PMID- 32340373 OWN - NLM STAT- MEDLINE DCOM- 20210129 LR - 20240328 IS - 1420-3049 (Electronic) IS - 1420-3049 (Linking) VI - 25 IP - 8 DP - 2020 Apr 23 TI - Type 2 Diabetes Mellitus: A Review of Multi-Target Drugs. LID - 10.3390/molecules25081987 [doi] LID - 1987 AB - Diabetes Mellitus (DM) is a multi-factorial chronic health condition that affects a large part of population and according to the World Health Organization (WHO) the number of adults living with diabetes is expected to increase. Since type 2 diabetes mellitus (T2DM) is suffered by the majority of diabetic patients (around 90-95%) and often the mono-target therapy fails in managing blood glucose levels and the other comorbidities, this review focuses on the potential drugs acting on multi-targets involved in the treatment of this type of diabetes. In particular, the review considers the main systems directly involved in T2DM or involved in diabetes comorbidities. Agonists acting on incretin, glucagon systems, as well as on peroxisome proliferation activated receptors are considered. Inhibitors which target either aldose reductase and tyrosine phosphatase 1B or sodium glucose transporters 1 and 2 are taken into account. Moreover, with a view at the multi-target approaches for T2DM some phytocomplexes are also discussed. FAU - Artasensi, Angelica AU - Artasensi A AD - Dipartimento di Scienze Farmaceutiche, University Degli Studi di Milano, 20133 Milano, Italy. FAU - Pedretti, Alessandro AU - Pedretti A AUID- ORCID: 0000-0001-5916-2029 AD - Dipartimento di Scienze Farmaceutiche, University Degli Studi di Milano, 20133 Milano, Italy. FAU - Vistoli, Giulio AU - Vistoli G AD - Dipartimento di Scienze Farmaceutiche, University Degli Studi di Milano, 20133 Milano, Italy. FAU - Fumagalli, Laura AU - Fumagalli L AUID- ORCID: 0000-0003-1917-3000 AD - Dipartimento di Scienze Farmaceutiche, University Degli Studi di Milano, 20133 Milano, Italy. LA - eng PT - Journal Article PT - Review DEP - 20200423 PL - Switzerland TA - Molecules JT - Molecules (Basel, Switzerland) JID - 100964009 RN - 0 (Biomarkers) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) RN - 0 (Ligands) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Biomarkers MH - Diabetes Mellitus, Type 2/drug therapy/*etiology/*metabolism MH - Disease Susceptibility MH - Drug Design MH - *Drug Discovery MH - Drug Evaluation, Preclinical MH - Glucose/metabolism MH - Humans MH - Hypoglycemic Agents/*pharmacology/therapeutic use MH - Incretins/chemistry/pharmacology/therapeutic use MH - Ligands MH - Molecular Targeted Therapy MH - Structure-Activity Relationship PMC - PMC7221535 OTO - NOTNLM OT - diabetes mellitus OT - multi-target compounds OT - multi-target drugs OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2020/04/29 06:00 MHDA- 2021/01/30 06:00 PMCR- 2020/04/23 CRDT- 2020/04/29 06:00 PHST- 2020/04/01 00:00 [received] PHST- 2020/04/20 00:00 [revised] PHST- 2020/04/21 00:00 [accepted] PHST- 2020/04/29 06:00 [entrez] PHST- 2020/04/29 06:00 [pubmed] PHST- 2021/01/30 06:00 [medline] PHST- 2020/04/23 00:00 [pmc-release] AID - molecules25081987 [pii] AID - molecules-25-01987 [pii] AID - 10.3390/molecules25081987 [doi] PST - epublish SO - Molecules. 2020 Apr 23;25(8):1987. doi: 10.3390/molecules25081987.