Dludla Phiwayinkosi V, Joubert Elizabeth, Muller Christo J F, Louw Johan, Johnson Rabia
Biomedical Research and Innovation Platform (BRIP), South African Medical Research Council, P.O. Box 19070, Tygerberg, 7505 South Africa.
Division of Medical Physiology, Faculty of Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Nutr Metab (Lond). 2017 Jul 10;14:45. doi: 10.1186/s12986-017-0200-8. eCollection 2017.
Diabetic patients are at an increased risk of developing heart failure when compared to their non-diabetic counter parts. Accumulative evidence suggests chronic hyperglycemia to be central in the development of myocardial infarction in these patients. At present, there are limited therapies aimed at specifically protecting the diabetic heart at risk from hyperglycemia-induced injury. Oxidative stress, through over production of free radical species, has been hypothesized to alter mitochondrial function and abnormally augment the activity of the NADPH oxidase enzyme system resulting in accelerated myocardial injury within a diabetic state. This has led to a dramatic increase in the exploration of plant-derived materials known to possess antioxidative properties. Several edible plants contain various natural constituents, including polyphenols that may counteract oxidative-induced tissue damage through their modulatory effects of intracellular signaling pathways. Rooibos, an indigenous South African plant, well-known for its use as herbal tea, is increasingly studied for its metabolic benefits. Prospective studies linking diet rich in polyphenols from rooibos to reduced diabetes associated cardiovascular complications have not been extensively assessed. Aspalathin, a flavonoid, and phenylpyruvic acid-2--β-D-glucoside, a phenolic precursor, are some of the major compounds found in rooibos that can ameliorate hyperglycemia-induced cardiomyocyte damage in vitro. While the latter has demonstrated potential to protect against cell apoptosis, the proposed mechanism of action of aspalathin is linked to its capacity to enhance the expression of nuclear factor (erythroid-derived 2)-like 2 () expression, an intracellular antioxidant response element. Thus, here we review literature on the potential cardioprotective properties of flavonoids and a phenylpropenoic acid found in rooibos against diabetes-induced oxidative injury.
与非糖尿病患者相比,糖尿病患者发生心力衰竭的风险更高。越来越多的证据表明,慢性高血糖是这些患者发生心肌梗死的关键因素。目前,针对特异性保护有高血糖诱导损伤风险的糖尿病心脏的治疗方法有限。氧化应激通过自由基的过量产生,被认为会改变线粒体功能,并异常增强NADPH氧化酶系统的活性,从而导致糖尿病状态下心肌损伤加速。这使得对具有抗氧化特性的植物源材料的研究显著增加。几种可食用植物含有多种天然成分,包括多酚,它们可能通过调节细胞内信号通路来对抗氧化诱导的组织损伤。如意宝茶是一种南非本土植物,以用作草药茶而闻名,其代谢益处也越来越受到研究。将富含如意宝茶中多酚的饮食与降低糖尿病相关心血管并发症联系起来的前瞻性研究尚未得到广泛评估。阿斯巴甜(一种黄酮类化合物)和苯基丙酮酸-2--β-D-葡萄糖苷(一种酚类前体)是如意宝茶中发现的一些主要化合物,它们可以在体外改善高血糖诱导的心肌细胞损伤。虽然后者已显示出预防细胞凋亡的潜力,但阿斯巴甜的作用机制与其增强核因子(红细胞衍生2)样2()表达的能力有关,这是一种细胞内抗氧化反应元件。因此,在这里我们综述了关于如意宝茶中发现的黄酮类化合物和苯丙酸对糖尿病诱导的氧化损伤的潜在心脏保护特性的文献。