Shrivastav Dharmsheel, Kumbhakar Satyam Kumar, Srivastava Shivangi, Singh Desh Deepak
Amity Institute of Biotechnology, Amity University Rajasthan, Jaipur 303002, Rajasthan, India.
Department of Biotechnology, Govt Veer Surendra Say P.G. College, Gariaband 493889, Chhattisgarh, India.
World J Diabetes. 2024 Jul 15;15(7):1603-1614. doi: 10.4239/wjd.v15.i7.1603.
Type 2 diabetes (T2D) is a metabolic disease of impaired glucose utilization and a major cause of cardiovascular disease (CVD). The pathogenesis of both diseases shares common risk factors and mechanisms, and both are significant contributors to global morbidity and mortality. Supplements of natural products for T2D mellitus (T2DM) and CVD can be seen as a potential preventive and effective therapeutic strategy.
To critically evaluate the therapeutic potential of natural products in T2D and coronary artery disease (CAD).
By using specific keywords, we strategically searched the PubMed database. Randomized controlled trials (RCTs) were searched as the primary focus that examined the effect of natural products on glycemic control, oxidative stress, and antioxidant levels. We focused on outcomes such as low blood glucose levels, adjustment on markers of oxidative stress and antioxidants. After screening full-length papers, we included 9 RCTs in our review that met our inclusion criteria.
In the literature search on the database, we found that various natural products like plant secondary metabolites play a diverse role in the management of CAD. American ginseng, sesame oil and cocoa flavanols proved effective in lowering blood glucose levels and controlling blood pressure, which are key factors in managing T2DM and CVD. In diabetic patients effectively reduce inflammation and shows diabetes prevention. Both fish oil and flaxseed oil reduced insulin levels and inflammatory markers, suggesting benefits for both conditions. The lipid profile and endothelial function were enhanced by oil and , which is significant for the management of cardiovascular risk factors in T2DM. Additionally Bilberry extract also showed promise for improving glycemic control in patients with T2DM.
The high level of antioxidant, anti-inflammatory, and anti-angiogenic properties found in natural products makes them promising therapeutic options for the management of CAD, with the potential benefit of lowering the risk of CAD.
2型糖尿病(T2D)是一种葡萄糖利用受损的代谢性疾病,也是心血管疾病(CVD)的主要病因。这两种疾病的发病机制具有共同的危险因素和机制,并且都是全球发病率和死亡率的重要促成因素。补充天然产物用于2型糖尿病(T2DM)和CVD可被视为一种潜在的预防和有效治疗策略。
批判性地评估天然产物在T2D和冠状动脉疾病(CAD)中的治疗潜力。
通过使用特定关键词,我们有策略地搜索了PubMed数据库。随机对照试验(RCT)作为主要搜索对象,考察天然产物对血糖控制、氧化应激和抗氧化水平的影响。我们关注低血糖水平、氧化应激标志物和抗氧化剂的调整等结果。在筛选全文后,我们的综述纳入了9项符合纳入标准的RCT。
在数据库的文献搜索中,我们发现各种天然产物如植物次生代谢产物在CAD的管理中发挥着多种作用。西洋参、芝麻油和可可黄烷醇被证明在降低血糖水平和控制血压方面有效,而这是管理T2DM和CVD的关键因素。在糖尿病患者中,其可有效减轻炎症并显示出预防糖尿病的作用。鱼油和亚麻籽油都降低了胰岛素水平和炎症标志物,表明对这两种病症都有益处。[此处原文缺失两种油的具体名称]油和[此处原文缺失具体物质]增强了血脂谱和内皮功能,这对管理T2DM中的心血管危险因素具有重要意义。此外,越橘提取物在改善T2DM患者的血糖控制方面也显示出前景。
天然产物中发现的高水平抗氧化、抗炎和抗血管生成特性使其成为CAD管理中有前景的治疗选择,具有降低CAD风险的潜在益处。