Anti-inflammatory phytochemicals for the treatment of diabetes and its complications: Lessons learned and future promise

Biomed Pharmacother. 2021 Jan:133:110975. doi: 10.1016/j.biopha.2020.110975. Epub 2020 Nov 16.

Abstract

Diabetes mellitus (type 1 and type 2) and its various complications continue to place a huge burden on global medical resources, despite the availability of numerous drugs that successfully lower blood glucose levels. The major challenging issue in diabetes management is the prevention of various complications that remain the leading cause of diabetes-related mortality. Moreover, the limited long-term durability of monotherapy and undesirable side effects of currently used anti-diabetic drugs underlie the urgent need for novel therapeutic approaches. Phytochemicals represent a rich source of plant-derived molecules that are of pivotal importance to the identification of compounds with therapeutic potential. In this review, we aim to discuss recent advances in the identification of a large array of phytochemicals with immense potential in the management of diabetes and its complications. Given that metabolic inflammation has been established as a key pathophysiological event that drives the progression of diabetes, we focus on the protective effects of representative phytochemicals in metabolic inflammation. This paper also discusses the potential of phytochemicals in the development of new drugs that target the inflammation in the management of diabetes and its complications.

Keywords: Anti-inflammation; Bioactive compounds; Diabetes mellitus; Phytochemicals.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / therapeutic use*
  • Autoimmunity / drug effects
  • Diabetes Complications / drug therapy*
  • Diabetes Complications / etiology
  • Diabetes Complications / metabolism
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Diabetes Mellitus, Type 1 / metabolism
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / metabolism
  • Energy Metabolism / drug effects
  • Humans
  • Hypoglycemic Agents / adverse effects
  • Hypoglycemic Agents / therapeutic use*
  • Inflammation Mediators / antagonists & inhibitors
  • Inflammation Mediators / metabolism
  • Phytochemicals / adverse effects
  • Phytochemicals / therapeutic use*
  • Signal Transduction

Substances

  • Anti-Inflammatory Agents
  • Hypoglycemic Agents
  • Inflammation Mediators
  • Phytochemicals