Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Department of Nutritional Sciences, Pennsylvania State University, University Park, Pennsylvania, USA.
Obesity (Silver Spring). 2020 Sep;28(9):1631-1636. doi: 10.1002/oby.22929. Epub 2020 Aug 10.
Individuals with obesity suffer from an increased susceptibility to severe respiratory viral infections and respond poorly to vaccinations, making it imperative to identify interventions. Recent evidence suggesting that obesity leads to tissue-specific vitamin A deficiency led to an investigation of whether high-dose oral vitamin A, a treatment used for remediating vitamin A deficiency in developing countries, could correct obesity-associated tissue deficits.
Adult C57BL/6 diet-induced obese mice were supplemented with vitamin A for 4 weeks. A subset of mice were then vaccinated with inactivated influenza virus and challenged. Following supplementation, tissue vitamin A levels, lung immune cell composition, blood inflammatory cytokines, antibody responses, and viral clearance were evaluated.
Supplementation significantly improved vitamin A levels in lung and adipose tissues in diet-induced obese mice. Additionally, supplementation decreased inflammatory cytokines in the blood and altered the lung immune environment. Importantly, vaccinated, vitamin A-treated diet-induced obese mice exhibited improved antibody responses and significantly reduced viral loads post challenge compared with PBS-treated mice.
Results demonstrate a low-cost intervention that may correct vitamin A tissue deficits and help control respiratory viral infections in individuals with obesity.
肥胖个体易患严重呼吸道病毒感染,且对疫苗接种反应不佳,因此必须确定干预措施。最近有证据表明肥胖会导致组织特异性维生素 A 缺乏,这促使我们研究高剂量口服维生素 A(一种用于治疗发展中国家维生素 A 缺乏症的方法)是否可以纠正肥胖相关的组织缺陷。
用饮食诱导肥胖的 C57BL/6 成年小鼠补充维生素 A 4 周。然后,一部分小鼠用灭活流感病毒进行疫苗接种并进行攻毒。补充后,评估组织维生素 A 水平、肺免疫细胞组成、血液炎症细胞因子、抗体反应和病毒清除情况。
补充维生素 A 可显著提高饮食诱导肥胖小鼠肺和脂肪组织中的维生素 A 水平。此外,补充维生素 A 还可降低血液中的炎症细胞因子并改变肺部免疫环境。重要的是,与 PBS 处理的小鼠相比,接种疫苗并接受维生素 A 治疗的饮食诱导肥胖小鼠在攻毒后表现出更好的抗体反应和显著降低的病毒载量。
结果表明,这种低成本的干预措施可能纠正维生素 A 组织缺陷,并有助于控制肥胖个体的呼吸道病毒感染。