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Pancreaticβ-cell dysfunction in type 2 diabetes:Implications of inflammation and oxidative stress

World Journal of Diabetes 2023年第3期14卷 130-146页

作者： Phiwayinkosi V Dludla Sihle E Mabhida Khanyisani Ziqubu Bongani B Nkambule Sithandiwe E Mazibuko-Mbeje Sidney Hanser Albert Kotze Basson carmen pheiffer Andre Pascal Kengne Biomedical Research and Innovation Platform South African Medical Research CouncilCape Town 7505South Africa Department of Biochemistry and Microbiology University of ZululandKwaDlangezwa 3880South Africa Department of Biochemistry North-West UniversityMmabatho 2745South Africa School of Laboratory Medicine and Medical Sciences University of KwaZulu-NatalDurban 4000South Africa Department of Physiology and Environmental Health University of LimpopoSovenga 0727South Africa Department of Medicine University of Cape TownCape Town 7500South Africa Non-Communicable Diseases Research Unit South African Medical Research CouncilTygerberg 7505South Africa

Insulin resistance and pancreaticβ-cell dysfunction are major pathological mechanisms implicated in the development and progression of type 2 diabetes(T2D).Beyond the detrimental effects of insulin resistance,inflammation and oxidative stress have emerged as critical features of T2D that defineβ-cell *** markers of inflammation such as C-reactive protein,tumor necrosis factor alpha,and interleukin-1βare consistently associated withβ-cell failure in preclinical models and in people with ***,important markers of oxidative stress,such as increased reactive oxygen species and depleted intracellular antioxidants,are consistent with pancreaticβ-cell damage in conditions of *** effects illustrate a pathological relationship between an abnormal inflammatory response and generation of oxidative stress during the progression of *** current review explores preclinical and clinical research on the pathological implications of inflammation and oxidative stress during the development ofβ-cell dysfunction in ***,important molecular mechanisms and relevant biomarkers involved in this process are discussed to divulge a pathological link between inflammation and oxidative stress duringβ-cell failure in *** the clinical relevance of the review,a systematic analysis of evidence from randomized controlled trials is covered,on the potential therapeutic effects of some commonly used antidiabetic agents in modulating inflammatory makers to improveβ-cell function.

关键词： Type 2 diabetes Insulin resistance β-cell dysfunction Inflammation Oxidative stress

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