Published online Feb 25, 2016. doi: 10.4239/wjd.v7.i4.67
Peer-review started: October 9, 2015
First decision: November 10, 2015
Revised: November 23, 2015
Accepted: December 29, 2015
Article in press: January 4, 2016
Published online: February 25, 2016
Processing time: 144 Days and 0.9 Hours
Glycosaminoglycans (GAGs) play a significant role in various aspects of cell physiology. These are complex polymeric molecules characterized by disaccharides comprising of uronic acid and amino sugar. Compounded to the heterogeneity, these are variously sulfated and epimerized depending on the class of GAG. Among the various classes of GAG, namely, chondroitin/dermatan sulfate, heparin/heparan sulfate, keratan sulfate and hyaluronic acid (HA), only HA is non-sulfated. GAGs are known to undergo remodeling in various tissues during various pathophysiological conditions, diabetes mellitus being one among them. These changes will likely affect their structure thereby impinging on their functionality. Till date, diabetes has been shown to affect GAGs in organs such as kidney, liver, aorta, skin, erythrocytes, etc. to name a few, with deleterious consequences. One of the mainstays in the treatment of diabetes is though dietary means. Various dietary factors are known to play a significant role in regulating glucose homeostasis. Furthermore, in recent years, there has been a keen interest to decipher the role of dietary factors on GAG metabolism. This review focuses on the remodeling of GAGs in various organs during diabetes and their modulation by dietary factors. While effect of diabetes on GAG metabolism has been worked out quite a bit, studies on the role of dietary factors in their modulation has been few and far between. We have tried our best to give the latest reports available on this subject.
Core tip: Glycosaminoglycans/Proteoglycans are important polymeric molecules which play important roles in cell physiology. Under pathological conditions such as diabetes, they are known to undergo remodeling affecting their structure-function relationship. This review article deals with its remodeling in various tissues and their modulation by dietary factors.