Mechanisms of Medicine-Food Homologous Plant Compounds in the Management of Diabetes Mellitus: A Semi-Systematic Review

IF 4.5 2区 农林科学 Q1 FOOD SCIENCE & TECHNOLOGY
Yuan Jia, Senjun Liu, Xin Fu
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引用次数: 0

Abstract

The global burden of diabetes mellitus (DM) is rising, shifting focus toward dietary interventions. Bioactive compounds from medicine-food homologous (MFH) plants bridge nutrition and pharmacotherapy, yet a holistic synthesis of their molecular mechanisms is lacking. A semi-systematic search of PubMed, Embase, and Web of Science (2017–2026) identified 21 original articles on 12 species of MFH plants from the Chinese National Health Commission's catalogue. These MFH-derived bioactive compounds exert anti-diabetic effects through diverse mechanisms collectively targeting type 2 diabetes mellitus (T2DM). These include: improving insulin resistance (IR) via IRS/PI3K/Akt and AMPK signaling; reducing oxidative stress via endogenous antioxidant defenses; suppressing inflammation through NF-κB and TLR4 pathways; modulating gut microbiota and enhancing short-chain fatty acids; improving lipid metabolism; increasing glucose-stimulated insulin secretion; and inhibiting ferroptosis. Individual plants often act via multiple pathways, though predominant mechanisms vary. The reviewed evidence suggests MFH-derived bioactive compounds may act as multi-target regulators, indicating a potential adjunctive role in diabetes care. High-quality clinical trials are needed to standardize dosages and validate long-term efficacy.

药食同源植物化合物治疗糖尿病的机制:半系统综述
糖尿病(DM)的全球负担正在上升,将重点转向饮食干预。来自药食同源植物(MFH)的生物活性化合物是营养和药物治疗的桥梁,但缺乏对其分子机制的整体合成。通过对PubMed、Embase和Web of Science(2017-2026)的半系统检索,从中国国家卫生健康委员会目录中发现了12种MFH植物的21篇原创文章。这些mfh衍生的生物活性化合物通过多种机制共同针对2型糖尿病(T2DM)发挥抗糖尿病作用。这些包括:通过IRS/PI3K/Akt和AMPK信号通路改善胰岛素抵抗(IR);通过内源性抗氧化防御减少氧化应激;通过NF-κB和TLR4途径抑制炎症;调节肠道菌群,增加短链脂肪酸;改善脂质代谢;增加葡萄糖刺激的胰岛素分泌;抑制铁下垂。单个植物通常通过多种途径起作用,尽管主要机制各不相同。综述的证据表明,mfh衍生的生物活性化合物可能作为多靶点调节剂,表明其在糖尿病治疗中的潜在辅助作用。需要高质量的临床试验来规范剂量并验证长期疗效。
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来源期刊
Molecular Nutrition & Food Research
Molecular Nutrition & Food Research 工程技术-食品科技
CiteScore
8.70
自引率
1.90%
发文量
250
审稿时长
1.7 months
期刊介绍: Molecular Nutrition & Food Research is a primary research journal devoted to health, safety and all aspects of molecular nutrition such as nutritional biochemistry, nutrigenomics and metabolomics aiming to link the information arising from related disciplines: Bioactivity: Nutritional and medical effects of food constituents including bioavailability and kinetics. Immunology: Understanding the interactions of food and the immune system. Microbiology: Food spoilage, food pathogens, chemical and physical approaches of fermented foods and novel microbial processes. Chemistry: Isolation and analysis of bioactive food ingredients while considering environmental aspects.
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