Sheng Christina Y, Son Young Hoon, Jang Jeongin, Park Sung-Jin
Biohybrid Systems Group, Coulter Department of Biomedical Engineering, Georgia Institute of Technology & Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Biophys Rev (Melville). 2022 Sep;3(3):031306. doi: 10.1063/5.0096420. Epub 2022 Sep 13.
Type 2 diabetes mellitus, a metabolic disorder characterized by abnormally elevated blood sugar, poses a growing social, economic, and medical burden worldwide. The skeletal muscle is the largest metabolic organ responsible for glucose homeostasis in the body, and its inability to properly uptake sugar often precedes type 2 diabetes. Although exercise is known to have preventative and therapeutic effects on type 2 diabetes, the underlying mechanism of these beneficial effects is largely unknown. Animal studies have been conducted to better understand the pathophysiology of type 2 diabetes and the positive effects of exercise on type 2 diabetes. However, the complexity of systems and the inability of animal models to fully capture human type 2 diabetes genetics and pathophysiology are two major limitations in these animal studies. Fortunately, models capable of recapitulating human genetics and physiology provide promising avenues to overcome these obstacles. This review summarizes current type 2 diabetes models with focuses on the skeletal muscle, interorgan crosstalk, and exercise. We discuss diabetes, its pathophysiology, common type 2 diabetes skeletal muscle models, interorgan crosstalk type 2 diabetes models, exercise benefits on type 2 diabetes, and type 2 diabetes models with exercise.
2型糖尿病是一种以血糖异常升高为特征的代谢紊乱疾病,在全球范围内造成了日益沉重的社会、经济和医疗负担。骨骼肌是体内负责葡萄糖稳态的最大代谢器官,其无法正常摄取糖分往往是2型糖尿病发生的先兆。虽然运动对2型糖尿病具有预防和治疗作用,但其有益作用的潜在机制在很大程度上尚不清楚。人们已经开展了动物研究,以更好地了解2型糖尿病的病理生理学以及运动对2型糖尿病的积极影响。然而,系统的复杂性以及动物模型无法完全捕捉人类2型糖尿病的遗传学和病理生理学特征,是这些动物研究中的两个主要局限性。幸运的是,能够重现人类遗传学和生理学特征的模型为克服这些障碍提供了有希望的途径。本综述总结了当前的2型糖尿病模型,重点关注骨骼肌、器官间相互作用和运动。我们讨论了糖尿病、其病理生理学、常见的2型糖尿病骨骼肌模型、器官间相互作用2型糖尿病模型、运动对2型糖尿病的益处以及运动相关的2型糖尿病模型。