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食用蜂王浆对多发性硬化症患者氧化应激、抗氧化指标及身体活动的影响:一项随机双盲安慰剂对照研究

Impact of royal jelly consumption on oxidative stress, anti-oxidant markers and physical activities of patients with multiple sclerosis: a randomized double-blind placebo-controlled study.

作者信息

Eslamifar Zahra, Manucheri Farzaneh, Ghanbari Saeed, Zandi Mohammadreza, Sabbagh Susan

机构信息

Department of Medical Laboratory Sciences, School of Paramedical Sciences, Dezful University of Medical Sciences, Dezful, Iran.

Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran.

出版信息

Ir J Med Sci. 2025 Aug 18. doi: 10.1007/s11845-025-04009-z.

DOI:10.1007/s11845-025-04009-z
PMID:40824557
Abstract

BACKGROUND

The study investigates the effects of royal jelly (RJ) on patients with relapsing-remitting multiple sclerosis (RRMS), focusing on its potential to reduce oxidative stress, improve antioxidant levels, and enhance quality of life.

METHODS

A total of 61 RRMS patients were randomly assigned to either a RJ group or a placebo group, receiving a daily dose of 500 mg for 45 days. Key outcomes measured included expanded disability status scale (EDSS) scores, levels of malondialdehyde (MDA), and activities of antioxidants such as catalase (CAT) and superoxide dismutase (SOD), along with assessments of fatigue and quality of life.

RESULTS

Results indicated that the RJ group experienced a significant reduction in EDSS scores (P < 0.001) and MDA levels (P < 0.0001). The activity of SOD and CAT after consumption of RJ had increased significantly (P < 0.0001, P < 0.001), respectively. Additionally, improvements were noted in some parameters of fatigue and quality of life measures.

CONCLUSION

The findings suggest that RJ may help decrease oxidative stress and improve motor function and anti-oxidant capacity in MS patients, potentially slowing disease progression.

TRIAL REGISTRATION

This study was registered on the Iranian Registry of Clinical Trials (Registration No. IRCT20220116053732N1) on 2022.05.08.

摘要

背景

本研究调查了蜂王浆(RJ)对复发缓解型多发性硬化症(RRMS)患者的影响,重点关注其降低氧化应激、提高抗氧化水平和改善生活质量的潜力。

方法

总共61例RRMS患者被随机分为RJ组或安慰剂组,每天服用500毫克,持续45天。测量的主要结果包括扩展残疾状态量表(EDSS)评分、丙二醛(MDA)水平以及过氧化氢酶(CAT)和超氧化物歧化酶(SOD)等抗氧化剂的活性,同时评估疲劳和生活质量。

结果

结果表明,RJ组的EDSS评分(P < 0.001)和MDA水平(P < 0.0001)显著降低。服用RJ后,SOD和CAT的活性分别显著增加(P < 0.0001,P < 0.001)。此外,疲劳和生活质量测量的一些参数也有所改善。

结论

研究结果表明,RJ可能有助于降低MS患者的氧化应激,改善运动功能和抗氧化能力,可能减缓疾病进展。

试验注册

本研究于2022年5月8日在伊朗临床试验注册中心注册(注册号:IRCT20220116053732N1)。

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本文引用的文献

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Metabolic Profile of Alzheimer's Disease: Is 10-Hydroxy-2-decenoic Acid a Pertinent Metabolic Adjuster?阿尔茨海默病的代谢特征:10-羟基-2-癸烯酸是一种相关的代谢调节因子吗?
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Chelation Therapy Associated with Antioxidant Supplementation Can Decrease Oxidative Stress and Inflammation in Multiple Sclerosis: Preliminary Results.螯合疗法联合抗氧化剂补充可降低多发性硬化症中的氧化应激和炎症:初步结果。
Antioxidants (Basel). 2023 Jun 24;12(7):1338. doi: 10.3390/antiox12071338.
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Neuroprotective effects of Royal Jelly (RJ) against pentylenetetrazole (PTZ)-induced seizures in rats by targeting inflammation and oxidative stress.
蜂王浆(RJ)通过靶向炎症和氧化应激对戊四氮(PTZ)诱导的大鼠癫痫发作的神经保护作用。
J Chem Neuroanat. 2023 Apr;129:102255. doi: 10.1016/j.jchemneu.2023.102255. Epub 2023 Mar 5.
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Royal jelly improves learning and memory deficits in an amyloid β-induced model of Alzheimer's disease in male rats: Involvement of oxidative stress.蜂王浆可改善雄性大鼠阿尔茨海默病淀粉样β诱导模型的学习和记忆缺陷:涉及氧化应激。
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The Effect of Exercise Training and Royal Jelly on Hippocampal Cannabinoid-1-Receptors and Pain Threshold in Experimental Autoimmune Encephalomyelitis in Rats as Animal Model of Multiple Sclerosis.运动训练和蜂王浆对实验性自身免疫性脑脊髓炎大鼠海马大麻素 1 受体和痛阈的影响——多发性硬化动物模型。
Nutrients. 2022 Oct 3;14(19):4119. doi: 10.3390/nu14194119.
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The functional mechanisms of synchronizing royal jelly consumption and physical activity on rat with multiple sclerosis-like behaviors hallmarks based on bioinformatics analysis, and experimental survey.基于生物信息学分析和实验调查,研究蜂王浆消费和体育活动同步对具有类多发性硬化症行为特征的大鼠的功能机制。
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Effect of exercise training on fatigue and pain in patients with systemic autoimmune myopathies: A systematic review.运动训练对系统性自身免疫性肌病患者疲劳和疼痛的影响:系统评价。
Autoimmun Rev. 2021 Oct;20(10):102897. doi: 10.1016/j.autrev.2021.102897. Epub 2021 Jul 15.
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Royal Jelly as an Intelligent Anti-Aging Agent-A Focus on Cognitive Aging and Alzheimer's Disease: A Review.蜂王浆作为一种智能抗衰剂——聚焦认知衰老与阿尔茨海默病:综述
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Inflammation and Oxidative Stress in Multiple Sclerosis: Consequences for Therapy Development.多发性硬化症中的炎症与氧化应激:对治疗发展的影响
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