College of Textile and Clothing Engineering, Soochow University, 199 Ren-Ai Road, Suzhou 215123, China.
Department of Health and Hazards Surveillance, Shinan District Center for Disease Control and Prevention, Qingdao 266072, China.
Nutrients. 2022 May 26;14(11):2214. doi: 10.3390/nu14112214.
The extensive applications of nanomaterials have increased their toxicities to human health. As a commonly recommended health care product, vitamins have been reported to exert protective roles against nanomaterial-induced oxidative stress and inflammatory responses. However, there have been some controversial conclusions in regards to this field of research. This meta-analysis aimed to comprehensively evaluate the roles and mechanisms of vitamins for cells and animals exposed to nanomaterials. Nineteen studies (seven in vitro, eleven in vivo and one in both) were enrolled by searching PubMed, EMBASE, and Cochrane Library databases. STATA 15.0 software analysis showed vitamin E treatment could significantly decrease the levels of oxidants [reactive oxygen species (ROS), total oxidant status (TOS), malondialdehyde (MDA)], increase anti-oxidant glutathione peroxidase (GPx), suppress inflammatory mediators (tumor necrosis factor-α, interleukin-6, C-reactive protein, IgE), improve cytotoxicity (manifested by an increase in cell viability and a decrease in pro-apoptotic caspase-3 activity), and genotoxicity (represented by a reduction in the tail length). These results were less changed after subgroup analyses. Pooled analysis of in vitro studies indicated vitamin C increased cell viability and decreased ROS levels, but its anti-oxidant potential was not observed in the meta-analysis of in vivo studies. Vitamin A could decrease MDA, TOS and increase GPx, but its effects on these indicators were weaker than vitamin E. Also, the combination of vitamin A with vitamin E did not provide greater anti-oxidant effects than vitamin E alone. In summary, we suggest vitamin E alone supplementation may be a cost-effective option to prevent nanomaterial-induced injuries.
纳米材料的广泛应用增加了其对人类健康的毒性。作为一种常用的保健品,维生素已被报道具有对抗纳米材料诱导的氧化应激和炎症反应的保护作用。然而,在这一研究领域存在一些有争议的结论。本荟萃分析旨在全面评估维生素在暴露于纳米材料的细胞和动物中的作用和机制。通过搜索 PubMed、EMBASE 和 Cochrane Library 数据库,共纳入了 19 项研究(7 项体外研究、11 项体内研究和 1 项同时进行的研究)。STATA 15.0 软件分析表明,维生素 E 治疗可显著降低氧化剂水平[活性氧(ROS)、总氧化状态(TOS)、丙二醛(MDA)],增加抗氧化谷胱甘肽过氧化物酶(GPx),抑制炎症介质(肿瘤坏死因子-α、白细胞介素-6、C-反应蛋白、IgE),改善细胞毒性(表现为细胞活力增加和促凋亡 caspase-3 活性降低)和遗传毒性(表现为尾巴长度缩短)。这些结果在亚组分析后变化不大。体外研究的荟萃分析表明,维生素 C 可增加细胞活力并降低 ROS 水平,但在体内研究的荟萃分析中未观察到其抗氧化潜力。维生素 A 可降低 MDA、TOS 和增加 GPx,但它对这些指标的影响弱于维生素 E。此外,维生素 A 与维生素 E 的联合使用并不能提供比单独使用维生素 E 更好的抗氧化效果。总之,我们建议单独补充维生素 E 可能是预防纳米材料引起的损伤的一种具有成本效益的选择。
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