General Information of the Disease (ID: DIS00058)
Name
Diabetes mellitus
ICD
ICD-11: 5A10
Full List of Target(s) of This Ferroptosis-centered Disease
Unspecific Target
In total 4 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [1]
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Resveratrol Phase 3
Responsed Regulator Peroxisome proliferator-activated receptor gamma (PPARG) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Glutathione metabolism hsa00480
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model MIN6 cells Insulinoma Mus musculus CVCL_0431
Response regulation Acrolein is a typical food and environmental pollutant and a risk factor for diabetes. Resveratrol, an antioxidant natural product, may relieve ER stress and upregulate PPAR expression, thereby inhibiting acrolein-induced ferroptosis.
Experiment 2 Reporting the Ferroptosis-centered Disease Response by This Target [1]
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Acrolein Investigative
Responsed Regulator Peroxisome proliferator-activated receptor gamma (PPARG) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Glutathione metabolism hsa00480
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model MIN6 cells Insulinoma Mus musculus CVCL_0431
Response regulation Acrolein is a typical food and environmental pollutant and a risk factor for diabetes. Resveratrol, an antioxidant natural product, may relieve ER stress and upregulate PPAR expression, thereby inhibiting acrolein-induced ferroptosis.
Experiment 3 Reporting the Ferroptosis-centered Disease Response by This Target [7]
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Regulator Frataxin, mitochondrial (FXN) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model INS-1 cells Insulinoma Rattus norvegicus CVCL_0352
Response regulation FXN, amitochondrial proteininvolved iniron metabolismandROSregulation, was shown by other studies reduced in diabetic islets than nondiabetic and impaired insulin secretion after disruption in mice pancreatic -cells.
Experiment 4 Reporting the Ferroptosis-centered Disease Response by This Target [8]
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Regulator DDB1- and CUL4-associated factor 7 (DCAF7) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Response regulation Diabetic peripheral neuropathy (DPN) is a serious complication in Diabetes Mellitus (DM) patients. Key modules constructed by the protein-protein interaction network analysis led to the confirmation of the following genes of interest: DCAF7, GABARAPL1, ACSL4, SESN2 and RB1.
Phospholipid hydroperoxide glutathione peroxidase (GPX4)
In total 3 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [2]
Target for Ferroptosis Suppressor
Responsed Disease Diabetic hindlimb ischemia [ICD-11: 5A10-5A11]
Responsed Drug Empagliflozin Approved
Pathway Response Fatty acid metabolism hsa01212
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model C2C12 cells Normal Mus musculus CVCL_0188
HUVECs (Human umbilical vein endothelial cells)
MOVAS-1 cells Normal Homo sapiens CVCL_0F08
HEK-293T cells Normal Homo sapiens CVCL_0063
In Vivo Model
For diabetes induction, C57BL/6 mice were fed with high fat diet (HFD) for 3 weeks (20% kcal protein, 20% kcal carbohydrate, and 60% kcal fat). Intraperitoneal administration of 60 mg/kg body weight streptozotocin (STZ, Sigma-Aldrich, St Louis, MO, USA) diluted in sodium citrate buffer was then performed for the following six days. Mice were fasted overnight prior to each STZ injection and blood glucose level measurement. Blood glucose level was evaluated using Accu-Check Integra (Roche Diagnostics, Shanghai, China). Mice with blood glucose level above 16.6 mM were assumed as diabetic mice, and were used for establishing diabetic HLI model as described previously.

