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首页> 外文期刊>The Review of Diabetic Studies : RDS >Insulin-like Growth Factor and its Therapeutic Potential for Diabetes Complications - Mechanisms and Metabolic Links: A Review
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Insulin-like Growth Factor and its Therapeutic Potential for Diabetes Complications - Mechanisms and Metabolic Links: A Review

机译:胰岛素样生长因子及其治疗潜力对糖尿病并发症 - 机制和代谢联系:综述

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BACKGROUND: The insulin-like growth factor (IGF) system is an important system in normal physiological functioning of the body. In diabetes mellitus, alterations of IGF-binding protein (IGFBP) levels have been described, mainly in vascular complications. AIM: The aim of this review was to explore the role of the IGF system in reducing diabetes complications and its role as potential therapeutic target. RESULTS: IGF-1 plays a role in neuronal growth and developmental processes. Low concentrations of IGF-1 have been associated with neuropathy and other diabetes complications. Moreover, impaired IGF synthesis and function may result in cellular senescence and impaired vascular endothelial proliferation, adhesion, and integration. Of note, high IGF-1 bioavailability may prevent or delay the inception of diabetes-associated complications in diabetes patients. The mechanism of normal functioning IGF-1 is induced by increasing nitric oxide synthesis and potassium ion channel opening in cardiovascular physiology, which improves impaired small blood vessel function and reduces the occurrence of diabetes complications associated with reduced concentrations of IGF-1. CONCLUSIONS: IGF may be considered an alternative therapy for diabetes and diabetes-associated complications. Therefore, future studies should focus on the mechanism of action and therapeutic potential of IGFs in reducing the risk of development and progression of the disease in different clinical settings.
机译:背景:胰岛素样生长因子(IGF)系统是体正常生理功能的重要系统。在糖尿病中,已经描述了IGF结合蛋白(IGFBP)水平的改变,主要是血管并发症。目的:本综述的目的是探讨IGF系统在减少糖尿病并发症中的作用及其作为潜在治疗目标的作用。结果:IGF-1在神经元生长和发育过程中起作用。低浓度的IGF-1与神经病变和其他糖尿病并发症有关。此外,IGF合成和功能受损可导致细胞衰老和血管内皮增殖,粘附和整合受损。值得注意的是,高IGF-1生物利用度可以预防或延迟糖尿病患者的糖尿病相关并发症的初始。通过增加一氧化氮合成和心血管生理学中的氧化钾离子通道开口来诱导正常功能IGF-1的机制,这提高了小血管功能的损害,减少了与IGF-1减少相关的糖尿病并发症的发生。结论:IGF可被视为糖尿病和糖尿病相关并发症的替代治疗。因此,未来的研究应专注于IGF在不同临床环境中降低疾病发展风险和进展的行动和治疗潜力的机制。

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