Division of Otolaryngology - Head and Neck Surgery, Counties-Manukau District Health Board, New Zealand.
Med Hypotheses. 2010 Apr;74(4):732-4. doi: 10.1016/j.mehy.2009.10.044. Epub 2009 Nov 25.
Excessive milk consumption has a long association with increased respiratory tract mucus production and asthma. Such an association cannot be explained using a conventional allergic paradigm and there is limited medical evidence showing causality. In the human colon, beta-casomorphin-7 (beta-CM-7), an exorphin derived from the breakdown of A1 milk, stimulates mucus production from gut MUC5AC glands. In the presence of inflammation similar mucus overproduction from respiratory tract MUC5AC glands characterises many respiratory tract diseases. beta-CM-7 from the blood stream could stimulate the production and secretion of mucus production from these respiratory glands. Such a hypothesis could be tested in vitro using quantitative RT-PCR to show that the addition of beta-CM-7 into an incubation medium of respiratory goblet cells elicits an increase in MUC5AC mRNA and by identifying beta-CM-7 in the blood of asthmatic patients. This association may not necessarily be simply cause and effect as the person has to be consuming A1 milk, beta-CM-7 must pass into the systemic circulation and the tissues have to be actively inflamed. These prerequisites could explain why only a subgroup of the population, who have increased respiratory tract mucus production, find that many of their symptoms, including asthma, improve on a dairy elimination diet.
过量饮用牛奶与呼吸道黏液分泌增加和哮喘有关。这种关联不能用传统的过敏模式来解释,而且有限的医学证据表明存在因果关系。在人类结肠中,β-酪啡肽-7(β-CM-7)是一种源自 A1 牛奶分解的内啡肽,它刺激肠道 MUC5AC 腺体产生黏液。在炎症存在的情况下,呼吸道 MUC5AC 腺体的类似黏液过度产生是许多呼吸道疾病的特征。来自血液的β-CM-7 可能会刺激这些呼吸道腺体产生和分泌黏液。可以通过体外试验使用定量 RT-PCR 来测试这种假设,即在呼吸杯状细胞的孵育培养基中加入β-CM-7 是否会引起 MUC5AC mRNA 的增加,并通过鉴定哮喘患者血液中的β-CM-7 来验证。这种关联不一定是简单的因果关系,因为患者必须摄入 A1 牛奶,β-CM-7 必须进入体循环,并且组织必须处于活跃的炎症状态。这些前提条件可以解释为什么只有一部分人群,即那些呼吸道黏液分泌增加的人群,发现他们的许多症状,包括哮喘,在消除乳制品饮食后会得到改善。