The role of C-peptide in diabetes and its complications: an updated review

Worldwide, diabetes and its complications have seriously affected people’s quality of life and become a serious public health problem. C-peptide is not only an indicator of pancreatic β-cell function, but also a biologically active peptide that can bind to cell membrane surface signaling molecules a...

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Main Authors: Jintao Chen, Yajing Huang, Chuanfeng Liu, Jingwei Chi, Yangang Wang, Lili Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1256093/full
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author Jintao Chen
Yajing Huang
Chuanfeng Liu
Jingwei Chi
Yangang Wang
Lili Xu
author_facet Jintao Chen
Yajing Huang
Chuanfeng Liu
Jingwei Chi
Yangang Wang
Lili Xu
author_sort Jintao Chen
collection DOAJ
description Worldwide, diabetes and its complications have seriously affected people’s quality of life and become a serious public health problem. C-peptide is not only an indicator of pancreatic β-cell function, but also a biologically active peptide that can bind to cell membrane surface signaling molecules and activate downstream signaling pathways to play antioxidant, anti-apoptotic and inflammatory roles, or regulate cellular transcription through internalization. It is complex how C-peptide is related to diabetic complications. Both deficiencies and overproduction can lead to complications, but their mechanisms of action may be different. C-peptide replacement therapy has shown beneficial effects on diabetic complications in animal models when C-peptide is deficient, but results from clinical trials have been unsatisfactory. The complex pattern of the relationship between C-peptide and diabetic chronic complications has not yet been fully understood. Future basic and clinical studies of C-peptide replacement therapies will need to focus on baseline levels of C-peptide in addition to more attention also needs to be paid to post-treatment C-peptide levels to explore the optimal range of fasting C-peptide and postprandial C-peptide maintenance.
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spelling doaj.art-b92d060cbf3c487c9b9874054e78608a2023-09-07T12:16:39ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-09-011410.3389/fendo.2023.12560931256093The role of C-peptide in diabetes and its complications: an updated reviewJintao ChenYajing HuangChuanfeng LiuJingwei ChiYangang WangLili XuWorldwide, diabetes and its complications have seriously affected people’s quality of life and become a serious public health problem. C-peptide is not only an indicator of pancreatic β-cell function, but also a biologically active peptide that can bind to cell membrane surface signaling molecules and activate downstream signaling pathways to play antioxidant, anti-apoptotic and inflammatory roles, or regulate cellular transcription through internalization. It is complex how C-peptide is related to diabetic complications. Both deficiencies and overproduction can lead to complications, but their mechanisms of action may be different. C-peptide replacement therapy has shown beneficial effects on diabetic complications in animal models when C-peptide is deficient, but results from clinical trials have been unsatisfactory. The complex pattern of the relationship between C-peptide and diabetic chronic complications has not yet been fully understood. Future basic and clinical studies of C-peptide replacement therapies will need to focus on baseline levels of C-peptide in addition to more attention also needs to be paid to post-treatment C-peptide levels to explore the optimal range of fasting C-peptide and postprandial C-peptide maintenance.https://www.frontiersin.org/articles/10.3389/fendo.2023.1256093/fullC-peptidediabetic kidney diseasediabetic retinopathydiabetic peripheral neuropathynon-alcoholic fatty liver diseasemacrovascular complications
spellingShingle Jintao Chen
Yajing Huang
Chuanfeng Liu
Jingwei Chi
Yangang Wang
Lili Xu
The role of C-peptide in diabetes and its complications: an updated review
Frontiers in Endocrinology
C-peptide
diabetic kidney disease
diabetic retinopathy
diabetic peripheral neuropathy
non-alcoholic fatty liver disease
macrovascular complications
title The role of C-peptide in diabetes and its complications: an updated review
title_full The role of C-peptide in diabetes and its complications: an updated review
title_fullStr The role of C-peptide in diabetes and its complications: an updated review
title_full_unstemmed The role of C-peptide in diabetes and its complications: an updated review
title_short The role of C-peptide in diabetes and its complications: an updated review
title_sort role of c peptide in diabetes and its complications an updated review
topic C-peptide
diabetic kidney disease
diabetic retinopathy
diabetic peripheral neuropathy
non-alcoholic fatty liver disease
macrovascular complications
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1256093/full
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