Department of Biochemical Science and Technology, College of Life Science, National Taiwan University, Taipei, Taiwan.
Autoimmun Rev. 2011 Nov;11(1):22-7. doi: 10.1016/j.autrev.2011.06.009. Epub 2011 Jul 6.
Cytokines play the active roles in the pathogenesis of systemic lupus erythematosus (SLE) and contribute significantly to the immune imbalance in this disease. Conservative therapeutic approaches, such as dietary modifications have been shown to have some beneficial impact on the disease activity of the SLE. Over the past years, accumulating evidences have supported a major role for specific dietary factors, including calorie restriction, n-3/n-6 fatty acids, vitamin A, vitamin D, vitamin E, phytoestrogens or herbal medicine in the regulation of cytokines involved in SLE development. Although there are many reviews that discuss the issue of nutrition and immunity, there are relatively few articles that focus on the regulation of cytokines by dietary factors. This concise review will summarize those animal studies that investigated not only the outcome of autoantibody production and proteinuria, but also cytokines production. However, the field of dietary factors in the immunomodulation of SLE is still in its infancy. More clinical studies are needed to confirm the preliminary results and advance the knowledge in this field. Lifestyle modification and adjustments in diet are important and encouraged to be suggested as an adjuvant therapy for SLE.
细胞因子在系统性红斑狼疮(SLE)的发病机制中起重要作用,并显著导致该病的免疫失衡。保守的治疗方法,如饮食调整,已被证明对 SLE 的疾病活动有一定的有益影响。在过去的几年中,越来越多的证据支持特定饮食因素,包括热量限制、n-3/n-6 脂肪酸、维生素 A、维生素 D、维生素 E、植物雌激素或草药在调节与 SLE 发展相关的细胞因子方面发挥重要作用。尽管有许多综述讨论了营养与免疫的问题,但很少有文章专门讨论饮食因素对细胞因子的调节作用。这篇简明的综述将总结那些不仅研究了自身抗体产生和蛋白尿结果,还研究了细胞因子产生的动物研究。然而,饮食因素在 SLE 的免疫调节中的领域仍处于起步阶段。需要更多的临床研究来证实初步结果,并推进该领域的知识。生活方式的改变和饮食的调整是重要的,并被鼓励作为 SLE 的辅助治疗方法。