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多酚:治疗代谢紊乱的潜在抗炎药。

Polyphenols: Potential anti-inflammatory agents for treatment of metabolic disorders.

机构信息

Department of Clinical Biochemistry, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Antimicrobial Resistance Research Center, Institute of immunology and infectious Disease, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Phytother Res. 2022 Jan;36(1):415-432. doi: 10.1002/ptr.7329. Epub 2021 Nov 25.

Abstract

Ample evidence highlights the potential benefits of polyphenols in health status especially in obesity-related metabolic disorders such as insulin resistance, type 2 diabetes, and cardiovascular diseases. Mechanistically, due to the key role of "Metainflammation" in the pathomechanism of metabolic disorders, recently much focus has been placed on the properties of polyphenols in obesity-related morbidities. This narrative review summarizes the current knowledge on the role of polyphenols, including genistein, chlorogenic acid, ellagic acid, caffeic acid, and silymarin in inflammatory responses pertinent to metabolic disorders and discusses the implications of this evidence for future directions. This review provides evidence that the aforementioned polyphenols benefit health status in metabolic disorders via direct and indirect regulation of a variety of target proteins involved in inflammatory signaling pathways. However, due to limitations of the in vitro and in vivo studies and also the lack of long-term human clinical trials studies, further high-quality investigations are required to firmly establish the clinical efficacy of the polyphenols for the prevention and management of metabolic disorders.

摘要

大量证据强调了多酚在健康状况方面的潜在益处,特别是在与肥胖相关的代谢紊乱方面,如胰岛素抵抗、2 型糖尿病和心血管疾病。从机制上讲,由于“代谢炎症”在代谢紊乱发病机制中的关键作用,最近人们越来越关注多酚在肥胖相关疾病中的特性。本综述总结了多酚(包括染料木黄酮、绿原酸、鞣花酸、咖啡酸和水飞蓟素)在与代谢紊乱相关的炎症反应中的作用的现有知识,并讨论了这一证据对未来方向的意义。本综述提供的证据表明,上述多酚通过直接和间接调节参与炎症信号通路的多种靶蛋白,有益于代谢紊乱中的健康状况。然而,由于体外和体内研究的局限性,以及缺乏长期的人类临床试验研究,还需要进一步进行高质量的研究,以确定多酚在预防和管理代谢紊乱方面的临床疗效。

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