全面而批判性地看待天然酚类抗氧化剂的抗炎和免疫调节作用。

Comprehensive and critical view on the anti-inflammatory and immunomodulatory role of natural phenolic antioxidants.

机构信息

University of Agronomic Sciences and Veterinary Medicine of Bucharest, Faculty of Veterinary Medicine, Department Preclinical Sciences, 105 Splaiul Independentei, 050097, Bucharest, Romania.

University of Agronomic Sciences and Veterinary Medicine of Bucharest, Faculty of Veterinary Medicine, Department Preclinical Sciences, 105 Splaiul Independentei, 050097, Bucharest, Romania.

出版信息

Eur J Med Chem. 2024 Feb 5;265:116075. doi: 10.1016/j.ejmech.2023.116075. Epub 2023 Dec 21.

Abstract

The immune response encompasses innate and adaptive immunity, each with distinct and specific activities. The innate immune system is constituted by phagocytic cells, macrophages, monocytes and neutrophils, the cascade system, and different classes of receptors such as toll-like receptors that are exploited by the innate immune cells. The adaptive immune system is antigen-specific, encompassing memory lymphocytes and the corresponding specific receptors. Inflammation is understood as an activation of different signaling pathways such as toll-like receptors or nuclear factor kappa-light-chain-enhancer of activated B cells, with an increase in nitric oxide, inflammatory cytokines and chemokines. Increased oxidative stress has been identified as main source of chronic inflammation. Phenolic antioxidants modulate the activities of lymphocytes and macrophages by impacting cytokines and nitric oxide release, exerting anti-inflammatory effect. The nuclear-factor kappa-light-chain-enhancer of activated B cells signaling pathway and the mitogen-activated protein kinase pathway are targeted, alongside an increase in nuclear factor erythroid 2-related factor mediated antioxidant response, triggering the activity of antioxidant enzymes. The inhibitive potential on phospholipase A2, cyclooxygenase and lipoxygenase in the arachidonic acid pathway, and the subsequent reduction in prostaglandin and leukotriene generation, reveals the potential of phenolics as inflammation antagonists. The immunomodulative potential encompasses the capacity to interfere with proinflammatory cytokine synthesis and with the expression of the corresponding genes. A diet rich in antioxidants can result in prevention of inflammation-related pathologies. More investigations are necessary to establish the role of these antioxidants in therapy. The appropriate delivery system and the prooxidant effects exhibited at large doses, or in the presence of heavy metal cations should be regarded.

摘要

免疫反应包括先天免疫和适应性免疫,两者都具有独特而特定的活动。先天免疫系统由吞噬细胞、巨噬细胞、单核细胞和中性粒细胞、级联系统以及不同类别的受体(如 Toll 样受体)组成,这些受体被先天免疫细胞利用。适应性免疫系统是抗原特异性的,包括记忆淋巴细胞和相应的特异性受体。炎症被理解为不同信号通路的激活,如 Toll 样受体或核因子 kappa 轻链增强子活化 B 细胞,导致一氧化氮、炎症细胞因子和趋化因子增加。氧化应激增加已被确定为慢性炎症的主要来源。酚类抗氧化剂通过影响细胞因子和一氧化氮的释放来调节淋巴细胞和巨噬细胞的活性,发挥抗炎作用。核因子 kappa 轻链增强子活化 B 细胞信号通路和丝裂原活化蛋白激酶通路被靶向,同时核因子红细胞 2 相关因子介导的抗氧化反应增加,触发抗氧化酶的活性。在花生四烯酸途径中对磷脂酶 A2、环氧化酶和脂氧合酶的抑制潜力,以及随后前列腺素和白三烯生成的减少,揭示了酚类化合物作为炎症拮抗剂的潜力。免疫调节潜力包括干扰促炎细胞因子合成和相应基因表达的能力。富含抗氧化剂的饮食可以预防与炎症相关的病理。需要进一步的研究来确定这些抗氧化剂在治疗中的作用。应考虑适当的递送系统和大剂量或存在重金属阳离子时表现出的促氧化剂作用。

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