Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Front Immunol. 2019 Jan 15;9:3177. doi: 10.3389/fimmu.2018.03177. eCollection 2018.
Dietary habits have a profound impact on intestinal homeostasis and in general on human health. In Western countries, high intake of calories derived from fried products, butter and processed meat is favored over dietary regimens rich in fruits and vegetables. This type of diet is usually referred to as Western-type diet (WTD) and it has been associated with several metabolic and chronic inflammatory conditions of the gastrointestinal tract. In this review, we describe how WTD promotes intestinal and extra-intestinal inflammation and alters mucosal immunity acting on CD4 T cells in a microbiota-dependent or -independent fashion, ultimately leading to higher susceptibility to infectious and autoimmune diseases. Moreover, summarizing recent findings, we propose how dietary supplementation with fiber and vitamins could be used as a tool to modulate CD4 T cell phenotype and function, ameliorating inflammation and restoring mucosal homeostasis.
饮食习惯对肠道内环境平衡以及人类健康具有深远影响。在西方国家,人们偏爱高热量的油炸食品、黄油和加工肉类,而不是富含水果和蔬菜的饮食方案。这种饮食方式通常被称为西式饮食(WTD),它与多种代谢和胃肠道慢性炎症状态有关。在这篇综述中,我们描述了 WTD 如何通过依赖或不依赖于微生物群的方式促进肠道和肠外炎症,并改变黏膜免疫,从而影响 CD4 T 细胞,最终导致对感染性和自身免疫性疾病的易感性增加。此外,我们总结了最近的研究结果,提出了如何通过膳食纤维和维生素的饮食补充来调节 CD4 T 细胞表型和功能,从而减轻炎症并恢复黏膜内环境平衡。