PMID- 34234495 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210709 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 14 DP - 2021 TI - Lipophagy: A New Perspective of Natural Products in Type 2 Diabetes Mellitus Treatment. PG - 2985-2999 LID - 10.2147/DMSO.S310166 [doi] AB - Autophagy has been reported to involve in the pathogenesis of type 2 diabetes mellitus (T2DM), which protects the insulin target tissues and pancreatic beta-cells. However, autophagy is inhibited when the cells are lipid overload. That, in turn, increases the accumulation of fat. Lipotoxicity caused by excessive lipid accumulation contributes to pathogenesis of T2DM. Therefore, it is undeniable to break the vicious circles between lipid excess and autophagy deficiency. Lipophagy, a selective form of autophagy, is characterized by selective breakdown of lipid droplets (LDs). The nutritional status of cells contributes to the way of autophagy (selective or non-selective), while selective autophagy helps to accurately remove excess substances. It seems that lipophagy could be an effective means to decrease abnormal lipid accumulation that leads to insulin resistance and beta-cell impairment by removing ectopic LDs. Based on this process, many natural compounds have been reported to decrease lipid accumulation in tissues through autophagy-lysosomal pathway, which gradually highlights the significance of lipophagy. In this review, we focus on the mechanisms that lipophagy improves T2DM and natural products that are applied to induce lipophagy. It is also suggested that natural herbs with rich contents of natural products inducing lipophagy would be potential candidates for alleviating T2DM. CI - (c) 2021 Huang et al. FAU - Huang, Mingyue AU - Huang M AD - College of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611130, People's Republic of China. AD - Beijing Key Laboratory of Bio-Characteristic Profiling for Evaluation of Rational Drug Use, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China. FAU - Yang, Xinyu AU - Yang X AD - Beijing Key Laboratory of Bio-Characteristic Profiling for Evaluation of Rational Drug Use, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China. FAU - Wang, Zhenzhen AU - Wang Z AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China. FAU - Long, Jianglan AU - Long J AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China. FAU - Wang, Aiting AU - Wang A AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China. FAU - Zhang, Yi AU - Zhang Y AD - Department of Traditional Chinese Medicine and Natural Medicine, Chongqing Institute for Food and Drug Control, Chongqing, 401121, People's Republic of China. FAU - Yan, Dan AU - Yan D AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China. LA - eng PT - Journal Article PT - Review DEP - 20210630 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC8256822 OTO - NOTNLM OT - autophagy OT - lipid metabolism OT - lipophagy OT - natural products OT - type 2 diabetes mellitus COIS- The authors report no conflicts of interest in this work. EDAT- 2021/07/09 06:00 MHDA- 2021/07/09 06:01 PMCR- 2021/06/30 CRDT- 2021/07/08 06:37 PHST- 2021/03/09 00:00 [received] PHST- 2021/06/10 00:00 [accepted] PHST- 2021/07/08 06:37 [entrez] PHST- 2021/07/09 06:00 [pubmed] PHST- 2021/07/09 06:01 [medline] PHST- 2021/06/30 00:00 [pmc-release] AID - 310166 [pii] AID - 10.2147/DMSO.S310166 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2021 Jun 30;14:2985-2999. doi: 10.2147/DMSO.S310166. eCollection 2021.