Martins Ian James
Centre of Excellence in Alzheimer's Disease Research and Care, School of Medical Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup 6027, Australia.
School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Nedlands 6009, Australia.
Int J Mol Sci. 2015 Dec 10;16(12):29554-73. doi: 10.3390/ijms161226190.
Chronic neurodegenerative diseases are now associated with obesity and diabetes and linked to the developing and developed world. Interests in healthy diets have escalated that may prevent neurodegenerative diseases such as Parkinson's and Alzheimer's disease. The global metabolic syndrome involves lipoprotein abnormalities and insulin resistance and is the major disorder for induction of neurological disease. The effects of bacterial lipopolysaccharides (LPS) on dyslipidemia and NAFLD indicate that the clearance and metabolism of fungal mycotoxins are linked to hypercholesterolemia and amyloid beta oligomers. LPS and mycotoxins are associated with membrane lipid disturbances with effects on cholesterol interacting proteins, lipoprotein metabolism, and membrane apo E/amyloid beta interactions relevant to hypercholesterolemia with close connections to neurological diseases. The influence of diet on mycotoxin metabolism has accelerated with the close association between mycotoxin contamination from agricultural products such as apple juice, grains, alcohol, and coffee. Cholesterol efflux in lipoproteins and membrane cholesterol are determined by LPS with involvement of mycotoxin on amyloid beta metabolism. Nutritional interventions such as diets low in fat/carbohydrate/cholesterol have become of interest with relevance to low absorption of lipophilic LPS and mycotoxin into lipoproteins with rapid metabolism of mycotoxin to the liver with the prevention of neurodegeneration.
慢性神经退行性疾病如今与肥胖症和糖尿病相关联,并在发展中世界和发达世界都存在。人们对健康饮食的关注度不断提高,因为健康饮食可能预防帕金森病和阿尔茨海默病等神经退行性疾病。全球代谢综合征涉及脂蛋白异常和胰岛素抵抗,是诱发神经疾病的主要病症。细菌脂多糖(LPS)对血脂异常和非酒精性脂肪性肝病的影响表明,真菌毒素的清除和代谢与高胆固醇血症及淀粉样β寡聚体有关。LPS和真菌毒素与膜脂紊乱相关,对胆固醇相互作用蛋白、脂蛋白代谢以及与高胆固醇血症相关的膜载脂蛋白E/淀粉样β相互作用产生影响,而这些都与神经疾病密切相关。随着苹果汁、谷物、酒精和咖啡等农产品中真菌毒素污染之间的紧密关联,饮食对真菌毒素代谢的影响也日益受到关注。脂蛋白中的胆固醇流出和膜胆固醇由LPS决定,真菌毒素也参与了淀粉样β的代谢。低脂/低糖/低胆固醇饮食等营养干预措施因亲脂性LPS和真菌毒素向脂蛋白的低吸收以及真菌毒素在肝脏中的快速代谢与预防神经退行性变的相关性而受到关注。