1. Preventive and intervention effect of bioactive compounds on gestational diabetes mellitus based on endoplasmic reticulum stress pathway.
- Author
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HU Nannan, ZHAO Chengao, GAO Qin, and ZHAI Qingfeng
- Subjects
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GESTATIONAL diabetes , *UNFOLDED protein response , *TRANSCRIPTION factors , *ENDOPLASMIC reticulum , *MEMBRANE proteins - Abstract
The global prevalence of gestational diabetes mellitus (GDM) is approximately 13. 4% and is expected to increase annually. However, the precise mechanism behind GDM remains to be established. Increasing evidence suggests that insulin resistance (IR) and β-cell impairment are key factors in the pathogenesis of GDM. Endoplasmic reticulum stress (ERS) is characterized by the activation of the unfolded protein response through three key endoplasmic reticulum transmembrane proteins: protein kinase RNA-like endoplasmic reticulum kinase (PERK), inositol-requiring enzyme 1α (IRE1α), and activating transcription factor 6 (ATF6). ERS is implicated in IR in adipose tissue, liver, skeletal muscle, and placenta, and also plays a crucial role in β-cell impairment through processes such as apopto-sis, pyroptosis, and autophagy. Therefore, targeting ERS could be a potential therapeutic approach for the prevention and treatment of GDM. This review explores the potential role of ERS in IR and β-cell dysfunction in GDM, and provides evidence for the preventive and intervention effects of bioactive compounds on GDM based on the ERS pathway. This aims to enhance our understanding of the molecular pathological basis of GDM and offer new strategies for its prevention and treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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