ω-3 脂肪酸膳食补充剂是否有助于减少新冠病毒感染者的严重并发症?

May omega-3 fatty acid dietary supplementation help reduce severe complications in Covid-19 patients?

机构信息

Bleu-Blanc-Cœur Association - Univ Rennes, France.

Université Clermont Auvergne, Inserm U1071, USC-INRAE 2018, Microbes, Intestin, Inflammation et Susceptibilité de l'Hôte (M2iSH), 63001, Clermont-Ferrand, France; Université Clermont Auvergne, Laboratoire des Adaptations Métaboliques à l'Exercice en Conditions Physiologiques et Pathologiques (AME2P), EA 3533, 63171, Clermont-Ferrand, France.

出版信息

Biochimie. 2020 Dec;179:275-280. doi: 10.1016/j.biochi.2020.09.003. Epub 2020 Sep 10.

Abstract

In around 10% of SARS-CoV-2 infected patients, coronavirus disease-2019 (Covid-19) symptoms are complicated with a severe lung damage called Acute Respiratory Distress Syndrome (ARDS), which is often lethal. ARDS is mainly associated with an uncontrolled overproduction of immune cells and cytokines, called "cytokine storm syndrome"; it appears 7-15 days following the onset of symptoms, leading to systemic inflammation and multiple organ failure. Because they are well-known metabolic precursors of specialized pro-resolving lipid mediators (SPMs), omega-3 long-chain polyunsaturated fatty acids (omega-3 LC-PUFAs) could help improve the resolution of the inflammatory balance, limiting therefore the level and duration of the critical inflammatory period. Omega-3 LC-PUFAs may also interact at different stages of the viral infection, notably on the virus entry and replication. In the absence of demonstrated treatment and while waiting for vaccine possibility, the use of omega-3 LC-PUFAs deserve therefore to be considered, based on previous clinical studies suggesting that omega-3 supplementation could improve clinical outcomes of critically ill patients at the acute phase of ARDS. In this context, it is crucial to remind that the omega-3 PUFA dietary intake levels in Western countries remains largely below the current recommendations, considering both the omega-3 precursor α-linolenic acid (ALA) and long chain derivatives such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). An optimized omega-3 PUFAs status could be helpful to prevent infectious diseases, including Covid-19.

摘要

在大约 10%的 SARS-CoV-2 感染患者中,冠状病毒病 2019(Covid-19)症状会伴有严重的肺部损伤,称为急性呼吸窘迫综合征(ARDS),这通常是致命的。ARDS 主要与不受控制的免疫细胞和细胞因子过度产生有关,称为“细胞因子风暴综合征”;它通常在症状出现后 7-15 天出现,导致全身炎症和多器官衰竭。由于它们是专门的促解决脂质介质(SPM)的已知代谢前体,ω-3 长链多不饱和脂肪酸(ω-3 LC-PUFA)可以帮助改善炎症平衡的解决,从而限制关键炎症期的水平和持续时间。ω-3 LC-PUFA 也可能在病毒感染的不同阶段相互作用,特别是在病毒进入和复制时。在没有经过证实的治疗方法的情况下,同时等待疫苗的可能性,ω-3 LC-PUFA 的使用值得考虑,这是基于之前的临床研究表明,ω-3 补充剂可以改善 ARDS 急性期重症患者的临床结果。在这种情况下,至关重要的是要提醒的是,西方国家的ω-3 PUFA 饮食摄入水平仍然大大低于当前的建议,同时考虑到 ω-3 的前体α-亚麻酸(ALA)和长链衍生物,如二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)。优化的 ω-3 PUFAs 状态可能有助于预防传染病,包括 Covid-19。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bb/7481803/44f83cffb676/gr1_lrg.jpg

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