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多酚介导的糖尿病相关心血管并发症的减轻:一项综述

Polyphenols mediated attenuation of diabetes associated cardiovascular complications: A comprehensive review.

作者信息

Kour Navdeep, Bhagat Gulshan, Singh Simran, Bhatti Sandip Singh, Arora Saroj, Singh Balbir, Bhatia Astha

机构信息

Department of Botanical and Environmental Sciences, Guru Nanak Dev University, Amritsar, 143005 Punjab India.

Department of Chemistry, Lovely Professional University, Phagwara, 144001 India.

出版信息

J Diabetes Metab Disord. 2023 Oct 18;23(1):73-99. doi: 10.1007/s40200-023-01326-x. eCollection 2024 Jun.

DOI:10.1007/s40200-023-01326-x
PMID:38932901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11196529/
Abstract

BACKGROUND

Diabetes mellitus is a common chronic metabolic disorder that is characterized by increased levels of glucose for prolonged periods of time. Incessant hyperglycemia leads to diabetic complications such as retinopathy, nephropathy, and neuropathy, and cardiovascular complications such as ischemic heart disease, peripheral vascular disease, diabetic cardiomyopathy, stroke, etc. There are many studies that suggest that various polyphenols affect glucose homeostasis and can help to attenuate the complications associated with diabetes.

OBJECTIVE

This review focuses on the possible role of various dietary polyphenols in palliating diabetes-induced cardiovascular complications. This review also aims to give an overview of the interrelationship among ROS production (due to diabetes), inflammation, glycoxidative stress, and cardiovascular complications as well as the anti-hyperglycemic effects of dietary polyphenols.

METHODS

Various scientific databases including Scopus, Web of Science, Google Scholar, PubMed, Science Direct, Springer Link, and Wiley Online Library were used for searching articles that complied with the inclusion and exclusion criteria.

RESULTS

This review lists several polyphenols based on various pre-clinical and clinical studies that have anti-hyperglycemic potential as well as a protective function against cardiovascular complications.

CONCLUSION

Several pre-clinical and clinical studies suggest that various dietary polyphenols can be a promising intervention for the attenuation of diabetes-associated cardiovascular complications.

摘要

背景

糖尿病是一种常见的慢性代谢紊乱疾病,其特征是血糖水平长期升高。持续的高血糖会导致糖尿病并发症,如视网膜病变、肾病和神经病变,以及心血管并发症,如缺血性心脏病、外周血管疾病、糖尿病性心肌病、中风等。许多研究表明,各种多酚类物质会影响葡萄糖稳态,并有助于减轻与糖尿病相关的并发症。

目的

本综述重点关注各种膳食多酚类物质在缓解糖尿病引起的心血管并发症方面的可能作用。本综述还旨在概述活性氧生成(由糖尿病引起)、炎症、糖氧化应激和心血管并发症之间的相互关系,以及膳食多酚类物质的抗高血糖作用。

方法

使用包括Scopus、科学网、谷歌学术、PubMed、科学Direct、Springer Link和Wiley Online Library在内的各种科学数据库搜索符合纳入和排除标准的文章。

结果

本综述根据各种临床前和临床研究列出了几种具有抗高血糖潜力以及对心血管并发症具有保护作用的多酚类物质。

结论

多项临床前和临床研究表明,各种膳食多酚类物质可能是缓解糖尿病相关心血管并发症的一种有前景干预措施。