期刊
FUNDAMENTAL & CLINICAL PHARMACOLOGY
卷 35, 期 5, 页码 808-821出版社
WILEY
DOI: 10.1111/fcp.12665
关键词
antidiabetic drugs; extracellular vesicles; miRNA; physical activity; type 2 diabetes
Type 2 diabetes is a progressive disease characterized by hyperglycemia due to alterations in insulin secretion and resistance, where miRNAs play a significant role in cell-to-cell communication. Physical activity is associated with reducing the risk of developing diabetes and improving insulin sensitivity in patients, potentially mediated through modulation of miRNAs synthesis and release.
Type 2 diabetes (TD2) is a progressive disease characterized by hyperglycemia that results from alteration in insulin secretion, insulin resistance, or both. A number of alterations involving different tissues and organs have been reported to the development and the progression of T2D, and more relevantly, through cell-to-cell communication pathways. Recent studies demonstrated that miRNAs are considerably implicated to cell-to-cell communication during T2D. Physical activity (PA) is associated with decreasing risks of developing T2D and acts as insulin-like factor. Cumulative evidence suggests that this effect could be mediated in part through improving insulin sensitivity in T2D and obese patients and modulating miRNAs synthesis and release in healthy patients. Therefore, the practice of PA should ideally be established before the initiation of T2D. This review describes cell-to-cell communications involved in the pathophysiology of T2D during PA.
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