The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment

Diabetes mellitus is characterized by elevated blood glucose levels, manifesting during fasting or after meals. According to projections by the International Diabetes Federation, the global incidence of diabetes was approximately 366 million individuals in 2011, with an anticipated increase to 552 m...

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Main Authors: Mohsen Davari, Shahla Sohrabipour, Atefeh Golkari
Format: Article
Language:English
Published: Hormozgan University of Medical Sciences 2024-12-01
Series:Disease and Diagnosis
Subjects:
Online Access:https://ddj.hums.ac.ir/PDF/ddj-13-164.pdf
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author Mohsen Davari
Shahla Sohrabipour
Atefeh Golkari
author_facet Mohsen Davari
Shahla Sohrabipour
Atefeh Golkari
author_sort Mohsen Davari
collection DOAJ
description Diabetes mellitus is characterized by elevated blood glucose levels, manifesting during fasting or after meals. According to projections by the International Diabetes Federation, the global incidence of diabetes was approximately 366 million individuals in 2011, with an anticipated increase to 552 million by 2030. The pancreatic islets play an essential role in regulating blood glucose concentrations. The intercellular communication between α- and β-cells within the pancreatic islets plays a critical role, which is more intricate and less understood than their systemic hormonal effects on preserving glucose homeostasis and balancing the secretion of glucagon and insulin. Research has identified several substances within insulin vesicles that modulate α- and β-cell populations through paracrine interactions, thereby intricately regulating the secretion of insulin and glucagon. These substances encompass insulin-like growth factors, macrophage migration inhibitory factors, pituitary adenylate cyclase-activating polypeptide, preptin, and gamma-aminobutyric acid (GABA). In normal individuals, insulin in α-cells, through insulin receptors and the mammalian target of rapamycin/protein kinase B/phosphatidylinositol-3-kinase pathway, causes α-cells to proliferate and ultimately increase blood glucagon. Nonetheless, GABA is secreted in addition to insulin. GABA via GABA-A receptors causes α-cells to be hyperpolarized and balance the proliferation of α-cells. This regulates the ratio of the number of α-cells to β-cells, which ultimately fine tune blood glucose. This review indicates that GABA, as a medicinal compound that has no prominent side effects, can have effects on reducing blood glucose and improving other diabetic markers similar to insulin.
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spelling doaj-art-84fbc33666d044f4acefe71f9eda32492025-01-12T10:50:00ZengHormozgan University of Medical SciencesDisease and Diagnosis2717-32322024-12-0113416417110.34172/ddj.1595ddj-1595The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes TreatmentMohsen Davari0Shahla Sohrabipour1Atefeh Golkari2Student Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranEndocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IranPhD Student in Biochemistry, Ferdowsi University of Mashhad, Mashhad, IranDiabetes mellitus is characterized by elevated blood glucose levels, manifesting during fasting or after meals. According to projections by the International Diabetes Federation, the global incidence of diabetes was approximately 366 million individuals in 2011, with an anticipated increase to 552 million by 2030. The pancreatic islets play an essential role in regulating blood glucose concentrations. The intercellular communication between α- and β-cells within the pancreatic islets plays a critical role, which is more intricate and less understood than their systemic hormonal effects on preserving glucose homeostasis and balancing the secretion of glucagon and insulin. Research has identified several substances within insulin vesicles that modulate α- and β-cell populations through paracrine interactions, thereby intricately regulating the secretion of insulin and glucagon. These substances encompass insulin-like growth factors, macrophage migration inhibitory factors, pituitary adenylate cyclase-activating polypeptide, preptin, and gamma-aminobutyric acid (GABA). In normal individuals, insulin in α-cells, through insulin receptors and the mammalian target of rapamycin/protein kinase B/phosphatidylinositol-3-kinase pathway, causes α-cells to proliferate and ultimately increase blood glucagon. Nonetheless, GABA is secreted in addition to insulin. GABA via GABA-A receptors causes α-cells to be hyperpolarized and balance the proliferation of α-cells. This regulates the ratio of the number of α-cells to β-cells, which ultimately fine tune blood glucose. This review indicates that GABA, as a medicinal compound that has no prominent side effects, can have effects on reducing blood glucose and improving other diabetic markers similar to insulin.https://ddj.hums.ac.ir/PDF/ddj-13-164.pdfdiabetesgabahyperglycemiaglucagoninsulinpancreas
spellingShingle Mohsen Davari
Shahla Sohrabipour
Atefeh Golkari
The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment
Disease and Diagnosis
diabetes
gaba
hyperglycemia
glucagon
insulin
pancreas
title The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment
title_full The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment
title_fullStr The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment
title_full_unstemmed The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment
title_short The Physiological Role of GABA in Fine-Tuning Control of Blood Glucose and Diabetes Treatment
title_sort physiological role of gaba in fine tuning control of blood glucose and diabetes treatment
topic diabetes
gaba
hyperglycemia
glucagon
insulin
pancreas
url https://ddj.hums.ac.ir/PDF/ddj-13-164.pdf
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