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Pyruvate Potential Effects on the Prevention and Treatment of Diabetes and Its Organ Complications

Received: 9 November 2020     Accepted: 20 November 2020     Published: 30 November 2020
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Abstract

Pyruvic acid (pyruvate plus hydrogen [H+]) is a key of important metabolites in glucose metabolism. Exogenous pyruvate can efficiently improve glucometabolic disorders: mainly preservation of anaerobic glycolysis in cytosol, reactivation of declined oxidative phosphorylation in mitochondria, hence, restoration of the aberrant Warburg effect, enhancement of redox potential status, inhibition of inflammation and apoptosis in addition to depression of advanced glycation end products (AGEs) in tissues. Therefore, pyruvate can protect against diabetes and its organ complications, turning the vicious cycle virtuous in diabetic initiation and development. Pyruvate advantages are incomparable to anions in current medical fluids and hold a potential paramount significance in clinical settings. This review illustrated pyruvate beneficial biomedical properties and their effects on the prevention and treatment of diabetes and diabetic organ complications with the experimental evidence and clinical case reports. It highlights the novel possibility to deal with diabetes by oral pyruvate, the superior choice to resuscitate critical care patients with or without diabetes by pyruvate-enriched fluids and the feasibility to prevent and treat diabetes and its complications with pyruvate-enriched oral rehydration solutions (Pyr-ORS) as a functional beverage in a large population. Attention must be paid to diabetes research with pyruvate and its clinical trials are urgently warranted.

Published in Asia-Pacific Journal of Medicine (Volume 3, Issue 3)
Page(s) 14-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Pyruvate, Diabetes, Diabetic Organ Complications, Glucose Metabolism, Oral Rehydration Salt

References
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  • @article{10051999,
      author = {Zhou Fang Qiang},
      title = {Pyruvate Potential Effects on the Prevention and Treatment of Diabetes and Its Organ Complications},
      journal = {Asia-Pacific Journal of Medicine},
      volume = {3},
      number = {3},
      pages = {14-20},
      url = {https://www.sciencepublishinggroup.com/article/10051999},
      abstract = {Pyruvic acid (pyruvate plus hydrogen [H+]) is a key of important metabolites in glucose metabolism. Exogenous pyruvate can efficiently improve glucometabolic disorders: mainly preservation of anaerobic glycolysis in cytosol, reactivation of declined oxidative phosphorylation in mitochondria, hence, restoration of the aberrant Warburg effect, enhancement of redox potential status, inhibition of inflammation and apoptosis in addition to depression of advanced glycation end products (AGEs) in tissues. Therefore, pyruvate can protect against diabetes and its organ complications, turning the vicious cycle virtuous in diabetic initiation and development. Pyruvate advantages are incomparable to anions in current medical fluids and hold a potential paramount significance in clinical settings. This review illustrated pyruvate beneficial biomedical properties and their effects on the prevention and treatment of diabetes and diabetic organ complications with the experimental evidence and clinical case reports. It highlights the novel possibility to deal with diabetes by oral pyruvate, the superior choice to resuscitate critical care patients with or without diabetes by pyruvate-enriched fluids and the feasibility to prevent and treat diabetes and its complications with pyruvate-enriched oral rehydration solutions (Pyr-ORS) as a functional beverage in a large population. Attention must be paid to diabetes research with pyruvate and its clinical trials are urgently warranted.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Pyruvate Potential Effects on the Prevention and Treatment of Diabetes and Its Organ Complications
    AU  - Zhou Fang Qiang
    Y1  - 2020/11/30
    PY  - 2020
    T2  - Asia-Pacific Journal of Medicine
    JF  - Asia-Pacific Journal of Medicine
    JO  - Asia-Pacific Journal of Medicine
    SP  - 14
    EP  - 20
    PB  - Science Publishing Group
    UR  - http://www.sciencepg.com/article/10051999
    AB  - Pyruvic acid (pyruvate plus hydrogen [H+]) is a key of important metabolites in glucose metabolism. Exogenous pyruvate can efficiently improve glucometabolic disorders: mainly preservation of anaerobic glycolysis in cytosol, reactivation of declined oxidative phosphorylation in mitochondria, hence, restoration of the aberrant Warburg effect, enhancement of redox potential status, inhibition of inflammation and apoptosis in addition to depression of advanced glycation end products (AGEs) in tissues. Therefore, pyruvate can protect against diabetes and its organ complications, turning the vicious cycle virtuous in diabetic initiation and development. Pyruvate advantages are incomparable to anions in current medical fluids and hold a potential paramount significance in clinical settings. This review illustrated pyruvate beneficial biomedical properties and their effects on the prevention and treatment of diabetes and diabetic organ complications with the experimental evidence and clinical case reports. It highlights the novel possibility to deal with diabetes by oral pyruvate, the superior choice to resuscitate critical care patients with or without diabetes by pyruvate-enriched fluids and the feasibility to prevent and treat diabetes and its complications with pyruvate-enriched oral rehydration solutions (Pyr-ORS) as a functional beverage in a large population. Attention must be paid to diabetes research with pyruvate and its clinical trials are urgently warranted.
    VL  - 3
    IS  - 3
    ER  - 

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  • Dialysis Centers, Fresenius Medical Care, Chicago, USA

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