Valado Ana, Cunha Margarida, Pereira Leonel
Polytechnic University of Coimbra, Coimbra Health School, Biomedical Laboratory Sciences, Rua 5 de Outubro-S. Martinho do Bispo, Apartado 7006, 3045-043 Coimbra, Portugal.
Research Centre for Natural Resources Environment and Society (CERNAS), Polytechnic University of Coimbra, Bencanta, 3045-601 Coimbra, Portugal.
Mar Drugs. 2024 Dec 4;22(12):550. doi: 10.3390/md22120550.
Metabolic Syndrome (MetS) is a complex, multifactorial condition characterized by risk factors such as abdominal obesity, insulin resistance, dyslipidemia and hypertension, which significantly contribute to the development of cardiovascular disease (CVD), the leading cause of death worldwide. Early identification and effective monitoring of MetS is crucial for preventing serious cardiovascular complications. This article provides a comprehensive overview of various biomarkers associated with MetS, including lipid profile markers (triglyceride/high-density lipoprotein cholesterol (TG/HDL-C) ratio and apolipoprotein B/apolipoprotein A1 (ApoB/ApoA1) ratio), inflammatory markers (interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), plasminogen activator inhibitor type 1 (PAI-1), C-reactive protein (CRP), leptin/adiponectin ratio, omentin and fetuin-A/adiponectin ratio), oxidative stress markers (lipid peroxides, protein and nucleic acid oxidation, gamma-glutamyl transferase (GGT), uric acid) and microRNAs (miRNAs) such as miR-15a-5p, miR5-17-5p and miR-24-3p. Additionally, this review highlights the importance of biomarkers in MetS and the need for advancements in their identification and use for improving prevention and treatment. Seaweed therapy is also discussed as a significant intervention for MetS due to its rich content of fiber, antioxidants, minerals and bioactive compounds, which help improve cardiovascular health, reduce inflammation, increase insulin sensitivity and promote weight loss, making it a promising nutritional strategy for managing metabolic and cardiovascular health.
代谢综合征(MetS)是一种复杂的多因素病症,其特征在于腹部肥胖、胰岛素抵抗、血脂异常和高血压等风险因素,这些因素显著促成了心血管疾病(CVD)的发生,而心血管疾病是全球主要的死亡原因。早期识别和有效监测代谢综合征对于预防严重的心血管并发症至关重要。本文全面概述了与代谢综合征相关的各种生物标志物,包括血脂谱标志物(甘油三酯/高密度脂蛋白胆固醇(TG/HDL-C)比值和载脂蛋白B/载脂蛋白A1(ApoB/ApoA1)比值)、炎症标志物(白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、纤溶酶原激活物抑制剂1型(PAI-1)、C反应蛋白(CRP)、瘦素/脂联素比值、网膜素和胎球蛋白A/脂联素比值)、氧化应激标志物(脂质过氧化物、蛋白质和核酸氧化、γ-谷氨酰转移酶(GGT)、尿酸)以及微小RNA(miRNA),如miR-15a-5p、miR-17-5p和miR-24-3p。此外,本综述强调了生物标志物在代谢综合征中的重要性,以及在其识别和用于改善预防和治疗方面取得进展的必要性。还讨论了海藻疗法作为代谢综合征的一种重要干预措施,因为海藻富含纤维、抗氧化剂、矿物质和生物活性化合物,有助于改善心血管健康、减轻炎症、提高胰岛素敏感性和促进体重减轻,使其成为管理代谢和心血管健康的一种有前景的营养策略。