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Response regulation Empagliflozin, a clinical hypoglycemic gliflozin drug, can inhibit ferroptosis and enhance skeletal muscle cell survival and paracrine function under hyperglycemic condition via restoring the expression of GPX4. This study highlights the potential of intramuscular injection of empagliflozin for treating diabetic hindlimb ischemia.
Experiment 2 Reporting the Ferroptosis-centered Disease Response by This Target [3]
Target for Ferroptosis Suppressor
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Berberine Investigative
Pathway Response Ferroptosis hsa04216
Cell Process Cell ferroptosis
Response regulation Berberine (BBR) stimulated GPX4 expression to reduce the content of Fe2+ and ROS, thereby repressing the ferroptosis of islet cells in diabetes mellitus, which functioned similarly as ferroptosis inhibitor Fer-1.
Experiment 3 Reporting the Ferroptosis-centered Disease Response by This Target [4]
Target for Ferroptosis Suppressor
Responsed Disease Diabetic hindlimb ischemia [ICD-11: 5A10-5A11]
Responsed Drug Salidroside Investigative
Pathway Response Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model C2C12 cells Normal Mus musculus CVCL_0188
HUVECs (Human umbilical vein endothelial cells)
MOVAS-1 cells Normal Homo sapiens CVCL_0F08
In Vivo Model
For diabetes induction, C57BL/6 mice were given a high-fat diet for three weeks that contained 20% protein, 20% carbohydrate, and 60% fat. Sodium citratebuffer-diluted 60 mg/kg body weight streptozotocin (STZ; Sigma-Aldrich, St. Louis, MO) were administered intraperitoneally for the next constitutive six days. Prior to each STZ injection and blood glucose testusing Accu-Check Integra (Roche Diagnostics, Shanghai, China), mice were fasted overnight. Mice with blood glucose levels higher than 16.6 mM were considered diabetic and were utilized to establish the diabetic HLI model.

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Response regulation Salidroside/GPX4-mediated ferroptosis inhibition is crucial for promoting angiogenesis and blood perfusion recovery in diabetic hindlimb ischemia mice.
Nuclear receptor coactivator 4 (NCOA4)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [5]
Target for Ferroptosis Driver
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Cryptochlorogenic acid Investigative
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model INS-1 cells Insulinoma Rattus norvegicus CVCL_0352
In Vivo Model
Sixty Sprague-Dawley (SD) rats with weights ranging from 250-270 g were obtained from experimental animal center of Xiamen university. For diabetes model group, fasting was performed for 12 h before experiment. The rats (ten rats per group) were assigned into Control group, Model (DM) treated with 50 mg/kg streptozotocin (STZ) via abdominal injection, positive control group and experimental groups. The blood glucose level, which is served as the indicator for the diabetes, was monitored herein. The glucose level after modeling is above 16.7 mmol/l, supporting that the modeling is successful.

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Response regulation Cryptochlorogenic acid (CCA) functions via inhibition of ferroptosis by activation of cystine/glutamate transporter system (XC)/glutathione peroxidase 4(GPX4)/Nrf2 and inhibition of nuclear receptor coactivator 4 (NCOA4) in diabetes. System xc- which is composed of SLC7A11 and SLC3A2, served as the provider of GSH synthesis.
Nuclear factor erythroid 2-related factor 2 (NFE2L2)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [6]
Target for Ferroptosis Marker/Suppressor
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Bilirubin Investigative
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model MIN6 cells Insulinoma Mus musculus CVCL_0431
In Vivo Model
BALB/c mouse are used as recipients and donors in the transplantation. Fifteen diabetic BALB/c mice were randomly divided into 5 groups (3 mice in each group). Then, 250 IEQ islets pretreated with or without bilirubin (20 uM) for 48 h were transplanted into the subrenal site of the diabetic mouse. Ferrin 1 (10 uM) and DFO (10 mM) pretreated islets were also transplanted for comparison. Following, the non-fasting glucose level and bodyweight was the mice were recorded daily.

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Response regulation Bilirubin protects transplanted islets by inhibiting ferroptosis through multiple mechanisms, including ROS scavenging ability, iron-chelating property, and upregulation of Nrf2/HO-1 signaling pathway. Bilirubin could improve islet viability and function through inhibiting ferroptosis, which could be of clinic interest to apply bilirubin into the islet transplantation system. Islet transplantation is an attractive treatment for type 1 diabetic patients.
Cystine/glutamate transporter (SLC7A11)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [5]
Target for Ferroptosis Suppressor
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Cryptochlorogenic acid Investigative
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model INS-1 cells Insulinoma Rattus norvegicus CVCL_0352
In Vivo Model
Sixty Sprague-Dawley (SD) rats with weights ranging from 250-270 g were obtained from experimental animal center of Xiamen university. For diabetes model group, fasting was performed for 12 h before experiment. The rats (ten rats per group) were assigned into Control group, Model (DM) treated with 50 mg/kg streptozotocin (STZ) via abdominal injection, positive control group and experimental groups. The blood glucose level, which is served as the indicator for the diabetes, was monitored herein. The glucose level after modeling is above 16.7 mmol/l, supporting that the modeling is successful.

