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肥胖与先天免疫反应失调:微量营养素缺乏的影响

Obesity and dysregulated innate immune responses: impact of micronutrient deficiencies.

作者信息

Vrieling Frank, Stienstra Rinke

机构信息

Division of Human Nutrition and Health, Wageningen University, Wageningen, The Netherlands.

Division of Human Nutrition and Health, Wageningen University, Wageningen, The Netherlands; Department of Internal Medicine, RadboudUMC, Nijmegen, The Netherlands.

出版信息

Trends Immunol. 2023 Mar;44(3):217-230. doi: 10.1016/j.it.2023.01.003. Epub 2023 Jan 26.

Abstract

Obesity is associated with the development of various complications, including diabetes, atherosclerosis, and an increased risk for infections, driven by dysfunctional innate immune responses. Recent insights have revealed that the availability of nutrients is a key determinant of innate immune cell function. Although the presence of obesity is associated with overnutrition of macronutrients, several micronutrient deficiencies, including Vitamin D and zinc, are often present. Micronutrients have been attributed important immunomodulatory roles. In this review, we summarize current knowledge of the immunomodulatory effects of Vitamin D and zinc. We also suggest future lines of research to further improve our understanding of these micronutrients; this may serve as a stepping-stone to explore micronutrient supplementation to improve innate immune cell function during obesity.

摘要

肥胖与多种并发症的发生有关,包括糖尿病、动脉粥样硬化以及感染风险增加,这些都是由功能失调的先天免疫反应所驱动的。最近的研究表明,营养物质的可利用性是先天免疫细胞功能的关键决定因素。虽然肥胖的存在与大量营养素摄入过多有关,但包括维生素D和锌在内的几种微量营养素缺乏却常常存在。微量营养素具有重要的免疫调节作用。在这篇综述中,我们总结了目前关于维生素D和锌免疫调节作用的知识。我们还提出了未来的研究方向,以进一步增进我们对这些微量营养素的理解;这可能成为探索补充微量营养素以改善肥胖期间先天免疫细胞功能的垫脚石。

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