Abstract
Diabetes is one of the lifelong chronic metabolic diseases which is prevalent globally. There is a continuous rise in the number of people suffering from this disease with time. It is characterized by hyperglycemia, which leads to severe damage to the body’s system, such as blood vessels and nerves. Diabetes occurs due to the dysfunction of pancreatic β -cell which leads to the reduction in the production of insulin or body cells unable to use insulin produce efficiently. As per the data shared International diabetes federation (IDF), there are around 415 million affected by this disease worldwide. There are a number of hit targets available that can be focused on treating diabetes. There are many drugs available and still under development for the treatment of type 2 diabetes. Inhibition of gluconeogenesis, lipolysis, fatty acid oxidation, and glucokinase activator is emerging targets for type 2 diabetes treatment. Diabetes management can be supplemented with drug intervention for obesity. The antidiabetic drug sale is the second-largest in the world, trailing only that of cancer. The future of managing diabetes will be guided by research on various novel targets and the development of various therapeutic leads, such as GLP-1 agonists, DPP-IV inhibitors, and SGLT2 inhibitors that have recently completed their different phases of clinical trials. Among these therapeutic targets associated with type 2 diabetes, this review focused on some common therapeutic targets for developing novel drug candidates of the newer generation with better safety and efficacy.
Keywords: Diabetes, hyperglycemia, molecular targets, glucose homeostasis, metabolic disorders, insulin resistance.
[http://dx.doi.org/10.1080/1061186X.2020.1859517] [PMID: 33336602]
[http://dx.doi.org/10.1016/j.diabres.2019.107843] [PMID: 31518657]
[http://dx.doi.org/10.1016/j.ejmech.2018.04.061] [PMID: 29751237]
[http://dx.doi.org/10.2174/138161207782794239] [PMID: 18220788]
[http://dx.doi.org/10.2174/18756417MTExfMTQ1z] [PMID: 33143632]
[http://dx.doi.org/10.2174/1389450119666180727142902] [PMID: 30051787]
[http://dx.doi.org/10.2174/1570163814666170915134018] [PMID: 28914188]
[http://dx.doi.org/10.1080/10408398.2018.1528206] [PMID: 30463420]
[http://dx.doi.org/10.4103/0974-8490.157997] [PMID: 26109789]
[http://dx.doi.org/10.1016/j.bmc.2021.116354] [PMID: 34428715]
[http://dx.doi.org/10.1111/cbdd.14025] [PMID: 35128812]
[http://dx.doi.org/10.2337/ds16-0026] [PMID: 28848315]
[http://dx.doi.org/10.3389/fendo.2020.00178] [PMID: 32308645]
[http://dx.doi.org/10.1002/dmrr.2613] [PMID: 25362864]
[http://dx.doi.org/10.1111/dom.12832] [PMID: 28093853]
[http://dx.doi.org/10.1016/j.bmcl.2017.05.048] [PMID: 28579121]
[http://dx.doi.org/10.1016/j.bmc.2013.09.048] [PMID: 24153396]
[http://dx.doi.org/10.2174/1389450117666151209122702] [PMID: 26648068]
[http://dx.doi.org/10.2337/dcS13-2037] [PMID: 23882043]
[http://dx.doi.org/10.1016/j.bmc.2016.03.014] [PMID: 27020683]
[http://dx.doi.org/10.1016/j.ejmech.2016.02.040] [PMID: 26945112]
[http://dx.doi.org/10.1016/j.bmc.2015.09.010] [PMID: 26420383]
[PMID: 34538233]
[http://dx.doi.org/10.1080/13543776.2022.1994551] [PMID: 34652989]
