Ismail Elysha Nur, Zakuan Noraina, Othman Zulkefley, Vidyadaran Sharmili, Mohammad Hussin, Ishak Reezal
Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Herbal Medicine Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Setia Alam, Selangor, Malaysia.
Inflammopharmacology. 2025 Feb;33(2):759-765. doi: 10.1007/s10787-024-01607-8. Epub 2024 Dec 5.
The term "inflammatory bowel disease" (IBD) refers to a group of chronic inflammatory gastrointestinal disorders, which include ulcerative colitis and Crohn's disease. The necessity for alternative therapeutic approaches is underscored by the fact that although present medicines are successful, they frequently result in considerable adverse effects. Naturally occurring substances included in fruits and vegetables called polyphenols have been shown to have the capacity to control important inflammatory pathways including NF-κB and JAK/STAT, which are essential for the pathophysiology of IBD. The processes by which polyphenols, such as curcumin, EGCG, resveratrol, and quercetin, reduce inflammation are examined in this article. Polyphenols may have therapeutic advantages by blocking the synthesis of cytokines and the activation of immune cells by targeting these pathways. Preclinical study indicates a reduction in intestinal inflammation, which is encouraging. However, more clinical research is needed to determine the clinical relevance of polyphenols in the therapy of IBD, especially with regard to their long-term safety and bioavailability.
“炎症性肠病”(IBD)一词指的是一组慢性炎症性胃肠道疾病,包括溃疡性结肠炎和克罗恩病。尽管现有药物取得了成功,但它们经常会导致相当大的副作用,这凸显了采用替代治疗方法的必要性。水果和蔬菜中含有的天然物质多酚已被证明有能力控制重要的炎症途径,包括对炎症性肠病病理生理学至关重要的核因子-κB(NF-κB)和Janus激酶/信号转导和转录激活因子(JAK/STAT)途径。本文探讨了姜黄素、表没食子儿茶素没食子酸酯(EGCG)、白藜芦醇和槲皮素等多酚类物质减轻炎症的过程。通过靶向这些途径,多酚类物质可能通过阻断细胞因子的合成和免疫细胞的激活而具有治疗优势。临床前研究表明肠道炎症有所减轻,这令人鼓舞。然而,需要更多的临床研究来确定多酚类物质在炎症性肠病治疗中的临床相关性,特别是在其长期安全性和生物利用度方面。