ZNAČAJ POLIFENOLA U PREVENCIJI HRONIČNIH NEZARAZNIH BOLESTI

  • Marijana Jandrić-Kočić JZU Dom zdravlja Krupa na Uni, Republika Srpska, Bosna i Hercegovina
Ključne reči: polifenoli, kardiovaskularne bolesti, prevencija, terapija

Sažetak


Polifenoli su spojevi koji u svojoj strukturi sadrže jednu ili više hidroksilnih skupina vezanih izravno na jedan ili više aromatskih ugljovodonika. Predstavljaju jednu od najbrojnijih i najrasprostranjenijih skupina sekundarnih biljnih metabolita sa više od 8000 polifenolnih struktura. Polifenoli su antioksidansi koji smanjuju disfunkciju endotela i krvni pritisak, unapređuju imunološku odbranu, ublažavaju upalni odgovor, blokiraju agregaciju trombocita i oksidaciju lipoproteina male gustine. Neke studije ukazuju na postojanje indirektne veze između unosa flavonoida i obolevanja od infarkta miokarda i umiranja od koronarne bolesti. Crna čokolada, orašasti plovodi, grožđe, crveno vino i mediteranska dijeta (bazirana na voću i povrću, ribi i maslinovom ulju) su bogati polifenolima i ključni su u prevenciji kardiovaskularnih bolesti. Polifenoli sprečavaju neurodegenerativne promjene povezane s cerebralnom ishemijom. Antocijanini iz borovnica imaju antiaterogena i protivupalna svojstva tako da djeluju neuroprotektivno. Ekstrakt crnog vina, bogat antocijaninom, smanjuje ozljede izazvane cerebralnom ishemijom. Unošenje polifenola hranom može redukovati hipertenziju, protivupalnim i antioksidativnim efektima, kao i povećanom proizvodnjom oksida azota. Posebno se ukazuje na značaj crnog i zelenog čaja u snižavanju vrednosti krvnog pritiska. Neophodna su dalja istraživanja polifenola u cilju donošenja što jasnijih preporuka za njihovu opštu preventivnu primenu.

Reference

Tsao R. Chemistry and biochemistry of dietary polyphenols. Nutrients 2010; 2(12):1231-46.

Balta V. Bioraspoloživost, metabolizam i antioksidacijska sposobnost polifenola u organima miša C57BL/6 [doktorska disertacija]. Zagreb (Republika Hrvatska): Prirodoslovno-matematički fakultet, Biološki odsjek, Sveučilišta u Zagrebu, 2018.

Truzzi F, Tibaldi C, Zhang Y, Dinelli G, D′Amen E. An overview on dietary polyphenols and their biopharmaceutical classification system (BCS). Int J Mol Sci 2021; 22(11):5514.

Pandey KB, Rizvi SI. Plant polyphenols as dietary antioxidants in human health and disease. Oxid Med Cell Longev 2009; 2(5):270-8.

Kamenjašević M, Oršolić N, Matković A, Matković BR. Učinkovitost polifenolne prehrane na zdravlje i funkcionalnu sposobnost sportaša i rekreativaca. Hrvatski športskomedicinski vjesnik 2017; 32(1/2):5-21.

Panche AN, Diwan AD, Chandra SR. Flavonoids: an overview. J Nutr Sci 2016; 5:e47.

Manach C, Scalbert A, Morand C, Rémésy C, Jiménez L. Polyphenols: food sources and bioavailability. Am J Clin Nutr 2004; 79(5):727-47.

Mrduljaš N, Krešić G, Bilušić T. Polyphenols - food sources and health benefits. In: Chavarri Hueda M, editor. Functional food - improve health through adequate food. Rijeka (Croatia): InTechOpen, 2017. p. 23-41.

Silva RFM, Pogačnik L. Polyphenols from food and natural products: neuroprotection and safety. Antioxidants (Basel) 2020; 9(1):61.

D'Archivio M, Filesi C, Varì R, Scazzocchio B, Masella R. Bioavailability of the polyphenols: status and controversies. Int J Mol Sci 2010; 11(4):1321-42.

Xu B, Chang SKC. Total phenolic, phenolic acid, anthocyanin, flavan-3-ol, and flavonol profiles and antioxidant properties of pinto and black beans (Phaseolus vulgaris L.) as affected by thermal processing. J Agric Food Chem 2009; 57(11):4754-64.

Day AJ, Cañada FJ, Díaz JC, Kroon PA, Mclauchlan R, Faulds CB, et al. Dietary flavonoid and isoflavone glycosides are hydrolysed by the lactase site of lactase phlorizin hydrolase. FEBS Lett 2000; 468(2-3):166-70.

Falany CN. Enzymology of human cytosolic sulfotransferases. FASEB J. 1997;11(4):206-16. 14. Fraga CG, Croft KD, Kennedy DO, Tomás-Barberán FA. The effects of polyphenols and other bioactives on human health. Food Funct 2019; 10(2):514-28.

Storniolo CE, Roselló-Catafau J, Pintó X, Mitjavila MT, Moreno JJ. Polyphenol fraction of extra virgin olive oil protects against endothelial dysfunction induced by high glucose and free fatty acids through modulation of nitric oxide and endothelin-1. Redox Biol 2014; 2:971-7. 16. Cheng YC, Sheen JM, Hu WL, Hung YC. Polyphenols and oxidative stress in atherosclerosis-related ischemic heart disease and stroke. Oxid Med Cell Longev 2017; 2017:8526438.

Mathur S, Devaraj S, Grundy SM, Jialal I. Cocoa products decrease low density lipoprotein oxidative susceptibility but do not affect biomarkers of inflammation in humans. J Nutr 2002; 132(12):3663-7.

