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维生素 K 对 DNA 损伤的影响——有利还是不利?人体健康的反应。

Vitamin K Contribution to DNA Damage-Advantage or Disadvantage? A Human Health Response.

机构信息

DNA Damage Laboratory of Food Science Department, Faculty of Pharmacy, Medical University of Lodz, ul. Muszynskiego 1, 90-151 Lodz, Poland.

出版信息

Nutrients. 2022 Oct 11;14(20):4219. doi: 10.3390/nu14204219.

Abstract

Vitamin K is the common name for a group of compounds recognized as essential for blood clotting. The group comprises phylloquinone (K1)-a 2-methyl-3-phytyl-1,4-naphthoquinone; menaquinone (K2, MK)-a group of compounds with an unsaturated side chain in position 3 of a different number of isoprene units and a 1,4-naphthoquinone group and menadione (K3, MD)-a group of synthetic, water-soluble compounds 2-methyl-1,4-naphthoquinone. However, recent epidemiological studies suggest that vitamin K has various benefits that go beyond blood coagulation processes. A dietary intake of K1 is inversely associated with the risk of pancreatic cancer, K2 has the potential to induce a differentiation in leukemia cells or apoptosis of various types of cancer cells, and K3 has a documented anti-cancer effect. A healthy diet rich in fruit and vegetables ensures an optimal supply of K1 and K2, though consumers often prefer supplements. Interestingly, the synthetic form of vitamin K-menadione-appears in the cell during the metabolism of phylloquinone and is a precursor of MK-4, a form of vitamin K2 inaccessible in food. With this in mind, the purpose of this review is to emphasize the importance of vitamin K as a micronutrient, which not only has a beneficial effect on blood clotting and the skeleton, but also reduces the risk of cancer and other pro-inflammatory diseases. A proper diet should be a basic and common preventive procedure, resulting in a healthier society and reduced burden on healthcare systems.

摘要

维生素 K 是一组被认为对血液凝结至关重要的化合物的通用名称。该组包括叶绿醌(K1)-一种 2-甲基-3-叶绿基-1,4-萘醌;甲萘醌(K2,MK)-一组具有不同数量异戊二烯单元和 1,4-萘醌基团的不饱和侧链的化合物和亚硫酸氢钠甲萘醌(K3,MD)-一组合成的、水溶性的 2-甲基-1,4-萘醌化合物。然而,最近的流行病学研究表明,维生素 K 具有超越血液凝结过程的多种益处。K1 的膳食摄入量与胰腺癌风险呈负相关,K2 具有诱导白血病细胞分化或各种类型癌细胞凋亡的潜力,K3 具有已证明的抗癌作用。富含水果和蔬菜的健康饮食可确保 K1 和 K2 的最佳供应,尽管消费者通常更喜欢补充剂。有趣的是,合成形式的维生素 K-亚硫酸氢钠甲萘醌-在叶绿醌的代谢过程中出现在细胞中,是 MK-4 的前体,MK-4 是一种无法从食物中获得的维生素 K2 形式。考虑到这一点,本综述的目的是强调维生素 K 作为一种微量营养素的重要性,它不仅对血液凝结和骨骼有益,而且还降低了癌症和其他炎症性疾病的风险。适当的饮食应该是基本和常见的预防措施,从而导致更健康的社会和减轻医疗保健系统的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce9a/9611527/0e4c65e1c982/nutrients-14-04219-g001.jpg

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