Abstract

Diabetes is a metabolic disorder affecting large percentage of population worldwide. NF-κβ plays key role in pathogenesis of vascular complications of diabetes. Persistent hyperglycemia activates NF-κβ that triggers expression of various cytokines, chemokines and cell adhesion molecules. Over-expression of TNF-α, interleukins, TGF-β, Bcl2 and other pro-inflammatory proteins and pro-apoptotic genes by NF-κβ is key risk factor in vascular dysfunction. NF-κβ over-expression also triggers calcification of endothelial cells leading to endothelial dysfunction and further vascular complications. Inhibition of NF-κβ pro-inflammatory pathway is upcoming novel target for management of vascular complications of diabetes. Various natural and synthetic inhibitors of NF-κβ have been studied in management of diabetic complications. Recent preclinical and clinical studies validate NF-κβ as promising target in the management of vascular complications of diabetes.

Highlights

  • Diabetes mellitus (DM) and its associated complications are one of the major leading causes of mortality in public worldwide (IDF, 2015; WHO, 2016)

  • The current review focuses on role of nuclear factor-κβ (NF-κβ) in pathophysiology of various vascular complications of diabetes and effect of NF-κβ inhibitors in the management of same

  • Various preclinical studies have been carried out to study the effect of natural NF-κβ inhibitors in the management of diabetic complications; but its implication in clinical setting is limited

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Summary

Introduction

Diabetes mellitus (DM) and its associated complications are one of the major leading causes of mortality in public worldwide (IDF, 2015; WHO, 2016). It inhibited degradation of NF-κβ regulatory protein IκBα leading to decreased expression of pro-inflammatory (TNF-α, IL1β) and profibrotic cytokines (ICAM-1, MCP-1, and TGF-β1) (Soetikno et al, 2011). Treatment with piceatannol inhibited NF-kB p65/p50 binding to DNA and reduced renal pro-inflammatory cytokines like TNF-α, IL-1β and IL-6 (Borgohain et al, 2017).

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