PMID- 33672590 OWN - NLM STAT- MEDLINE DCOM- 20210723 LR - 20210723 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 11 IP - 2 DP - 2021 Feb 20 TI - Molecular and Biochemical Pathways of Catalpol in Alleviating Diabetes Mellitus and Its Complications. LID - 10.3390/biom11020323 [doi] LID - 323 AB - Catalpol isolated from Rehmannia glutinosa is a potent antioxidant and investigated against many disorders. This review appraises the key molecular pathways of catalpol against diabetes mellitus and its complications. Multiple search engines including Google Scholar, PubMed, and Science Direct were used to retrieve publications containing the keywords "Catalpol", "Type 1 diabetes mellitus", "Type 2 diabetes mellitus", and "diabetic complications". Catalpol promotes IRS-1/PI3K/AKT/GLUT2 activity and suppresses Phosphoenolpyruvate carboxykinase (PEPCK) and Glucose 6-phosphatase (G6Pase) expression in the liver. Catalpol induces myogenesis by increasing MyoD/MyoG/MHC expression and improves mitochondria function through the AMPK/PGC-1alpha/PPAR-gamma and TFAM signaling in skeletal muscles. Catalpol downregulates the pro-inflammatory markers and upregulates the anti-inflammatory markers in adipose tissues. Catalpol exerts antioxidant properties through increasing superoxide dismutase (sod), catalase (cat), and glutathione peroxidase (gsh-px) activity in the pancreas and liver. Catalpol has been shown to have anti-oxidative, anti-inflammatory, anti-apoptosis, and anti-fibrosis properties that in turn bring beneficial effects in diabetic complications. Its nephroprotective effect is related to the modulation of the AGE/RAGE/NF-kappaB and TGF-beta/smad2/3 pathways. Catalpol produces a neuroprotective effect by increasing the expression of protein Kinase-C (PKC) and Cav-1. Furthermore, catalpol exhibits a cardioprotective effect through the apelin/APJ and ROS/NF-kappaB/Neat1 pathway. Catalpol stimulates proliferation and differentiation of osteoblast cells in high glucose condition. Lastly, catalpol shows its potential in preventing neurodegeneration in the retina with NF-kappaB downregulation. Overall, catalpol exhibits numerous beneficial effects on diabetes mellitus and diabetic complications. FAU - Bhattamisra, Subrat Kumar AU - Bhattamisra SK AUID- ORCID: 0000-0002-7886-2909 AD - Department of Life Sciences, School of Pharmacy, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia. FAU - Koh, Hui Min AU - Koh HM AUID- ORCID: 0000-0002-2840-2330 AD - School of Pharmacy, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia. FAU - Lim, Shin Yean AU - Lim SY AD - School of Pharmacy, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia. FAU - Choudhury, Hira AU - Choudhury H AD - Department of Pharmaceutical Technology, School of Pharmacy, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia. FAU - Pandey, Manisha AU - Pandey M AUID- ORCID: 0000-0002-8249-9743 AD - Department of Pharmaceutical Technology, School of Pharmacy, International Medical University, Bukit Jalil, Kuala Lumpur 57000, Malaysia. LA - eng GR - BP I-02-2019(11)/International Medical University/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210220 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - 0 (Antioxidants) RN - 0 (Hypoglycemic Agents) RN - 0 (Iridoid Glucosides) RN - 0 (NF-kappa B) RN - 0 (NF-kappa B p50 Subunit) RN - 0 (NFKB1 protein, human) RN - 2415-24-9 (catalpol) RN - EC 4.1.1.49 (PCK2 protein, human) RN - EC 4.1.1.49 (Phosphoenolpyruvate Carboxykinase (ATP)) SB - IM MH - Animals MH - Antioxidants/metabolism/*pharmacology MH - Cell Differentiation MH - Cell Proliferation MH - Diabetes Complications MH - Diabetes Mellitus/*drug therapy MH - Diabetic Nephropathies/*metabolism MH - Homeostasis MH - Humans MH - Hypoglycemic Agents/pharmacology MH - Iridoid Glucosides/*pharmacology MH - Liver/metabolism MH - Mice MH - Muscle, Skeletal/metabolism MH - NF-kappa B/metabolism MH - NF-kappa B p50 Subunit/biosynthesis MH - Neurodegenerative Diseases/drug therapy MH - Osteoblasts/drug effects/metabolism MH - Pancreas/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Phosphoenolpyruvate Carboxykinase (ATP)/metabolism MH - Rehmannia/metabolism MH - Retina/drug effects MH - Signal Transduction PMC - PMC7924042 OTO - NOTNLM OT - catalpol OT - diabetes complications OT - type-1 diabetes mellitus OT - type-2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2021/03/07 06:00 MHDA- 2021/07/24 06:00 PMCR- 2021/02/20 CRDT- 2021/03/06 01:13 PHST- 2021/01/27 00:00 [received] PHST- 2021/02/14 00:00 [revised] PHST- 2021/02/15 00:00 [accepted] PHST- 2021/03/06 01:13 [entrez] PHST- 2021/03/07 06:00 [pubmed] PHST- 2021/07/24 06:00 [medline] PHST- 2021/02/20 00:00 [pmc-release] AID - biom11020323 [pii] AID - biomolecules-11-00323 [pii] AID - 10.3390/biom11020323 [doi] PST - epublish SO - Biomolecules. 2021 Feb 20;11(2):323. doi: 10.3390/biom11020323.