Lutein

叶黄素
  • 文章类型: Journal Article
    抗氧化剂疗法在预防和管理眼部疾病如白内障方面是令人感兴趣的。虽然是一个活跃的兴趣领域,用抗氧化剂治疗白内障的局部治疗并发多个眼解剖障碍,产品稳定性,和溶解度。用聚(乳酸-共-乙醇酸)纳米颗粒包封和递送抗氧化剂是这些挑战的可能解决方案,然而,关于它们在体外或体内的作用知之甚少。我们的第一个目的是研究空白和叶黄素负载的PLGA纳米颗粒对体外晶状体上皮细胞中活性氧簇的活力和发育的影响。通过紫外线照射诱导光氧化应激,并监测细胞活力和活性氧。接下来,体内,亚硒酸盐模型用于诱导啮齿动物的白内障形成。用不同浓度的游离叶黄素和装载叶黄素的纳米颗粒(LNP)局部处理眼睛。监测眼睛的前节变化和白内障形成的发展。通过与房水样品的质谱联用的液相色谱和与晶状体的串联质谱联用的液相色谱(靶向LC-MS/MS)来评估纳米递送的叶黄素到达眼前段的能力。LNP在短暴露时间范围内(24小时)和浓度<0.2μgLNP/μl时对晶状体上皮细胞的活力影响最小。还注意到活性氧的发展显着减少。用相同叶黄素浓度为1,278μg/mL的LNP处理的动物显示白内障评分的最大降低。通过评估房水和晶状体样品评估来确认叶黄素向前段的递送。每天一次,持续一周,局部治疗与继发性角膜炎或前葡萄膜炎的发展无关。LNP可有效治疗白内障。
    Antioxidant therapies are of interest in the prevention and management of ocular disorders such as cataracts. Although an active area of interest, topical therapy with antioxidants for the treatment of cataracts is complicated by multiple ocular anatomical barriers, product stability, and solubility. Entrapment and delivery of antioxidants with poly(lactic-co-glycolic acid) nanoparticles is a possible solution to these challenges, however, little is known regarding their effects in vitro or in vivo. Our first aim was to investigate the impact of blank and lutein loaded PLGA nanoparticles on viability and development of reactive oxygen species in lens epithelial cells in vitro. Photo-oxidative stress was induced by ultraviolet light exposure with cell viability and reactive oxygen species monitored. Next, an in vivo, selenite model was utilized to induce cataract formation in rodents. Eyes were treated topically with both free lutein and lutein loaded nanoparticles (LNP) at varying concentrations. Eyes were monitored for the development of anterior segment changes and cataract formation. The ability of nanodelivered lutein to reach the anterior segment of the eye was evaluated by liquid chromatography coupled to mass spectrometry of aqueous humor samples and liquid chromatography coupled to tandem mass spectrometry (targeted LC-MS/MS) of lenses. LNP had a minimal impact on the viability of lens epithelial cells during the short exposure timeframe (24 h) and at concentrations < 0.2 μg LNP/μl. A significant reduction in the development of reactive oxygen species was also noted. Animals treated with LNPs at an equivalent lutein concentration of 1,278 μg /mL showed the greatest reduction in cataract scores. Lutein delivery to the anterior segment was confirmed through evaluation of aqueous humor and lens sample evaluation. Topical treatment was not associated with the development of secondary keratitis or anterior uveitis when applied once daily for one week. LNPs may be an effective in the treatment of cataracts.
