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肠道菌群介导的 COVID-19 膳食和营养干预措施。

The microbiota-mediated dietary and nutritional interventions for COVID-19.

机构信息

Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France.

Doctor of Philosophy Program in Nutrition, Faculty of Medicine, Ramathibodi Hospital and Institute of Nutrition, Mahidol University, Bangkok, Thailand; Thailand Institute for Functional Medicine, Bangkok, Thailand.

出版信息

Clin Immunol. 2021 May;226:108725. doi: 10.1016/j.clim.2021.108725. Epub 2021 Apr 9.

Abstract

Worldwide, scientists are looking for specific treatment for COVID-19. Apart from the antiviral approach, the interventions to support healthy immune responses to the virus are feasible through diet, nutrition, and lifestyle approaches. This narrative review explores the recent studies on dietary, nutritional, and lifestyle interventions that influence the microbiota-mediated immunomodulatory effects against viral infections. Cumulative studies reported that the airway microbiota and SARS-CoV-2 leverage each other and determine the pathogen-microbiota-host responses. Cigarette smoking can disrupt microbiota abundance. The composition and diversification of intestinal microbiota influence the airway microbiota and the innate and adaptive immunity, which require supports from the balance of macro- and micronutrients from the diet. Colorful vegetables supplied fermentable prebiotics and anti-inflammatory, antioxidant phytonutrients. Fermented foods and beverages support intestinal microbiota. In sensitive individuals, the avoidance of the high immunoreactive food antigens contributes to antiviral immunity. This review suggests associations between airway and intestinal microbiota, antiviral host immunity, and the influences of dietary, nutritional, and lifestyle interventions to prevent the clinical course toward severe COVID-19.

摘要

全球范围内,科学家正在寻找针对 COVID-19 的特定治疗方法。除了抗病毒方法外,通过饮食、营养和生活方式方法来支持对病毒的健康免疫反应的干预措施也是可行的。本叙述性评论探讨了最近关于饮食、营养和生活方式干预措施的研究,这些研究影响了调节针对病毒感染的微生物组介导的免疫作用。累积的研究报告表明,气道微生物组和 SARS-CoV-2 相互利用,并决定病原体-微生物组-宿主的反应。吸烟会破坏微生物组的丰度。肠道微生物组的组成和多样化影响气道微生物组和先天及适应性免疫,这需要饮食中的宏量和微量营养素的平衡来支持。彩色蔬菜提供可发酵的益生元以及抗炎、抗氧化的植物营养素。发酵食品和饮料支持肠道微生物组。在敏感个体中,避免高免疫反应性的食物抗原有助于抗病毒免疫。本综述表明了气道和肠道微生物组、抗病毒宿主免疫之间的关联,以及饮食、营养和生活方式干预措施对预防 COVID-19 向严重程度发展的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/805e/8032598/95d1e0ffc97f/gr1_lrg.jpg

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