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与血压:证据与潜在机制。

and Blood Pressure: Evidence and Potential Mechanisms.

作者信息

Menichetti Francesca, Berteotti Chiara, Schirinzi Vittoria, Poli Carolina, Arrighi Roberta, Leone Alessandro

机构信息

International Center for the Assessment of Nutritional Status and the Development of Dietary Intervention Strategies (ICANS-DIS), Department of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, 20133 Milan, Italy.

PRISM Lab, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.

出版信息

Nutrients. 2025 Apr 3;17(7):1258. doi: 10.3390/nu17071258.

DOI:10.3390/nu17071258
PMID:40219017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11990149/
Abstract

The prevalence of hypertension is increasing worldwide, in particular in developing countries. Anti-hypertensive drugs are commonly used to treat hypertension. However, in developing countries, where access to health care is scarce and the supply system is poor, anti-hypertensive drugs may not always be available. is a plant widely found in developing countries, with its leaves, seeds, flowers, roots, and pods used both for nutritional purposes and in traditional medicine to treat various diseases, including hypertension. This review summarizes the evidence, both in animal and human models, about the antihypertensive effects of different parts of , discusses possible mechanisms of action, explores its bioactive compounds with potential antihypertensive properties, and highlights the limitations of its use as a hypotensive agent. Many preclinical studies attribute antihypertensive properties to , particularly the leaves. However, it is premature to draw firm conclusions, as there is a great lack of randomized controlled trials demonstrating its real efficacy. The mechanisms of action and the compounds responsible for the hypotensive effect have not yet been fully elucidated. Therefore, further clinical trials showing its efficacy are strongly required before promoting Moringa for therapeutic purposes. At present, Moringa remains a plant with nutritional and pharmacological potential.

摘要

高血压的患病率在全球范围内不断上升,尤其是在发展中国家。抗高血压药物常用于治疗高血压。然而,在医疗保健资源稀缺且供应系统不佳的发展中国家,抗高血压药物可能并非总能获得。辣木是一种在发展中国家广泛分布的植物,其叶、种子、花、根和豆荚既用于营养目的,也用于传统医学治疗包括高血压在内的各种疾病。本综述总结了动物和人体模型中有关辣木不同部位降压作用的证据,讨论了可能的作用机制,探索了具有潜在降压特性的生物活性化合物,并强调了其作为降压药使用的局限性。许多临床前研究将降压特性归因于辣木,尤其是其叶子。然而,由于非常缺乏证明其实际疗效的随机对照试验,现在得出确凿结论还为时过早。其作用机制和导致降压作用的化合物尚未完全阐明。因此,在推广辣木用于治疗目的之前,强烈需要需要进一步进一步的临床试验以证明其疗效。目前,辣木仍然是一种具有营养和药理潜力的植物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/3f973f1082d0/nutrients-17-01258-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/336858e2dded/nutrients-17-01258-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/b83df852c98f/nutrients-17-01258-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/3f973f1082d0/nutrients-17-01258-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/336858e2dded/nutrients-17-01258-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/b83df852c98f/nutrients-17-01258-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afe/11990149/3f973f1082d0/nutrients-17-01258-g003.jpg

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本文引用的文献

1
2024 ESC Guidelines for the management of elevated blood pressure and hypertension.2024年欧洲心脏病学会高血压管理指南
Eur Heart J. 2024 Oct 7;45(38):3912-4018. doi: 10.1093/eurheartj/ehae178.
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Effects of leaves on the blood glucose, blood pressure, and lipid profile of type 2 diabetic subjects: A parallel group randomized clinical trial of efficacy.叶对2型糖尿病患者血糖、血压和血脂的影响:一项平行组随机疗效临床试验。
Nutr Health. 2025 Mar;31(1):281-291. doi: 10.1177/02601060231176873. Epub 2023 May 25.
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Effects of Lam. Supplementation on Inflammatory and Cardiometabolic Markers in Subjects with Prediabetes.
补充 Lam 对糖尿病前期患者炎症和心血管代谢标志物的影响。
Nutrients. 2022 May 5;14(9):1937. doi: 10.3390/nu14091937.
4
Moringa Oleifera Lam. in Cardiometabolic Disorders: A Systematic Review of Recent Studies and Possible Mechanism of Actions.辣木在心脏代谢紊乱中的作用:近期研究的系统综述及可能的作用机制
Front Pharmacol. 2022 Mar 30;13:792794. doi: 10.3389/fphar.2022.792794. eCollection 2022.
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The Potency of Lam. as Protective Agent in Cardiac Damage and Vascular Dysfunction.Lam.作为心脏损伤和血管功能障碍保护剂的效力。
Front Pharmacol. 2022 Jan 24;12:724439. doi: 10.3389/fphar.2021.724439. eCollection 2021.
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Nutritional significance and therapeutic potential of Moringa oleifera: The wonder plant.辣木的营养意义和治疗潜力:神奇植物。
J Food Biochem. 2021 Oct;45(10):e13933. doi: 10.1111/jfbc.13933. Epub 2021 Sep 17.
7
Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants.全球高血压患病率趋势及 1990 至 2019 年治疗和控制进展情况:1040 万参与者、1201 项人群代表性研究的汇总分析
Lancet. 2021 Sep 11;398(10304):957-980. doi: 10.1016/S0140-6736(21)01330-1. Epub 2021 Aug 24.
8
Antihypertensive activity of the ACE-renin inhibitory peptide derived from protein.从蛋白质中衍生的 ACE-肾素抑制肽的降压活性。
Food Funct. 2021 Oct 4;12(19):8994-9006. doi: 10.1039/d1fo01103k.
9
Hydrogen sulfide as a mediator of endothelium-dependent relaxation evoked by leaf extract in mesenteric arterial beds isolated from L-NAME hypertensive rats.硫化氢作为内皮依赖性松弛介质介导的叶片提取物在来自 L-NAME 高血压大鼠肠系膜动脉血管床中的作用。
J Complement Integr Med. 2020 Dec 21;18(2):287-293. doi: 10.1515/jcim-2020-0060.
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Moringa oleifera leaf extract enhances endothelial nitric oxide production leading to relaxation of resistance artery and lowering of arterial blood pressure.辣木叶提取物可增强内皮一氧化氮的产生,导致阻力血管舒张和降低动脉血压。
Biomed Pharmacother. 2020 Oct;130:110605. doi: 10.1016/j.biopha.2020.110605. Epub 2020 Aug 9.