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  • 文章类型: Journal Article
    构建了用于负载叶黄素的硬脂酸(SA)修饰的牛磺酸多糖(BP)的新型自组装聚集体,研究了叶黄素在模拟胃肠液中聚集体中的释放和吸收特性。使用SA-BP的三种不同取代度(DS)来嵌入叶黄素,导致封装效率超过90%。聚集体是均匀的球形,粒径范围为227-341nm。XRD分析显示,叶黄素在聚集体内以非结晶状态存在。FT-IR和FS分析表明叶黄素位于SA-BP的疏水结构域中。这些聚集体中叶黄素的最高生物利用度达到未修饰样品中的4.36倍。这些聚集体能够在胃液中保持稳定并增强叶黄素在肠液中的释放速率。Caco-2细胞中负载叶黄素的SA-BP聚集体的转运与P-糖蛋白抑制剂竞争,主要通过小窝(或脂筏)相关和网格蛋白依赖性胞吞途径促进叶黄素的跨膜吸收。上述结果表明,SA-BP聚集体具有成为有效递送疏水性叶黄素的有前途的载体的潜力。
    Novel self-assembled aggregates of stearic acid (SA)-modified burdock polysaccharide (BP) for loading lutein were constructed, and the release and absorption properties of lutein in the aggregates in simulated gastrointestinal fluid were investigated. Three different degrees of substitution (DS) of SA-BPs were used to embed lutein, resulting in the encapsulation efficiency exceeding 90%. The aggregates were uniformly spherical, with a particle size range of 227-341 nm. XRD analysis revealed that lutein was present in a non-crystalline state within the aggregates. FT-IR and FS analysis demonstrated that lutein was located in the hydrophobic domains of SA-BP. The highest bioavailability of lutein in these aggregates reached 4.36 times that in the unmodified samples. These aggregates were able to remain stable in gastric juice and enhance the release rate of lutein in intestinal fluid. The transport of lutein-loaded SA-BP aggregates in Caco-2 cells competed with P-glycoprotein inhibitors, mainly promoting the transmembrane absorption of lutein through caveolae (or lipid raft)-related and clathrin-dependent endocytosis pathways. The above results suggest that SA-BP aggregates have the potential to be promising carriers for the efficient delivery of hydrophobic lutein.
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  • 文章类型: Journal Article
    这项研究的目的是确定类胡萝卜素的概况和含量,两种野生食用植物(WEP)的不同部位的母育和B1和B2维生素,文凭芥子和奥氏。结果显示叶子中这些生物活性化合物的数量很有趣,摄入高于维生素A和维生素E的每日推荐摄入量(RDA),食用100克后。Diplotaxiserucoides和Oxalispes-caprae叶证明了大量的类胡萝卜素,如叶黄素(约8毫克/100克和5毫克,分别)和β-胡萝卜素(约8毫克/100克和4毫克/100克,分别)。即使不是大量存在,被研究的植物也有助于每日摄入硫胺素和核黄素。这些WEP中生物活性化合物的丰富概况和高含量清楚地证明了它们在健康和可持续的现代美食和新功能食品开发中作为食品成分的潜在用途。
    The aim of this study was to determine the profile and contents of carotenoids, tocols and B1 and B2 vitamins in different parts of two wild edible plants (WEPs), Diplotaxis erucoides and Oxalis pes-caprae. Results showed interesting amounts of these bioactive compounds in the leaves, with intakes higher than the Recommended Daily Allowance (RDA) for vitamin A and vitamin E after consumption of 100 g. Diplotaxis erucoides and Oxalis pes-caprae leaves evidenced high amounts of carotenoids, such as lutein (about 8 mg/100 g and 5 mg, respectively) and β-carotene (about 8 mg/100 g and 4 mg/100 g, respectively). Even when not present at high amounts, the investigated plants can also contribute to the daily intake of thiamine and riboflavin. The rich profile and high contents of bioactive compounds in these WEPs clearly justify their potential use as food ingredients in a healthy and sustainable modern cuisine and in the development of new functional foods.
