Askari · Pharmaceuticals (Basel, Switzerland) 2023 · narrative review · n=?

A Mechanistic Review on How Berberine Use Combats Diabetes and Related Complications: Molecular, Cellular, and Metabolic Effects.

Cited 43 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing preclinical mechanisms and clinical studies without a systematic methodology.

PubMed 38275993 · doi:10.3390/ph17010007 · record verified 2026-08-26

What was done

This narrative mechanistic review synthesized literature from cellular, animal, and clinical studies examining the therapeutic effects and molecular pathways of berberine in type 2 diabetes and related complications.

What was found

The abstract reports no quantitative values or statistical metrics. It describes qualitative findings that berberine lowers fasting blood glucose, HbA1c, inflammatory cytokines, and oxidative stress markers, enhances insulin secretion, and up-regulates PPAR-γ, GLUT4, PI3K/AKT, and AMPK pathways while protecting against diabetic hepatic, cardiovascular, renal, and neural complications.

Why it matters

The review summarizes the broad molecular targets of berberine, highlighting its potential utility as an adjunctive multi-target agent for metabolic regulation.

Limits

The paper is a narrative review without a systematic search strategy, formal study quality assessment, or quantitative meta-analysis. The abstract provides no specific patient numbers, clinical dosing data, or safety profiles.

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