Duffy Stephen J, Vita Joseph A
Heart Centre, The Alfred Hospital and Baker Heart Research Institute, Melbourne, Victoria, Australia.
Curr Opin Lipidol. 2003 Feb;14(1):21-7. doi: 10.1097/00041433-200302000-00005.
There continues to be considerable interest in the concept that antioxidant therapy may reduce cardiovascular risk. Phenols have antioxidant properties and may be important micronutrients. Epidemiological studies have demonstrated a strong link between phenolic intake and reduced cardiovascular risk, but the mechanism of benefit has not been determined.
Recent evidence has emerged that a number of phenolic compounds, particularly flavonoids, reverse vascular endothelial dysfunction. The normal endothelium plays a critical role in regulating vascular function, and endothelial dysfunction is associated with increased cardiovascular risk. The present article reviews the links between phenolic intake, endothelial function and cardiovascular risk.
Endothelium-derived nitric oxide bioactivity appears to be increased by supplementation with a number of phenols, and this may explain some of the favourable effects of high phenolic intake seen in epidemiological studies.
抗氧化治疗可能降低心血管风险这一概念一直备受关注。酚类具有抗氧化特性,可能是重要的微量营养素。流行病学研究表明酚类摄入量与降低心血管风险之间存在紧密联系,但获益机制尚未明确。
最近有证据表明,许多酚类化合物,尤其是黄酮类化合物,可逆转血管内皮功能障碍。正常内皮在调节血管功能中起关键作用,而内皮功能障碍与心血管风险增加相关。本文综述了酚类摄入量、内皮功能与心血管风险之间的联系。
补充多种酚类似乎可增加内皮源性一氧化氮生物活性,这可能解释了流行病学研究中高酚类摄入量所带来的一些有益影响。