支气管扩张症——免疫营养在未来治疗中能发挥作用吗?

Bronchiectasis-Could Immunonutrition Have a Role to Play in Future Management?

作者信息

Derbyshire Emma J, Calder Philip C

机构信息

Nutritional Insight, London, United Kingdom.

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

出版信息

Front Nutr. 2021 Apr 29;8:652410. doi: 10.3389/fnut.2021.652410. eCollection 2021.

Abstract

Bronchiectasis is a chronic condition in which areas of the bronchial tubes become permanently widened predisposing the lungs to infection. Bronchiectasis is an age-associated disease with the highest prevalence in people older than 75 years. While the prevalence of bronchiectasis is higher in males, disease is more severe in females who have a poorer prognosis. The overall prevalence of the disease is thought to be rising. Its aetiology is multi-faceted, but a compromised immune system is now thought to play a central role in the pathology of this disease. Research has begun to study the role of malnutrition and certain nutrients-vitamin D and zinc-along with the role of the lung microbiome in relation to the management of bronchiectasis. Given this, the present mini review sets out to provide an overview of the state-of-the-art within the field, identify research gaps and pave the way for future developments and research investment within this field.

摘要

支气管扩张是一种慢性疾病,其中支气管区域会永久性变宽,使肺部易受感染。支气管扩张是一种与年龄相关的疾病,在75岁以上人群中患病率最高。虽然支气管扩张在男性中的患病率较高,但在预后较差的女性中病情更为严重。据认为,该疾病的总体患病率正在上升。其病因是多方面的,但现在认为免疫系统受损在该疾病的病理过程中起核心作用。研究已开始探讨营养不良和某些营养素(维生素D和锌)的作用,以及肺部微生物群在支气管扩张管理中的作用。鉴于此,本综述旨在概述该领域的最新状况,找出研究空白,并为该领域的未来发展和研究投资铺平道路。

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