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牛初乳在糖尿病管理中的多功能作用:临床见解与潜在治疗效果

The multifunctional role of bovine colostrum in managing diabetes: clinical insights and potential therapeutic effects.

作者信息

Aiello Gilda, Yalçıntaş Yalçın Mert, Campaci Diego, Lombardo Mauro, Muthanna Fares M S, Conte Caterina, Karav Sercan, Tripodi Gianluca, Baldelli Sara

机构信息

Department of Molecular Biology and Genetics, Çanakkale Onsekiz Mart University, Canakkale, 17000 Türkiye.

Department for the Promotion of Human Science and Quality of Life, San Raffaele Open University, Via di Val Cannuta, 247, Rome, 00166 Italy.

出版信息

J Diabetes Metab Disord. 2025 Jul 29;24(2):179. doi: 10.1007/s40200-025-01683-9. eCollection 2025 Dec.

Abstract

Diabetes mellitus is a global metabolic disorder characterised by insulin resistance or insufficient insulin production, leading to chronic hyperglycemia and severe complications. Although pharmacological treatments exist, there is a growing interest in complementary therapies to improve glycaemic control and attenuate disease progression. Bovine colostrum, a nutrient-rich secretion produced after parturition, contains bioactive compounds such as insulin-like growth factor-1 (IGF-1), lactoferrin, cytokines and immunoglobulins, which have potential therapeutic effects on diabetes. The aim of the review is to report on the various molecular mechanisms through which bovine colostrum is involved in diabetes management. The review analyzes, through clinical studies and potential therapeutic effects, the influence of colostrum on glucose metabolism, insulin sensibility, oxidative stress, and inflammatory processes. Preclinical and clinical evidence suggests that bovine colostrum supplementation can lower blood glucose levels, improve lipid profiles and enhance immune modulation in type 1 and type 2 diabetes. In addition, its role in healing wounds and injuries has been demonstrated in a number of studies that have demonstrated the efficacy of bovine colostrum. Furthermore, its role in wound healing and regulation of the gut microbiota highlights its potential as an adjunctive therapy for diabetes management. Further research is needed to standardise formulations and determine optimal dosages for clinical applications.

摘要

糖尿病是一种全球性的代谢紊乱疾病,其特征为胰岛素抵抗或胰岛素分泌不足,导致慢性高血糖及严重并发症。尽管存在药物治疗方法,但人们对辅助疗法改善血糖控制和减缓疾病进展的兴趣与日俱增。牛初乳是分娩后产生的一种营养丰富的分泌物,含有胰岛素样生长因子-1(IGF-1)、乳铁蛋白、细胞因子和免疫球蛋白等生物活性化合物,这些物质对糖尿病具有潜在治疗作用。本综述的目的是报告牛初乳参与糖尿病管理的各种分子机制。该综述通过临床研究及潜在治疗效果,分析了初乳对葡萄糖代谢、胰岛素敏感性、氧化应激和炎症过程的影响。临床前和临床证据表明,补充牛初乳可降低1型和2型糖尿病患者的血糖水平、改善血脂状况并增强免疫调节。此外,多项研究已证实牛初乳在伤口和损伤愈合方面的作用,证明了其有效性。此外,它在伤口愈合和肠道微生物群调节中的作用凸显了其作为糖尿病管理辅助疗法的潜力。需要进一步研究来规范配方并确定临床应用的最佳剂量。

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