PMID- 37955784 OWN - NLM STAT- MEDLINE DCOM- 20231204 LR - 20231217 IS - 1568-5608 (Electronic) IS - 0925-4692 (Linking) VI - 31 IP - 6 DP - 2023 Dec TI - A mechanistic overview of sulforaphane and its derivatives application in diabetes and its complications. PG - 2885-2899 LID - 10.1007/s10787-023-01373-z [doi] AB - Sulforaphane (SFN) is a type of phytochemical found in many cruciferous vegetables that has been shown to positively benefit the control of Type 2 Diabetes Mellitus (T2DM). The search was done from 2000 until December 2022 using PubMed, Scopus, Web of Sciences, and Google Scholar databases. We included all in vitro, in vivo, and clinical trials. Sulforaphane has been demonstrated to activate the PI(3)K/AKT and AMP-activated protein kinase pathways and the glucose transporter type 4 to increase insulin production and reduce insulin resistance. Interestingly, SFN possesses protective effects against diabetes complications, such as diabetic-induced hepatic damage, vascular inflammation and endothelial dysfunction, nephropathy, and neuropathy via nuclear factor erythroid 2-related factor 2 activation that leads to the translation of several anti-oxidant enzymes and regulation glycolysis, pentose phosphate pathway, fatty acid metabolism, glutamine metabolism, and glutathione metabolism. Furthermore, multiple clinical trial studies emphasized the ameliorating effects of SFN on T2DM patients. This review provides sufficient evidence for further research and development of sulforaphane as a hypoglycemic drug. CI - (c) 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG. FAU - Mohamadi, Neda AU - Mohamadi N AD - Herbal and Traditional Medicine Research Center, Kerman University of Medical Sciences, Kerman, Iran. FAU - Baradaran Rahimi, Vafa AU - Baradaran Rahimi V AD - Department of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Fadaei, Mohammad Reza AU - Fadaei MR AD - Department of Pharmaceutics, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Sharifi, Fatemeh AU - Sharifi F AD - Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran. fatemeh7267@gmail.com. FAU - Askari, Vahid Reza AU - Askari VR AUID- ORCID: 0000-0001-9268-6270 AD - Pharmacological Research Center of Medicinal Plants, Mashhad University of Medical Sciences, Mashhad, Iran. askariv@mums.ac.ir. AD - Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. askariv@mums.ac.ir. LA - eng PT - Journal Article PT - Review DEP - 20231113 PL - Switzerland TA - Inflammopharmacology JT - Inflammopharmacology JID - 9112626 RN - GA49J4310U (sulforaphane) RN - 0 (Antioxidants) RN - 0 (Isothiocyanates) RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Animals MH - Humans MH - *Diabetes Mellitus, Type 2/drug therapy/metabolism MH - *Diabetes Mellitus, Experimental/drug therapy MH - Antioxidants/pharmacology MH - Isothiocyanates/pharmacology/therapeutic use MH - NF-E2-Related Factor 2/metabolism MH - Oxidative Stress OTO - NOTNLM OT - Inflammation OT - Insulin OT - Oxidative stress OT - Peroxisome proliferator-activated receptor-gamma OT - Sulforaphane OT - Type 2 diabetes EDAT- 2023/11/13 12:41 MHDA- 2023/12/04 12:42 CRDT- 2023/11/13 11:10 PHST- 2023/07/07 00:00 [received] PHST- 2023/10/09 00:00 [accepted] PHST- 2023/12/04 12:42 [medline] PHST- 2023/11/13 12:41 [pubmed] PHST- 2023/11/13 11:10 [entrez] AID - 10.1007/s10787-023-01373-z [pii] AID - 10.1007/s10787-023-01373-z [doi] PST - ppublish SO - Inflammopharmacology. 2023 Dec;31(6):2885-2899. doi: 10.1007/s10787-023-01373-z. Epub 2023 Nov 13.