Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, United States.
Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, United States.
Front Immunol. 2021 Nov 9;12:704391. doi: 10.3389/fimmu.2021.704391. eCollection 2021.
Cystic fibrosis (CF) is an autosomal recessive gene disorder that affects tens of thousands of patients worldwide. Individuals with CF often succumb to progressive lung disease and respiratory failure following recurrent infections with bacteria. Viral infections can also damage the lungs and heighten the CF patient's susceptibility to bacterial infections and long-term sequelae. Vitamin A is a key nutrient important for immune health and epithelial cell integrity, but there is currently no consensus as to whether vitamin A should be monitored in CF patients. Here we evaluate previous literature and present results from a CF mouse model, showing that oral vitamin A supplements significantly reduce lung lesions that would otherwise persist for 5-6 weeks post-virus exposure. Based on these results, we encourage continued research and suggest that programs for the routine monitoring and regulation of vitamin A levels may help reduce virus-induced lung pathology in CF patients.
囊性纤维化(CF)是一种常染色体隐性基因疾病,影响着全球数以万计的患者。CF 患者经常因反复细菌感染而导致进行性肺部疾病和呼吸衰竭。病毒感染也会损害肺部,并增加 CF 患者对细菌感染和长期后遗症的易感性。维生素 A 是一种对免疫健康和上皮细胞完整性至关重要的关键营养素,但目前对于 CF 患者是否应该监测维生素 A 尚无共识。在这里,我们评估了以前的文献,并展示了 CF 小鼠模型的结果,表明口服维生素 A 补充剂可显著减少病毒暴露后 5-6 周内持续存在的肺部病变。基于这些结果,我们鼓励继续研究,并建议常规监测和调节维生素 A 水平的方案可能有助于减少 CF 患者因病毒引起的肺部病理。