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葡萄酒和白藜芦醇在心血管疾病中的意义:再探法国悖论

Significance of wine and resveratrol in cardiovascular disease: French paradox revisited.

作者信息

Vidavalur Ramesh, Otani Hajime, Singal Pawan K, Maulik Nilanjana

机构信息

Department of Pediatrics, University of Connecticut Health Center, Farmington, Connecticut, USA.

出版信息

Exp Clin Cardiol. 2006 Fall;11(3):217-25.

Abstract

Many recent studies have reported promising health benefits from red wine consumption. The present article reviews some of the key studies, and the known mechanisms for these beneficial effects. Evidence from different experimental studies, including from the authors' laboratories, have suggested that these beneficial effects are due to polyphenols found in red wine, especially resveratrol in grape skins. These benefits include a reduction in cardiovascular morbidity and mortality, lung cancer and prostate cancer by approximately 30% to 50%, 57% and 50%, respectively. Polyphenols possess antioxidant, superoxide-scavenging, ischemic-preconditioning and angiogenic properties. Some of these properties of polyphenols may explain their protective effects on the cardiovascular system, as well as other body organs. In fact, results from several epidemiological, case-control and prospective studies have prompted the United States Department of Health and Human Services to recommend moderate alcohol consumption in its national health promotion and disease prevention initiative, Healthy People 2010. Further studies are warranted to describe the precise molecular mechanisms for these potential beneficial effects of red wine on the general health of the population, particularly on cardiovascular morbidity and mortality.

摘要

最近许多研究报告称,饮用红酒对健康有益,前景可观。本文回顾了一些关键研究以及这些有益效果的已知机制。包括作者所在实验室在内的不同实验研究的证据表明,这些有益效果归因于红酒中含有的多酚类物质,尤其是葡萄皮中的白藜芦醇。这些益处包括心血管疾病发病率和死亡率分别降低约30%至50%,肺癌降低57%,前列腺癌降低50%。多酚类物质具有抗氧化、清除超氧化物、缺血预处理和血管生成特性。多酚类物质的其中一些特性可能解释了它们对心血管系统以及身体其他器官的保护作用。事实上,多项流行病学、病例对照和前瞻性研究的结果促使美国卫生与公众服务部在其“健康人民2010”国家健康促进和疾病预防倡议中建议适度饮酒。有必要进行进一步研究,以描述红酒对人群总体健康,特别是对心血管疾病发病率和死亡率的这些潜在有益效果的确切分子机制。

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