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一项评估藏红花补充剂对轻度和中度持续性过敏性哮喘患者的热休克蛋白(HSP)70 抗体滴度、hsCRP 和肺功能测试影响的研究:一项三盲、随机、安慰剂对照试验。

An evaluation of the effect of saffron supplementation on the antibody titer to heat-shock protein (HSP) 70, hsCRP and spirometry test in patients with mild and moderate persistent allergic asthma: A triple-blind, randomized placebo-controlled trial.

机构信息

Nutrition & Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Nutrition Department, Faculty of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Nutrition & Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Nutrition Department, Faculty of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Respir Med. 2018 Dec;145:28-34. doi: 10.1016/j.rmed.2018.10.016. Epub 2018 Oct 19.

DOI:10.1016/j.rmed.2018.10.016
PMID:30509713
Abstract

BACKGROUND

Asthma is a heterogeneous disease, which usually associated with chronic airway inflammation. The anti-heat shock protein (anti-HSP) 70 is a novel risk factor for asthma. The aim of the present study was to survey the effect of saffron supplementation on anti-HSP70, high-sensitivity C-reactive protein (hs-CRP) and spirometry test in patients with allergic asthma.

BASIC PROCEDURES

In this clinical trial, patients (N = 80, 32 women and 48 men, 18-65 years old) with mild and moderate allergic asthma were randomized into two groups: a group of patients who received two capsules of saffron (100 mg/d) and a control group who received two capsules of placebo for 8 weeks. Anti-HSP70, hs-CRP and spirometry test were determined in patients before (week 0) and after (week 8) intervention. SPSS software (version 16.0; Inc, Chicago, IL) was used for data analysis.

MAIN FINDINGS

Saffron in comparison with placebo significantly reduced the hs-CRP (p < 0.001) and anti-HSP70 (p < 0.001) concentrations. In spirometry test, forced expiratory volume in first second(FEV1), forced vital capacity (FVC), FEV1/FVC ratio and forced expiratory flow 25-75%.(FEF 25-75) increased significantly in saffron in comparison to placebo group (p < 0.05).

PRINCIPAL CONCLUSIONS

Results of the present study suggested that saffron supplementation in patients with allergic asthma decreased significantly anti-HSPs 70 and hs-CRP and also improved some spirometry test factors.

摘要

背景

哮喘是一种异质性疾病,通常与慢性气道炎症有关。抗热休克蛋白(anti-HSP)70 是哮喘的一个新的危险因素。本研究旨在调查藏红花补充剂对过敏性哮喘患者抗 HSP70、高敏 C 反应蛋白(hs-CRP)和肺功能检查的影响。

基本程序

在这项临床试验中,将 80 名(32 名女性和 48 名男性,年龄 18-65 岁)轻度和中度过敏性哮喘患者随机分为两组:一组患者服用两胶囊藏红花(100mg/d),另一组患者服用两胶囊安慰剂,持续 8 周。在干预前(第 0 周)和干预后(第 8 周)测定患者的抗 HSP70、hs-CRP 和肺功能检查。使用 SPSS 软件(版本 16.0;芝加哥,IL)进行数据分析。

主要发现

与安慰剂相比,藏红花显著降低了 hs-CRP(p<0.001)和抗 HSP70(p<0.001)的浓度。在肺功能检查中,第 1 秒用力呼气量(FEV1)、用力肺活量(FVC)、FEV1/FVC 比值和 25-75%用力呼气流量(FEF 25-75)在藏红花组显著增加,与安慰剂组相比(p<0.05)。

主要结论

本研究结果表明,藏红花补充剂可显著降低过敏性哮喘患者的抗 HSP70 和 hs-CRP,同时改善肺功能检查的一些指标。

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