metabolic disease

代谢性疾病
  • 文章类型: Journal Article
    短链脂肪酸(SCFA),主要包括醋酸酯,丙酸和丁酸,在部分消化和不可消化的多糖发酵过程中由肠道细菌产生。SCFA在调节肠道能量代谢和维持肠道环境稳态方面发挥着重要作用,并且在肠道外的器官和组织中也发挥着重要的调节作用。近年来,许多研究表明,SCFA可以调节炎症并影响宿主健康,并且还确定了两个主要的信号传导机制:G蛋白偶联受体(GPCRs)的激活和组蛋白去乙酰化酶(HDAC)的抑制。此外,越来越多的证据强调了每种SCFA在影响健康维护和疾病发展方面的重要性.在这次审查中,我们总结了SCFA的生物学特性及其在炎症和身体健康中的信号通路的最新进展。希望,它可以为人类疾病的营养预防和治疗提供系统的理论依据。
    Short chain fatty acids (SCFAs), mainly including acetate, propionate and butyrate, are produced by intestinal bacteria during the fermentation of partially digested and indigestible polysaccharides. SCFAs play an important role in regulating intestinal energy metabolism and maintaining the homeostasis of the intestinal environment and also play an important regulatory role in organs and tissues outside the gut. In recent years, many studies have shown that SCFAs can regulate inflammation and affect host health, and two main signaling mechanisms have also been identified: the activation of G-protein coupled receptors (GPCRs) and inhibition of histone deacetylase (HDAC). In addition, a growing body of evidence highlights the importance of every SCFA in influencing health maintenance and disease development. In this review, we summarized the recent advances concerning the biological properties of SCFAs and their signaling pathways in inflammation and body health. Hopefully, it can provide a systematic theoretical basis for the nutritional prevention and treatment of human diseases.
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  • 文章类型: Journal Article
    这项荟萃分析旨在总结有关补充山茱萸樱桃(CornusmasL.)对不同心脏代谢结果的影响的临床证据。进行了广泛的文献调查,直到2024年4月10日。共纳入来自6项符合条件的研究的415名参与者。随机效应模型的总体结果表明,补充山茱萸樱桃可显着降低体重(标准化平均差[SMD]=-0.27,置信区间[CI]:-0.52,-0.02,p=0.03),体重指数(SMD=-0.42,CI:-0.73,-0.12,p=0.007),空腹血糖(SMD=-0.46,CI:-0.74,-0.18,p=0.001),糖化血红蛋白(SMD=-0.70,CI:-1.19,-0.22,p=0.005),和HOMA-IR(SMD=-0.89,CI:-1.62,-0.16,p=0.02),而高密度脂蛋白胆固醇显著升高(SMD=0.38,CI:0.10,0.65,p=0.007)。敏感性分析表明,补充山茱萸樱桃可显着降低血浆总甘油三酯,总胆固醇,低密度脂蛋白胆固醇,和胰岛素水平。补充Cornelian樱桃对参与者的腰围和肝脏参数没有显着影响。考虑到这些发现,这项荟萃分析显示,在被认为高危人群中,补充山茱萸樱桃可能会影响不同的心脏代谢危险因素.
    This meta-analysis aimed to summarise clinical evidence regarding the effect of supplementation with cornelian cherry (Cornus mas L.) on different cardiometabolic outcomes. An extensive literature survey was carried out until 10 April 2024. A total of 415 participants from six eligible studies were included. The overall results from the random-effects model indicated that cornelian cherry supplementation significantly reduced body weight (standardised mean difference [SMD] = -0.27, confidence interval [CI]: -0.52, -0.02, p = 0.03), body mass index (SMD = -0.42, CI: -0.73, -0.12, p = 0.007), fasting blood glucose (SMD = -0.46, CI: -0.74, -0.18, p = 0.001), glycated haemoglobin (SMD = -0.70, CI: -1.19, -0.22, p = 0.005), and HOMA-IR (SMD = -0.89, CI: -1.62, -0.16, p = 0.02), while high-density lipoprotein cholesterol significantly increased (SMD = 0.38, CI: 0.10, 0.65, p = 0.007). A sensitivity analysis showed that cornelian cherry supplementation significantly reduced total plasma triglycerides, total cholesterol, low-density lipoprotein cholesterol, and insulin levels. Cornelian cherry supplementation did not significantly affect waist circumference and liver parameters among the participants. Considering these findings, this meta-analysis indicates that supplementation with cornelian cherry may impact diverse cardiometabolic risk factors among individuals considered to be at a high risk.
