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营养保健品在心血管钙化中的新兴作用:来自临床前和临床研究的证据。

The Emerging Role of Nutraceuticals in Cardiovascular Calcification: Evidence from Preclinical and Clinical Studies.

机构信息

Department of Pharmaceutical and Pharmacological Sciences, University of Padova, 35122 Padua, Italy.

Department of Medicine-DIMED, University of Padova, 35122 Padua, Italy.

出版信息

Nutrients. 2021 Jul 28;13(8):2603. doi: 10.3390/nu13082603.


DOI:10.3390/nu13082603
PMID:34444763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8401694/
Abstract

Cardiovascular calcification is the ectopic deposition of calcium-phosphate crystals within the arterial wall and the aortic valve leaflets. This pathological process leads to increased vascular stiffness, reduced arterial elasticity, and aortic valve stenosis, increasing the risk of cardiovascular diseases. Although cardiovascular calcification is an increasing health care burden, to date no medical therapies have been approved for treating or preventing it. Considering the current lack of therapeutic strategies and the increasing prevalence of cardiovascular calcification, the investigation of some nutraceuticals to prevent this pathological condition has become prevalent in recent years. Recent preclinical and clinical studies evaluated the potential anti-calcific role of nutraceuticals (including magnesium, zinc, iron, vitamin K, and phytate) in the progression of vascular calcification, providing evidence for their dietary supplementation, especially in high-risk populations. The present review summarizes the current knowledge and latest advances for nutraceuticals with the most relevant preclinical and clinical data, including magnesium, zinc, iron, vitamin K, and phytate. Their supplementation might be recommended as a cost-effective strategy to avoid nutritional deficiency and to prevent or treat cardiovascular calcification. However, the optimal dose of nutraceuticals has not been identified and large interventional trials are warranted to support their protective effects on cardiovascular disease.

摘要

心血管钙化是钙磷晶体在动脉壁和主动脉瓣叶中的异位沉积。这个病理过程导致血管僵硬度增加、动脉弹性降低和主动脉瓣狭窄,增加了心血管疾病的风险。尽管心血管钙化是一个日益严重的医疗保健负担,但迄今为止,还没有批准任何医学疗法来治疗或预防它。鉴于目前缺乏治疗策略和心血管钙化的患病率不断增加,近年来,一些营养保健品预防这种病理状况的研究变得流行起来。最近的临床前和临床研究评估了营养保健品(包括镁、锌、铁、维生素 K 和植酸盐)在血管钙化进展中的潜在抗钙化作用,为其饮食补充提供了证据,特别是在高危人群中。本综述总结了具有最相关临床前和临床数据的营养保健品的最新知识和最新进展,包括镁、锌、铁、维生素 K 和植酸盐。它们的补充可能被推荐为一种具有成本效益的策略,以避免营养缺乏,并预防或治疗心血管钙化。然而,营养保健品的最佳剂量尚未确定,需要进行大型干预试验来支持它们对心血管疾病的保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cef0/8401694/f1600d39ca05/nutrients-13-02603-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cef0/8401694/be9a71714303/nutrients-13-02603-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cef0/8401694/f1600d39ca05/nutrients-13-02603-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cef0/8401694/be9a71714303/nutrients-13-02603-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cef0/8401694/f1600d39ca05/nutrients-13-02603-g002.jpg

相似文献

[1]
The Emerging Role of Nutraceuticals in Cardiovascular Calcification: Evidence from Preclinical and Clinical Studies.

Nutrients. 2021-7-28

[2]
Vitamin K Supplementation for the Prevention of Cardiovascular Disease: Where Is the Evidence? A Systematic Review of Controlled Trials.

Nutrients. 2020-9-23

[3]
Vitamin K deficiency: an emerging player in the pathogenesis of vascular calcification and an iatrogenic consequence of therapies in advanced renal disease.

Am J Physiol Renal Physiol. 2020-8-24

[4]
Circulating Des-gamma-carboxy prothrombin is not associated with cardiovascular calcification or stiffness: The Multi-Ethnic Study of Atherosclerosis (MESA).

Atherosclerosis. 2016-8-1

[5]
Warfarin, but not rivaroxaban, promotes the calcification of the aortic valve in ApoE-/- mice.

Cardiovasc Ther. 2018-6-28

[6]
Prevention of vasculopathy by vitamin K supplementation: can we turn fiction into fact?

Atherosclerosis. 2015-2-24

[7]
Calcific Aortic Valve Stenosis and Atherosclerotic Calcification.

Curr Atheroscler Rep. 2020-1-7

[8]
Vascular Calcification, Vitamin K and Warfarin Therapy - Possible or Plausible Connection?

Basic Clin Pharmacol Toxicol. 2017-7-17

[9]
Valvular Calcification in Chronic Kidney Disease.

Adv Chronic Kidney Dis. 2019-11

[10]
Treatment to reduce vascular calcification in hemodialysis patients using vitamin K (Trevasc-HDK): A study protocol for a randomized controlled trial.

Medicine (Baltimore). 2020-9-4

引用本文的文献

[1]
Mechanisms of osteopontin-stabilized amorphous calcium phosphate calcification in benign and pre-malignant breast disease.

Sci Rep. 2025-7-4

[2]
Ectopic calcifications in the musculoskeletal field: the basis for preventive and curative pharmacological strategies.

Clin Rheumatol. 2025-3

[3]
Osteopontin stabilization and collagen containment slows amorphous calcium phosphate transformation during human aortic valve leaflet calcification.

Sci Rep. 2024-5-28

[4]
Vitamin K and Calcium Chelation in Vascular Health.

Biomedicines. 2023-11-27

[5]
Phytates as a natural source for health promotion: A critical evaluation of clinical trials.

Front Chem. 2023-4-14

[6]
Nutrition Intervention and Cardiovascular Disease.

Nutrients. 2022-3-30

本文引用的文献

[1]
The Importance of Phosphate Control in Chronic Kidney Disease.

Nutrients. 2021-5-14

[2]
The emerging role of iron in heart failure and vascular calcification in CKD.

Clin Kidney J. 2020-9-10

[3]
Vascular calcification of chronic kidney disease: A brief review.

Tzu Chi Med J. 2020-7-29

[4]
Vascular pathologies in chronic kidney disease: pathophysiological mechanisms and novel therapeutic approaches.

J Mol Med (Berl). 2021-3

[5]
Vitamin K in CKD Bone Disorders.

Calcif Tissue Int. 2021-4

[6]
An update on vascular calcification and potential therapeutics.

Mol Biol Rep. 2021-1

[7]
Magnesium to prevent kidney disease-associated vascular calcification: crystal clear?

Nephrol Dial Transplant. 2022-2-25

[8]
The importance of selenium and zinc deficiency in cardiovascular disorders.

Environ Toxicol Pharmacol. 2021-2

[9]
Current Evidence and Future Perspectives on Pharmacological Treatment of Calcific Aortic Valve Stenosis.

Int J Mol Sci. 2020-11-4

[10]
Vitamin K Supplementation for the Prevention of Cardiovascular Disease: Where Is the Evidence? A Systematic Review of Controlled Trials.

Nutrients. 2020-9-23

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