Suzuki-Sugihara N, Kishimoto Y, Saita E, Taguchi C, Kobayashi M, Ichitani M, et al. Green tea catechins prevent low-density lipoprotein oxidation via their accumulation in low-density lipoprotein particles in humans. Nutr Res 2016; 36(1):16-23.

Chen JH, Lee MS, Wang CP, Hsu CC, Lin HH. Autophagic effects of Hibiscus sabdariffa leaf polyphenols and epicatechin gallate (ECG) against oxidized LDL-induced injury of human endothelial cells. Eur J Nutr 2017; 56(5):1963-81.

Rodella LF, Favero G. Atherosclerosis and current anti-oxidant strategies for atheroprotection. In: Rezzani R, editor. Current trends in atherogenesis. Rijeka (Croatia): InTechOpen, 2013. p. 1-26.

Knekt P, Jarvinen R, Reunanen A, Maatela J. Flavonoid intake and coronary mortality in Finland: a cohort study. BMJ 1996; 312(7029):478-81.

Lekakis J, Rallidis LS, Andreadou I, Vamvakou G, Kazantzoglou G, Magiatis P, et al. Polyphenols compounds from red grapes acutely improve endothelial function in patients with coronary heart disease. Eur J Cardiovasc Prev Rehabil 2005; 12(6):596-600.

Hertog MG, Feskens EJ, Hollman PC, Katan MB, Kromhout D. Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen Elderly Study. Lancet 1993; 342(8878):1007-11.

Magyar K, Halmosi R, Palfi A, Feher G, Czopf L, Fulop A, et al. Cardioprotection by resveratrol: a human clinical trial in patients with stable coronary artery disease. Clin Hemorheol Microcirc 2012; 50(3):179-87.

Lai HTM, Threapleton DE, Day AJ, Williamson G, Cade JE, Burley VJ. Fruit intake and cardiovascular disease mortality in the UK Women's Cohort Study. Eur J Epidemiol 2015; 30(9):1035-48.

Martínez-González MA, Salas-Salvadó J, Estruch R, Corella D, Fitó M, Ros E. Benefits of the Mediterranean diet: insights from the PREDIMED study. Prog Cardiovasc Dis 2015; 58(1):50-60.

Tressera-Rimbau A, Arranz S, Eder M, Vallverdú-Queralt A. Dietary polyphenols in the prevention of stroke. Oxid Med Cell Longev 2017; 2017:7467962.

Simonyi A, Wang Q, Miller RL, Yusof M, Shelat PB, Sun AY, et al. Polyphenols in cerebral ischemia: novel targets for neuroprotection. Mol Neurobiol 2005; 31(1-3):135-47.

Ayuso MI, Montaner J. Advanced neuroprotection for brain ischemia: an alternative approach to minimize stroke damage. Expert Opinion on Investigational Drugs 2015; 24(9):1137-1142.

Larsson SC, Orsini N. Coffee consumption and risk of stroke: a dose-response meta-analysis of prospective studies. Am J Epidemiol 2011; 174(9):993-1001.

Freedman ND, Park Y, Abnet CC, Hollenbeck AR, Sinha R. Association of coffee drinking with total and cause-specific mortality. N Engl J Med 2012; 366(20):1891-904.

Wang ZM, Zhao D, Nie ZL, Zhao H, Zhou B, Gao W, et al. Flavonol intake and stroke risk: a meta-analysis of cohort studies. Nutrition 2014; 30(5):518-23.

de Brito-Alves JL, de Sousa VP, Cavalcanti-Neto MP, Magnani M, de Andrade-Braga V, da Costa-Silva JH, et al. New insights on the use of dietary polyphenols or probiotics for the management of arterial hypertension. Front Physiol 2016; 7:448.

Godos J, Vitale M, Micek A, Ray S, Martini D, Del Rio D, et al. Dietary polyphenol intake, blood pressure, and hypertension: a systematic review and meta-analysis of observational studies. Antioxidants (Basel) 2019; 8(6):152.

Lockyer S, Rowland I, Spencer JPE, Yaqoob P, Stonehouse W. Impact of phenolic-rich olive leaf extract on blood pressure, plasma lipids and inflammatory markers: a randomised controlled trial. Eur J Nutr 2017; 56(4):1421-32.

Miranda AM, Steluti J, Fisberg RM, Marchioni DM. Association between polyphenol intake and hypertension in adults and older adults: a population-based study in Brazil. PLoS One 2016; 11(10):e0165791.

Grosso G, Stepaniak U, Micek A, Stefler D, Bobak M, Pająk A. Dietary polyphenols are inversely associated with metabolic syndrome in Polish adults of the HAPIEE study. Eur J Nutr 2017; 56(4):1409-20.

Godos J, Sinatra D, Blanco I, Mulè S, La Verde M, Marranzano M. Association between dietary phenolic acids and hypertension in a Mediterranean cohort. Nutrients 2017; 9(10):1069.

Woo HW, Kim MK, Lee YH, Shin DH, Shin MH, Choi BY. Habitual consumption of soy protein and isoflavones and risk of metabolic syndrome in adults ≥ 40 years old: a prospective analysis of the Korean Multi-Rural Communities Cohort Study (MRCohort). Eur J Nutr 2019; 58(7):2835-50.

Khosravi-Boroujeni H, Nikbakht E, Natanelov E, Khalesi S. Can sesame consumption improve blood pressure? A systematic review and meta-analysis of controlled trials. J Sci Food Agric 2017; 97(10):3087-94.

Liu G, Mi XN, Zheng XX, Xu YL, Lu J, Huang XH. Effects of tea intake on blood pressure: a meta-analysis of randomised controlled trials. Br J Nutr 2014; 112(7):1043-54.

Objavljeno
2021/10/15
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