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  • 文章类型: Journal Article
    代谢疾病是损害正常代谢过程的异常情况,这涉及到在细胞水平将食物转化为能量,并导致肥胖和糖尿病等困难。该研究旨在研究阿魏酸(FA)及其衍生物如何预防不同的代谢疾病和紊乱,并了解其治疗作用的特定分子机制。有关FA与代谢疾病和障碍的关联的信息是从不同的科学搜索引擎中汇编的。包括科学直接,Wiley在线,PubMed,Scopus,WebofScience,SpringerLink,谷歌学者。这篇综述揭示了FA对糖尿病等代谢性疾病具有保护作用。糖尿病视网膜病变,神经病,肾病,心肌病,肥胖,和糖尿病高血压,对胰腺癌有好处。研究结果还表明,FA通过L型Ca2通道增加Ca2内流来改善胰岛素分泌,从而帮助糖尿病管理。此外,FA调节炎性细胞因子(TNF-α,IL-18和IL-1β)和抗氧化酶(CAT,SOD,和GSH-Px)并减少氧化应激和炎症,这是代谢性疾病的共同特征。FA还影响各种信号通路,包括MAPK/NF-κB通路,在糖尿病神经病变和其他代谢紊乱的进展中起重要作用。此外,FA调节细胞凋亡标志物(Bcl-2,Bax,和caspase-3),并对细胞破坏发挥保护作用。总之,FA及其衍生物可作为治疗代谢性疾病的潜在药物。
    Metabolic diseases are abnormal conditions that impair the normal metabolic process, which involves converting food into energy at a cellular level, and cause difficulties like obesity and diabetes. The study aimed to investigate how ferulic acid (FA) and its derivatives could prevent different metabolic diseases and disorders and to understand the specific molecular mechanisms responsible for their therapeutic effects. Information regarding FA associations with metabolic diseases and disorders was compiled from different scientific search engines, including Science Direct, Wiley Online, PubMed, Scopus, Web of Science, Springer Link, and Google Scholar. This review revealed that FA exerts protective effects against metabolic diseases such as diabetes, diabetic retinopathy, neuropathy, nephropathy, cardiomyopathy, obesity, and diabetic hypertension, with beneficial effects on pancreatic cancer. Findings also indicated that FA improves insulin secretion by increasing Ca2+ influx through the L-type Ca2+ channel, thus aiding in diabetes management. Furthermore, FA regulates the activity of inflammatory cytokines (TNF-α, IL-18, and IL-1β) and antioxidant enzymes (CAT, SOD, and GSH-Px) and reduces oxidative stress and inflammation, which are common features of metabolic diseases. FA also affects various signaling pathways, including the MAPK/NF-κB pathways, which play an important role in the progression of diabetic neuropathy and other metabolic disorders. Additionally, FA regulates apoptosis markers (Bcl-2, Bax, and caspase-3) and exerts its protective effects on cellular destruction. In conclusion, FA and its derivatives may act as potential medications for the management of metabolic diseases.
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  • 文章类型: Journal Article
    1型戊二酸尿症(GA1)是一种罕见的遗传性代谢紊乱,由戊二酰辅酶A脱氢酶(GCDH)缺乏引起,随着神经毒性代谢物的积累,导致复杂的运动障碍,不可逆的脑损伤,以及未经治疗的个体过早死亡。虽然早期诊断和赖氨酸限制饮食可以延长生存期,它们不能防止大约三分之一接受治疗的患者的神经损伤,需要更有效的治疗方法。在这里,我们报道了腺相关病毒9(AAV9)介导的人GCDH全身递送在预防高赖氨酸饮食(HLD)诱导的Gcdh-/-小鼠表型中的功效。使用AAV-GCDH的新生儿治疗可恢复肝脏和纹状体中的GCDH表达和酶活性。这种治疗可以保护小鼠免受HLD侵袭性表型的影响,所有小鼠都能在这种暴露中幸存下来;与之形成鲜明对比的是,缺乏对HLD的治疗会引发非常高的戊二酸积累,3-羟基戊二酸,和组织中的戊二酰肉碱,大约60%的死亡是由于大脑中积累了有毒的赖氨酸代谢物。AAV-GCDH显着改善纹状体神经病理学,减少神经元功能障碍,胶质增生,和髓鞘形成的改变。磁共振成像发现显示对纹状体损伤的保护作用。总之,这些结果为支持AAV-GCDH基因治疗GA1提供了临床前证据.