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  • 文章类型: Journal Article
    植物蛋白由于其低碳足迹而获得了动物蛋白的广泛关注,营养均衡,高可持续性。这些特性使植物蛋白纳米载体有望在药物输送中应用,营养食品,功能性食品,和其他领域。Zein,玉米淀粉加工的主要副产品,价格低廉且广泛可用。其独特的自组装特性导致其在各种食品和药物系统中的广泛使用。玉米醇溶蛋白的功能可调性允许装载和运输生物活性物质的优异性能。叶黄素提供多种生物活性功能,如抗氧化剂和视力保护,但化学稳定性差,生物利用度低。纳米嵌入技术可以构建各种负载玉米醇溶蛋白的叶黄素纳米递送系统来解决这些问题。这篇综述概述了玉米醇溶蛋白负载叶黄素纳米系统构建的最新进展。它讨论了这些系统的基本性质;系统地介绍了制备技术,结构表征,和功能特性;并分析和预测负载玉米醇溶蛋白的叶黄素纳米系统的目标控制释放和生物可及性。研究了玉米醇溶蛋白和叶黄素在纳米复合物中的相互作用和协同作用,以阐明玉米醇溶蛋白-叶黄素纳米颗粒的形成机理和构象关系。玉米醇溶蛋白的理化性质与分子结构密切相关。玉米醇溶蛋白及其改性产品可以通过各种方法包封和保护叶黄素,创造更稳定和有效的玉米醇溶蛋白负载叶黄素纳米系统。此外,在玉米醇溶蛋白及其衍生物中嵌入叶黄素可增强叶黄素的消化稳定性,溶解度,抗氧化性能,和整体生物利用度。
    Plant proteins have gained significant attention over animal proteins due to their low carbon footprint, balanced nutrition, and high sustainability. These attributes make plant protein nanocarriers promising for applications in drug delivery, nutraceuticals, functional foods, and other areas. Zein, a major by-product of corn starch processing, is inexpensive and widely available. Its unique self-assembly characteristics have led to its extensive use in various food and drug systems. Zein\'s functional tunability allows for excellent performance in loading and transporting bioactive substances. Lutein offers numerous bioactive functions, such as antioxidant and vision protection, but suffers from poor chemical stability and low bioavailability. Nano-embedding technology can construct various zein-loaded lutein nanodelivery systems to address these issues. This review provides an overview of recent advances in the construction of zein-loaded lutein nanosystems. It discusses the fundamental properties of these systems; systematically introduces preparation techniques, structural characterization, and functional properties; and analyzes and predicts the target-controlled release and bioaccessibility of zein-loaded lutein nanosystems. The interactions and synergistic effects between Zein and lutein in the nanocomplexes are examined to elucidate the formation mechanism and conformational relationship of zein-lutein nanoparticles. The physical and chemical properties of Zein are closely related to the molecular structure. Zein and its modified products can encapsulate and protect lutein through various methods, creating more stable and efficient zein-loaded lutein nanosystems. Additionally, embedding lutein in Zein and its derivatives enhances lutein\'s digestive stability, solubility, antioxidant properties, and overall bioavailability.
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  • 文章类型: Journal Article
    为了更好地增强打印效果,同时铸造功能,研究了印刷Ca2-纳米淀粉(NS)-叶黄素(L)-鱼糜中生物活性成分的抗氧化和吸收。结果表明,Ca2-NS-L由于增强的凝胶强度和更致密的结构而提高了鱼糜的可印刷性。混合Ca2+-NS-L赋予印花鱼糜抗氧化(DPPH,ABTS,羟基自由基,Fe2+减少了42%,79%,65%,分别为0.104mg·mL-1),这是由于具有更多-OH基团和共轭键的叶黄素捕获自由基的能力。在细胞抗氧化作用中还表现为Ca2-NS-L-鱼糜调节Nrf2的水平以保护抗氧化酶的基因表达(SOD,CAT,GSH-Px增加了30-180%,与受损细胞相比)通过keap1-Nrf2-ARE途径。此外,叶黄素对Ca2+-NS-L-鱼糜的吸收和转运增加了20%,与NS-L相比可能,表面疏水促进了样品和膜的结合,促进内吞作用。同时,具有酸性-碱性氨基酸和负电荷的消化鱼糜(肽)使样品在静电牵引和排斥(静电域)下被吸引并在旁路部分移动,以促进运输过程。此外,Ca2+促进CaM在膜中的表达,并通过与CaM结合以加速样品进入细胞而形成Ca2+通道。最后,Ca2+-NS-L增强鱼糜的适印性和抗氧化能力,促进印花功能性鱼糜的应用。
    To better enhance printing effects meanwhile casting functionality, antioxidation and absorption of bioactive component in printed Ca2+-nano starch (NS)-lutein (L)-surimi were investigated. Results shown that Ca2+-NS-L promoted surimi printability due to enhanced gel strength and denser structure. Mixing Ca2+-NS-L endowed printed surimi with antioxidation (DPPH, ABTS, hydroxyl radical, Fe2+ reduction were 42 %, 79 %, 65 %, 0.104 mg·mL-1, respectively) due to the ability of lutein with more -OH groups and conjugate bonds to capture free radicals. It also manifested in cellular antioxidation that Ca2+-NS-L-surimi regulated the level of Nrf2 to protect gene expression of antioxidases (SOD, CAT, GSH-Px increased by 30-180 %, compared to damaged cells) through keap1-Nrf2-ARE pathway. Additionally, lutein absorption and transportation of Ca2+-NS-L-surimi increased by 20 %, compared to NS-L. Possibly, combination of samples and membrane was facilitated by surface hydrophobic, promoting endocytosis. Meanwhile, digestive surimi (peptides) with acidic-alkaline amino acids and negative charges made samples be attracted and moved in bypass parts under electrostatic traction and repulsion (electrostatic domain) to promote transport process. Also, Ca2+ facilitated CaM expression in membrane and formed Ca2+ channel by combining with CaM to accelerate entry of samples into cells. Conclusively, Ca2+-NS-L both strengthened printability of surimi and antioxidation, promoting application of printed functional surimi.