[http://dx.doi.org/10.2174/1389557519666191009163519] [PMID: 32134370]
[http://dx.doi.org/10.1111/cbdd.14020] [PMID: 34990085]
[http://dx.doi.org/10.2174/1573409914666181019165821] [PMID: 30345926]
[PMID: 30766102]
[PMID: 27898586]
[http://dx.doi.org/10.1016/j.bmc.2011.08.005] [PMID: 21873071]
[http://dx.doi.org/10.1016/j.ejmech.2016.02.053] [PMID: 26974378]
[http://dx.doi.org/10.1016/j.ejmech.2012.06.053] [PMID: 22818040]
[http://dx.doi.org/10.2337/db16-0223] [PMID: 27385159]
[http://dx.doi.org/10.1038/nrd895] [PMID: 12209150]
[http://dx.doi.org/10.1080/10408398.2022.2148090] [PMID: 36397728]
[http://dx.doi.org/10.1021/acs.jmedchem.6b01540] [PMID: 28085286]
[http://dx.doi.org/10.3390/jcm9051294] [PMID: 32369900]
[http://dx.doi.org/10.1016/j.ejmech.2017.04.004] [PMID: 28395151]
[http://dx.doi.org/10.1016/j.bioorg.2022.105626] [PMID: 35255350]
[http://dx.doi.org/10.1016/j.bmcl.2017.03.033] [PMID: 28389151]
[http://dx.doi.org/10.1016/j.ejmech.2016.10.063] [PMID: 27842892]
[http://dx.doi.org/10.1002/hep.27060] [PMID: 24590984]
[http://dx.doi.org/10.1186/s13098-019-0475-1] [PMID: 31572498]
[http://dx.doi.org/10.1021/acsmedchemlett.7b00091] [PMID: 28523108]
[http://dx.doi.org/10.1517/13543784.17.4.481] [PMID: 18363514]
[http://dx.doi.org/10.1016/j.bmcl.2022.128782] [PMID: 35537608]
[http://dx.doi.org/10.1021/jm4014746] [PMID: 24294985]
[http://dx.doi.org/10.1016/j.ejmech.2022.114405] [PMID: 35489224]
[http://dx.doi.org/10.1021/acs.jmedchem.5b00178] [PMID: 25897973]
[http://dx.doi.org/10.1080/14756366.2019.1693555] [PMID: 31752563]
[http://dx.doi.org/10.1021/jm401858f] [PMID: 24527772]
[http://dx.doi.org/10.1016/j.diabet.2017.02.003] [PMID: 28325589]
[http://dx.doi.org/10.2337/db05-1443] [PMID: 16731838]
[http://dx.doi.org/10.1016/j.ejmech.2017.09.029] [PMID: 29055870]
[http://dx.doi.org/10.1016/j.ejmech.2014.11.049] [PMID: 25461330]
[http://dx.doi.org/10.1016/j.bmc.2014.01.047] [PMID: 24530031]
[http://dx.doi.org/10.1016/j.ejmech.2014.06.011] [PMID: 24946215]
[http://dx.doi.org/10.1007/s00018-008-7479-6] [PMID: 18292967]
[http://dx.doi.org/10.1124/jpet.119.263590] [PMID: 31900320]
[http://dx.doi.org/10.1074/jbc.M111.309559] [PMID: 22362781]
[http://dx.doi.org/10.2337/diabetes.53.4.890] [PMID: 15047603]
[http://dx.doi.org/10.1172/JCI25604] [PMID: 16557297]
[http://dx.doi.org/10.2337/diabetes.54.8.2453] [PMID: 16046314]
[http://dx.doi.org/10.1007/s40265-020-01278-z] [PMID: 32162273]
[http://dx.doi.org/10.1016/j.ejmech.2014.07.063] [PMID: 25062009]
[http://dx.doi.org/10.1016/j.ejmech.2012.06.020] [PMID: 23178962]
[http://dx.doi.org/10.1016/j.ejmech.2016.01.031] [PMID: 26851835]
[http://dx.doi.org/10.2174/1573399815666190822165141] [PMID: 31438829]
[http://dx.doi.org/10.1007/s11154-010-9147-z] [PMID: 20878480]
[http://dx.doi.org/10.1002/ardp.201900066] [PMID: 31373047]
[http://dx.doi.org/10.1007/s11655-011-0810-3] [PMID: 21826590]
[http://dx.doi.org/10.2174/157339908786241124] [PMID: 18991598]
[http://dx.doi.org/10.2174/1381612825666190716102901] [PMID: 31333090]
[http://dx.doi.org/10.2337/dc11-s236] [PMID: 21525462]
[http://dx.doi.org/10.1016/j.molstruc.2020.128916]
[http://dx.doi.org/10.1186/s13065-019-0532-8] [PMID: 31384754]