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Gene & Protein in Disease                                               Effect of phytochemicals in diabetes



              The difference in potential energy of the AMPK-ligand   cancer, and cardiovascular problems through downward
            complex may be due to the distance and disparity in the   cascading molecules and related mechanism. Therefore, its
            attractive and weaker interactions such as H-bonding,   nature of action can be validated further by wet laboratory
            electrostatic  forces,  hydrophobic  interaction,  or  experiments and clinical trials. Moreover, some literature
            unfavorable bonding. The result provides evidence that   shows that vindoline and α/β-tubulin (PDB: 1Z2B) have
            AMPK1 and AMPK2 complexes have identical specific   a binding affinity of −7.28 kcal/mol. Therefore, vindoline
            activity but differences in binding affinity of ligands and   can  improve  the  protection  mechanism  of  plants  and
            also have differential substrate preference. All the qualified   have inhibitory outcomes on cancer cells. Alkaloids have
            ligands/leads have correlated substrate specificity with   antioxidant properties and can decrease glucotoxicity and
            both targets because the alpha-1 and alpha-2 subunits   reactive oxygen species (ROS) generation by quenching
            of  AMPK  have  well-built  homology  (77%  resemblance   ROS and suppressing oxidative phosphorylation in stress
            in amino acids) around the substrate binding groves   conditions by exciting AMPK1 .
                                                                                       [58]
            (Thr172) and contribute similarly to the total AMPK   AMPK2 is greatly expressed in cardiac muscle, skeletal
            action . Dissimilarity in substrate liking based on binding   muscles,  and  liver ,  and contributes  < 10%  activity  of
                 [10]
                                                                              [11]
            energy value may be due to a difference in the degree of   AMPK . AMPK2 enzyme regulates metabolic health
                                                                    [10]
            phosphorylation . Diversity in the mechanism of action   by cellular energy homeostasis, promoting glucose and
                         [52]
            of both subunits is due to differences in downstream targets   fatty acid uptake, improving insulin sensitivity, reducing
            of the AMPK cascade [10,52] . AMPK1 and AMPK2 enzymes   insulin resistance, recycling insulin receptors (INSR),
            are involved in the direct phosphorylation of metabolic   and regulating GLUT4 transport . Also, activated
                                                                                            [17]
            enzymes and transcription regulation and have distinct   AMPK2 phosphorylates glycolysis pathway machinery
            biological functions ; therefore, AMPK is known to be   6-phosphofructokinase-2  (PFKB2),  and  fructose-2,6-
                            [17]
            an important first-line target for the treatment of Type II   biphosphatase 3 (PFKB3). In the liver, it stimulates
            diabetes and other diseases .
                                 [55]
                                                               glucose homeostasis by phosphorylating CREB-regulated
              AMPK1 is widely present and expressed, regulates   transcription coactivator 2 (CRTC2)/target of rapamycin
            intracellular signaling through phosphorylation, and   2 (TORC2) . Thus, AMPK2 activation by biomolecules
                                                                        [17]
            accounts for more than 90% of the AMPK activity [10,11] .   reduces  hepatic  glucose  production,  increases  glucose
            The current study result shows that the C. roseus alkaloids   utilization in hepatocytes, and amplifies insulin-mediated
            are excellent indirect AMPK1 stimulators and activate   peripheral glucose  absorption  by GLUT4  in skeletal
            the  target  by  the release  of sarcoplasmic  calcium  ion   muscle and fat cells and as a result, decreases blood
            and disturbs energy balance which leads to increased   sugar concentration [1,17,19-21,54] . Based on the literature,
            AMP:  ATP ratio . It is known that AMPK1 regulates   the metabolic pathway of AMPK2 was highlighted in
                          [56]
            enzymes of glucose metabolism , and insulin release ,   Figure 3B and its nature of action can be confirmed further
                                                        [13]
                                      [16]
            but is not able to generate a sufficient signal for glucose   by wet laboratory experiments and clinical trials.
            uptake. However, in the case of low-intensity twitch   C. roseus ethanolic extract appreciably curtailed the
            contraction, it promotes glucose uptake up to 60% by
            glucose transporter 1 (GLUT1) and has a limited role in   elevated blood sugar level in addition to uplifting significantly
            glucose metabolism . Moreover, AMPK1 plays a major   antioxidant security systems and helping in the revival of
                            [56]
                                                                      [58]
            role in safeguarding cells from stresses that bring out ATP   beta cells . An in silico study of alkaloid vindoline showed
            depletion through turning off ATP-consuming biosynthetic   that it controls hyperglycemia and other glucotoxicity-
                                                               induced pathogenesis by acting on multiple targets (AMPK,
            pathways . In addition, it engages in the mammalian   peroxisome  proliferator-activated  receptor  γ  [PPARγ],
                   [12]
            target of rapamycin (mTOR) signaling pathway , cytokine   dipeptidyl peptidase 4 [DPP , and  α-glucosidase) .
                                                 [15]
                                                                                        4]
                                                                                                           [59]
            secretion, macrophage activation through regulation of
            arginine metabolism key enzymes, prostaglandin synthesis,   Vindoline was examined on Wistar rats and the outcome
            immune suppression, differentiation of MDSC [14,16] ,   showed that vindoline reduces significantly fasting blood
            prohibiting skeletal muscle hypertrophy, etc. [15,57] . The   glucose level (FBG) (P < 0.05) and lessens hyperglycemia-
            metabolic pathway was highlighted in Figure 3A based on the   generated liver, kidney damage, and improves the in vitro
                                                                                            [60]
            literature. According to the computational docking studies   insulin discharge in pancreatic tissues .
            resulted in high binding affinity between the target and   Chronic AMPK2 stimulation reduces or inhibits
                                                                                                [61]
            ligands in this study, it is predicted that by activating AMPK1   ACC  activity  and HMG-CoA  reductase , induces  fatty
            the biomolecules (vindoline, vindolinine, (+)-vindorosine,   acid oxidation, and suppresses expression of lipogenic
            Cr-1, and Cr-2) can protect beta cells of pancreas and   enzymes, leading to a decrease of membrane cholesterol
            control diseases related to cellular stress conditions,   (~10%) and triglyceride (~45%) levels , restoring F-actin
                                                                                             [62]
            Volume 2 Issue 3 (2023)                         10                       https://doi.org/10.36922/gpd.0927
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