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纯素蛋白质可能通过促进胰高血糖素活性增加来降低患癌症、肥胖症和心血管疾病的风险。

Vegan proteins may reduce risk of cancer, obesity, and cardiovascular disease by promoting increased glucagon activity.

作者信息

McCarty M F

机构信息

Nutrition 21/AMBI, San Diego, CA, USA.

出版信息

Med Hypotheses. 1999 Dec;53(6):459-85. doi: 10.1054/mehy.1999.0784.

Abstract

Amino acids modulate the secretion of both insulin and glucagon; the composition of dietary protein therefore has the potential to influence the balance of glucagon and insulin activity. Soy protein, as well as many other vegan proteins, are higher in non-essential amino acids than most animal-derived food proteins, and as a result should preferentially favor glucagon production. Acting on hepatocytes, glucagon promotes (and insulin inhibits) cAMP-dependent mechanisms that down-regulate lipogenic enzymes and cholesterol synthesis, while up-regulating hepatic LDL receptors and production of the IGF-I antagonist IGFBP-1. The insulin-sensitizing properties of many vegan diets--high in fiber, low in saturated fat--should amplify these effects by down-regulating insulin secretion. Additionally, the relatively low essential amino acid content of some vegan diets may decrease hepatic IGF-I synthesis. Thus, diets featuring vegan proteins can be expected to lower elevated serum lipid levels, promote weight loss, and decrease circulating IGF-I activity. The latter effect should impede cancer induction (as is seen in animal studies with soy protein), lessen neutrophil-mediated inflammatory damage, and slow growth and maturation in children. In fact, vegans tend to have low serum lipids, lean physiques, shorter stature, later puberty, and decreased risk for certain prominent 'Western' cancers; a vegan diet has documented clinical efficacy in rheumatoid arthritis. Low-fat vegan diets may be especially protective in regard to cancers linked to insulin resistance--namely, breast and colon cancer--as well as prostate cancer; conversely, the high IGF-I activity associated with heavy ingestion of animal products may be largely responsible for the epidemic of 'Western' cancers in wealthy societies. Increased phytochemical intake is also likely to contribute to the reduction of cancer risk in vegans. Regression of coronary stenoses has been documented during low-fat vegan diets coupled with exercise training; such regimens also tend to markedly improve diabetic control and lower elevated blood pressure. Risk of many other degenerative disorders may be decreased in vegans, although reduced growth factor activity may be responsible for an increased risk of hemorrhagic stroke. By altering the glucagon/insulin balance, it is conceivable that supplemental intakes of key non-essential amino acids could enable omnivores to enjoy some of the health advantages of a vegan diet. An unnecessarily high intake of essential amino acids--either in the absolute sense or relative to total dietary protein--may prove to be as grave a risk factor for 'Western' degenerative diseases as is excessive fat intake.

摘要

氨基酸可调节胰岛素和胰高血糖素的分泌;因此,膳食蛋白质的组成有可能影响胰高血糖素和胰岛素活性的平衡。大豆蛋白以及许多其他植物性蛋白质中的非必需氨基酸含量高于大多数动物源性食物蛋白,因此应优先促进胰高血糖素的产生。胰高血糖素作用于肝细胞,促进(而胰岛素抑制)依赖cAMP的机制,这些机制可下调脂肪生成酶和胆固醇合成,同时上调肝脏低密度脂蛋白受体和IGF-I拮抗剂IGFBP-1的产生。许多富含纤维、饱和脂肪含量低的植物性饮食的胰岛素增敏特性,应通过下调胰岛素分泌来放大这些作用。此外,一些植物性饮食中相对较低的必需氨基酸含量可能会减少肝脏IGF-I的合成。因此,以植物性蛋白质为主的饮食有望降低升高的血脂水平、促进体重减轻并降低循环中的IGF-I活性。后一种作用应会阻碍癌症的诱发(如在大豆蛋白的动物研究中所见),减轻中性粒细胞介导的炎症损伤,并减缓儿童的生长和成熟。事实上,素食者往往血脂较低、体型消瘦、身材较矮、青春期较晚,某些常见“西方”癌症的风险也较低;素食饮食已被证明对类风湿性关节炎具有临床疗效。低脂素食饮食对于与胰岛素抵抗相关的癌症——即乳腺癌和结肠癌以及前列腺癌——可能具有特别的保护作用;相反,大量摄入动物产品所导致的高IGF-I活性可能在很大程度上是富裕社会中“西方”癌症流行的原因。素食者增加植物化学物质的摄入量也可能有助于降低患癌风险。在低脂素食饮食并结合运动训练期间,已记录到冠状动脉狭窄的消退;这样的饮食方案也往往能显著改善糖尿病控制并降低升高的血压。素食者患许多其他退行性疾病的风险可能会降低,尽管生长因子活性降低可能是出血性中风风险增加的原因。通过改变胰高血糖素/胰岛素平衡,可以想象补充关键的非必需氨基酸能够使杂食者享有一些素食饮食的健康益处。无论是从绝对意义上还是相对于总膳食蛋白质而言,不必要地大量摄入必需氨基酸可能被证明是“西方”退行性疾病的一个与过量脂肪摄入同样严重的风险因素。

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