Department of Pharmacological and Biomolecular Sciences "Rodolfo Paoletti", University of Milan, Milan, Italy.
Curr Opin Clin Nutr Metab Care. 2024 Sep 1;27(5):434-442. doi: 10.1097/MCO.0000000000001055. Epub 2024 Jul 5.
Contemporary guidelines for the prevention of cardio-metabolic diseases focus on the control of dietary fat intake, because of their adverse metabolic effects. Moreover, fats alter innate immune defenses, by eliciting pro-inflammatory epigenetic mechanisms on the long-living hematopoietic cell progenitors which, in the bone marrow, mainly give rise to short-living neutrophils. Nevertheless, the heterogenicity of fats and the complexity of the biology of neutrophils pose challenges in the understanding on how this class of nutrients could contribute to the development of cardio-metabolic diseases via specific molecular mechanisms activating the inflammatory response.
The knowledge on the biology of neutrophils is expanding and there are now different cellular networks orchestrating site-specific reprogramming of these cells to optimize the responses against pathogens. The innate immune competence of neutrophil is altered in response to high fat diet and contributes to the development of metabolic alterations, although the precise mechanisms are still poorly understood.
Defining the different molecular mechanisms involved in the fat-neutrophil crosstalk will help to reconcile the sparse data about the interaction of dietary fats with neutrophils and to tailor strategies to target neutrophils in the context of cardio-metabolic diseases.
当代预防心代谢疾病的指南侧重于控制饮食脂肪摄入,因为它们有不良的代谢作用。此外,脂肪通过在长寿命造血细胞祖细胞上引发促炎表观遗传机制,改变先天免疫防御,而造血细胞祖细胞主要在骨髓中产生短寿命的中性粒细胞。然而,脂肪的异质性和中性粒细胞生物学的复杂性给理解这一类营养素如何通过激活炎症反应的特定分子机制来促进心代谢疾病的发展带来了挑战。
中性粒细胞生物学的知识正在不断扩展,现在有不同的细胞网络来协调这些细胞的特定部位重编程,以优化对病原体的反应。中性粒细胞对高脂肪饮食的先天免疫能力发生改变,有助于代谢改变的发生,尽管确切的机制仍知之甚少。
定义脂肪-中性粒细胞相互作用中涉及的不同分子机制将有助于协调关于膳食脂肪与中性粒细胞相互作用的稀疏数据,并制定针对心代谢疾病中性粒细胞的靶向策略。