PMID- 37954278 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231114 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 9 IP - 11 DP - 2023 Nov TI - A review: Mechanism and prospect of gastrodin in prevention and treatment of T2DM and COVID-19. PG - e21218 LID - 10.1016/j.heliyon.2023.e21218 [doi] LID - e21218 AB - Gastrodin is an extract from the dried tuber of the Chinese herb Gastrodia elata (Tian ma), with anti-inflammatory, antioxidant, and antiviral properties. Recent studies have shown that, compared to commonly used diabetes drugs, gastrodin has antidiabetic effects in multiple ways, with characteristics of low cost, high safety, less side effects, protection of beta-cell function, relieving insulin resistance and alleviating multiple complications. In addition, it is confirmed that gastrodin can protect the function of lung and other organs, enhance antiviral activity via upregulating the type I interferon (IFN-I), and inhibit angiotensin II (AngII), a key factor in "cytokine storm" caused by COVID-19. Therefore, we reviewed the effect and mechanism of gastrodin on type 2 diabetes mellitus (T2DM), and speculated other potential mechanisms of gastrodin in alleviating insulin resistance from insulin signal pathway, inflammation, mitochondrial and endoplasmic reticulum and its potential in the prevention and treatment of COVID-19. We hope to provide new direction and treatment strategy for basic research and clinical work: gastrodin is considered as a drug for the prevention and treatment of diabetes and COVID-19. CI - (c) 2023 The Authors. FAU - Li, Yi AU - Li Y AD - Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, China. FAU - Ji, Yuanyuan AU - Ji Y AD - Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, China. FAU - Li, Fenglan AU - Li F AD - Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, China. LA - eng PT - Journal Article PT - Review DEP - 20231026 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC10637887 OTO - NOTNLM OT - Anti-inflammation OT - Anti-oxidation OT - Antivirus OT - COVID-19 OT - Gastrodin OT - T2DM COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/11/13 06:42 MHDA- 2023/11/13 06:43 PMCR- 2023/10/26 CRDT- 2023/11/13 04:28 PHST- 2023/04/11 00:00 [received] PHST- 2023/09/15 00:00 [revised] PHST- 2023/10/18 00:00 [accepted] PHST- 2023/11/13 06:43 [medline] PHST- 2023/11/13 06:42 [pubmed] PHST- 2023/11/13 04:28 [entrez] PHST- 2023/10/26 00:00 [pmc-release] AID - S2405-8440(23)08426-8 [pii] AID - e21218 [pii] AID - 10.1016/j.heliyon.2023.e21218 [doi] PST - epublish SO - Heliyon. 2023 Oct 26;9(11):e21218. doi: 10.1016/j.heliyon.2023.e21218. eCollection 2023 Nov.