Schubert Ralf, Kitz Richard, Beermann Christopher, Rose Markus Andreas, Baer Patrick Carolus, Zielen Stefan, Boehles Hansjosef
Department of Pediatrics, J. W. Goethe University, Frankfurt/Main, Germany.
Nutrition. 2007 Oct;23(10):724-30. doi: 10.1016/j.nut.2007.06.012. Epub 2007 Jul 30.
The aim of the present study was to examine the immune-modulating effect of two different fat blends enriched with a low dose of anti- or proinflammatory polyunsaturated fatty acids on the fatty acid status and subsequently on the immune response of healthy volunteers.
Thirty healthy volunteers were randomly assigned to group A (anti-inflammatory blend rich in polyunsaturated fatty acids: alpha-linolenic acid, 240 mg/d; eicosapentaenoic acid, 120 mg/d; stearidonic acid, 49 mg/d; and gamma-linolenic acid, 73 mg/d) or group B (arachidonic acid, 40 mg/d; containing an inflammatory fat blend) for a 2-wk dietary supplementation period. Concentrations of interleukin-8, interleukin-10, tumor necrosis factor-alpha, prostaglandins E(1) and E(2), and leukotriene B(4) were investigated before, after 2 wk of supplementation, and 2 wk after stopping supplementation using a whole blood ex vivo lipopolysaccharide-stimulation assay.
Plasma concentrations of alpha-linolenic acid and eicosapentaenoic acid were significantly increased in group A. In addition, dietary fat blends influenced eicosapentaenoic acid concentration in erythrocyte membranes. Supplementation of the fat blends resulted in contrasting effects on the expression of lipid mediators and cytokines after ex vivo lipopolysaccharide stimulation. Release of prostaglandin E(1) and leukotriene B(4) were significantly decreased in group A, whereas prostaglandin E(2) and interleukin-10 concentrations were significantly increased in group B. No effect on interleukin-8 or tumor necrosis factor-alpha release was found after supplementation with either fat blend.
These results show an immune-modulating effect of a low-dose dietary polyunsaturated fatty acid supplementation. However, further studies regarding fat-blend composition and period of supplementation in patients with inflammatory conditions are required.
本研究旨在探讨富含低剂量抗炎或促炎多不饱和脂肪酸的两种不同脂肪混合物对健康志愿者脂肪酸状态以及随后免疫反应的免疫调节作用。
30名健康志愿者被随机分为A组(富含多不饱和脂肪酸的抗炎混合物:α-亚麻酸,240毫克/天;二十碳五烯酸,120毫克/天;硬脂酸,49毫克/天;γ-亚麻酸,73毫克/天)或B组(花生四烯酸,40毫克/天;含促炎脂肪混合物),进行为期2周的饮食补充期。在补充前、补充2周后以及停止补充2周后,使用全血体外脂多糖刺激试验研究白细胞介素-8、白细胞介素-10、肿瘤坏死因子-α、前列腺素E(1)和E(2)以及白三烯B(4)的浓度。
A组血浆中α-亚麻酸和二十碳五烯酸浓度显著升高。此外,饮食脂肪混合物影响红细胞膜中二十碳五烯酸的浓度。脂肪混合物的补充在体外脂多糖刺激后对脂质介质和细胞因子的表达产生了相反的影响。A组前列腺素E(1)和白三烯B(4)的释放显著降低,而B组前列腺素E(2)和白细胞介素-10浓度显著升高。补充任何一种脂肪混合物后,对白细胞介素-8或肿瘤坏死因子-α的释放均未发现影响。
这些结果表明低剂量饮食补充多不饱和脂肪酸具有免疫调节作用。然而,需要进一步研究炎症性疾病患者的脂肪混合物组成和补充期。