PMID- 34967298 OWN - NLM STAT- MEDLINE DCOM- 20220617 LR - 20220707 IS - 1875-6417 (Electronic) IS - 1573-3998 (Linking) VI - 18 IP - 9 DP - 2022 TI - Environmental Factors as Diabetic Mediators: A Mechanistic Approach. PG - e301221199656 LID - 10.2174/1573399818666211230104327 [doi] AB - Despite substantial investment in research and treatment options, diabetes mellitus remains a pressing public health concern with potential epidemic proportions globally. There are reports that by the end of 2040, 642 million people will be suffering from diabetes. Also, according to an estimation, 1.6 million deaths were caused directly by diabetes in 2016. Diabetes is a metabolic disorder characterized by impaired glucose regulation in the body due to the destruction of pancreatic beta-cells or insulin resistance. Genetic propensity, unhealthy and imbalanced diet, obesity and increasing urbanization are the common risk factors for diabetes. Besides this, it has been reported that environmental pollutants like organic pesticides, heavy metals, and air pollutants act as strong predisposing factors for diabetes owing to their highly bio-accumulative nature. These pollutants disturb glucose homeostasis either by up-regulating or down-regulating the expression of diabetic marker genes like insulin (INS) and glucokinase (GCK). Unfortunately, the molecular mechanism of the role of pollutants in causing diabetes is not very clear. This mechanistic review provides evidence of different environmental determinants, including persistent organic pollutants (POPs), air pollutants, toxic metals, etc., in inducing diabetes and proposes a framework for the possible mechanisms involved. It also illuminates the current status and future challenges, which will not only broaden our understanding but can also be a reasonable platform for further investigation. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Firdous, Parveena AU - Firdous P AD - Centre of Research for Development (CORD), University of Kashmir, Srinagar, Jammu and Kashmir 190006, India. FAU - Nissar, Kamran AU - Nissar K AD - Centre of Research for Development (CORD), University of Kashmir, Srinagar, Jammu and Kashmir 190006, India. AD - Department of Biochemistry, University of Kashmir, Srinagar, Jammu and Kashmir 190006, India. AD - Department of Clinical Biochemistry, University of Kashmir, Srinagar, Jammu and Kashmir 190006, India. FAU - Bashir, Humayra AU - Bashir H AD - Centre of Research for Development (CORD), University of Kashmir, Srinagar, Jammu and Kashmir 190006, India. FAU - Hussain, Qazi A AU - Hussain QA AD - P.G. Department of Environmental Science, Sri Pratap College Campus, Cluster University Srinagar, Jammu and Kashmir 190001, India. FAU - Masoodi, Shariq Rashid AU - Masoodi SR AD - Department of Endocrinology, SKIMS, Srinagar Jammu and Kashmir 190011, India. FAU - Ganai, Bashir Ahmad AU - Ganai BA AD - Centre of Research for Development (CORD), University of Kashmir, Srinagar, Jammu and Kashmir 190006, India. LA - eng PT - Journal Article PL - United Arab Emirates TA - Curr Diabetes Rev JT - Current diabetes reviews JID - 101253260 RN - 0 (Air Pollutants) RN - 0 (Environmental Pollutants) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Air Pollutants MH - *Diabetes Mellitus/epidemiology/etiology MH - *Environmental Pollutants/toxicity MH - Glucose MH - Humans MH - *Insulin Resistance/physiology OTO - NOTNLM OT - Diabetes OT - air pollutants OT - environmental factors OT - metals OT - open green space. OT - organic pollutants EDAT- 2021/12/31 06:00 MHDA- 2022/06/18 06:00 CRDT- 2021/12/30 08:41 PHST- 2021/07/27 00:00 [received] PHST- 2021/09/13 00:00 [revised] PHST- 2021/09/29 00:00 [accepted] PHST- 2021/12/31 06:00 [pubmed] PHST- 2022/06/18 06:00 [medline] PHST- 2021/12/30 08:41 [entrez] AID - CDR-EPUB-119784 [pii] AID - 10.2174/1573399818666211230104327 [doi] PST - ppublish SO - Curr Diabetes Rev. 2022;18(9):e301221199656. doi: 10.2174/1573399818666211230104327.