Abnormal tryptophan catabolism in diabetes mellitus and its complications : Opportunities and challenges

Copyright © 2023 The Authors. Published by Elsevier Masson SAS.. All rights reserved..

In recent years, the incidence rate of diabetes mellitus (DM), including type 1 diabetes mellitus(T1DM), type 2 diabetes mellitus(T2DM), and gestational diabetes mellitus (GDM), has increased year by year and has become a major global health problem. DM can lead to serious complications of macrovascular and microvascular. Tryptophan (Trp) is an essential amino acid for the human body. Trp is metabolized in the body through the indole pathway, kynurenine (Kyn) pathway and serotonin (5-HT) pathway, and is regulated by intestinal microorganisms to varying degrees. These three metabolic pathways have extensive regulatory effects on the immune, endocrine, neural, and energy metabolism systems of the body, and are related to the physiological and pathological processes of various diseases. The key enzymes and metabolites in the Trp metabolic pathway are also deeply involved in the pathogenesis of DM, playing an important role in pancreatic function, insulin resistance (IR), intestinal barrier, and angiogenesis. In DM and its complications, there is a disruption of Trp metabolic balance. Several therapy approaches for DM and complications have been proven to modify tryptophan metabolism. The metabolism of Trp is becoming a new area of focus for DM prevention and care. This paper reviews the impact of the three metabolic pathways of Trp on the pathogenesis of DM and the alterations in Trp metabolism in these diseases, expecting to provide entry points for the treatment of DM and its complications.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:166

Enthalten in:

Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie - 166(2023) vom: 20. Okt., Seite 115395

Sprache:

Englisch

Beteiligte Personen:

Gao, Jialiang [VerfasserIn]
Yang, Ting [VerfasserIn]
Song, Bohan [VerfasserIn]
Ma, Xiaojie [VerfasserIn]
Ma, Yichen [VerfasserIn]
Lin, Xiaowei [VerfasserIn]
Wang, Hongwu [VerfasserIn]

Links:

Volltext

Themen:

8DUH1N11BX
Catabolism
Diabetes
Diabetes complications
Journal Article
Review
Tryptophan

Anmerkungen:

Date Completed 18.09.2023

Date Revised 18.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.biopha.2023.115395

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361550235