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  • 文章类型: Journal Article
    嗜铬动物,一种单细胞绿藻,是天然类胡萝卜素的潜在来源。在这项研究中,突变体LUT-4是从C.zofingiensis菌株的化学诱变库中获得的。在第3天,LUT-4的生物量产量和叶黄素含量达到9.23g·L-1,干重(DW)的0.209%,为49.4%,比野生型(WT)高33%,分别。LUT-4在100、300和500µmol/m2/s下的生物量产量分别达到8.4g·L-1、7.75g·L-1和6.6g·L-1,分别为10.4%,21%,比对照组低29.6%,分别。在混合营养条件下,叶黄素的产量明显高于对照组。300µmol/m2/s的光强度对于叶黄素生物合成是最佳的,在第3天,叶黄素的含量达到DW的0.294%,比对照高40.7%。当LUT-4在300μmol/m2/s下生长时,与叶黄素生物合成有关的基因表达显着增加,包括八烯合成酶(PSY),八烯去饱和酶(PDS),并观察到番茄红素ε环化酶(LCHe)。生化成分的变化,Ace-CoA,丙酮酸,异戊烯焦磷酸(IPP),叶黄素生物合成过程中的香叶基香叶基二磷酸(G3GPP)含量是由有机碳的利用引起的。由此得出结论,300μmol/m2/s是突变体LUT-4合成叶黄素的最佳培养光强度。该结果将有助于叶黄素的大规模生产。
    Chromochloris zofingiensis, a unicellular green alga, is a potential source of natural carotenoids. In this study, the mutant LUT-4 was acquired from the chemical mutagenesis pool of C. zofingiensis strain. The biomass yield and lutein content of LUT-4 reached 9.23 g·L-1, and 0.209% of dry weight (DW) on Day 3, which was 49.4%, and 33% higher than that of wild-type (WT), respectively. The biomass yields of LUT-4 under 100, 300, and 500 µmol/m2/s reached 8.4 g·L-1, 7.75 g·L-1, and 6.6 g·L-1, which was 10.4%, 21%, and 29.6% lower compared with the control, respectively. Under mixotrophic conditions, the lutein yields were significantly higher than that obtained in the control. The light intensity of 300 µmol/m2/s was optimal for lutein biosynthesis and the content of lutein reached 0.294% of DW on Day 3, which was 40.7% more than that of the control. When LUT-4 was grown under 300 µmol/m2/s, a significant increase in expression of genes implicated in lutein biosynthesis, including phytoene synthase (PSY), phytoene desaturase (PDS), and lycopene epsilon cyclase (LCYe) was observed. The changes in biochemical composition, Ace-CoA, pyruvate, isopentenyl pyrophosphate (IPP), and geranylgeranyl diphosphate (GGPP) contents during lutein biosynthesis were caused by utilization of organic carbon. It was thereby concluded that 300 µmol/m2/s was the optimal culture light intensity for the mutant LUT-4 to synthesize lutein. The results would be helpful for the large-scale production of lutein.
