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抗狼疮板块:系统性红斑狼疮中营养干预与炎症途径的映射

The Anti-Lupus Plate: Mapping Nutritional Interventions to Inflammatory Pathways in Systemic Lupus Erythematosus.

作者信息

Zhang Xiaowei, Fan Guoliang

机构信息

Department of Rheumatology, the First Affiliated Hospital Inner Mongolia Medical University Hohhot China.

Department of Physics, School of Physical Science and Technology Inner Mongolia University Hohhot China.

出版信息

Food Sci Nutr. 2025 Sep 1;13(9):e70890. doi: 10.1002/fsn3.70890. eCollection 2025 Sep.

Abstract

A complicated autoimmune illness known as systemic lupus erythematosus (SLE) is typified by multi-organ dysfunction and ongoing inflammatory processes. Although medication is still the mainstay of managing SLE, tailored nutrition provides a mechanistically sound way to reduce inflammation and promote immunological balance. The present article links certain nutritional factors to pathways controlling cytokine equilibrium, oxidative damage, endothelium integrity, and regulatory T cell activity. These elements include unsaturated fats, vitamins, polyphenols, probiotics, and fiber-derived short-chain fatty acids (SCFAs). Additionally, it assesses microbiome-based therapies and looks at nutritional habits that may have anti-inflammatory properties, such as the Mediterranean style of eating. Based on these findings, we suggest an evidence-based "anti-lupus plate" approach that takes into consideration renal function, concurrent medical conditions, and drug-nutrient relationships while matching dietary habits to pathophysiological goals. Research limitations are highlighted as major obstacles, especially the lack of broad, biomarker-driven research. These shortfalls must be filled in order to integrate food into a research-based SLE treatment. Regulated procedures, extended follow-up, and multimodal dietary treatments are necessary to achieve this.

摘要

系统性红斑狼疮(SLE)是一种复杂的自身免疫性疾病,其特征为多器官功能障碍和持续的炎症过程。尽管药物治疗仍是SLE治疗的主要手段,但量身定制的营养方案提供了一种从机制上合理的方法来减轻炎症并促进免疫平衡。本文将某些营养因素与控制细胞因子平衡、氧化损伤、内皮完整性和调节性T细胞活性的途径联系起来。这些因素包括不饱和脂肪、维生素、多酚、益生菌和纤维衍生的短链脂肪酸(SCFAs)。此外,本文评估了基于微生物群的疗法,并探讨了可能具有抗炎特性的营养习惯,如地中海饮食方式。基于这些发现,我们建议采用一种循证的“抗狼疮餐盘”方法,该方法在使饮食习惯与病理生理目标相匹配的同时,考虑肾功能、并发疾病以及药物-营养关系。研究局限性被强调为主要障碍,尤其是缺乏广泛的、由生物标志物驱动的研究。必须填补这些不足,以便将食物纳入基于研究证据的SLE治疗中。为此,需要规范的程序、延长随访时间以及多模式饮食治疗。

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