    Glutaric aciduria type 1 (GA1) is a rare inherited metabolic disorder caused by a deficiency of glutaryl-coenzyme A dehydrogenase (GCDH), with accumulation of neurotoxic metabolites, resulting in a complex movement disorder, irreversible brain damage, and premature death in untreated individuals. While early diagnosis and a lysine restricted diet can extend survival, they do not prevent neurological damage in approximately one-third of treated patients, and more effective therapies are required. Here we report the efficacy of adeno-associated virus 9 (AAV9)-mediated systemic delivery of human GCDH at preventing a high lysine diet (HLD)-induced phenotype in Gcdh -/- mice. Neonatal treatment with AAV-GCDH restores GCDH expression and enzyme activity in liver and striatum. This treatment protects the mice from HLD-aggressive phenotype with all mice surviving this exposure; in stark contrast, a lack of treatment on an HLD triggers very high accumulation of glutaric acid, 3-hydroxyglutaric acid, and glutarylcarnitine in tissues, with about 60% death due to brain accumulation of toxic lysine metabolites. AAV-GCDH significantly ameliorates the striatal neuropathology, minimizing neuronal dysfunction, gliosis, and alterations in myelination. Magnetic resonance imaging findings show protection against striatal injury. Altogether, these results provide preclinical evidence to support AAV-GCDH gene therapy for GA1.
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  • 文章类型: Journal Article
    评论目的:全球肥胖流行已成为主要的公共卫生问题,需要全面研究其对人体各种组织的不利影响。在这些组织中,骨骼肌因其对肥胖相关改变的易感性而受到关注.线粒体是骨骼肌中能量产生的主要来源。健康的骨骼肌通过合成和降解的连续循环维持恒定的线粒体含量。然而,肥胖已被证明会破坏这种复杂的平衡。本文总结了肥胖对骨骼肌线粒体结构和功能影响的最新发现。此外,我们总结了线粒体质量控制系统的分子机制以及肥胖如何影响这些系统。最近发现:最近的研究结果表明,各种干预措施旨在减轻肥胖模型中的线粒体功能障碍,包括热量限制和各种膳食化合物在内的策略。肥胖通过破坏线粒体生物发生和动力学对骨骼肌线粒体具有有害作用。热量限制,omega-3脂肪酸,白藜芦醇,和其他膳食化合物增强线粒体功能,并提供有希望的治疗机会。
    PURPOSE OF REVIEW: The global obesity epidemic has become a major public health concern, necessitating comprehensive research into its adverse effects on various tissues within the human body. Among these tissues, skeletal muscle has gained attention due to its susceptibility to obesity-related alterations. Mitochondria are primary source of energy production in the skeletal muscle. Healthy skeletal muscle maintains constant mitochondrial content through continuous cycle of synthesis and degradation. However, obesity has been shown to disrupt this intricate balance. This review summarizes recent findings on the impact of obesity on skeletal muscle mitochondria structure and function. In addition, we summarize the molecular mechanism of mitochondrial quality control systems and how obesity impacts these systems. RECENT FINDINGS: Recent findings show various interventions aimed at mitigating mitochondrial dysfunction in obese model, encompassing strategies including caloric restriction and various dietary compounds. Obesity has deleterious effect on skeletal muscle mitochondria by disrupting mitochondrial biogenesis and dynamics. Caloric restriction, omega-3 fatty acids, resveratrol, and other dietary compounds enhance mitochondrial function and present promising therapeutic opportunities.
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  • 文章类型: Journal Article
    代谢性疾病是一组由代谢异常引起的疾病,包括肥胖,糖尿病,非酒精性脂肪性肝病,还有更多.越来越多的研究表明,除了固有的代谢不规则性,代谢性疾病的发生和发展与肠道微生物群的变化密切相关,尤其是肠道细菌。此外,粪便微生物移植(FMT)已证明在临床治疗代谢性疾病的有效性,尤其是糖尿病。最近的注意力也集中在肠道病毒在疾病发作中的作用上。本文首先介绍了肠道病毒的特点和影响因素,然后总结了它们在疾病发展中的潜在机制,强调它们对肠道细菌和宿主免疫调节的影响。我们还比较了FMT,粪便滤液移植(FFT),洗涤微生物群移植(WMT),和粪便病毒移植(FVT)。最后,我们回顾了目前对肠道病毒在代谢性疾病中的认识以及FVT在治疗这些疾病中的应用。总之,FVT可能为代谢性疾病提供一种新颖且有前途的治疗方法。保证通过基础和临床研究进一步验证。
    Metabolic diseases are a group of disorders caused by metabolic abnormalities, including obesity, diabetes, non-alcoholic fatty liver disease, and more. Increasing research indicates that, beyond inherent metabolic irregularities, the onset and progression of metabolic diseases are closely linked to alterations in the gut microbiota, particularly gut bacteria. Additionally, fecal microbiota transplantation (FMT) has demonstrated effectiveness in clinically treating metabolic diseases, notably diabetes. Recent attention has also focused on the role of gut viruses in disease onset. This review first introduces the characteristics and influencing factors of gut viruses, then summarizes their potential mechanisms in disease development, highlighting their impact on gut bacteria and regulation of host immunity. We also compare FMT, fecal filtrate transplantation (FFT), washed microbiota transplantation (WMT), and fecal virome transplantation (FVT). Finally, we review the current understanding of gut viruses in metabolic diseases and the application of FVT in treating these conditions. In conclusion, FVT may provide a novel and promising treatment approach for metabolic diseases, warranting further validation through basic and clinical research.
