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番木瓜叶和海藻补充剂在糖尿病血糖控制中的应用。

Uses of Papaya Leaf and Seaweed Supplementations for Controlling Glucose Homeostasis in Diabetes.

机构信息

Department of Human Nutrition, Food and Animal Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA.

出版信息

Int J Mol Sci. 2023 Apr 6;24(7):6846. doi: 10.3390/ijms24076846.

Abstract

Studies from laboratory animal models and complementary medical practices have implied that nutrients from special plants or herbs contain antidiabetic, antioxidant, anti-obese, anti-hypertensive, and anti-inflammatory properties. Seaweed and tropical papaya, which are widely available in Asian and Pacific countries, have been used as home remedies for centuries. The bioactive extracts from these plants contain vitamins A, C, B and E complexes, as well as polysaccharides, phenolic compounds, essential fatty acids, flavonoids, saponins, fucoidan, and phlorotannin. In this review, the authors examine the pathogenesis of diabetes characterized by hyperglycemia due to the dysregulation of glucose homeostasis, antidiabetic/antihyperglycemic seaweed or/and papaya derived bioactive phytochemicals and their proposed mechanisms of action in the management of Type 2 Diabetes Mellitus (T2DM). The authors also propose combining papaya and seaweed to enhance their antidiabetic effects, leveraging the advantages of herb-to-herb combination. Papaya and seaweed have demonstrated antidiabetic effects through in vitro assays, cellular models, and animal studies despite the limited clinical trials. Nutraceuticals with antidiabetic effects, such as secondary metabolites isolated from seaweed and papaya, could be combined for a synergistic effect on T2DM management. However, the application of these compounds in their purified or mixed forms require further scientific studies to evaluate their efficacy against diabetes-related complications, such as hyperlipidemia, elevated free radicals, pro-inflammatory molecules, insulin insensitivity, and the degeneration of pancreatic beta cells.

摘要

实验室动物模型和补充医学实践的研究表明,特殊植物或草药的营养成分具有抗糖尿病、抗氧化、抗肥胖、抗高血压和抗炎特性。海藻和热带木瓜在亚洲和太平洋国家广泛应用,已被用作家庭疗法数百年。这些植物的生物活性提取物含有维生素 A、C、B 和 E 复合物以及多糖、酚类化合物、必需脂肪酸、类黄酮、皂苷、褐藻糖胶和岩藻黄质。在这篇综述中,作者研究了糖尿病的发病机制,其特征是由于葡萄糖稳态失调导致的高血糖,抗糖尿病/降血糖海藻或/和木瓜衍生的生物活性植物化学物质及其在 2 型糖尿病 (T2DM) 管理中的作用机制。作者还提出将木瓜和海藻结合起来,以增强它们的抗糖尿病作用,利用草药组合的优势。尽管临床试验有限,但木瓜和海藻已通过体外检测、细胞模型和动物研究证明了其抗糖尿病作用。具有抗糖尿病作用的营养保健品,如从海藻和木瓜中分离出的次生代谢物,可以联合使用,以达到协同治疗 2 型糖尿病的效果。然而,这些化合物的应用,无论是在其纯化形式还是混合形式下,都需要进一步的科学研究来评估它们对糖尿病相关并发症的疗效,如高血脂、自由基升高、促炎分子、胰岛素不敏感和胰腺β细胞退化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a825/10095424/5cf401151b94/ijms-24-06846-g001.jpg

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