DİYABETTE YENİ TERAPOTİK HEDEF BİYOBELİRTEÇ: İNSÜLİN BENZERİ BAĞLAYICI PROTEİNLER

Öz

Diyabet giderek artan global bir sağlık sorunudur. Bu nedenle teşhis ve tedavi yöntemlerine alternatif, etkili, kolay kullanımlı terapötik biyobelirteç çalışmaları oldukça önemlidir. İnsülin benzeri büyüme faktörleri (IGF'lerin) potansiyel terapötik olarak değerlendirilmektedir. IGF ailesinin; diyabet, kanser, büyüme geriliği, kas-iskelet sistemi hastalıkları ve nörodejeneratif hastalıkların tedavisinde kullanım alanları mevcuttur. IGF’ler yapısal olarak insüline benzer ve biyolojik sıvıda, insülin benzeri bağlayıcı protein (IGFBP)’lere bağlanmış halde bulunur. Şu ana kadar karakterize edilmiş yedi memeli IGFBP’i bulunur.IGFBP’ler, IGF’lere Tip-1 IGF reseptörlerinden daha yüksek afinitede bağlanırlar. IGFBP-3 diğer IGFBP’ler ile sürekli ilişkisi olan bir proteindir. Karaciğer, adipositler, böbrekler ve bağırsaklar gb bir çok dokuda bulunur. IGF-1; IGFBP-3 ve ALS (acid labile subunit) ile birlikte yüksek moleküler kütleli üçlü bir kompleks halinde bulunur. IGFBP-3, diyabetik hastalarda glukoz homeastazında çok önemli rol oynamaktadır. Yapılan klinik çalışmalar, IGFBP-3'ün diyabette anahtar bir modülatör olabileceğini gösterir.

Anahtar Kelimeler

• Diyabet;
• İnsülin benzeri büyüme faktörleri;
• insülin benzeri bağlayıcı protein-3

Kaynakça

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