PMID- 34360538 OWN - NLM STAT- MEDLINE DCOM- 20210816 LR - 20210816 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 15 DP - 2021 Jul 21 TI - Diabetes Mellitus and Cardiovascular Diseases: Nutraceutical Interventions Related to Caloric Restriction. LID - 10.3390/ijms22157772 [doi] LID - 7772 AB - Type 2 diabetes (T2DM) and cardiovascular disease (CVD) are closely associated and represent a key public health problem worldwide. An excess of adipose tissue, NAFLD, and gut dysbiosis establish a vicious circle that leads to chronic inflammation and oxidative stress. Caloric restriction (CR) is the most promising nutritional approach capable of improving cardiometabolic health. However, adherence to CR represents a barrier to patients and is the primary cause of therapeutic failure. To overcome this problem, many different nutraceutical strategies have been designed. Based on several data that have shown that CR action is mediated by AMPK/SIRT1 activation, several nutraceutical compounds capable of activating AMPK/SIRT1 signaling have been identified. In this review, we summarize recent data on the possible role of berberine, resveratrol, quercetin, and L-carnitine as CR-related nutrients. Additionally, we discuss the limitations related to the use of these nutrients in the management of T2DM and CVD. FAU - Senesi, Pamela AU - Senesi P AUID- ORCID: 0000-0003-0304-1564 AD - Department of Biomedical Sciences for Health, Universita degli Studi di Milano, 20131 Milan, Italy. AD - Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, 20099 Milan, Italy. FAU - Ferrulli, Anna AU - Ferrulli A AUID- ORCID: 0000-0002-8518-5547 AD - Department of Biomedical Sciences for Health, Universita degli Studi di Milano, 20131 Milan, Italy. AD - Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, 20099 Milan, Italy. FAU - Luzi, Livio AU - Luzi L AD - Department of Biomedical Sciences for Health, Universita degli Studi di Milano, 20131 Milan, Italy. AD - Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, 20099 Milan, Italy. FAU - Terruzzi, Ileana AU - Terruzzi I AD - Department of Biomedical Sciences for Health, Universita degli Studi di Milano, 20131 Milan, Italy. AD - Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, 20099 Milan, Italy. LA - eng PT - Journal Article PT - Review DEP - 20210721 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Animals MH - *Caloric Restriction MH - Cardiovascular Diseases/*diet therapy MH - Diabetes Mellitus, Type 2/*diet therapy MH - Dietary Supplements/*analysis MH - Humans PMC - PMC8345941 OTO - NOTNLM OT - L-carnitine OT - berberine OT - caloric restriction OT - cardiovascular diseases OT - diabetes OT - quercetin OT - resveratrol COIS- The authors declare no conflict of interest. EDAT- 2021/08/08 06:00 MHDA- 2021/08/17 06:00 PMCR- 2021/07/21 CRDT- 2021/08/07 01:06 PHST- 2021/06/21 00:00 [received] PHST- 2021/07/15 00:00 [revised] PHST- 2021/07/18 00:00 [accepted] PHST- 2021/08/07 01:06 [entrez] PHST- 2021/08/08 06:00 [pubmed] PHST- 2021/08/17 06:00 [medline] PHST- 2021/07/21 00:00 [pmc-release] AID - ijms22157772 [pii] AID - ijms-22-07772 [pii] AID - 10.3390/ijms22157772 [doi] PST - epublish SO - Int J Mol Sci. 2021 Jul 21;22(15):7772. doi: 10.3390/ijms22157772.