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是否可以推荐适度饮酒来改善疫苗反应?

Could moderate alcohol intake be recommended to improve vaccine responses?

作者信息

Messaoudi Ilhem, Pasala Sumana, Grant Kathleen

机构信息

Division of Biomedical Sciences, School of Medicine, University of California-Riverside, Riverside, CA 92521, USA.

出版信息

Expert Rev Vaccines. 2014 Jul;13(7):817-9. doi: 10.1586/14760584.2014.924405. Epub 2014 May 29.

DOI:10.1586/14760584.2014.924405
PMID:24872009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4245072/
Abstract

The impact of alcohol consumption on human health is complex and modulated by several factors such as patterns and amount of drinking, genetics, the organ system studied, as well as the sex and age of the user. There is strong evidence that chronic ethanol abuse is associated with increased morbidity and mortality, immunosuppression and increased susceptibility to both bacterial and viral infections. In contrast, moderate alcohol consumption exerts positive effects including decreased mortality, and improved cardiovascular disease and insulin sensitivity. Interestingly, accumulating evidence also supports an immune-boosting effect of moderate alcohol. In this editorial, we summarize the findings that support a positive effect of moderate alcohol on host immunity. We also discuss the limitations of the previous data and emphasize the importance of additional studies to uncover mechanisms for these immune-stimulating effects in order to extend these benefits to vulnerable segments of the population who cannot consume alcohol.

摘要

酒精消费对人类健康的影响是复杂的,并且受到多种因素的调节,如饮酒模式和饮酒量、遗传因素、所研究的器官系统,以及饮酒者的性别和年龄。有强有力的证据表明,长期滥用乙醇与发病率和死亡率增加、免疫抑制以及对细菌和病毒感染易感性增加有关。相比之下,适度饮酒具有积极作用,包括降低死亡率、改善心血管疾病和胰岛素敏感性。有趣的是,越来越多的证据也支持适度饮酒具有增强免疫力的作用。在这篇社论中,我们总结了支持适度饮酒对宿主免疫有积极作用的研究结果。我们还讨论了先前数据的局限性,并强调了开展更多研究以揭示这些免疫刺激作用机制的重要性,以便将这些益处扩展到不能饮酒的易感人群。

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本文引用的文献

1
Epigenetic targets for reversing immune defects caused by alcohol exposure.用于逆转酒精暴露所致免疫缺陷的表观遗传靶点。
Alcohol Res. 2013;35(1):97-113.
2
Moderate alcohol consumption enhances vaccine-induced responses in rhesus macaques.适量饮酒可增强恒河猴的疫苗应答反应。
Vaccine. 2013 Dec 17;32(1):54-61. doi: 10.1016/j.vaccine.2013.10.076. Epub 2013 Nov 6.
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Alcoholic lung injury: metabolic, biochemical and immunological aspects.酒精性肺损伤:代谢、生化和免疫学方面。
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Focus on: Alcohol and the immune system.关注重点:酒精与免疫系统。
Alcohol Res Health. 2010;33(1-2):97-108.
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Potential health benefits of moderate alcohol consumption: current perspectives in research.适量饮酒的潜在健康益处:研究中的当前观点。
Proc Nutr Soc. 2012 May;71(2):307-15. doi: 10.1017/S0029665112000171. Epub 2012 Mar 6.
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Moderate alcohol consumption alters both leucocyte gene expression profiles and circulating proteins related to immune response and lipid metabolism in men.适量饮酒改变了男性白细胞基因表达谱和与免疫反应及脂质代谢相关的循环蛋白。
Br J Nutr. 2012 Aug;108(4):620-7. doi: 10.1017/S0007114511005988. Epub 2011 Dec 6.
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A longitudinal analysis of circulating stress-related proteins and chronic ethanol self-administration in cynomolgus macaques.循环应激相关蛋白与食蟹猴慢性乙醇自给药的纵向分析。
Alcohol Clin Exp Res. 2012 Jun;36(6):995-1003. doi: 10.1111/j.1530-0277.2011.01685.x. Epub 2011 Dec 5.
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Alcohol consumption and risk of all-cause and cardiovascular disease mortality in men.男性饮酒与全因及心血管疾病死亡率风险
J Aging Res. 2011;2011:805062. doi: 10.4061/2011/805062. Epub 2011 Jul 20.
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Alcohol abuse and pulmonary disease.酒精滥用与肺部疾病。
J Leukoc Biol. 2009 Nov;86(5):1097-104. doi: 10.1189/jlb.0209087. Epub 2009 Jul 14.
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Alcohol: Friend or Foe? Alcoholic Beverage Hormesis for Cataract and Atherosclerosis is Related to Plasma Antioxidant Activity.酒精:朋友还是敌人?酒精饮料对白内障和动脉粥样硬化的兴奋效应与血浆抗氧化活性有关。
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