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水果和蔬菜的抗溃疡特性:基于机制的视角

Antiulcer properties of fruits and vegetables: A mechanism based perspective.

作者信息

Harsha Choudhary, Banik Kishore, Bordoloi Devivasha, Kunnumakkara Ajaikumar B

机构信息

Cancer Biology Laboratory, Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati, Assam, 781039, India.

Cancer Biology Laboratory, Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati, Assam, 781039, India.

出版信息

Food Chem Toxicol. 2017 Oct;108(Pt A):104-119. doi: 10.1016/j.fct.2017.07.023. Epub 2017 Jul 12.

Abstract

Gastric ulcer is the damage caused to mucosal layer of the stomach under the action of various factors like high levels of acid and pepsin, invasion by Helicobacter pylori, etc. Although most cases have been controlled and the rate of ulcer occurrence has reduced over the last few decades, gastric ulcer still holds a prime concern today. A range of palliative medicines comprising proton pump inhibitors, H2 receptor antagonists, COX-2 inhibitors (coxibs) is widely in use and patients have also been administered with acid suppression therapies. But these remedies aggravate the condition of patients causing severe side effects, or rather impart temporary relief. Therefore, it is highly imperative to develop safe and effective therapies for the treatment of gastric ulcer. Nature provides us various fruits and vegetables that can combat gastric ulcer through multiple mechanisms; predominantly via antioxidant, anti-inflammatory, antisecretory, antimicrobial, anticholinergic and cytoprotective activity, inhibition of small intestinal propulsion etc. Various phytochemicals from fruits and vegetables such as phenolics, flavonoids, tannins and saponins play a vital role in the prevention and cure of gastric ulcer. This review is a compendium of all fruits and vegetables known for their profound antiulcer effect and their underlying mechanisms of action.

摘要

胃溃疡是在胃酸和胃蛋白酶水平过高、幽门螺杆菌感染等多种因素作用下,胃黏膜层所遭受的损伤。尽管在过去几十年里,大多数病例已得到控制,溃疡发生率有所降低,但胃溃疡如今仍是一个主要问题。一系列包括质子泵抑制剂、H2受体拮抗剂、COX - 2抑制剂(昔布类)在内的缓解性药物被广泛使用,患者也接受了抑酸治疗。但这些疗法会加重患者病情,引发严重副作用,或者只是带来暂时缓解。因此,开发安全有效的胃溃疡治疗方法迫在眉睫。大自然为我们提供了各种水果和蔬菜,它们可以通过多种机制对抗胃溃疡;主要是通过抗氧化、抗炎、抗分泌、抗菌、抗胆碱能和细胞保护活性,抑制小肠推进等。水果和蔬菜中的各种植物化学物质,如酚类、黄酮类、单宁和皂苷,在胃溃疡的预防和治疗中起着至关重要的作用。这篇综述是所有以其显著抗溃疡作用及其潜在作用机制而闻名的水果和蔬菜的汇总。

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