An Exploratory Review on the Hypoglycemic Action of Unani Anti-diabetic Drugs via Possible Modulation of Gut Microbiota.

IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Current drug targets Pub Date : 2024-01-01 DOI:10.2174/0113894501275731231215101426
Shaheen Akhlaq, Shabnam Anjum Ara, Malik Itrat, Mohammad Fazil, Bilal Ahmad, Usama Akram, Merajul Haque, Neelam Quddusi, Ahmad Sayeed
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Abstract

Background and aim: Diabetes mellitus is a chronic, multi-factorial metabolic disorder and also an important public health issue that requires multi-dimensional therapeutic strategies for effective control. Unani herbs have long been used to effectively mitigate diabetes through various mechanisms. In recent years, it has been speculated that the alteration of gut microbiome ecology is potentially one of the important mechanisms through which the Unani drugs exert hypoglycemic action. This review aims at the trans-disciplinary interpretation of the holistic concepts of the Unani system of medicine and the molecular insights of contemporary medicine for novel strategies for diabetes management.

Methodology: We searched scientific databases such as PubMed, Google Scholar, and Science-Direct, etc. Unani classical texts (Urdu, Arabic, and Persian), and medical books, for diabetic control with Unani medicine through the gut microbiome.

Results: Unani medicine defines, diabetes as a urinary system disorder disrupting the transformational faculty (Quwwat Mughayyira) in the gastrointestinal tract. The Unani system and contemporary biomedicine use different epistemology and ontology for describing diabetes through gutderived factors in whole-body glucose homeostasis. Unani Pharmaceutics have reported in clinical and preclinical (in vitro/ in vivo) trials in improving diabetes by altering gut microbiota composition, microvascular dysfunction, and inflammation. However, the preventive plan is the preservance of six essential factors (Asbāb Sitta Ḍarūriyya) as a lifestyle plan.

Conclusion: This is the first study on the integrative strategy about the hypoglycemic effects of Unani herbs that could serve as a prerogative novel approach for cost-effective, holistic, rationalistic, and multi-targeted diabetes management.

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关于尤那尼抗糖尿病药物通过可能的肠道微生物群调控降血糖作用的探索性综述。
背景和目的:糖尿病是一种慢性、多因素代谢紊乱疾病,也是一个重要的公共卫生问题,需要多维治疗策略才能有效控制。长期以来,尤那尼草药通过各种机制有效缓解糖尿病。近年来,人们推测肠道微生物群生态的改变可能是乌纳尼药物发挥降糖作用的重要机制之一。这篇综述旨在跨学科解读乌纳尼医学体系的整体概念和当代医学的分子洞察力,为糖尿病管理提供新策略:我们检索了 PubMed、Google Scholar 和 Science-Direct 等科学数据库。方法:我们检索了 PubM、Google Scholar、Science-Direct 等科学数据库,乌纳尼经典文本(乌尔都语、阿拉伯语和波斯语)和医学书籍,通过肠道微生物组了解乌纳尼医学对糖尿病的控制:结果:尤那尼医学将糖尿病定义为泌尿系统疾病,破坏了胃肠道的转化能力(Quwwat Mughayyira)。乌纳尼系统和当代生物医学使用不同的认识论和本体论,通过全身葡萄糖稳态中的肠道因素来描述糖尿病。据报道,在临床和临床前(体外/体内)试验中,尤那尼医药学通过改变肠道微生物群组成、微血管功能障碍和炎症来改善糖尿病。然而,预防计划是保持六个基本要素(Asbāb Sitta arūriyya)的生活方式计划:这是第一项关于尤那尼草药降血糖作用的综合策略研究,可作为一种具有成本效益、整体、合理和多目标糖尿病管理的首选新方法。
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来源期刊
Current drug targets
Current drug targets 医学-药学
CiteScore
6.20
自引率
0.00%
发文量
127
审稿时长
3-8 weeks
期刊介绍: Current Drug Targets aims to cover the latest and most outstanding developments on the medicinal chemistry and pharmacology of molecular drug targets e.g. disease specific proteins, receptors, enzymes, genes. Current Drug Targets publishes guest edited thematic issues written by leaders in the field covering a range of current topics of drug targets. The journal also accepts for publication mini- & full-length review articles and drug clinical trial studies. As the discovery, identification, characterization and validation of novel human drug targets for drug discovery continues to grow; this journal is essential reading for all pharmaceutical scientists involved in drug discovery and development.
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