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石榴提取物补充剂可改善轻度和中度持续性过敏性哮喘患者的肺功能参数及白细胞介素-35表达:一项随机、双盲、安慰剂对照试验。

Pomegranate extract supplementation improves lung function parameters and IL-35 expression in participants with mild and moderate persistent allergic asthma: A randomized, double-blind, placebo-controlled trial.

作者信息

Shateri Zainab, Hosseini Seyed Ahmad, Abolnezhadian Farhad, Maraghi Elham, Haddadzadeh Shoushtari Maryam, Zilaee Marzie

机构信息

Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Front Nutr. 2022 Oct 18;9:1026343. doi: 10.3389/fnut.2022.1026343. eCollection 2022.


DOI:10.3389/fnut.2022.1026343
PMID:36330147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9623269/
Abstract

UNLABELLED: Existing asthma treatments are associated with side effects and limitations, which has led to an interest in alternative and complementary therapies. Given the anti-inflammatory properties of pomegranate, the present study aimed to determine the impact of pomegranate extract supplementation on lung function parameters evaluated through spirometry, high-sensitivity C-reactive protein (hs-CRP), pro-oxidant antioxidant balance, and interleukin 35) (IL-35) in participants with mild and moderate allergic asthma (based on forced expiratory volume in 1 second (FEV) and clinical symptoms). Participants with mild and moderate allergic asthma ( = 64) were randomly assigned to two groups: the intervention group, which received two pomegranate extract capsules (500 mg/day), or the control group for eight weeks. Also, the physician prescribed similar drugs to the participants in the study. Independent samples -test and Mann-Whitney U were used to compare the quantitative outcomes between the intervention group and the comparison group. The Wilcoxon test and the paired -test were applied for within-group comparisons. A -value <0.05 was considered significant. At the end of the study, the change levels of IL-35 in the intervention group increased significantly compared to the control group. In terms of the lung function parameters, FEV/ forced vital capacity (FVC) (FEV/FVC) ratio enhanced significantly in the intervention group compared to the control group. Also, the pomegranate extract significantly improved forced expiratory flow 25-75% (FEF), FEV/FVC ratio, and FEV in the intervention group. No significant changes in FEV values were observed between the two groups at the end of the study. Also, no significant changes were seen in other indicators. It seems that pomegranate extract can improve lung function parameters and IL-35 expression in mild and moderate allergic asthma. CLINICAL TRIAL REGISTRATION: https://www.irct.ir/trial/45612; identifier: IRCT20200205046384N1.

摘要

未标注:现有的哮喘治疗方法存在副作用和局限性,这引发了人们对替代疗法和补充疗法的兴趣。鉴于石榴具有抗炎特性,本研究旨在确定补充石榴提取物对轻中度过敏性哮喘患者(基于一秒用力呼气量(FEV)和临床症状)通过肺活量测定、高敏C反应蛋白(hs-CRP)、促氧化抗氧化平衡和白细胞介素35(IL-35)评估的肺功能参数的影响。轻中度过敏性哮喘患者(n = 64)被随机分为两组:干预组,每天服用两粒石榴提取物胶囊(500毫克),或对照组,为期八周。此外,医生为研究中的参与者开了类似的药物。采用独立样本t检验和曼-惠特尼U检验比较干预组和对照组之间的定量结果。采用威尔科克森检验和配对t检验进行组内比较。P值<0.05被认为具有统计学意义。研究结束时,干预组IL-35的变化水平与对照组相比显著增加。在肺功能参数方面,干预组的FEV/用力肺活量(FVC)(FEV/FVC)比值与对照组相比显著提高。此外,石榴提取物显著改善了干预组的25%-75%用力呼气流量(FEF)、FEV/FVC比值和FEV。研究结束时,两组之间的FEV值没有显著变化。其他指标也没有显著变化。似乎石榴提取物可以改善轻中度过敏性哮喘患者的肺功能参数和IL-35表达。 临床试验注册:https://www.irct.ir/trial/45612;标识符:IRCT20200205046384N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/16d8f7816753/fnut-09-1026343-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/a72cb98d3e09/fnut-09-1026343-g0001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/74befed109c5/fnut-09-1026343-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/75640c576870/fnut-09-1026343-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/16d8f7816753/fnut-09-1026343-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/a72cb98d3e09/fnut-09-1026343-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/2a9444af46b3/fnut-09-1026343-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/d1d93d72fbf5/fnut-09-1026343-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/a679145ecef2/fnut-09-1026343-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/74befed109c5/fnut-09-1026343-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/75640c576870/fnut-09-1026343-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/9623269/16d8f7816753/fnut-09-1026343-g0007.jpg

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引用本文的文献

[1]
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World Allergy Organ J. 2024-4-10

[2]
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本文引用的文献

[1]
Role of high-sensitivity C-reactive protein (hs-CRP) in assessment of asthma control in children.

J Asthma. 2023-7

[2]
Interleukin-35 Levels in Patients with Stable Coronary Artery Disease.

Arq Bras Cardiol. 2022-2

[3]
The effect of pomegranate (Punica granatum) supplementation on metabolic status in patients with type 2 diabetes: A systematic review and meta-analysis.

Complement Ther Med. 2020-8

[4]
Acute Effects of Air Pollution on Hospital Admissions for Asthma, COPD, and Bronchiectasis in Ahvaz, Iran.

Int J Chron Obstruct Pulmon Dis. 2020

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Semin Immunol. 2019-11-6

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Front Pediatr. 2019-6-18

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An evaluation of the effects of saffron supplementation on the asthma clinical symptoms and asthma severity in patients with mild and moderate persistent allergic asthma: a double-blind, randomized placebo-controlled trial.

Respir Res. 2019-2-22

[8]
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Front Immunol. 2018-9-28

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Allergy Asthma Immunol Res. 2018-7

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