Division of Nutrition, College of Health, University of Utah, Salt Lake City, UT 84112, USA.
J Nutr Biochem. 2013 Nov;24(11):1777-89. doi: 10.1016/j.jnutbio.2013.06.003. Epub 2013 Sep 9.
Flavonoids are polyphenolic compounds that are abundant in fruits and vegetables, and increasing evidence demonstrates a positive relationship between consumption of flavonoid-rich foods and disease prevention. Epidemiological, in vitro and animal studies support the beneficial effects of dietary flavonoids on glucose and lipid homeostasis. It is encouraging that the beneficial effects of some flavonoids are at physiological concentrations and comparable to clinically-used anti-diabetic drugs; however, clinical research in this field and studies on the anti-diabetic effects of flavonoid metabolites are limited. Flavonoids act on various molecular targets and regulate different signaling pathways in pancreatic β-cells, hepatocytes, adipocytes and skeletal myofibers. Flavonoids may exert beneficial effects in diabetes by (i) enhancing insulin secretion and reducing apoptosis and promoting proliferation of pancreatic β-cells; (ii) improving hyperglycemia through regulation of glucose metabolism in hepatocytes; (iii) reducing insulin resistance, inflammation and oxidative stress in muscle and fat and (iv) increasing glucose uptake in skeletal muscle and white adipose tissue. This review highlights recent findings on the anti-diabetic effects of dietary flavonoids, including flavan-3-ols, flavanones, flavonols, anthocyanidins, flavones and isoflavones, with particular emphasis on the studies that investigated the cellular and molecular mechanisms involved in the beneficial effects of the compounds.
类黄酮是多酚化合物,大量存在于水果和蔬菜中,越来越多的证据表明,食用富含类黄酮的食物与疾病预防之间存在正相关关系。流行病学、体外和动物研究支持饮食类黄酮对葡萄糖和脂质稳态的有益影响。令人鼓舞的是,一些类黄酮的有益作用在生理浓度下与临床使用的抗糖尿病药物相当;然而,该领域的临床研究和类黄酮代谢物的抗糖尿病作用研究有限。类黄酮作用于各种分子靶点,并调节胰腺β细胞、肝细胞、脂肪细胞和骨骼肌肌纤维中的不同信号通路。类黄酮通过以下方式在糖尿病中发挥有益作用:(i)增强胰岛素分泌,减少细胞凋亡并促进胰腺β细胞增殖;(ii)通过调节肝细胞中的葡萄糖代谢来改善高血糖;(iii)减少肌肉和脂肪中的胰岛素抵抗、炎症和氧化应激;(iv)增加骨骼肌和白色脂肪组织中的葡萄糖摄取。本综述重点介绍了饮食类黄酮(包括黄烷-3-醇、黄烷酮、黄酮醇、花青素、黄酮和异黄酮)的抗糖尿病作用的最新发现,特别强调了研究化合物有益作用所涉及的细胞和分子机制的研究。
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