PMID- 29610974 OWN - NLM STAT- MEDLINE DCOM- 20180615 LR - 20181202 IS - 1573-2959 (Electronic) IS - 0167-6369 (Linking) VI - 190 IP - 5 DP - 2018 Apr 2 TI - The role of pollutants in type 2 diabetes mellitus (T2DM) and their prospective impact on phytomedicinal treatment strategies. PG - 262 LID - 10.1007/s10661-018-6634-2 [doi] AB - Type 2 diabetes mellitus (T2DM) is the most common form of diabetes and it is characterized by high blood sugar and abnormal sera lipid levels. Although the specific reasons for the development of these abnormalities are still not well understood, traditionally, genetic and lifestyle behavior have been reported as the leading causes of this disease. In the last three decades, the number of diabetic patients has drastically increased worldwide, with current statistics suggesting the number is to double in the next two decades. To combat this incurable ailment, orthodox medicines, to which economically disadvantaged patients have minimal access to, have been used. Thus, a considerable amalgamation of medicinal plants has recently been proven to possess therapeutic capabilities to manage T2DM, and this has prompted studies primarily focusing on the healing aspect of these plants, and ultimately, their commercialization. Hence, this review aims to highlight the potential threat of pollutants, i.e., polyfluoroalkyl compounds (PFCs), endocrine disrupting chemicals (EDCs) and heavy metals, to medicinal plants, and their prospective impact on the phytomedicinal therapy strategies for T2DM. It is further suggested that auxiliary research be undertaken to better comprehend the factors that influence the uptake of these compounds by these plants. This should include a comprehensive risk assessment of phytomedicinal products destined for the treatment of T2DM. Regulations that control the use of PFC-precursors in certain developing countries are also long overdue. FAU - Mudumbi, John Baptist Nzukizi AU - Mudumbi JBN AUID- ORCID: 0000-0002-2743-1324 AD - Bioresource Engineering Research Group (BioERG), Department of Biotechnology, Cape Peninsula University of Technology, PO Box 652, Cape Town, 8000, South Africa. jbmudumbi@gmail.com. FAU - Ntwampe, Seteno Karabo Obed AU - Ntwampe SKO AD - Bioresource Engineering Research Group (BioERG), Department of Biotechnology, Cape Peninsula University of Technology, PO Box 652, Cape Town, 8000, South Africa. FAU - Mekuto, Lukhanyo AU - Mekuto L AD - Department of Chemical Engineering, University of Johannesburg, PO Box 17011, Johannesburg, Gauteng, 2028, South Africa. FAU - Matsha, Tandi AU - Matsha T AD - Department of Bio-Medical sciences, Faculty of Health and Wellness Science, Cape Peninsula University of Technology, PO Box 1906, Bellville, 7535, South Africa. FAU - Itoba-Tombo, Elie Fereche AU - Itoba-Tombo EF AD - Bioresource Engineering Research Group (BioERG), Department of Biotechnology, Cape Peninsula University of Technology, PO Box 652, Cape Town, 8000, South Africa. LA - eng GR - 83436/National Research Foundation/ GR - MRC-RFA-UFSP-01-2013/ VMH Study/South African Medical Research Council/ PT - Journal Article DEP - 20180402 PL - Netherlands TA - Environ Monit Assess JT - Environmental monitoring and assessment JID - 8508350 RN - 0 (Endocrine Disruptors) SB - IM MH - Developing Countries/statistics & numerical data MH - Diabetes Mellitus, Type 2/*epidemiology MH - Endocrine Disruptors/toxicity MH - Environmental Exposure/*statistics & numerical data MH - Environmental Monitoring MH - Environmental Pollution/*statistics & numerical data MH - Humans MH - Prospective Studies OTO - NOTNLM OT - Diabetes mellitus OT - EDCs OT - Medicinal plants OT - PFCs OT - Synergy EDAT- 2018/04/04 06:00 MHDA- 2018/06/16 06:00 CRDT- 2018/04/04 06:00 PHST- 2017/07/26 00:00 [received] PHST- 2018/03/22 00:00 [accepted] PHST- 2018/04/04 06:00 [entrez] PHST- 2018/04/04 06:00 [pubmed] PHST- 2018/06/16 06:00 [medline] AID - 10.1007/s10661-018-6634-2 [pii] AID - 10.1007/s10661-018-6634-2 [doi] PST - epublish SO - Environ Monit Assess. 2018 Apr 2;190(5):262. doi: 10.1007/s10661-018-6634-2.