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白藜芦醇对非酒精性脂肪性肝病的影响。

Effect of resveratrol on non-alcoholic fatty liver disease.

作者信息

Theodotou Marios, Fokianos Konstantinos, Moniatis Demetris, Kadlenic Rudolf, Chrysikou Asimina, Aristotelous Andrea, Mouzouridou Alexia, Diakides John, Stavrou Eliza

机构信息

Private Practice, Limassol 3020, Cyprus.

Riegler Ltd., Institute of Medical Clinical Trials, Limassol 3020, Cyprus.

出版信息

Exp Ther Med. 2019 Jul;18(1):559-565. doi: 10.3892/etm.2019.7607. Epub 2019 May 23.

Abstract

The aim of the present study was to investigate the effect of a micronized formulation of trans-resveratrol in humans with non-alcoholic fatty liver disease (NAFLD). Trans-Resveratrol has been used in the form of micronized formulation, which is better absorbed, has strong antioxidants effects, is more effective than plain resveratrol formulations and is circulated on the market as a food supplement. Resveratrol (3,5,4'-trihydroxy-trans-stilbene) is a stilbenoid and a phytoalexin produced by several plants. NAFLD is an increasing clinical problem involving the liver for which effective treatments are required. The present study was based on two patient groups. The study, which commenced on April 2013 and finished on April 2015, included 44 patients, aged 29-70 years, with an average weight of 84.6 kg (n=22 per group; 28 men and 16 women) who were randomly assigned to groups and given 50 mg Evelor capsule (n=22) and 200 mg Evelor H tablet (n=22) correspondingly on a daily basis. The patients were followed up for 6 months. Quantity fat measurements, with ultrasound on the liver and kidney, were carried out. There was an initial measurement (time 1) and one after six months (time 2). The study results showed the effects of Trans-resveratrol micronized formulation in reducing the liver fat, as well as decreasing hepatic enzymes, serum glutamate pyruvic transaminase (SGPT) and gamma-glutamyl transpeptidase (g-GT) and insulin resistance. At the end of the study, the statistical analysis showed a statistically significant reduction on the liver fat. These data demonstrate that use of Trans-resveratrol micronized formulation improves features of NAFLD, and prevents liver damage. Thus, Trans-resveratrol micronized formulation can be a new treatment method for NAFLD.

摘要

本研究的目的是调查白藜芦醇微粉化制剂对非酒精性脂肪性肝病(NAFLD)患者的影响。白藜芦醇已制成微粉化制剂形式使用,其吸收性更好,具有强大的抗氧化作用,比普通白藜芦醇制剂更有效,且作为食品补充剂在市场上流通。白藜芦醇(3,5,4'-三羟基反式二苯乙烯)是一种芪类化合物,也是几种植物产生的植保素。NAFLD是一个日益严重的涉及肝脏的临床问题,需要有效的治疗方法。本研究基于两个患者组。该研究于2013年4月开始,2015年4月结束,纳入了44名年龄在29至70岁之间、平均体重为84.6千克的患者(每组22人;28名男性和16名女性),他们被随机分组,并每天分别给予50毫克Evelor胶囊(n = 22)和200毫克Evelor H片(n = 22)。对患者进行了6个月的随访。采用超声对肝脏和肾脏进行脂肪量测量。有一次初始测量(时间1)和6个月后的一次测量(时间2)。研究结果显示,白藜芦醇微粉化制剂在减少肝脏脂肪、降低肝酶、血清谷氨酸丙酮酸转氨酶(SGPT)和γ-谷氨酰转肽酶(g-GT)以及改善胰岛素抵抗方面有效果。在研究结束时,统计分析显示肝脏脂肪有统计学意义的减少。这些数据表明,使用白藜芦醇微粉化制剂可改善NAFLD的特征,并预防肝损伤。因此,白藜芦醇微粉化制剂可以成为NAFLD的一种新的治疗方法。

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