Children Nutrition Research Center, Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing, CSTC2009 CA5002, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China.
Institute of Pediatrics, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China.
Nutrition. 2014 Mar;30(3):350-7. doi: 10.1016/j.nut.2013.09.008. Epub 2013 Dec 27.
Vitamin A (VA) is a critical micronutrient for life, especially during growth and development. There is a close relationship between VA deficiency (VAD) and the morbidity of diarrhea in the clinical setting. However, the regulatory mechanisms of VA are not clearly understood.
Specific-pathogen-free Wistar rats received a diet with or without VA before gestation. The offspring were submitted to an abdominal injection of Escherichia coli lipopolysaccharide. After the challenge, which lasted for 12 h, the serum retinol was detected by high-performance liquid chromatography, and the level of immunoglobulin A in the stool was analyzed by enzyme-linked immunosorbent assay. The lymphocyte immunophenotypes were evaluated with the use of flow cytometry with samples collected from the spleen, the mesenteric lymph nodes, Peyer patches, and intestinal intraepithelial lymphocytes.
Early life VAD, independent of the lipopolysaccharide challenge, significantly decreased serum retinol level and CD8(+) intestinal intraepithelial lymphocytes. The level of immunoglobulin A secretion and percentages of splenic CD4(+)CD8(+) T cells were affected by the interaction effects of the lipopolysaccharide challenge and VAD treatment. Gestational VAD significantly increased the percentages of B cells in the mesenteric lymph nodes and decreased the percentages of CD11 C(+) dendritic cells and CD4(+)CD25(+) T cells from the Peyer patches. The lipopolysaccharide challenge only significantly increased percentages of splenic CD4(+)CD25(+) T cells. The intestinal tissue of the pups with VAD displayed mild inflammation.
Gestational or early life VAD decreases the numbers of immune cells in offspring, which may partly suppress the activities of the mucosal immune responses in the intestine. This suggests that more attention should be given to the VA nutritional state of children and women of reproductive age.
维生素 A(VA)是生命的关键微量营养素,尤其是在生长和发育过程中。在临床环境中,VA 缺乏(VAD)与腹泻发病率之间存在密切关系。然而,VA 的调节机制尚不清楚。
特定病原体无 Wistar 大鼠在妊娠前接受含有或不含有 VA 的饮食。后代接受大肠杆菌脂多糖的腹部注射。挑战持续 12 小时后,通过高效液相色谱法检测血清视黄醇,通过酶联免疫吸附试验分析粪便中免疫球蛋白 A 的水平。使用流式细胞术评估来自脾、肠系膜淋巴结、派尔斑和肠上皮内淋巴细胞的样本的淋巴细胞免疫表型。
早期生命 VAD,独立于脂多糖挑战,显著降低血清视黄醇水平和 CD8(+)肠上皮内淋巴细胞。免疫球蛋白 A 分泌水平和脾 CD4(+)CD8(+)T 细胞的百分比受脂多糖挑战和 VAD 处理的相互作用的影响。妊娠期 VAD 显著增加肠系膜淋巴结中 B 细胞的百分比,并降低派尔斑中 CD11 C(+)树突状细胞和 CD4(+)CD25(+)T 细胞的百分比。脂多糖挑战仅显著增加脾 CD4(+)CD25(+)T 细胞的百分比。VAD 组幼仔的肠道组织显示轻度炎症。
妊娠期或生命早期 VAD 减少后代免疫细胞的数量,这可能部分抑制肠道黏膜免疫反应的活性。这表明应更加关注儿童和育龄妇女的 VA 营养状况。