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  • 文章类型: Journal Article
    尽管已经研究了体重指数(BMI)水平与代谢疾病之间的关联以及呼气测试结果与BMI水平之间的关联,呼吸氢/甲烷水平与代谢性疾病之间的关系需要进一步阐明。这项研究旨在调查呼出气体的成分与代谢紊乱及其关键危险因素的关系。BMI水平升高显着增加患代谢性疾病的风险;将其纳入本研究以发现它们的关联。糖尿病,血脂异常,高血压,非酒精性脂肪性肝病(NAFLD)是本研究的代谢性疾病。&#xD;对医疗记录进行了分析,包括访问Ajou大学医学中心的患者的乳果糖呼气试验(LBT)数据,水原,大韩民国,2016年1月至2021年12月。根据LBT氢和甲烷水平的四个不同标准对受试者进行分组:1)正常(N)(氢<20ppm,甲烷<3ppm);2)仅氢(H)(氢≥20ppm,甲烷<3ppm);3)甲烷阳性(M)(氢<20ppm,甲烷≥3ppm);4)甲烷和氢阳性(M/H≥3ppm)(氢≥3ppm。在441个科目中,325(72.1%)仅对甲烷(M+)有阳性结果。具有M+的受试者的BMI和NAFLD的患病率高于具有氢和甲烷阳性(H+/M+)的受试者。根据多变量分析,NAFLD的M+比值比(OR)为2.002(95%CI:1.244-3.221,P=0.004).我们的结果表明,呼吸甲烷阳性与NAFLD有关,并表明呼吸测试中甲烷气体的增加有可能成为诊断NAFLD的易于测量的生物标志物。 .
    Although the association between Body Mass Index (BMI) level and metabolic diseases as well as the association between the breath test results and BMI level have been studied, their relationship between breath hydrogen/methane level and metabolic diseases need to be further clarified. This study aimed to investigate how the composition of exhaled breath gases relates to metabolic disorders and their key risk factors. An elevated BMI level significantly increases the risk of developing metabolic disease; it was included in this study to find their association. Diabetes mellitus, dyslipidemia, hypertension, and non-alcoholic fatty liver disease (NAFLD) are metabolic diseases included in this study. An analysis was performed on the medical records including the lactulose breath test (LBT) data of patients who visited the Ajou University Medical Center, Suwon, Republic of Korea, between January 2016 and December 2021. Subjects were grouped according to four different criteria of the LBT hydrogen and methane level: 1) Normal (N) (Hydrogen < 20 ppm and Methane < 3 ppm); 2) Hydrogen only (H+) (Hydrogen ≥ 20 ppm and Methane < 3 ppm); 3) Methane positive (M+) (Hydrogen < 20 ppm and Methane ≥ 3 ppm); and 4) Methane and hydrogen positive (M+/H+) (Hydrogen ≥ 20 ppm and Methane ≥ 3 ppm). Of 441 subjects, 325 (72.1%) had positive results for methane only (M+). BMI and prevalence of NAFLD were higher in subjects with M+ than in subjects with hydrogen and methane positivity (H+/M+). According to multivariate analysis, the odds ratio (OR) of M+ was 2.002 (with 95% CI: 1.244-3.221, P = 0.004) for NAFLD. Our results demonstrate that breath methane positivity is related to NAFLD and suggest that increased methane gas in breath tests has the potential to be an easily measurable biomarker for the diagnosis of NAFLD. .
