Affiliations 

  • 1 Department of Life Sciences, International Medical University, Kuala Lumpur, 57000, Malaysia
  • 2 School of Pharmacy, International Medical University, Kuala Lumpur, 57000, Malaysia
  • 3 Department of Pharmaceutical Technology, School of Medical Sciences, Adamas University, Kolkata, West Bengal, India
  • 4 Indiana University School of Medicine, Indianapolis, IN, USA
  • 5 School of Pharmacy, Suresh Gyan Vihar University, Jaipur, Rajasthan, 302017, India
  • 6 School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, Punjab, 144411, India
  • 7 Faculty of Health, Australian Research Centre in Complementary and Integrative Medicine, University of Technology Sydney, Ultimo, NSW, 2007, Australia
  • 8 Division of Applied Biomedical Science and Biotechnology, School of Health Sciences, International Medical University, Kuala Lumpur, 57000, Malaysia
  • 9 Division of Cardiovascular Sciences, Faculty of Biology, Medicine and Health, Core Technology Facility, The University of Manchester, Manchester, M13 9NT, UK
  • 10 Institute of Ocean and Earth Sciences, University of Malaya, Kuala Lumpur, 50603, Malaysia
Diabetes Metab Syndr Obes, 2023;16:2187-2223.
PMID: 37521747 DOI: 10.2147/DMSO.S390741

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder recognized as a major health problem globally. A defective insulin activity contributes to the prevalence and expansion of DM. Treatment of DM is often hampered by limited options of conventional therapies and adverse effects associated with existing procedures. This has led to a spike in the exploration for potential therapeutic agents from various natural resources for clinical applications. The marine environment is a huge store of unexplored diversity of chemicals produced by a multitude of organisms. To date, marine microorganisms, microalgae, macroalgae, corals, sponges, and fishes have been evaluated for their anti-diabetic properties. The structural diversity of bioactive metabolites discovered has shown promising hypoglycaemic potential through in vitro and in vivo screenings via various mechanisms of action, such as PTP1B, α-glucosidase, α-amylase, β-glucosidase, and aldose reductase inhibition as well as PPAR alpha/gamma dual agonists activities. On the other hand, hypoglycaemic effect is also shown to be exerted through the balance of antioxidants and free radicals. This review highlights marine-derived chemicals with hypoglycaemic effects and their respective mechanisms of action in the management of DM in humans.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.