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  • 文章类型: Journal Article
    背景:类胡萝卜素是一组与抑郁症相关的四类亲脂性色素,但是缺乏对单个类胡萝卜素成分的研究。我们旨在评估成人中每种血清类胡萝卜素与抑郁症状之间的关联。
    方法:这项横断面研究包括来自国家健康和营养调查(NHANES)的7264名成年人。血清类胡萝卜素水平(α-胡萝卜素,β-胡萝卜素,β-隐黄质,番茄红素,和叶黄素/玉米黄质)使用高效液相色谱法进行测量。患者健康问卷评分≥10的参与者被认为有抑郁症状。使用多变量调整逻辑回归研究了每种类胡萝卜素与抑郁症状之间的关联,受限三次样条,和加权分位数和回归模型。
    结果:参与者的平均年龄为46.0(四分位距:34.0-60.0)岁(50.9%为女性),545名参与者(7.5%)被诊断为抑郁症状.Logistic回归模型表明,高血清α-胡萝卜素,β-胡萝卜素,β-隐黄质,叶黄素/玉米黄质水平与抑郁症状的可能性较低相关。受限三次样条模型显示,血清类胡萝卜素水平与抑郁症状风险之间的显着反比关系对于α-胡萝卜素是非线性的,β-胡萝卜素,β-隐黄质,和叶黄素/玉米黄质与番茄红素呈线性关系。阈值效应分析进一步确定α-胡萝卜素的拐点为12.1、35.7、5.9和7.7μg/dL,β-胡萝卜素,β-隐黄质,和叶黄素/玉米黄质,分别。加权分位数和回归模型显示,β-隐黄质(35.2%)和α-胡萝卜素(34.5%)是与抑郁症状相关的最高权重类胡萝卜素。
    结论:目前的结果表明,在成人中,较高的血清类胡萝卜素水平与降低抑郁症状的风险之间存在关联。
    BACKGROUND: Carotenoids are a group of tetraterpenoid lipophilic pigments linked to depression, but studies on individual carotenoid components are lacking. We aimed to assess the association between each serum carotenoids and depressive symptoms in adults.
    METHODS: This cross-sectional study included 7264 adults from the National Health and Nutrition Examination Survey (NHANES). Serum carotenoid levels (α-carotene, β-carotene, β-cryptoxanthin, lycopene, and lutein/zeaxanthin) were measured using high-performance liquid chromatography. Participants with a Patient Health Questionnaire score ≥ 10 were considered to have depressive symptoms. The association between each carotenoid and depressive symptoms was investigated using multivariable-adjusted logistic regression, restricted cubic spline, and weighted quantile sum regression models.
    RESULTS: The participants\' average age was 46.0 (interquartile range: 34.0-60.0) years (50.9 % females), and 545 participants (7.5 %) were diagnosed with depressive symptoms. The logistic regression model demonstrated that high serum α-carotene, β-carotene, β-cryptoxanthin, and lutein/zeaxanthin levels were associated with a lower likelihood of depressive symptoms. The restricted cubic spline model revealed that the significantly inverse relationships between serum carotenoid levels and the risk of depressive symptoms were nonlinear for α-carotene, β-carotene, β-cryptoxanthin, and lutein/zeaxanthin and were linear for lycopene. The threshold effect analysis further identified the inflection points were 12.1, 35.7, 5.9, and 7.7 μg/dL for α-carotene, β-carotene, β-cryptoxanthin, and lutein/zeaxanthin, respectively. The weighted quantile sum regression model revealed that β-cryptoxanthin (35.2 %) and α-carotene (34.5 %) were the top-weighted carotenoids correlated with depressive symptoms.
    CONCLUSIONS: The present results suggested an association between higher levels of each serum carotenoids and a decreased risk of depressive symptoms in adults.
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  • 文章类型: Journal Article
    本研究旨在研究健康受试者和干燥受试者中黄斑色素(MP)与视网膜层厚度之间的潜在体内关系,非晚期年龄相关性黄斑变性(AMD)。
    观测,进行了横断面研究。招募健康受试者>40岁和患有早期或中期AMD的患者。收集每个受试者的结构OCT和黄斑色素光学体积(MPOV)。基于标准早期治疗糖尿病视网膜病变研究(ETDRS)图计算视网膜层参数。此外,1°内的MPOV,2°,评估了9°的偏心率,并与视网膜层的厚度和体积相关。线性混合效应模型用于测试MP和结构OCT参数之间的关系,同时调整已知可能的混杂因素。
    共评估了91名受试者(60.4%为女性)的144只眼,包括43%的正常眼睛和57%的早期/中期AMD。在视网膜层中,只有外核层(ONL)的厚度和体积似乎与更高的MP水平相关.具体来说,中心ONL厚度被确定为MPOV1°的显著预测因子(P=0.04),而旁凹ONL厚度(内部ETDRS子场)被确定为对MPOV9°的显着固定影响(P=0.037)。还测试了年龄以及玻璃疣或视网膜下玻璃疣沉积物的存在,而没有显示出明显的相关性。
    在检查的视网膜层中,只有ONL厚度显示与MPOV显著相关。因此,ONL厚度可能作为与MP水平相关的潜在生物标志物。
    UNASSIGNED: This study aims to investigate the potential in vivo relationship between macular pigment (MP) and retinal layers thickness in healthy subjects and dry, non-advanced age-related macular degeneration (AMD).
