白藜芦醇与心血管疾病

Resveratrol and Cardiovascular Diseases.

作者信息

Bonnefont-Rousselot Dominique

机构信息

Department of Biochemistry, Faculty of Pharmacy, Paris Descartes University, Sorbonne Paris Cité, Paris 75006, France.

Department of Metabolic Biochemistry, Pitié-Salpêtrière-Charles Foix Hospital (AP-HP), Paris 75013, France.

出版信息

Nutrients. 2016 May 2;8(5):250. doi: 10.3390/nu8050250.

Abstract

The increased incidence of cardiovascular diseases (CVDs) has stimulated research for substances that could improve cardiovascular health. Among them, resveratrol (RES), a polyphenolic compound notably present in grapes and red wine, has been involved in the "French paradox". RES is known for its antioxidant and anti-inflammatory properties and for its ability to upregulate endothelial NO synthase (eNOS). RES was able to scavenge (•)OH/O₂(•-) and peroxyl radicals, which can limit the lipid peroxidation processes. Moreover, in bovine aortic endothelial cells (BAEC) under glucose-induced oxidative stress, RES restored the activity of dimethylargininedimethylaminohydrolase (DDAH), an enzyme that degrades an endogenous inhibitor of eNOS named asymmetric dimethylarginine (ADMA). Thus, RES could improve (•)NO availability and decrease the endothelial dysfunction observed in diabetes. Preclinical studies have made it possible to identify molecular targets (SIRT-1, AMPK, Nrf2, NFκB…); however, there are limited human clinical trials, and difficulties in the interpretation of results arise from the use of high-dose RES supplements in research studies, whereas low RES concentrations are present in red wine. The discussions on potential beneficial effects of RES in CVDs (atherosclerosis, hypertension, stroke, myocardial infarction, heart failure) should compare the results of preclinical studies with those of clinical trials.

摘要

心血管疾病(CVDs)发病率的上升激发了对可改善心血管健康物质的研究。其中,白藜芦醇(RES),一种在葡萄和红酒中显著存在的多酚类化合物,与“法国悖论”有关。RES以其抗氧化和抗炎特性以及上调内皮型一氧化氮合酶(eNOS)的能力而闻名。RES能够清除(•)OH/O₂(•-)和过氧自由基,这可以限制脂质过氧化过程。此外,在葡萄糖诱导的氧化应激下的牛主动脉内皮细胞(BAEC)中,RES恢复了二甲基精氨酸二甲胺水解酶(DDAH)的活性,DDAH是一种降解名为不对称二甲基精氨酸(ADMA)的eNOS内源性抑制剂的酶。因此,RES可以改善(•)NO的可用性,并减少糖尿病中观察到的内皮功能障碍。临床前研究已经能够确定分子靶点(SIRT-1、AMPK、Nrf2、NFκB……);然而,人类临床试验有限,并且由于在研究中使用高剂量RES补充剂而导致结果解释困难,而红酒中RES浓度较低。关于RES在CVDs(动脉粥样硬化、高血压、中风、心肌梗死、心力衰竭)中潜在有益作用的讨论应该将临床前研究结果与临床试验结果进行比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf2d/4882663/96a88229fb6d/nutrients-08-00250-g001.jpg

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