4.7 Review

Role of UPP pathway in amelioration of diabetes-associated complications

Journal

ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH
Volume 28, Issue 16, Pages 19601-19614

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s11356-021-12781-5

Keywords

Type 2 diabetes; Ubiquitin-proteasome pathway; Diabetic cardiomyopathy; Diabetic neuropathy

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Type 2 diabetes is a common metabolic disorder, and therapies targeting UPP pathway may have promising results in treating diabetes and associated complications. The role of ubiquitin molecules extends beyond neurodegenerative disorders to play a critical role in diabetes progression.
Type 2 diabetes (T2D) is one of the most widely spread metabolic disorder also called as life style disease. Due to the alarming number of patients, there is great need to therapies targeting functions which can help in maintaining the homeostasis of glucose levels and improving insulin sensitivity. Detailed analysis was done through various research and review papers which was searched using MEDLINE, BIOSIS, and EMBASE using various keywords. This search retrieved the most appropriate content on these molecules targeting UPP pathway. From this extensive review involving UPP pathway, it was concluded that the role of ubiquitin's is not only limited to neurodegenerative disorders but also plays a critical role in progression of diabetes including obesity, insulin resistance, and various neurogenerative disorders but it also targets proteasomal degradation including mediation of cellular signaling pathways. Thus, drugs targeting UPP not only may show effect against diabetes but also are therapeutically beneficial in the treatment of diabetes-associated complications which may be obtained. Thus, based on the available information and data on UPP functions, it can be concluded that regulation of UPP pathway via downstream regulators mainly E1, E2, and E3 may bring promising results. Drugs targeting these transcriptional factors may emerge as a novel therapy in the treatment of diabetes and diabetes-associated complications.

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