Title:Amelioration of Type 2 Diabetes Mellitus by Plant-derived Natural
Dipeptidyl Peptidase-4 Inhibitors through Incretin Degradation Lowering
Effect: An Updated Review
Volume: 20
Issue: 2
Author(s): Hari Kishan, Manjusha Choudhary*, Sachin Sharma, Prabhjeet Kaur Bamrah and Nitesh Choudhary
Affiliation:
- Institute of Pharmaceutical Sciences, Kurukshetra University, Kurukshetra, 136118, Haryana, India
Keywords:
Diabetes, dipeptidyl peptidase-4, medicinal plants, phytochemicals, amelioration, hyperglycemia.
Abstract: Glucagon-like peptide-1 and Glucose-dependent insulinotropic polypeptides are the most investigated
gut peptides concerned with the biological glucose milieu. Early and late metabolism of incretin
governs glucose homeostasis in diabetes mellitus. Dipeptidyl Peptidase-4, present in pancreatic
alpha cells, is responsible for incretin degradation. Emerging biotechnological and molecular approaches
established the pathophysiological role of Dipeptidyl Peptidase-4 and incretin in type 2 diabetes
mellitus. Thus, various conventional synthetic Dipeptidyl Peptidase-4 inhibitors have been formulated,
but they have serious adverse effects such as cancer, pancreatitis, cardiovascular risks, hepatic dysfunctions,
etc. So, the concoction of a Dipeptidyl Peptidase-4 inhibitor entity with less or no severe adverse
event becomes a need for society and medical corridor. Over the last two decades, natural or conventional
herbal remedies have emerged as an alternate therapy for diabetes and treating its complications.
This review summarized various plants (Emblica officinalis, Adenia viridiflora, Cleome droserifolia,
Lens culinaris, Hedera nepalensis Melicope glabra, etc.) Dipeptidyl Peptidase-4 inhibitors,
which have been preclinically proven for hyperglycemia treatment.