Watzl B, Lopez M, Shahbazian M, Chen G, Colombo L L, Huang D, Way D, Watson R R
Department of Family and Community Medicine, School of Medicine, University of Arizona, Tucson.
Alcohol Clin Exp Res. 1993 Jun;17(3):623-30. doi: 10.1111/j.1530-0277.1993.tb00809.x.
Chronic ethanol (ETOH) ingestion adversely affects the immunocompetence of alcohol abusers. ETOH directly impairs host defense mechanisms and indirectly modulates immunocompetence by interfering with the nutritional status of the alcoholic. It is not clear from the current literature, however, to what extent ETOH, nutritional status, or the combination of the two factors modulates immune mechanisms in chronic alcoholics. To date, most animal studies investigating the immunotoxicity of ETOH have neglected the dietary factors, which may have masked additional immunotoxic effects of ETOH. To examine these dietary factors, we fed mice three liquid ETOH diets with different dietary sufficiencies for 7 weeks and investigated various immune responses. Spleen cell number and secretions of immunoreactive interleukin-2 and tumor necrosis factor were totally independent of the diet, being affected only by ETOH. Body, spleen, and thymus weights, interferon-gamma secretion, and natural killer cell and phagocytic activities were modulated by ETOH as well as by diet. Natural killer cell and phagocytic activities were also directly affected by the nutritional quality of the diet. These results suggest that animal diets used in experimental studies of ETOH-induced immunomodulation must be planned and controlled carefully in order to single out the direct effects that ETOH has on the host defense system.
长期摄入乙醇(ETOH)会对酗酒者的免疫能力产生不利影响。ETOH直接损害宿主防御机制,并通过干扰酗酒者的营养状况间接调节免疫能力。然而,从目前的文献中尚不清楚ETOH、营养状况或这两个因素的组合在多大程度上调节慢性酗酒者的免疫机制。迄今为止,大多数研究ETOH免疫毒性的动物研究都忽略了饮食因素,这可能掩盖了ETOH的其他免疫毒性作用。为了研究这些饮食因素,我们给小鼠喂食了三种不同饮食充足程度的液体ETOH饮食,持续7周,并研究了各种免疫反应。脾细胞数量以及免疫反应性白细胞介素-2和肿瘤坏死因子的分泌完全与饮食无关,仅受ETOH影响。体重、脾脏和胸腺重量、γ-干扰素分泌以及自然杀伤细胞和吞噬细胞活性受ETOH以及饮食的调节。自然杀伤细胞和吞噬细胞活性也直接受饮食营养质量的影响。这些结果表明,在ETOH诱导的免疫调节实验研究中使用的动物饮食必须仔细规划和控制,以便区分ETOH对宿主防御系统的直接影响。