Borek Carmia
Department of Public Health and Family Medicine, Tufts University School of Medicine, Boston, MA 02111, USA.
J Nutr. 2006 Mar;136(3 Suppl):810S-812S. doi: 10.1093/jn/136.3.810S.
Risk factors for cardiovascular disease, including high cholesterol, high homocysteine, hypertension and inflammation, increase the risk of dementia, including its most common form, Alzheimer's disease (AD). High cholesterol is also associated with elevated beta-amyloid (Abeta), the hallmark of AD. Oxidative damage is a major factor in cardiovascular disease and dementia, diseases whose risk increases with age. Garlic, extracted and aged to form antioxidant-rich aged garlic extract (AGE or Kyolic), may help reduce the risk of these diseases. AGE scavenges oxidants, increases superoxide dismutase, catalase, glutathione peroxidase, and glutathione levels, and inhibits lipid peroxidation and inflammatory prostaglandins. AGE reduces cholesterol synthesis by inhibiting 3-hydroxy-3-methylglutaryl-CoA reductase and is additive with statins in its action. Inhibition of cholesterol, LDL oxidation, and platelet aggregation by AGE, inhibits arterial plaque formation; AGE decreases homocysteine, lowers blood pressure, and increases microcirculation, which is important in diabetes, where microvascular changes increase heart disease and dementia risks. AGE also may help prevent cognitive decline by protecting neurons from Abeta neurotoxicity and apoptosis, thereby preventing ischemia- or reperfusion-related neuronal death and improving learning and memory retention. Although additional observations are warranted in humans, compelling evidence supports the beneficial health effects attributed to AGE in helping prevent cardiovascular and cerebrovascular diseases and lowering the risk of dementia and AD.
心血管疾病的风险因素,包括高胆固醇、高同型半胱氨酸、高血压和炎症,会增加患痴呆症的风险,包括其最常见的形式——阿尔茨海默病(AD)。高胆固醇还与AD的标志性物质β-淀粉样蛋白(Aβ)升高有关。氧化损伤是心血管疾病和痴呆症的主要因素,这些疾病的风险会随着年龄的增长而增加。大蒜经过提取和陈化形成富含抗氧化剂的陈化大蒜提取物(AGE或Kyolic),可能有助于降低这些疾病的风险。AGE能清除氧化剂,提高超氧化物歧化酶、过氧化氢酶、谷胱甘肽过氧化物酶和谷胱甘肽水平,并抑制脂质过氧化和炎性前列腺素。AGE通过抑制3-羟基-3-甲基戊二酰辅酶A还原酶来减少胆固醇合成,并且在作用上与他汀类药物具有相加性。AGE对胆固醇、低密度脂蛋白氧化和血小板聚集的抑制作用,可抑制动脉斑块形成;AGE可降低同型半胱氨酸水平,降低血压,并增加微循环,这在糖尿病中很重要,因为微血管变化会增加心脏病和痴呆症的风险。AGE还可能通过保护神经元免受Aβ神经毒性和细胞凋亡的影响,从而预防缺血或再灌注相关的神经元死亡,并改善学习和记忆保持,有助于预防认知能力下降。尽管还需要在人体中进行更多观察,但有力的证据支持了AGE在帮助预防心血管和脑血管疾病以及降低痴呆症和AD风险方面的有益健康作用。