肥胖的表观遗传学:基于天然产物的治疗方法的机制和进展。
Epigenetics in obesity: Mechanisms and advances in therapies based on natural products.
机构信息
Department of Pharmacy, Renmin Hospital of Wuhan University, Wuhan, Hubei, P.R. China.
Department of Pharmacy, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Huangshi, Hubei, P.R. China.
出版信息
Pharmacol Res Perspect. 2024 Feb;12(1):e1171. doi: 10.1002/prp2.1171.
Obesity is a major risk factor for morbidity and mortality because it has a close relationship to metabolic illnesses, such as diabetes, cardiovascular diseases, and some types of cancer. With no drugs available, the mainstay of obesity management remains lifestyle changes with exercise and dietary modifications. In light of the tremendous disease burden and unmet therapeutics, fresh perspectives on pathophysiology and drug discovery are needed. The development of epigenetics provides a compelling justification for how environmental, lifestyle, and other risk factors contribute to the pathogenesis of obesity. Furthermore, epigenetic dysregulations can be restored, and it has been reported that certain natural products obtained from plants, such as tea polyphenols, ellagic acid, urolithins, curcumin, genistein, isothiocyanates, and citrus isoflavonoids, were shown to inhibit weight gain. These substances have great antioxidant potential and are of great interest because they can also modify epigenetic mechanisms. Therefore, understanding epigenetic modifications to target the primary cause of obesity and the epigenetic mechanisms of anti-obesity effects with certain phytochemicals can prove rational strategies to prevent the disease and develop novel therapeutic interventions. Thus, the current review aimed to summarize the epigenetic mechanisms and advances in therapies for obesity based on natural products to provide evidence for the development of several potential anti-obesity drug targets.
肥胖是发病率和死亡率的一个主要危险因素,因为它与代谢疾病密切相关,如糖尿病、心血管疾病和某些类型的癌症。由于没有可用的药物,肥胖管理的主要方法仍然是通过运动和饮食改变来改变生活方式。鉴于巨大的疾病负担和未满足的治疗需求,需要对病理生理学和药物发现有新的认识。表观遗传学的发展为环境、生活方式和其他危险因素如何导致肥胖症的发病机制提供了有力的依据。此外,表观遗传失调可以得到恢复,据报道,某些从植物中获得的天然产物,如茶多酚、鞣花酸、乌索酸、姜黄素、染料木黄酮、异硫氰酸盐和柑橘类异黄酮,被证明可以抑制体重增加。这些物质具有很强的抗氧化潜力,非常有趣,因为它们还可以修饰表观遗传机制。因此,了解针对肥胖主要原因的表观遗传修饰以及某些植物化学物质的抗肥胖作用的表观遗传机制,可以为预防疾病和开发新的治疗干预措施提供合理的策略。因此,本综述旨在总结基于天然产物的肥胖症的表观遗传机制和治疗进展,为开发几种潜在的抗肥胖药物靶点提供证据。