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危害人类的三大营养缺乏病(蛋白质、维生素A、铁)都与色氨酸依赖有关。

Three Major Deficiency Diseases Harming Mankind (Protein, Retinoid, Iron) Operate Under Tryptophan Dependency.

作者信息

Ingenbleek Yves

机构信息

Laboratory of Nutrition, Faculty of Pharmacy, University of Strasbourg, 67401 Strasbourg, France.

出版信息

Nutrients. 2025 Jul 30;17(15):2505. doi: 10.3390/nu17152505.


DOI:10.3390/nu17152505
PMID:40806089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12348287/
Abstract

This story began half a century ago with the discovery of an unusually high presence of tryptophan (Trp, W) in transthyretin (TTR), one of the three carrier proteins of thyroid hormones. With the Trp-rich retinol-binding protein (RBP), TTR forms a plasma complex implicated in the delivery of retinoid compounds to body tissues. W has the lowest concentration among all AAs involved in the sequencing of human body proteins. The present review proposes molecular maps focusing on the ratio of W/AA residues found in the sequence of proteins involved in immune events, allowing us to ascribe the guidance of inflammatory processes as fully under the influence of W. Under the control of cytokine stimulation, plasma biomarkers of protein nutritional status work in concert with major acute-phase reactants (APRs) and with carrier proteins to release, in a free and active form, their W and hormonal ligands, interacting to generate hot spots affecting the course of stress disorders. The (PINI) scoring formula contributes to identifying the respective roles played by each of the components prevailing during the progression of the disease. Glucagon demonstrates ambivalent properties, remaining passive under steady-state conditions while displaying stronger effects after cytokine activation. In developing countries, inappropriate weaning periods lead to toddlers eating W-deficient cereals as a staple, causing a dramatic reduction in the levels of W-rich biomarkers in plasma, constituting a novel nutritional deficiency at the global scale. Appropriate counseling should be set up using W implementations to cover the weaning period and extended until school age. In adult and elderly subjects, the helpful immune protections provided by W may be hindered by the surge in harmful catabolites with the occurrence of complications, which can have a significant public health impact but lack the uncontrolled surges in PINI observed in young infants and teenagers. Biomarkers of neurodegenerative and neoplastic disorders measured in elderly patients indicate the slow-moving elevation of APRs due to rampant degradation processes.

摘要

这个故事始于半个世纪前,当时人们发现甲状腺激素的三种载体蛋白之一——转甲状腺素蛋白(TTR)中色氨酸(Trp,W)的含量异常高。TTR与富含色氨酸的视黄醇结合蛋白(RBP)形成一种血浆复合物,参与将类视黄醇化合物输送到身体组织。在参与人体蛋白质测序的所有氨基酸中,W的浓度最低。本综述提出了分子图谱,重点关注参与免疫事件的蛋白质序列中W/氨基酸残基的比例,使我们能够将炎症过程的引导完全归因于W的影响。在细胞因子刺激的控制下,蛋白质营养状况的血浆生物标志物与主要急性期反应物(APR)和载体蛋白协同作用,以游离和活性形式释放它们的W和激素配体,相互作用产生影响应激障碍进程的热点。(PINI)评分公式有助于确定疾病进展过程中每种主要成分所起的各自作用。胰高血糖素具有矛盾的特性,在稳态条件下保持被动,而在细胞因子激活后显示出更强的作用。在发展中国家,不适当的断奶期导致幼儿将缺乏W的谷物作为主食,导致血浆中富含W的生物标志物水平急剧下降,这在全球范围内构成了一种新的营养缺乏症。应采用W补充措施进行适当的咨询,覆盖断奶期并延长至学龄期。在成人和老年受试者中,W提供的有益免疫保护可能会因并发症出现时有害分解代谢产物的激增而受到阻碍,这可能对公共卫生产生重大影响,但缺乏在幼儿和青少年中观察到的PINI的无控制激增。在老年患者中测量的神经退行性和肿瘤性疾病的生物标志物表明,由于猖獗的降解过程,APR缓慢升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d5b/12348287/ea8bca715f1f/nutrients-17-02505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d5b/12348287/ea8bca715f1f/nutrients-17-02505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d5b/12348287/ea8bca715f1f/nutrients-17-02505-g001.jpg

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[1]
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本文引用的文献

[1]
The tryptophan catabolite or kynurenine pathway in long COVID disease: A systematic review and meta-analysis.

Neuroscience. 2024-12-17

[2]
Gut-Brain Axis and Neuroinflammation: The Role of Gut Permeability and the Kynurenine Pathway in Neurological Disorders.

Cell Mol Neurobiol. 2024-10-8

[3]
Early Detection of Inflammation and Malnutrition and Prediction of Acute Events in Hemodialysis Patients through PINI (Prognostic Inflammatory and Nutritional Index).

Diagnostics (Basel). 2024-6-17

[4]
A Review of the Evidence for Tryptophan and the Kynurenine Pathway as a Regulator of Stem Cell Niches in Health and Disease.

Int J Tryptophan Res. 2024-5-15

[5]
Interpretations of the Role of Plasma Albumin in Prognostic Indices: A Literature Review.

J Clin Med. 2023-9-22

[6]
Tryptophan metabolism in health and disease.

Cell Metab. 2023-8-8

[7]
Correlations between kynurenines in plasma and CSF, and their relation to markers of Alzheimer's disease pathology.

Brain Behav Immun. 2023-7

[8]
Ready-to-Use Therapeutic Foods Fail to Improve Vitamin A and Iron Status Meaningfully during Treatment for Severe Acute Malnutrition in 6-59-Month-old Cambodian Children.

Nutrients. 2023-2-10

[9]
Plasma and cerebrospinal fluid inflammatory markers and human aggression.

Neuropsychopharmacology. 2023-6

[10]
Dynamic changes in metabolites of the kynurenine pathway in Alzheimer's disease, Parkinson's disease, and Huntington's disease: A systematic Review and meta-analysis.

Front Immunol. 2022

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