Diabetes Mellitus, Mitochondrial Dysfunction and Ca2+-Dependent Permeability Transition Pore

Int J Mol Sci. 2020 Sep 8;21(18):6559. doi: 10.3390/ijms21186559.

Abstract

Diabetes mellitus is one of the most common metabolic diseases in the developed world, and is associated either with the impaired secretion of insulin or with the resistance of cells to the actions of this hormone (type I and type II diabetes, respectively). In both cases, a common pathological change is an increase in blood glucose-hyperglycemia, which eventually can lead to serious damage to the organs and tissues of the organism. Mitochondria are one of the main targets of diabetes at the intracellular level. This review is dedicated to the analysis of recent data regarding the role of mitochondrial dysfunction in the development of diabetes mellitus. Specific areas of focus include the involvement of mitochondrial calcium transport systems and a pathophysiological phenomenon called the permeability transition pore in the pathogenesis of diabetes mellitus. The important contribution of these systems and their potential relevance as therapeutic targets in the pathology are discussed.

Keywords: Ca2+ uniporter; MPT pore; diabetes mellitus; mitochondria; mitochondrial biogenesis; mitochondrial dynamics; mitophagy.

Publication types

  • Review

MeSH terms

  • Animals
  • Blood Glucose / metabolism
  • Calcium / metabolism
  • Diabetes Mellitus, Type 2 / metabolism*
  • Glucose / metabolism
  • Humans
  • Hyperglycemia / metabolism
  • Insulin / metabolism
  • Insulin Resistance / physiology
  • Mitochondria / metabolism*
  • Mitochondrial Diseases / metabolism
  • Mitochondrial Diseases / physiopathology*
  • Mitochondrial Dynamics / physiology
  • Mitochondrial Membrane Transport Proteins / metabolism
  • Permeability

Substances

  • Blood Glucose
  • Insulin
  • Mitochondrial Membrane Transport Proteins
  • Glucose
  • Calcium