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  • 文章类型: Journal Article
    目前的工作深入研究了线粒体α-酮酸脱氢酶复合物的神秘世界,讨论了它们的代谢意义,酶操作,月光活动,以及与潜在结构特征有关的病理相关性。这个普遍存在的相关但多样的多酶复合物家族参与碳水化合物代谢(丙酮酸脱氢酶复合物),柠檬酸循环(α-酮戊二酸脱氢酶复合物),和氨基酸分解代谢(支链α-酮酸脱氢酶复合物,α-酮己二酸脱氢酶复合物);这些复合物都在战略点发挥作用,并且还参与这些代谢途径的调节。这些系统是最大的多酶复合物之一,有时具有100多个蛋白质链,重量高达约1000万道尔顿。本章提供了有关这些多酶复合物的大量最新信息,以全面了解它们在健康和疾病中的重要性。
    The present work delves into the enigmatic world of mitochondrial alpha-keto acid dehydrogenase complexes discussing their metabolic significance, enzymatic operation, moonlighting activities, and pathological relevance with links to underlying structural features. This ubiquitous family of related but diverse multienzyme complexes is involved in carbohydrate metabolism (pyruvate dehydrogenase complex), the citric acid cycle (α-ketoglutarate dehydrogenase complex), and amino acid catabolism (branched-chain α-keto acid dehydrogenase complex, α-ketoadipate dehydrogenase complex); the complexes all function at strategic points and also participate in regulation in these metabolic pathways. These systems are among the largest multienzyme complexes with at times more than 100 protein chains and weights ranging up to ~10 million Daltons. Our chapter offers a wealth of up-to-date information on these multienzyme complexes for a comprehensive understanding of their significance in health and disease.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    线粒体是细胞代谢的核心;因此,它们的功能障碍导致了一系列广泛的人类疾病,包括癌症,心脏病,神经变性,和遗传性病变,如巴特综合征。心磷脂,线粒体的标志性磷脂促进适当的cr形态,生物能量功能,并直接影响线粒体膜中进行的代谢反应。为了匹配组织特异性代谢需求,心磷脂通常经历酰基尾重塑过程,最后一步由磷脂-溶血磷脂转酰酶taafazzin进行。Tafazzin基因突变是Barth综合征的主要原因。这里,我们研究了酵母中心磷脂生物合成和重塑缺陷如何通过三羧酸循环和相关途径影响代谢通量。核磁共振用于实时监测来自三个等基因酵母菌株的分离线粒体中13C3-丙酮酸的代谢命运。我们将野生型菌株的线粒体与缺乏tafazzin且含有较低量的未重塑心磷脂的Δtaz1菌株的线粒体进行了比较,和来自缺乏心磷脂合酶且无法合成心磷脂的Δcrd1菌株的线粒体。我们发现来自丙酮酸底物的13C标记通过约12种代谢物分布。几种鉴定的代谢物对酵母途径具有特异性,包括支链氨基酸和杂醇合成。大多数代谢物在不同菌株中表现出相似的动力学,但甲羟戊酸和α-酮戊二酸,以及在单独的核磁共振实验中测量的NAD+/NADH对,显示出明显的差异。一起来看,结果表明,心磷脂重塑影响丙酮酸代谢,三羧酸循环通量,和线粒体核苷酸的水平。
    Mitochondria are central to cellular metabolism; hence, their dysfunction contributes to a wide array of human diseases including cancer, cardiopathy, neurodegeneration, and heritable pathologies such as Barth syndrome. Cardiolipin, the signature phospholipid of the mitochondrion promotes proper cristae morphology, bioenergetic functions, and directly affects metabolic reactions carried out in mitochondrial membranes. To match tissue-specific metabolic demands, cardiolipin typically undergoes an acyl tail remodeling process with the final step carried out by the phospholipid-lysophospholipid transacylase tafazzin. Mutations in the tafazzin gene are the primary cause of Barth syndrome. Here, we investigated how defects in cardiolipin biosynthesis and remodeling impact metabolic flux through the tricarboxylic acid cycle and associated pathways in yeast. Nuclear magnetic resonance was used to monitor in real-time the metabolic fate of 13C3-pyruvate in isolated mitochondria from three isogenic yeast strains. We compared mitochondria from a wild-type strain to mitochondria from a Δtaz1 strain that lacks tafazzin and contains lower amounts of unremodeled cardiolipin, and mitochondria from a Δcrd1 strain that lacks cardiolipin synthase and cannot synthesize cardiolipin. We found that the 13C-label from the pyruvate substrate was distributed through about twelve metabolites. Several of the identified metabolites were specific to yeast pathways, including branched chain amino acids and fusel alcohol synthesis. Most metabolites showed similar kinetics amongst the different strains but mevalonate and α-ketoglutarate, as well as the NAD+/NADH couple measured in separate nuclear magnetic resonance experiments, showed pronounced differences. Taken together, the results show that cardiolipin remodeling influences pyruvate metabolism, tricarboxylic acid cycle flux, and the levels of mitochondrial nucleotides.
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