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维生素 K2 对 2 型糖尿病的影响:综述。

Effect of vitamin K2 on type 2 diabetes mellitus: A review.

机构信息

Department of Physiology, Dalian Medical University, Dalian, Liaoning, PR China.

Sungen Bioscience Co., Ltd, Shantou, Guangdong, PR China.

出版信息

Diabetes Res Clin Pract. 2018 Feb;136:39-51. doi: 10.1016/j.diabres.2017.11.020. Epub 2017 Dec 2.

Abstract

Type 2 diabetes mellitus (T2DM) continue to be a major public health problem around the world that frequently presents with microvascular and macrovascular complications. Individuals with T2DM are not only suffering from significant emotional and physical misery, but also at increased risk of dying from severe complications. In recent years, evidence from prospective observational studies and clinical trials has shown T2DM risk reduction with vitamin K2 supplementation. We thus did an overview of currently available studies to assess the effect of vitamin K2 supplementation on insulin sensitivity, glycaemic control and reviewed the underlying mechanisms. We proposed that vitamin K2 improved insulin sensitivity through involvement of vitamin K-dependent-protein osteocalcin, anti-inflammatory properties, and lipid-lowering effects. Vitamin K2 had a better effect than vitamin K1 on T2DM. The interpretation of this review will increase comprehension of the development of a therapeutic strategy to prevent and treat T2DM.

摘要

2 型糖尿病(T2DM)仍然是全球主要的公共卫生问题,常伴有微血管和大血管并发症。T2DM 患者不仅承受着巨大的身心痛苦,而且死于严重并发症的风险也更高。近年来,前瞻性观察研究和临床试验的证据表明,维生素 K2 补充可以降低 T2DM 的风险。因此,我们对目前可用的研究进行了综述,以评估维生素 K2 补充对胰岛素敏感性、血糖控制的影响,并探讨了其潜在机制。我们提出,维生素 K2 通过维生素 K 依赖性蛋白骨钙素的作用、抗炎特性和降脂作用来改善胰岛素敏感性。维生素 K2 在 T2DM 中的作用优于维生素 K1。对本综述的解读将有助于理解制定预防和治疗 T2DM 的治疗策略。

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