    UNASSIGNED: An observational, cross-sectional study was conducted. Healthy subjects >40 years and patients with early or intermediate AMD were recruited. Structural OCT and macular pigment optical volume (MPOV) were collected for each subject. Retinal layers parameters were calculated based on the standard early treatment diabetic retinopathy study (ETDRS) map. Additionally, MPOV within 1°, 2°, and 9° of eccentricity was assessed and associated with retinal layers thickness and volume. Linear mixed-effects models were used to test the relationship between MP and structural OCT parameters, while adjusting for known possible confounding factors.
    UNASSIGNED: A total of 144 eyes of 91 subjects (60.4% females) were evaluated, comprising 43% normal eyes and 57% with early/intermediate AMD. Among the retinal layers, only the outer nuclear layer (ONL) thickness and volume appeared to be associated to higher MP levels. Specifically, the central ONL thickness was identified as a significant predictor of the MPOV 1°(P = 0.04), while the parafoveal ONL thickness (inner ETDRS subfield) was identified as a significant fixed effect on the MPOV 9° (P = 0.037). Age and the presence of drusen or subretinal drusenoid deposits were also tested without showing significant correlations.
    UNASSIGNED: Among the retinal layers examined, only the ONL thickness demonstrated a significant association with MPOV. Consequently, ONL thickness might serve as a potential biomarker related to MP levels.
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  • 文章类型: Journal Article
    叶黄素是一种含氧的脂溶性类胡萝卜素,是一种对人体健康有益的功能性化合物。然而,叶黄素水溶性差、口服生物利用度低,极大地限制了其应用。为了解决这个问题,我们开发了一种有效的方法来提高叶黄素的水溶性通过共无定形制剂。具体来说,以乙醇和水为溶剂,采用溶剂蒸发法,以1:1的摩尔比制备叶黄素-三氯半乳蔗糖共无定形混合物,然后进行固态表征和溶出测试以评估制剂的性质。具有无定形晕轮的X射线衍射图和没有尖锐熔融峰的差示扫描量热法热谱图证实了二元共无定形体系的形成。峰形变化,position,在傅里叶变换红外光谱中观察到的强度揭示了叶黄素和三氯半乳蔗糖分子之间的分子间相互作用,而分子动力学模拟确定了它们的羟基之间的相互作用位点。此外,溶出测试表明,与纯叶黄素和物理混合物对应物相比,共无定形形式的叶黄素具有更好的溶出性能。我们的发现提出了一种改善叶黄素水溶性以更好地利用它的新策略。
    Lutein is an oxygenated fat-soluble carotenoid and a functional compound with proven health benefits for the human body. Nevertheless, the poor water solubility and low oral bioavailability of lutein greatly limit its application. To address this, we developed an effective approach to enhance the water solubility of lutein through co-amorphous formulation. Specifically, the lutein-sucralose co-amorphous mixture was prepared at a molar ratio of 1:1 using ethanol and water as solvents by employing the solvent evaporation method, followed by solid-state characterization and dissolution testing conducted to assess the properties of the formulation. The X-ray diffraction pattern with an amorphous halo and the differential scanning calorimetry thermogram with no sharp melting peaks confirmed the formation of a binary co-amorphous system. Changes in peak shape, position, and intensity observed in the Fourier transform infrared spectroscopy spectrum revealed intermolecular interactions between lutein and sucralose molecules, while molecular dynamics simulations identified interaction sites between their hydroxyl groups. Additionally, dissolution testing demonstrated better dissolution performance of lutein in the co-amorphous form compared to pure lutein and physical mixture counterparts. Our findings present a novel strategy for improving the water solubility of lutein to make better use of it.
