鞣花酸调控铁代谢干预缺铁性贫血的研究现状与展望

陈 雨婷, 孙 骁乐, 覃 诗妍, 刘 羽雪, 曾 欣怡, 夏 子茹, 祁 晓雪
新疆科技学院

摘要


缺铁性贫血(Iron Deficiency Anemia, IDA)是全球性的营养代谢性疾病,传统铁剂疗法常因胃肠道副作用及炎症状态下的铁吸收障碍而受限。现有证据表明,EA可通过抑制LPS-TLR4-NF-κB等炎症通路,下调铁调素表达,从而解除对膜铁转运蛋白的抑制,促进肠道铁吸收与巨噬细胞铁释放。同时,EA的肠道菌群代谢产物尿石素A不仅具有协同抗炎活性,还能通过改善线粒体功能增强造血干细胞活力。本文系统综述了鞣花酸(Ellagic Acid,EA)在改善IDA的潜在作用机制,重点从抗炎调节铁代谢、直接干预铁稳态核心靶点、以及调控肠道菌群三个维度进行梳理。

关键词


石榴皮;鞣花酸;缺铁性贫血;铁调素;抗炎作用;肠道菌群

全文:

PDF


参考


[1]曹焯然, 杨正峰. 贫血、缺铁性贫血及其他种类贫血与过早死亡风险的关联:基于NHANES 1999---2010的研究[J/OL]. 同济大学学报(医学版):1-10.

[2]Karami, Mohammadmahdi, et al. “Global prevalence of anemia in pregnant women: a comprehensive systematic review and meta-analysis.” Maternal and child health journal 26.7(2022):1473-1487.

[3]Ginzburg YZ. Hepcidin-ferroportin axis in health and disease. Vitam Horm. 2019;110:17-45.

[4]肖玉欣,王楠,王婧,谭碧娥.鞣花酸和尿石素类代谢产物的生物活性及其对肠道健康的作用研究进展[J].食品科学,2022,43(09):275-284.

[5]汪静.鞣花酸及其代谢产物对糖尿病肾病的影响及其机制研究[D].武汉大学,2017.

[6]Kim D, Kim J S, Kwon J H, et al. Ellagic acid prevented dextran-sodium-sulfate-induced colitis, liver, and brain injury through gut microbiome changes[J]. Antioxidants,2023,12(10):1886.

[7]Gao Y, Wang X, He C. An isoflavonoid-enriched extract from Pueraria lobata (kudzu) root protects human umbilical vein endothelial cells against oxidative stress induced apoptosis[J].JEthnopharmacol,2016,193:524-530.

[8]Zollbrecht C, Persson A E, LundbergJ O, et al. Nitrite-mediated reduction of macrophage NADPH oxidase activity is dependent on xanthine oxidoreductase- derived nitric oxide but independent of S-nitrosation[J].Redox Biol,2016,10:119-127.

[9]Xing, Guowei, et al.“PPARα alleviates iron overload‐induced ferroptosis in mouse liver.”EMBO reports23.8 (2022): e52280.

[10]Nemeth Elizabeta;Ganz Tomas.Hepcidin-Ferroportin Interaction Controls Systemic Iron Homeostasis [J].International Journal of Molecular Sciences, 2021,22(12).

[11]杨钧岚,邢婕,韦致远,等.铁调素及相关干预药物的研究进展[J].肾脏病与透析肾移植杂志,2024,33 (01):71-75.

[12]Yin Y, Martínez R, Zhang W, et al. Crosstalk between dietary pomegranate and gut microbiota: Evidence of health benefits [J]. Crit Rev Food Sci Nutr, 2024,64(27): 10009-10035.

[13]Ronning S B, Voldvik V, Bergum S K, et al. Ellagic acid and urolithin A modulate the immune response in LPS-stimulated U937 monocytic cells and THP-1 differentiated macrophages[J]. Food & Function, 2020, 11(9):7946-7959.

[14]Yang Y, Lee P K, Wong H C, et al.Oral supplementation of Gordonibacter urolithinfaciens promotes ellagic acid metabolism and urolithin bioavailability in mice [J]. Food Chem, 2024,437(Pt 2):137953.

[15]Ávila-Gálvez M Á, Romo-Vaquero M, Mazarío-Gárgoles C, et al. Oral delivery of ellagic acid Encapsulated in milk exosomes:Sex-based differences in bioavailability,urolithin production,and gut microbiota modulation [J]. Mol Nutr Food Res, 2025,69(15):e70104.

[16]Girotra,M.,Chiang,YH.,Charmoy,M.et al.Induction of mitochondrial recycling reverts age-associated decline of the hematopoietic and immune systems.Nat Aging 3,1057-1066(2023).https://doi.org/10.1038/s43587-023-00473-3


Refbacks

  • 当前没有refback。