多酚对健康人体葡萄糖诱导的代谢变化及葡萄糖转运体的影响。
Effects of Polyphenols on Glucose-Induced Metabolic Changes in Healthy Human Subjects and on Glucose Transporters.
机构信息
Department of Nutrition, Dietetics, and Food, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, BASE Facility, 264 Ferntree Gully Road, Notting Hill, VIC 3168, Australia.
出版信息
Mol Nutr Food Res. 2022 Nov;66(21):e2101113. doi: 10.1002/mnfr.202101113. Epub 2022 Apr 6.
Dietary polyphenols interact with glucose transporters in the small intestine and modulate glucose uptake after food or beverage consumption. This review assesses the transporter interaction in vitro and how this translates to an effect in healthy volunteers consuming glucose. As examples, the apple polyphenol phlorizin inhibits sodium-glucose linked transporter-1; in the intestinal lumen, it is converted to phloretin, a strong inhibitor of glucose transporter-2 (GLUT2), by the brush border digestive enzyme lactase. Consequently, an apple extract rich in phlorizin attenuates blood glucose and insulin in healthy volunteers after a glucose challenge. On the other hand, the olive phenolic, oleuropein, inhibits GLUT2, but the strength of the inhibition is not enough to modulate blood glucose after a glucose challenge in healthy volunteers. Multiple metabolic effects and oxidative stresses after glucose consumption include insulin, incretin hormones, fatty acids, amino acids, and protein markers. However, apart from acute postprandial effects on glucose, insulin, and some incretin hormones, very little is known about the acute effects of polyphenols on these glucose-induced secondary effects. In summary, attenuation of the effect of a glucose challenge in vivo is only observed when polyphenols are strong inhibitors of glucose transporters.
膳食多酚与小肠中的葡萄糖转运蛋白相互作用,并调节食物或饮料摄入后的葡萄糖摄取。本综述评估了体外的转运蛋白相互作用,以及这如何转化为健康志愿者摄入葡萄糖时的效果。例如,苹果多酚根皮苷抑制钠-葡萄糖协同转运蛋白-1;在肠腔中,它被刷状缘消化酶乳糖酶转化为根皮素,这是葡萄糖转运蛋白-2(GLUT2)的强抑制剂。因此,富含根皮苷的苹果提取物可在健康志愿者摄入葡萄糖后减轻血糖和胰岛素水平。另一方面,橄榄酚类化合物橄榄苦苷抑制 GLUT2,但抑制强度不足以调节健康志愿者摄入葡萄糖后的血糖水平。葡萄糖摄入后的多种代谢效应和氧化应激包括胰岛素、肠促胰岛素激素、脂肪酸、氨基酸和蛋白质标志物。然而,除了葡萄糖引起的餐后血糖、胰岛素和一些肠促胰岛素激素的急性作用外,对于多酚类物质对这些葡萄糖诱导的次级作用的急性影响知之甚少。总之,只有当多酚类物质是葡萄糖转运蛋白的强抑制剂时,才会观察到体内葡萄糖挑战作用的减弱。