Abstract

Diabetes mellitus is a well-known chronic metabolic disease that poses a long-term threat to human health and is characterized by a relative or absolute lack of insulin, resulting in hyperglycemia. Type 2 diabetes mellitus (T2DM) typically affects many metabolic pathways, resulting in β-cell dysfunction, insulin resistance, abnormal blood glucose levels, inflammatory processes, excessive oxidative reactions, and impaired lipid metabolism. It also leads to diabetes-related complications in many organ systems. Antidiabetic drugs have been approved for the treatment of hyperglycemia in T2DM; these are beneficial for glucose metabolism and promote weight loss, but have the risk of side effects, such as nausea or an upset stomach. A wide range of active components, derived from medicinal plants, such as alkaloids, flavonoids, polyphenol, quinones, and terpenoids may act as alternative sources of antidiabetic agents. They are usually attributed to improvements in pancreatic function by increasing insulin secretions or by reducing the intestinal absorption of glucose. Ease of availability, low cost, least undesirable side effects, and powerful pharmacological actions make plant-based preparations the key player of all available treatments. Based on the study of therapeutic reagents in the pathogenesis of humans, we use the appropriate animal models of T2DM to evaluate medicinal plant treatments. Many of the rat models have characteristics similar to those in humans and have the advantages of ease of genetic manipulation, a short breeding span, and access to physiological and invasive testing. In this review, we summarize the pathophysiological status of T2DM rat models and focus on several bioactive compounds from herbal medicine with different functional groups that exhibit therapeutic potential in the T2DM rat models, in turn, may guide future approach in treating diabetes with natural drugs.

Highlights

  • Molecules 2020, 25, 5713 of 18Type 2 diabetes mellitus (T2DM) is a chronic, complex multisystem disease that causes2 multiple diabetes-related comorbidities, and requires a multifaceted and personalized approach to treatment. the complexity of T2DM is more exhaustively understood, the scientific community

  • The Zucker diabetic fatty (ZDF) rat substrain with a diabetic phenotype is derived by inducing mutations in Zucker fatty (ZF) strains, and they are less obese than the ZF rats

  • Persistent hyperglycemia causes the activation of protein kinase C (PKC) and the NF-κB signaling pathway associated with the production of IL-1β, IL-6, and tumor necrosis factor-α (TNF-α), revealing that inflammation plays a pivotal role in the development and progression of diabetic nephropathy (DN) [107,108]

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Summary

Introduction

Type 2 diabetes mellitus (T2DM) is a chronic, complex multisystem disease that causes multiple diabetes-related comorbidities, and requires a multifaceted and personalized approach to treatment. T2DM, including the liver, muscle, kidney, fat cells, brain, α-cells, β-cells, and of T2DM [1,2,3,4,5,6], to new treatment options have become possible, thereby, increasing theintestines, potential for as well as various hormones and even systemic inflammation, genetics, and the environment improving control over this complex disease. From an enhanced scientific of the pathophysiologic progression of T2DM [1,2,3,4,5,6], for enhanced knowledge on both the knowledge pathophysiological progression and potential therapeutic new treatment options have become possible, thereby, increasing the potential for improving control drugs Those animal models must be relevant to the T2DM study, that the characteristics over this complex disease.

Pathogenesis
Rat Models of T2D
Zucker Fatty Rat and Zucker Diabetic Fatty Rat Models
Otsuka Long Evans Tokushima Fatty Rat
Goto-Kakizaki Rat Models
Anti-T2DM Drug Discovery Using T2DM Rat Models
A TRPV1 agonist
Alkaloids
Flavonoids
Polyphenols
Quinones
Terpenoids
Findings
Conclusions
Full Text
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