Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach

ABSTRACTDiabetic peripheral neuropathy is one of the most prevalent complications of diabetes mellitus. It is the most common type of neuropathy characterized by decreased sensory functions in the lower extremities and substantial neuropathic pain. Based on clinical characterization, it is classifie...

Full description

Bibliographic Details
Main Authors: Rabia Akram, Haseeb Anwar, Muhammad Shahid Javed, Ali Imran, Azhar Rasul, Shoaib Ahmad Malik, Mobina Manzoor, Fakhar Islam, Ikram Ullah Khan, Faiqa Sajid, Tehreem Iman, Muhammad Ajmal Shah, Tao Sun, Ghulam Hussain, Mohd Asif Shah
Format: Article
Language:English
Published: Taylor & Francis Group 2023-09-01
Series:International Journal of Food Properties
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10942912.2023.2189569
_version_ 1797202440269856768
author Rabia Akram
Haseeb Anwar
Muhammad Shahid Javed
Ali Imran
Azhar Rasul
Shoaib Ahmad Malik
Mobina Manzoor
Fakhar Islam
Ikram Ullah Khan
Faiqa Sajid
Tehreem Iman
Muhammad Ajmal Shah
Tao Sun
Ghulam Hussain
Mohd Asif Shah
author_facet Rabia Akram
Haseeb Anwar
Muhammad Shahid Javed
Ali Imran
Azhar Rasul
Shoaib Ahmad Malik
Mobina Manzoor
Fakhar Islam
Ikram Ullah Khan
Faiqa Sajid
Tehreem Iman
Muhammad Ajmal Shah
Tao Sun
Ghulam Hussain
Mohd Asif Shah
author_sort Rabia Akram
collection DOAJ
description ABSTRACTDiabetic peripheral neuropathy is one of the most prevalent complications of diabetes mellitus. It is the most common type of neuropathy characterized by decreased sensory functions in the lower extremities and substantial neuropathic pain. Based on clinical characterization, it is classified into symmetric and asymmetric neuropathy. The pathological changes and neuronal function impairment during diabetes are associated with various pathways, including polyol pathway activation, advanced glycation end-products formation, oxidative stress, protein kinase C activation, poly ADP-ribose polymerase, and hexosamine pathways. Demyelination, axonal atrophy, nerve fibre loss, reduced regeneration, and loss of neurovascular interactions are hallmarks. Although some symptomatic and supportive therapies, such as tricyclic agents, antiarrhythmics, opioid analgesics, incretin, aldose reductase, and protein kinase C inhibitors, are in practice, the outcome is not promising. To fill this gap, natural product-based therapy can prove prodigious as an effective alternative. This review aims to comprehend the available literature on the role of various biological molecules in ameliorating diabetic peripheral neuropathy. These molecules play a key role in reducing oxidative-nitrosative stress, aldose reductase activity, and neuronal apoptosis. They control glucose and HbA1c% levels and improve nerve conduction velocity, axonal regeneration, and antioxidant species (catalase, superoxide dismutase, malondialdehyde). They are known for their attenuating thermal and mechanical hyperalgesia and tactile allodynia. Therefore, there is a need to evaluate these molecules at the pre-clinical and clinical levels for efficacy. Hence, natural molecules may act as promising players against diabetic peripheral neuropathy and are a ray of hope for suffering individuals.
first_indexed 2024-03-11T18:19:46Z
format Article
id doaj.art-08e7f81e94d248109c3e6055316f0a8f
institution Directory Open Access Journal
issn 1094-2912
1532-2386
language English
last_indexed 2024-04-24T08:03:28Z
publishDate 2023-09-01
publisher Taylor & Francis Group
record_format Article
series International Journal of Food Properties
spelling doaj.art-08e7f81e94d248109c3e6055316f0a8f2024-04-17T13:20:13ZengTaylor & Francis GroupInternational Journal of Food Properties1094-29121532-23862023-09-0126189491410.1080/10942912.2023.2189569Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approachRabia Akram0Haseeb Anwar1Muhammad Shahid Javed2Ali Imran3Azhar Rasul4Shoaib Ahmad Malik5Mobina Manzoor6Fakhar Islam7Ikram Ullah Khan8Faiqa Sajid9Tehreem Iman10Muhammad Ajmal Shah11Tao Sun12Ghulam Hussain13Mohd Asif Shah14Neurochemicalbiology and Genetics Laboratory (NGL), Department of Physiology, Faculty of Life Sciences, Government College University, Faisalabad, PakistanNeurochemicalbiology and Genetics Laboratory (NGL), Department of Physiology, Faculty of Life Sciences, Government College University, Faisalabad, PakistanDepartment of Physiology, Sargodha Medical College, Sargodhakebri Dehar, PakistanDepartment of Food Sciences, Government College University, Faisalabad, PakistanDepartment of Zoology, Faculty of Life Sciences, Government College University, Faisalabad, PakistanDepartment of Biochemistry, Sargodha Medical College, Sargodha, PakistanInstitute of Pharmacy, Lahore College for Women University, Lahore, PakistanDepartment of Food Sciences, Government College University, Faisalabad, PakistanDepartment of Pharmaceutics, Faculty of Pharmaceutical Sciences, Government College