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维生素和微量营养素对致病性、存活和消除的影响:免疫系统的微量营养素交叉对话。

The Effects of Vitamins and Micronutrients on Pathogenicity, Survival, and Eradication: A Crosstalk between Micronutrients and Immune System.

机构信息

Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Immunol Res. 2022 Mar 16;2022:4713684. doi: 10.1155/2022/4713684. eCollection 2022.

Abstract

as a class I carcinogen is correlated with a variety of severe gastroduodenal diseases; therefore, eradication has become a priority to prevent gastric carcinogenesis. However, due to the emergence and spread of multidrug and single drug resistance mechanisms in , as well as serious side effects of currently used antibiotic interventions, achieving successful eradication has become exceedingly difficult. Recent studies expressed the intention of seeking novel strategies to improve management and reduce the risk of -associated intestinal and extragastrointestinal disorders. For which, vitamin supplementation has been demonstrated in many studies to have a tight interaction with infection, either directly through the regulation of the host inflammatory pathways or indirectly by promoting the host immune response. On the other hand, infection is reported to result in micronutrient malabsorption or deficiency. Furthermore, serum levels of particular micronutrients, especially vitamin D, are inversely correlated to the risk of infection and eradication failure. Accordingly, vitamin supplementation might increase the efficiency of eradication and reduce the risk of drug-related adverse effects. Therefore, this review aims at highlighting the regulatory role of micronutrients in -induced host immune response and their potential capacity, as intrinsic antioxidants, for reducing oxidative stress and inflammation. We also discuss the uncovered mechanisms underlying the molecular and serological interactions between micronutrients and infection to present a perspective for innovative in vitro investigations, as well as novel clinical implications.

摘要

作为一类致癌物质,与多种严重的胃十二指肠疾病相关;因此,根除已成为预防胃癌发生的首要任务。然而,由于在中出现并传播了多种药物和单药耐药机制,以及目前使用的抗生素干预措施的严重副作用,成功根除变得极其困难。最近的研究表示,人们有意寻求新的策略来改善管理,降低与相关的肠道和胃肠外疾病的风险。为此,许多研究表明,维生素补充与感染之间存在紧密的相互作用,无论是通过调节宿主炎症途径直接作用,还是通过促进宿主免疫反应间接作用。另一方面,感染据报道会导致微量营养素吸收不良或缺乏。此外,特定微量营养素的血清水平,特别是维生素 D,与感染和根除失败的风险呈负相关。因此,维生素补充可能会提高根除的效率,并降低与药物相关的不良反应的风险。因此,本综述旨在强调微量营养素在诱导的宿主免疫反应中的调节作用及其作为内在抗氧化剂的潜在能力,以减轻氧化应激和炎症。我们还讨论了在分子和血清学层面上,微量营养素与感染之间相互作用的未被揭示的机制,为创新的体外研究以及新的临床意义提供了一个视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bb9/8942682/bb5806b826d2/JIR2022-4713684.001.jpg

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