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膳食酚类化合物作为糖尿病及其并发症的潜在治疗剂:综述

Dietary phenolic compounds as promising therapeutic agents for diabetes and its complications: A comprehensive review.

作者信息

Aryal Dipa, Joshi Soniya, Thapa Nabin Kumar, Chaudhary Pratiksha, Basaula Sirjana, Joshi Usha, Bhandari Damodar, Rogers Hannah M, Bhattarai Salyan, Sharma Khaga Raj, Regmi Bishnu P, Parajuli Niranjan

机构信息

Biological Chemistry Lab, Central Department of Chemistry Tribhuvan University Kathmandu Nepal.

Department of Chemistry Florida Agricultural and Mechanical University Tallahassee Florida USA.

出版信息

Food Sci Nutr. 2024 Jan 30;12(5):3025-3045. doi: 10.1002/fsn3.3983. eCollection 2024 May.

Abstract

In the middle of an ever-changing landscape of diabetes care, precision medicine, and lifestyle therapies are becoming increasingly important. Dietary polyphenols are like hidden allies found in our everyday meals. These biomolecules, found commonly in fruits, vegetables, and various plant-based sources, hold revolutionary potential within their molecular structure in the way we approach diabetes and its intimidating consequences. There are currently numerous types of diabetes medications, but they are not appropriate for all patients due to limitations in dosages, side effects, drug resistance, a lack of efficacy, and ethnicity. Currently, there has been increased interest in practicing herbal remedies to manage diabetes and its related complications. This article aims to summarize the potential of dietary polyphenols as a foundation in the treatment of diabetes and its associated consequences. We found that most polyphenols inhibit enzymes linked to diabetes. This review outlines the potential benefits of selected molecules, including kaempferol, catechins, rosmarinic acid, apigenin, chlorogenic acid, and caffeic acid, in managing diabetes mellitus as these compounds have exhibited promising results in in vitro, in vivo, in silico, and some preclinical trials study. This encompassing exploration reveals the multifaceted impact of polyphenols not only in mitigating diabetes but also in addressing associated conditions like inflammation, obesity, and even cancer. Their mechanisms involve antioxidant functions, immune modulation, and proinflammatory enzyme regulation. Furthermore, these molecules exhibit anti-tumor activities, influence cellular pathways, and activate AMPK pathways, offering a less toxic, cost-effective, and sustainable approach to addressing diabetes and its complications.

摘要

在不断变化的糖尿病护理领域中,精准医学和生活方式疗法正变得越来越重要。膳食多酚就像是我们日常饮食中隐藏的盟友。这些生物分子常见于水果、蔬菜和各种植物性来源中,在我们应对糖尿病及其可怕后果的方式上,其分子结构具有革命性的潜力。目前有多种类型的糖尿病药物,但由于剂量限制、副作用、耐药性、疗效不佳以及种族因素,它们并不适用于所有患者。目前,人们对使用草药疗法来控制糖尿病及其相关并发症的兴趣有所增加。本文旨在总结膳食多酚作为治疗糖尿病及其相关后果的基础的潜力。我们发现大多数多酚会抑制与糖尿病相关的酶。这篇综述概述了选定分子的潜在益处,包括山奈酚、儿茶素、迷迭香酸、芹菜素、绿原酸和咖啡酸,这些化合物在体外、体内、计算机模拟和一些临床前试验研究中均显示出有前景的结果,它们在管理糖尿病方面具有潜在益处。这种全面的探索揭示了多酚不仅在减轻糖尿病方面,而且在解决炎症、肥胖甚至癌症等相关病症方面的多方面影响。它们的作用机制包括抗氧化功能、免疫调节和促炎酶调节。此外,这些分子还具有抗肿瘤活性,影响细胞途径并激活AMPK途径,为解决糖尿病及其并发症提供了一种毒性较小、成本效益高且可持续的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc03/11077226/7e1d47136416/FSN3-12-3025-g005.jpg

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