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  • 文章类型: Journal Article
    干眼病(DED)是多因素的,其特征是泪膜稳态的丧失,导致泪膜不稳定的循环,泪液高渗透压,和炎症。虽然人工泪液是传统的治疗方法,解决潜在的病理生理学可以缓解症状并防止进展。越来越多的证据表明口服营养补充剂在多种眼科疾病中的作用,包括DED。叶黄素,玉米黄质,姜黄素,和维生素D3已在眼部模型中表现出保护和抗炎特性。这个未来,随机化,双盲,平行,安慰剂对照研究评估了叶黄素专有混合物的疗效和安全性,玉米黄质异构体,姜黄素,和维生素D3(LCD)作为成人DED参与者的每日补充剂。
    参与者被随机分配接受一种LCD补充胶囊(叶黄素20mg,玉米黄质异构体4毫克,姜黄素200毫克姜黄素,和维生素D3600IU)或安慰剂每天8周(LCD,n=77;安慰剂,n=78)。主要结果为泪液体积变化(Schirmer试验)和眼部症状(眼表疾病指数[OSDI])。
    该研究达到了其主要终点:LCD组表现出明显更好的Schirmer测试成绩和OSDI总评分的改善,与安慰剂相比,在第56天(两者的p<0.001)。总OSDI的分数,症状和视觉领域,到第14天,LCD与安慰剂相比有显著改善,(全部p<0.05)并维持至第56天(p<0.001)。此外,LCD组显着改善泪膜破裂时间(TBUT)和泪膜渗透压,与安慰剂相比,到第56天(p<0.001),随着角膜和结膜染色的显着改善(两者p<0.001),和炎症(基质金属蛋白酶-9;每只眼睛p<0.001)。总标准患者眼干评价(SPEED)评分,以及频率和严重性域的分数,到第14天,LCD相对于安慰剂显著改善(全部p<0.05),并维持至第56天(p<0.001)。人工泪液的使用在组间没有差异。补充剂耐受性良好。
    每日补充一次LCD可显著改善泪液产生,稳定性和质量,减少眼表损伤和炎症,和改善参与者的症状。LCD补充剂可以为DED患者提供有用的辅助人工泪液(NCT05481450)。
    UNASSIGNED: Dry eye disease (DED) is multifactorial and characterized by a loss of tear film homeostasis that causes a cycle of tear film instability, tear hyperosmolarity, and inflammation. While artificial tears are the traditional mainstay of treatment, addressing the underlying pathophysiology could relieve symptoms and prevent progression. Increasing evidence indicates a role for oral nutritional supplementation in multiple ophthalmic diseases, including DED. Lutein, zeaxanthin, curcumin, and vitamin D3 have demonstrated protective and anti-inflammatory properties in ocular models. This prospective, randomized, double-blind, parallel, placebo-controlled study evaluated the efficacy and safety of a proprietary blend of lutein, zeaxanthin isomers, curcumin, and vitamin D3 (LCD) as a daily supplement in adult participants with DED.
    UNASSIGNED: Participants were randomized to receive one LCD supplement capsule (lutein 20 mg, zeaxanthin isomers 4 mg, curcumin 200 mg curcuminoids, and vitamin D3 600 IU) or placebo per day for 8 weeks (LCD, n=77; placebo, n=78). Primary outcomes were changes in tear volume (Schirmer\'s test) and ocular symptoms (Ocular Surface Disease Index [OSDI]).
    UNASSIGNED: The study met its primary endpoints: the LCD group demonstrated significantly better Schirmer\'s test scores and improvement in overall OSDI score, versus placebo, at Day 56 (p<0.001 for both). Scores for total OSDI, and symptoms and vision domains, significantly improved by Day 14 for LCD versus placebo, (p<0.05 for all) and were maintained to Day 56 (p<0.001). In addition, the LCD group demonstrated significantly improved tear film break-up time (TBUT) and tear film osmolarity, versus placebo, by Day 56 (p<0.001), along with significant improvements in corneal and conjunctival staining (p<0.001 for both), and inflammation (matrix metalloproteinase-9; p<0.001 for each eye). Total Standard Patient Evaluation of Eye Dryness (SPEED) score, and scores for the frequency and severity domains, were significantly improved by Day 14 for LCD versus placebo (p<0.05 for all) and maintained to Day 56 (p<0.001). There was no difference between groups for artificial tear usage. The supplement was well-tolerated.
    UNASSIGNED: Once-daily LCD supplementation significantly improved tear production, stability and quality, reduced ocular surface damage and inflammation, and improved participants\' symptoms. LCD supplementation could offer a useful adjunct to artificial tears for patients with DED (NCT05481450).
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