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维生素A在调节移植物抗宿主病中的作用。

Role of Vitamin A in Modulating Graft-versus-Host Disease.

作者信息

Zheng Jianwei, Taylor Brian, Chen Xiao

机构信息

Division of Hematology & Oncology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

出版信息

J Immunol Res Ther. 2018;3(1):124-128. Epub 2018 Jun 3.

PMID:30101210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6086377/
Abstract

Vitamin A is an essential micronutrient that participates in a wide range of biological processes. Retinoic acid (RA) is an active metabolite of vitamin A that functions as an immune regulator. Graft-versus-host disease (GVHD) is a major complication of allogeneic hematopoietic stem cell transplantation (HSCT). It is characterized by extensive inflammation arising from an alloimmune response involving various host and donor immune cells. Since vitamin A affects different immune cell lineages and regulates an array of immune responses, vitamin A, and more specifically retinoic acid, is likely to influence the incidence and/or severity of GVHD. Indeed, recent preclinical and clinical data support this concept. In this review, we briefly summarize recent advances in our understanding of the potential role of vitamin A in modulating GVHD risk after allogeneic HSCT.

摘要

维生素A是一种必需的微量营养素,参与广泛的生物学过程。视黄酸(RA)是维生素A的一种活性代谢产物,具有免疫调节功能。移植物抗宿主病(GVHD)是异基因造血干细胞移植(HSCT)的主要并发症。其特征是由涉及各种宿主和供体免疫细胞的同种异体免疫反应引起的广泛炎症。由于维生素A影响不同的免疫细胞谱系并调节一系列免疫反应,维生素A,更具体地说是视黄酸,可能会影响GVHD的发生率和/或严重程度。事实上,最近的临床前和临床数据支持这一概念。在本综述中,我们简要总结了我们对维生素A在调节异基因HSCT后GVHD风险中的潜在作用的最新认识进展。

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本文引用的文献

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Serum Vitamin A Levels May Affect the Severity of Ocular Graft-versus-Host Disease.血清维生素A水平可能影响眼部移植物抗宿主病的严重程度。
Front Med (Lausanne). 2017 Jun 22;4:67. doi: 10.3389/fmed.2017.00067. eCollection 2017.
2
Vitamin A to reduce gut leak and GVHD?维生素A可减少肠道渗漏和移植物抗宿主病?
Blood. 2017 May 18;129(20):2715-2717. doi: 10.1182/blood-2017-03-773226.
3
Lower levels of vitamin A are associated with increased gastrointestinal graft-versus-host disease in children.维生素A水平较低与儿童胃肠道移植物抗宿主病的增加有关。
Blood. 2017 May 18;129(20):2801-2807. doi: 10.1182/blood-2017-02-765826. Epub 2017 Mar 9.
4
Effects of Donor Vitamin A Deficiency and Pharmacologic Modulation of Donor T Cell Retinoic Acid Pathway on the Severity of Experimental Graft-versus-Host Disease.供体维生素A缺乏及供体T细胞视黄酸途径的药理学调节对实验性移植物抗宿主病严重程度的影响。
Biol Blood Marrow Transplant. 2016 Dec;22(12):2141-2148. doi: 10.1016/j.bbmt.2016.09.001. Epub 2016 Sep 3.
5
Oral tolerance is inefficient in neonatal mice due to a physiological vitamin A deficiency.由于生理性维生素A缺乏,新生小鼠的口服耐受效率低下。
Mucosal Immunol. 2016 Mar;9(2):479-91. doi: 10.1038/mi.2015.114. Epub 2015 Nov 4.
6
Vitamin A Deficiency Impairs Induction of Oral Tolerance in Mice.维生素A缺乏会损害小鼠口服耐受性的诱导。
J Nutr Sci Vitaminol (Tokyo). 2015;61(2):147-53. doi: 10.3177/jnsv.61.147.
7
Current and emerging strategies for the prevention of graft-versus-host disease.目前和新兴的预防移植物抗宿主病策略。
Nat Rev Clin Oncol. 2014 Sep;11(9):536-47. doi: 10.1038/nrclinonc.2014.102. Epub 2014 Jun 24.
8
Modulation of T cell and innate immune responses by retinoic Acid.维甲酸对 T 细胞和固有免疫应答的调节作用。
J Immunol. 2014 Apr 1;192(7):2953-8. doi: 10.4049/jimmunol.1303245.
9
Retinoic acid controls the homeostasis of pre-cDC-derived splenic and intestinal dendritic cells.视黄酸控制前髓样细胞衍生的脾脏和肠道树突状细胞的稳态。
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10
Inhibiting retinoic acid signaling ameliorates graft-versus-host disease by modifying T-cell differentiation and intestinal migration.抑制维甲酸信号通过调节 T 细胞分化和肠道迁移改善移植物抗宿主病。
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