饮食胆与心脏代谢障碍之间的相互作用:对当前证据的审查
Natalia G Vallianou1,2, Dimitris Kounatidis3, Sotiria Psallida4
1Department of Internal Medicine, Evangelismos General Hospital, 45-47 Ipsilantou str, Athens, Greece. natalia.vallianou@hotmail.com.
Current nutrition reports
|March 1, 2024
概括
保持均衡的饮食胆摄入量对于预防非酒精性脂肪肝疾病,心血管疾病和认知衰退至关重要. 肠道微生物群与胆的相互作用影响这些健康结果.
科学领域:
- 营养科学 营养科学
- 细胞的新陈代谢
- 微生物组研究 微生物组研究
背景情况:
- 胆对于细胞膜,脂蛋白和乙胆合成至关重要.
- 胆在细胞平衡和炎症通路 (如炎症体) 中发挥作用.
研究的目的:
- 审查胆对细胞代谢和炎症的有益影响.
- 分析胆在心脏代谢障碍 (NAFLD,CVD,CKD) 和认知功能中的重要性.
主要方法:
- 关于胆在健康和疾病中的作用现有研究的文献综述.
- 分析胆缺乏和过量对代谢和认知健康的影响.
- 检查肠道微生物群在胆代谢和相关健康结果中的作用.
主要成果:
- 胆缺乏与NAFLD和认知障碍有关.
- 通过肠道微生物群,过量的胆会增加三甲基胺-N-氧化物 (TMAO),并与动脉样硬化,心血管疾病和CKD有关.
- 由于过多的胆和肠道微生物群活动,TMAO,p-Cresyl-硫酸盐和氧硫酸盐的积累结果,促进炎症和纤维化.
结论:
- 均衡的饮食胆摄入量对于预防心脏代谢障碍和维持认知功能至关重要.
- 饮食中的胆,肠道微生物群和TMAO生产之间的相互作用显著影响心血管和脏健康.
- 对益生菌的进一步研究,如Akkermansia muciniphila和Faecalibacterium prausnitzii对于治疗潜力是有必要的.
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