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白藜芦醇加羧甲基-β-葡聚糖用于普通感冒婴儿:一项随机双盲试验。

Resveratrol plus carboxymethyl-β-glucan in infants with common cold: A randomized double-blind trial.

作者信息

Baldassarre Maria Elisabetta, Di Mauro Antonio, Labellarte Grazia, Pignatelli Mariacristina, Fanelli Margherita, Schiavi Elisa, Mastromarino Paola, Capozza Manuela, Panza Raffaella, Laforgia Nicola

机构信息

Department of Biomedical Science and Human Oncology, Neonatology and Neonatal Intensive Care Unit, "Aldo Moro" University of Bari, Bari 70100, Italy.

Department of Interdisciplinary Medicine, "Aldo Moro" University of Bari, Bari 70100, Italy.

出版信息

Heliyon. 2020 Apr 21;6(4):e03814. doi: 10.1016/j.heliyon.2020.e03814. eCollection 2020 Apr.

Abstract

OBJECTIVES

To evaluate effectiveness of a nasal resveratrol/carboxymethyl-β-glucan solution compared to nasal saline solution: a) on common cold symptoms by means of a validated measure scale (CARIFS score), b) on Rhinovirus infection and CCL2, CCL5, IL8, IL6, CXCL10 and TLR2 expression in nasal swabs, c) on frequency of relapses after 30 days of follow-up.

METHODS

89 infants with respiratory infection symptoms were randomly assigned to receive either a nasal resveratrol/carboxymethyl-β-glucan solution or nasal saline solution.All patients were evaluated with CARIFS score at enrollment, after 48 h, 7 and 30 days by physicians and parents. Nasal swabs were obtained at enrollment, after 48 h and after one week.

RESULTS

CARIFS score improved in both groups. Episodes of sneezing and cough were fewer in study group after 7 days of follow-up (p < 0.05). No significant differences were found on nasopharyngeal swabs in Rhinovirus detection and cytokines expression after 48 h, nor in 30 days relapses. TLR2 expression was significantly higher in Rhinovirus infected children of the study group. No adverse effects occurred.

CONCLUSIONS

These data suggest that a solution containing resveratrol plus carboxymethyl-β-glucan might have a positive impact on both clinical and socio-economic burden due to infant common cold.

摘要

目的

评估鼻腔用白藜芦醇/羧甲基-β-葡聚糖溶液与鼻腔用生理盐水相比的效果:a) 通过有效测量量表(CARIFS评分)评估对普通感冒症状的影响;b) 评估对鼻拭子中鼻病毒感染以及CCL2、CCL5、IL8、IL6、CXCL10和TLR2表达的影响;c) 评估随访30天后复发频率。

方法

89名有呼吸道感染症状的婴儿被随机分配接受鼻腔用白藜芦醇/羧甲基-β-葡聚糖溶液或鼻腔用生理盐水。所有患者在入组时、48小时后、7天和30天时由医生和家长用CARIFS评分进行评估。在入组时、48小时后和一周后采集鼻拭子。

结果

两组的CARIFS评分均有所改善。随访7天后,研究组的打喷嚏和咳嗽发作次数较少(p<0.05)。48小时后以及30天复发时,在鼻病毒检测和细胞因子表达的鼻咽拭子中未发现显著差异。研究组中感染鼻病毒的儿童的TLR2表达显著更高。未出现不良反应。

结论

这些数据表明,含有白藜芦醇加羧甲基-β-葡聚糖的溶液可能对婴儿普通感冒导致的临床和社会经济负担产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7acd/7182678/ca8b45e2489f/gr1.jpg

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