Faculty of Pharmacy, The University of Lahore, Lahore 54000, Pakistan.
Post-Graduate Medical College, Faculty of Medicine and Allied Health Sciences, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Fitoterapia. 2024 Jul;176:106011. doi: 10.1016/j.fitote.2024.106011. Epub 2024 May 11.
Flavonoids derived from plants offer a broad spectrum of therapeutic potential for addressing metabolic syndrome, particularly diabetes mellitus (DM), a prevalent non-communicable disease. Hyperglycemia in DM is a known risk factor for cardiovascular diseases (CVDs), which substantially impact global mortality rates. This review examines the potential effects of naringin, a citrus flavonoid, on both DM and its associated cardiovascular complications, including conditions like diabetic cardiomyopathy. The safety profile of naringin is summarized based on various pre-clinical studies. The data for this review was gathered from diverse electronic databases, including Medline, PubMed, ScienceDirect, SpringerLink, Google Scholar, and Emerald Insight. Multiple pre-clinical studies have demonstrated that naringin exerts hypoglycemic and cardioprotective effects by targeting various vascular mechanisms. Specifically, research indicates that naringin down-regulates the renin-angiotensin and oxidative stress systems while concurrently upregulating β-cell and immune system functions. Clinical trial outcomes also support the therapeutic potential of naringin in managing hyperglycemic states and associated cardiovascular issues. Moreover, toxicity studies have confirmed the safety of naringin in animal models, suggesting its potential for safe administration in humans. In conclusion, naringin emerges as a promising natural candidate for both antidiabetic and cardioprotective purposes, offering potential improvements in health outcomes. While naringin presents a new avenue for therapies targeting DM and CVDs, additional controlled and long-term clinical trials are necessary to validate its efficacy and safety for human use.
植物来源的类黄酮为治疗代谢综合征(特别是糖尿病)提供了广泛的治疗潜力,糖尿病是一种常见的非传染性疾病。糖尿病中的高血糖是心血管疾病(CVDs)的已知风险因素,它对全球死亡率有重大影响。本综述考察了柚皮苷(一种柑橘类黄酮)对糖尿病及其相关心血管并发症的潜在影响,包括糖尿病性心肌病等疾病。根据各种临床前研究,总结了柚皮苷的安全性概况。本综述的数据来自多个电子数据库,包括 Medline、PubMed、ScienceDirect、SpringerLink、Google Scholar 和 Emerald Insight。多项临床前研究表明,柚皮苷通过靶向各种血管机制发挥降血糖和心脏保护作用。具体来说,研究表明柚皮苷下调肾素-血管紧张素和氧化应激系统,同时上调β细胞和免疫系统功能。临床试验结果也支持柚皮苷在治疗高血糖状态和相关心血管问题方面的治疗潜力。此外,毒理学研究证实了柚皮苷在动物模型中的安全性,表明其在人类中安全给药的潜力。总之,柚皮苷作为一种有前途的天然抗糖尿病和心脏保护候选物,为改善健康结果提供了潜力。虽然柚皮苷为治疗糖尿病和 CVDs 提供了新的治疗途径,但需要进行更多的对照和长期临床试验来验证其在人类中的疗效和安全性。