glycoproteins / metabolism*
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Hypoglycemic Agents / therapeutic use

Substances

  • Biological Products
  • Glycoproteins
  • Hypoglycemic Agents