Emerging role of protein kinases in diabetes mellitus: From mechanism to therapy

Adv Protein Chem Struct Biol. 2021:124:47-85. doi: 10.1016/bs.apcsb.2020.11.001. Epub 2020 Nov 24.

Abstract

Diabetes mellitus has emerged as a severe burden on the medical health system across the globe. Presently, around 422 million people are suffering from diabetes which is speculated to be expanded to about 600 million by 2035. Patients with type 2 diabetes are at increased risk of developing detrimental metabolic and cardiovascular complications. The scientific understanding of this chronic disease and its underlying root cause is not yet fully unraveled. Protein kinases are well known to regulate almost every cellular process through phosphorylation of target protein in diverse signaling pathways. The important role of several protein kinases including AMP-activated protein kinase, IκB kinase and protein kinase C have been well demonstrated in various animal models. They modulate glucose tolerance, inflammation and insulin resistance in the cells via acting on diverse downstream targets and signaling pathways. Thus, modulating the activity of potential human kinases which are significantly involved in diabetes by targeting with small molecule inhibitors could be an attractive therapeutic strategy to tackle diabetes. In this chapter, we have discussed the potential role of protein kinases in glucose metabolism and insulin sensitivity, and in the pathogenesis of diabetes mellitus. Furthermore, the small molecules reported in the literature that can be potentially used for the treatment of diabetes have been discussed in detail.

Keywords: Diabetes mellitus; Diabetes therapeutics; Drug design and discovery; Inflammation; Insulin resistance; Protein kinases.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / enzymology*
  • Glucose
  • Glucose Intolerance
  • Humans
  • Insulin Resistance
  • Protein Kinase Inhibitors / therapeutic use*
  • Protein Kinases / metabolism*
  • Signal Transduction

Substances

  • Protein Kinase Inhibitors
  • Protein Kinases
  • Glucose