Pinilla-González Víctor, Rojas-Solé Catalina, Gómez-Hevia Francisca, González-Fernández Tommy, Cereceda-Cornejo Antonia, Chichiarelli Silvia, Saso Luciano, Rodrigo Ramón
Molecular and Clinical Pharmacology Program, Institute of Biomedical Sciences, Faculty of Medicine, University of Chile, Santiago 8380000, Chile.
Department of Biochemical Sciences "A. Rossi-Fanelli", Sapienza University of Rome, 00185 Rome, Italy.
Foods. 2024 Jun 25;13(13):1999. doi: 10.3390/foods13131999.
Numerous natural antioxidants commonly found in our daily diet have demonstrated significant benefits for human health and various diseases by counteracting the impact of reactive oxygen and nitrogen species. Their chemical properties enable a range of biological actions, including antihypertensive, antimicrobial, anti-inflammatory, anti-fibrotic, and anticancer effects. Despite promising outcomes from preclinical studies, ongoing debate persists regarding their reproducibility in human clinical models. This controversy largely stems from a lack of understanding of the pharmacokinetic properties of these compounds, coupled with the predominant focus on monotherapies in research, neglecting potential synergistic effects arising from combining different antioxidants. This study aims to provide an updated overview of natural antioxidants, operating under the hypothesis that a multitherapeutic approach surpasses monotherapy in efficacy. Additionally, this study underscores the importance of integrating these antioxidants into the daily diet, as they have the potential to prevent the onset and progression of various diseases. To reinforce this perspective, clinical findings pertaining to the treatment and prevention of non-alcoholic fatty liver disease and conditions associated with ischemia and reperfusion phenomena, including myocardial infarction, postoperative atrial fibrillation, and stroke, are presented as key references.
我们日常饮食中常见的许多天然抗氧化剂已通过抵消活性氧和氮物种的影响,证明了对人类健康和各种疾病具有显著益处。它们的化学性质使其具有一系列生物活性,包括抗高血压、抗菌、抗炎、抗纤维化和抗癌作用。尽管临床前研究取得了令人鼓舞的结果,但关于它们在人类临床模型中的可重复性仍存在持续的争论。这一争议很大程度上源于对这些化合物药代动力学特性的缺乏了解,再加上研究中主要关注单一疗法,而忽视了不同抗氧化剂组合可能产生的协同效应。本研究旨在提供天然抗氧化剂的最新概述,其假设是多疗法在疗效上优于单一疗法。此外,本研究强调了将这些抗氧化剂纳入日常饮食的重要性,因为它们有可能预防各种疾病的发生和发展。为强化这一观点,本文将与非酒精性脂肪性肝病以及与缺血再灌注现象相关病症(包括心肌梗死、术后心房颤动和中风)的治疗和预防有关的临床研究结果作为关键参考文献列出。