葡萄糖转运蛋白1和葡萄糖转运蛋白4在多囊卵巢综合征中的研究进展OA
Research progress on glucose transporter 1 and 4 in polycystic ovary syndrome
多囊卵巢综合征(polycystic ovary syndrome,PCOS)是一种常见的内分泌疾病,其经典特征是高雄激素血症、肥胖等,常导致女性不孕、月经不调及代谢紊乱等症状.目前诸多证据表明,葡萄糖代谢紊乱及其所致的胰岛素抵抗在PCOS 的发生、发展中具有重要意义.葡萄糖转运蛋白 1(glucose transporter 1,GLUT1)和葡萄糖转运蛋白 4(glucose transporter 4,GLUT4)是葡萄糖转运蛋白(glucose transporters,GLUT)中最重要和被研究最多的两种蛋白,参与体内葡萄糖的摄取与代谢等多种生理过程.近年来的研究表明,GLUT 在 PCOS 的发病机制中扮演着重要角色,尤其在胰岛素抵抗和代谢异常的发生中具有关键作用.GLUT1主要在细胞膜上表达,参与基础的葡萄糖转运,而GLUT4则通过胰岛素的作用调节其在细胞膜上的表达与活性,从而促进葡萄糖的吸收.研究表明,PCOS患者的GLUT1 和GLUT4 的表达异常与胰岛素抵抗、糖代谢紊乱及体质量增加等密切相关.目前,临床已经发现多种中药复方及单体以 GLUT4 为核心靶点改善 PCOS,为阐明 PCOS 的胰岛素抵抗和生殖功能障碍提供新视角,以及为开发新的治疗策略提供理论支持.文章系统论述了 GLUT1 和 GLUT4 在 PCOS 中的研究进展,归纳总结了目前药物以 GLUT4 为核心靶点改善 PCOS 的研究进展,探讨了其在胰岛素信号通路中的作用,以及其作为潜在治疗靶点的前景,为深入理解PCOS发病机制和开发新型诊治策略提供理论依据.
Polycystic ovary syndrome(PCOS)is a common endocrine disorder characterized by hyperandrogenism,obesity,and other symptoms,often leading to female infertility,menstrual irregularities,and metabolic dysregulation.Numerous studies have demonstrated that glucose metabolism disorders and the resulting insulin resistance play a significant role in the pathogenesis and progression of PCOS.Glucose transporter 1(GLUT1)and glucose transporter 4(GLUT4)are the most critical and extensively studied proteins in the glucose transporter family,involved in various physiological processes such as glucose uptake and metabolism.Recent research has shown that glucose transporters play a pivotal role in the pathogenesis of PCOS,particularly in the development of insulin resistance and metabolic abnormalities.GLUT1 is primarily expressed on the cell membrane and participates in basal glucose transport,while GLUT4 regulates its membrane expression and activity via insulin,thereby promoting glucose absorption.Studies indicate that abnormal expression of GLUT1 and GLUT4 in PCOS patients is closely associated with insulin resistance,glucose metabolism disorders,and weight gain.Clinically,various traditional Chinese medicine formulas and monomers targeting GLUT4 have been identified to improve PCOS.This article systematically reviews the research progress on GLUT1 and GLUT4 in PCOS,summarizes advancements in drugs targeting GLUT4 to treat PCOS,explores their role in insulin signaling pathways,and discusses their potential as therapeutic targets.These findings provide theoretical support for deepening the understanding of PCOS pathogenesis and developing novel diagnostic and therapeutic strategies.
覃黄辉;李兰玉;文雅丽
广西糖尿病系统医学重点实验室,桂林医科大学,广西 桂林,541199广西糖尿病系统医学重点实验室,桂林医科大学,广西 桂林,541199广西糖尿病系统医学重点实验室,桂林医科大学,广西 桂林,541199
医药卫生
多囊卵巢综合征葡萄糖转运蛋白药理作用胰岛素抵抗代谢异常
Polycystic ovary syndromeGlucose transporterPharmacological actionInsulin resistanceMetabolic abnormality
《中医临床研究》 2026 (20)
18-24,7
广西自然科学基金联合专项项目(桂林医学院专项)(2025GXNSFHA069220)大学生创新创业训练项目(S202410601070,S202510601204,202510601065).
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