Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway
Type 2 diabetes mellitus (T2DM) and heart failure (HF) are diseases characterized by high morbidity and mortality. They often occur simultaneously and increase the risk of each other. T2DM complicated with HF, as one of the most dangerous disease combinations in modern medicine, is more common in mi...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2022-03-01
|
Series: | Frontiers in Pharmacology |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fphar.2022.816588/full |
_version_ | 1818199744390889472 |
---|---|
author | Hui Ye Yanan He Chuan Zheng Fang Wang Ming Yang Junzhi Lin Runchun Xu Dingkun Zhang |
author_facet | Hui Ye Yanan He Chuan Zheng Fang Wang Ming Yang Junzhi Lin Runchun Xu Dingkun Zhang |
author_sort | Hui Ye |
collection | DOAJ |
description | Type 2 diabetes mellitus (T2DM) and heart failure (HF) are diseases characterized by high morbidity and mortality. They often occur simultaneously and increase the risk of each other. T2DM complicated with HF, as one of the most dangerous disease combinations in modern medicine, is more common in middle-aged and elderly people, making the treatment more difficult. At present, the combination of blood glucose control and anti-heart failure is a common therapy for patients with T2DM complicated with HF, but their effect is not ideal, and many hypoglycemic drugs have the risk of heart failure. Abnormal insulin signaling pathway, as a common pathogenic mechanism in T2DM and HF, could lead to pathological features such as insulin resistance (IR), myocardial energy metabolism disorders, and vascular endothelial disorders. The therapy based on the insulin signaling pathway may become a specific therapeutic target for T2DM patients with HF. Here, we reviewed the mechanisms and potential drugs of insulin signaling pathway in the treatment of T2DM complicated with HF, with a view to opening up a new perspective for the treatment of T2DM patients with HF and the research and development of new drugs. |
first_indexed | 2024-12-12T02:26:38Z |
format | Article |
id | doaj.art-20382e59331f42dd9c600b81e930b52c |
institution | Directory Open Access Journal |
issn | 1663-9812 |
language | English |
last_indexed | 2024-12-12T02:26:38Z |
publishDate | 2022-03-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Pharmacology |
spelling | doaj.art-20382e59331f42dd9c600b81e930b52c2022-12-22T00:41:32ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-03-011310.3389/fphar.2022.816588816588Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling PathwayHui Ye0Yanan He1Chuan Zheng2Fang Wang3Ming Yang4Junzhi Lin5Runchun Xu6Dingkun Zhang7State Key Laboratory of Southwestern Chinese Medicine Resources, Pharmacy School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Pharmacy School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaTCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Innovation Medicine and High Efficiency and Energy Saving Pharmaceutical Equipment, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaState Key Laboratory of Innovation Medicine and High Efficiency and Energy Saving Pharmaceutical Equipment, Jiangxi University of Traditional Chinese Medicine, Nanchang, ChinaTCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Pharmacy School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Pharmacy School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaType 2 diabetes mellitus (T2DM) and heart failure (HF) are diseases characterized by high morbidity and mortality. They often occur simultaneously and increase the risk of each other. T2DM complicated with HF, as one of the most dangerous disease combinations in modern medicine, is more common in middle-aged and elderly people, making the treatment more difficult. At present, the combination of blood glucose control and anti-heart failure is a common therapy for patients with T2DM complicated with HF, but their effect is not ideal, and many hypoglycemic drugs have the risk of heart failure. Abnormal insulin signaling pathway, as a common pathogenic mechanism in T2DM and HF, could lead to pathological features such as insulin resistance (IR), myocardial energy metabolism disorders, and vascular endothelial disorders. The therapy based on the insulin signaling pathway may become a specific therapeutic target for T2DM patients with HF. Here, we reviewed the mechanisms and potential drugs of insulin signaling pathway in the treatment of T2DM complicated with HF, with a view to opening up a new perspective for the treatment of T2DM patients with HF and the research and development of new drugs.https://www.frontiersin.org/articles/10.3389/fphar.2022.816588/fulltype 2 diabetesheart failureinsulin signaling pathwaymyocardial energy metabolisminsulin resistancedrugs |
spellingShingle | Hui Ye Yanan He Chuan Zheng Fang Wang Ming Yang Junzhi Lin Runchun Xu Dingkun Zhang Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway Frontiers in Pharmacology type 2 diabetes heart failure insulin signaling pathway myocardial energy metabolism insulin resistance drugs |
title | Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway |
title_full | Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway |
title_fullStr | Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway |
title_full_unstemmed | Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway |
title_short | Type 2 Diabetes Complicated With Heart Failure: Research on Therapeutic Mechanism and Potential Drug Development Based on Insulin Signaling Pathway |
title_sort | type 2 diabetes complicated with heart failure research on therapeutic mechanism and potential drug development based on insulin signaling pathway |
topic | type 2 diabetes heart failure insulin signaling pathway myocardial energy metabolism insulin resistance drugs |
url | https://www.frontiersin.org/articles/10.3389/fphar.2022.816588/full |
work_keys_str_mv | AT huiye type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT yananhe type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT chuanzheng type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT fangwang type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT mingyang type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT junzhilin type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT runchunxu type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway AT dingkunzhang type2diabetescomplicatedwithheartfailureresearchontherapeuticmechanismandpotentialdrugdevelopmentbasedoninsulinsignalingpathway |