    Click to Show/Hide
Response regulation Cryptochlorogenic acid (CCA) functions via inhibition of ferroptosis by activation of cystine/glutamate transporter system (XC)/glutathione peroxidase 4(GPX4)/Nrf2 and inhibition of nuclear receptor coactivator 4 (NCOA4) in diabetes. System xc- which is composed of SLC7A11 and SLC3A2, served as the provider of GSH synthesis.
4F2 cell-surface antigen heavy chain (SLC3A2)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [5]
Target for Ferroptosis Suppressor
Responsed Disease Diabetes mellitus [ICD-11: 5A10]
Responsed Drug Cryptochlorogenic acid Investigative
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model INS-1 cells Insulinoma Rattus norvegicus CVCL_0352
In Vivo Model
Sixty Sprague-Dawley (SD) rats with weights ranging from 250-270 g were obtained from experimental animal center of Xiamen university. For diabetes model group, fasting was performed for 12 h before experiment. The rats (ten rats per group) were assigned into Control group, Model (DM) treated with 50 mg/kg streptozotocin (STZ) via abdominal injection, positive control group and experimental groups. The blood glucose level, which is served as the indicator for the diabetes, was monitored herein. The glucose level after modeling is above 16.7 mmol/l, supporting that the modeling is successful.

    Click to Show/Hide
Response regulation Cryptochlorogenic acid (CCA) functions via inhibition of ferroptosis by activation of cystine/glutamate transporter system (XC)/glutathione peroxidase 4(GPX4)/Nrf2 and inhibition of nuclear receptor coactivator 4 (NCOA4) in diabetes. System xc- which is composed of SLC7A11 and SLC3A2, served as the provider of GSH synthesis.
References
Ref 1 Resveratrol protected acrolein-induced ferroptosis and insulin secretion dysfunction via ER-stress- related PERK pathway in MIN6 cells. Toxicology. 2022 Jan 15;465:153048. doi: 10.1016/j.tox.2021.153048. Epub 2021 Nov 20.
Ref 2 SGLT2 inhibitor empagliflozin promotes revascularization in diabetic mouse hindlimb ischemia by inhibiting ferroptosis. Acta Pharmacol Sin. 2023 Jun;44(6):1161-1174. doi: 10.1038/s41401-022-01031-0. Epub 2022 Dec 12.
Ref 3 Berberine Regulates GPX4 to Inhibit Ferroptosis of Islet Cells. Planta Med. 2023 Mar;89(3):254-261. doi: 10.1055/a-1939-7417. Epub 2022 Nov 9.
Ref 4 Salidroside facilitates therapeutic angiogenesis in diabetic hindlimb ischemia by inhibiting ferroptosis. Biomed Pharmacother. 2023 Mar;159:114245. doi: 10.1016/j.biopha.2023.114245. Epub 2023 Jan 12.
Ref 5 The Protective Effects of Cryptochlorogenic Acid on -Cells Function in Diabetes in vivo and vitro via Inhibition of Ferroptosis. Diabetes Metab Syndr Obes. 2020 Jun 8;13:1921-1931. doi: 10.2147/DMSO.S249382. eCollection 2020.
Ref 6 Bilirubin Protects Transplanted Islets by Targeting Ferroptosis. Front Pharmacol. 2020 Jun 16;11:907. doi: 10.3389/fphar.2020.00907. eCollection 2020.
Ref 7 Oxidative stress-dependent frataxin inhibition mediated alcoholic hepatocytotoxicity through ferroptosis. Toxicology. 2020 Dec 1;445:152584. doi: 10.1016/j.tox.2020.152584. Epub 2020 Oct 2.
Ref 8 Bioinformatics analysis identifies potential ferroptosis key genes in the pathogenesis of diabetic peripheral neuropathy. Front Endocrinol (Lausanne). 2023 May 12;14:1048856. doi: 10.3389/fendo.2023.1048856. eCollection 2023.