University, Faisalabad, PakistanNeurochemicalbiology and Genetics Laboratory (NGL), Department of Physiology, Faculty of Life Sciences, Government College University, Faisalabad, PakistanNeurochemicalbiology and Genetics Laboratory (NGL), Department of Physiology, Faculty of Life Sciences, Government College University, Faisalabad, PakistanDepartment of Pharmacy, Hazara University, Mansehra, PakistanCenter for Precision Medicine, School of Medicine and School of Biomedical Sciences, Huaqiao University, Xiamen, Fujian Province, ChinaNeurochemicalbiology and Genetics Laboratory (NGL), Department of Physiology, Faculty of Life Sciences, Government College University, Faisalabad, PakistanDepartment of Economics, Kebri Dehar University, Kebri Dehar, EthiopiaABSTRACTDiabetic peripheral neuropathy is one of the most prevalent complications of diabetes mellitus. It is the most common type of neuropathy characterized by decreased sensory functions in the lower extremities and substantial neuropathic pain. Based on clinical characterization, it is classified into symmetric and asymmetric neuropathy. The pathological changes and neuronal function impairment during diabetes are associated with various pathways, including polyol pathway activation, advanced glycation end-products formation, oxidative stress, protein kinase C activation, poly ADP-ribose polymerase, and hexosamine pathways. Demyelination, axonal atrophy, nerve fibre loss, reduced regeneration, and loss of neurovascular interactions are hallmarks. Although some symptomatic and supportive therapies, such as tricyclic agents, antiarrhythmics, opioid analgesics, incretin, aldose reductase, and protein kinase C inhibitors, are in practice, the outcome is not promising. To fill this gap, natural product-based therapy can prove prodigious as an effective alternative. This review aims to comprehend the available literature on the role of various biological molecules in ameliorating diabetic peripheral neuropathy. These molecules play a key role in reducing oxidative-nitrosative stress, aldose reductase activity, and neuronal apoptosis. They control glucose and HbA1c% levels and improve nerve conduction velocity, axonal regeneration, and antioxidant species (catalase, superoxide dismutase, malondialdehyde). They are known for their attenuating thermal and mechanical hyperalgesia and tactile allodynia. Therefore, there is a need to evaluate these molecules at the pre-clinical and clinical levels for efficacy. Hence, natural molecules may act as promising players against diabetic peripheral neuropathy and are a ray of hope for suffering individuals.https://www.tandfonline.com/doi/10.1080/10942912.2023.2189569Diabetesperipheral neuropathyaldose reductaseregenerationnatural molecules
spellingShingle Rabia Akram
Haseeb Anwar
Muhammad Shahid Javed
Ali Imran
Azhar Rasul
Shoaib Ahmad Malik
Mobina Manzoor
Fakhar Islam
Ikram Ullah Khan
Faiqa Sajid
Tehreem Iman
Muhammad Ajmal Shah
Tao Sun
Ghulam Hussain
Mohd Asif Shah
Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach
International Journal of Food Properties
Diabetes
peripheral neuropathy
aldose reductase
regeneration
natural molecules
title Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach
title_full Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach
title_fullStr Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach
title_full_unstemmed Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach
title_short Natural molecules as promising players against diabetic peripheral neuropathy: an emerging nutraceutical approach
title_sort natural molecules as promising players against diabetic peripheral neuropathy an emerging nutraceutical approach
topic Diabetes
peripheral neuropathy
aldose reductase
regeneration
natural molecules
url https://www.tandfonline.com/doi/10.1080/10942912.2023.2189569
work_keys_str_mv AT rabiaakram naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT haseebanwar naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT muhammadshahidjaved naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT aliimran naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT azharrasul naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT shoaibahmadmalik naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT mobinamanzoor naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT fakharislam naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT ikramullahkhan naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT faiqasajid naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT tehreemiman naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT muhammadajmalshah naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT taosun naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT ghulamhussain naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach
AT mohdasifshah naturalmoleculesaspromisingplayersagainstdiabeticperipheralneuropathyanemergingnutraceuticalapproach