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围产期补充长链多不饱和脂肪酸能否预防特应性疾病、支气管哮喘及其他炎症性疾病?

Can perinatal supplementation of long-chain polyunsaturated fatty acids prevent atopy, bronchial asthma and other inflammatory conditions?

作者信息

Das Undurti N

机构信息

UND Life Sciences, Shaker Heights, OH 44120, USA.

出版信息

Med Sci Monit. 2006 Jun;12(6):RA99-111. Epub 2006 May 29.

Abstract

I suggest that perinatal supplementation of long-chain polyunsaturated fatty acids (LCPUFAs) protects against the development of childhood and adult life eczema, atopy, bronchial asthma and other inflammatory conditions. LCPUFAs modulate T(H)1 and T(H)2 cell generation and their cytokine production such that the balance is tilted more towards the production of anti-inflammatory cytokines. In addition, LCPUFAs form precursors to anti-inflammatory products such as resolvins, lipoxins, and aspirin-triggered 15 epimer LXs (ATLs), nitric oxide, prostaglandin E1 and prostacyclin (PGI2) that suppress inflammatory process and enhance healing of tissue injury with little or no loss of function. These beneficial actions of LCPUFAs explain the protective effect of exclusive breast-feeding against eczema and other childhood allergies, and decreased incidence of several other inflammatory conditions in adult life since human breast milk contains substantial amounts of these long-chain polyunsaturated fatty acids.

摘要

我认为围产期补充长链多不饱和脂肪酸(LCPUFAs)可预防儿童期和成年期湿疹、特应性疾病、支气管哮喘及其他炎症性疾病的发生。LCPUFAs可调节辅助性T细胞1(Th1)和辅助性T细胞2(Th2)的生成及其细胞因子的产生,使平衡更倾向于抗炎细胞因子的产生。此外,LCPUFAs可形成抗炎产物的前体,如消退素、脂氧素和阿司匹林触发的15-表位脂氧素(ATLs)、一氧化氮、前列腺素E1和前列环素(PGI2),这些物质可抑制炎症过程并促进组织损伤的愈合,且功能损失很小或没有损失。LCPUFAs的这些有益作用解释了纯母乳喂养对湿疹和其他儿童期过敏的保护作用,以及成年期其他几种炎症性疾病发病率降低的原因,因为人乳中含有大量的这些长链多不饱和脂肪酸。

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