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Associations of Maternal Nutritional Status and Supplementation with Fetal, Newborn, and Infant Outcomes in Low-Income and Middle-Income Settings: An Overview of Reviews. 低收入和中等收入环境中孕产妇营养状况和补充营养与胎儿、新生儿和婴儿结局的关系:综述。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213725
Doris González-Fernández, Oviya Muralidharan, Paulo A Neves, Zulfiqar A Bhutta

Background/objectives: Despite advances in maternal nutritional knowledge, the effect of maternal diet, micronutrient status and undernutrition, and the effect of maternal supplementation on fetal, neonatal and infant outcomes still have gaps in the literature. This overview of reviews is intended to assess the available information on these issues and identify the main maternal nutritional factors associated with offspring outcomes in low- and middle-income countries as possible targets for public health interventions.

Methods: The literature search was performed in Medline (PubMed) and Cochrane Library datasets in June 2024. Pre-specified outcomes in offspring were pooled using standard meta-analytical methods.

Results: We found consistent evidence on the impact of maternal undernutrition indicated by low body mass index (BMI), mid-upper arm circumference (MUAC), and stature, but not of individual micronutrient status, on intrauterine-growth retardation, preterm birth, low birth weight, and small for gestational age, with research showing a possible effect of maternal undernutrition in later child nutritional status. Studies on micronutrient supplementation showed possible beneficial effects of iron, vitamin D, and multiple micronutrients on birthweight and/or decreasing small for gestational age, as well as a possible effect of calcium on preterm birth reduction. Interventions showing more consistent beneficial outcomes were balanced protein-energy and lipid base supplements, which demonstrated improved weight in newborns from supplemented mothers and a decreased risk of adverse neonatal outcomes.

Conclusions: Further research is needed to identify the benefits and risks of maternal individual micronutrient supplementation on neonatal and further child outcomes.

背景/目的:尽管孕产妇营养知识在不断进步,但关于孕产妇饮食、微量营养素状况和营养不良的影响,以及孕产妇补充营养对胎儿、新生儿和婴儿结局的影响的文献仍存在空白。本综述旨在评估有关这些问题的现有信息,并确定与中低收入国家后代结局相关的主要孕产妇营养因素,作为公共卫生干预措施的可能目标:方法:2024 年 6 月在 Medline (PubMed) 和 Cochrane 图书馆数据集中进行了文献检索。采用标准的荟萃分析方法对预先指定的后代结果进行了汇总:结果:我们发现有一致的证据表明,以低体重指数(BMI)、中上臂围(MUAC)和身材为指标的母体营养不良会对宫内发育迟缓、早产、低出生体重和胎龄偏小产生影响,而单个微量营养素状况则不会产生影响。有关微量营养素补充剂的研究表明,铁、维生素 D 和多种微量营养素可能会对出生体重和/或降低小胎龄婴儿产生有益影响,钙可能会对减少早产产生影响。蛋白质-能量和脂质基础均衡补充剂的干预效果更为一致,这表明补充营养素的母亲所生新生儿的体重有所提高,新生儿不良结局的风险有所降低:需要进一步开展研究,以确定母亲补充各种微量营养素对新生儿和更多儿童的益处和风险。
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引用次数: 0
The Relationship Between Dance Training Volume, Body Composition, and Habitual Diet in Female Collegiate Dancers: The Intercollegiate Artistic Athlete Research Assessment (TIAARA) Study. 女大学生舞蹈演员的舞蹈训练量、身体成分和习惯饮食之间的关系:校际艺术运动员研究评估(TIAARA)研究。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213733
Catherine Saenz, David J Sanders, Samantha J Brooks, Lacey Bracken, Aydan Jordan, Justen Stoner, Emaly Vatne, Marley Wahler, Ann F Brown

Background: This study's purpose was to evaluate the relationship between dance training volume, body composition, and habitual diet in female collegiate dancers.

Methods: Thirty-three female collegiate dancers from three dance programs (20.4 ± 1.05 yrs.; 165.4 ± 11.3 cm, BMI 21.3 ± 3.4 kg/m2) participated in "The Intercollegiate Artistic Athlete Research Assessment (TIAARA)" study. We assessed dance training volume, body composition, and habitual diet. Data were analyzed using descriptive statistics (means ± SD). Two-sample t-tests were conducted to compare reported intake values versus sports nutrition recommendations. Two-tailed Pearson correlations (r) were computed for body composition and dietary intake (p < 0.05).

Results: Collegiate dancers were enrolled in 16 ± 2.09 semester credits, with 7.7 ± 3.8 credits as dance movement courses and an additional 3.0 ± 1.5 h/week of rehearsal time. Body composition assessments included fat mass (24.4 ± 6.8%), lean mass (LM) (42.4 ± 10.1 kg), and total body water (32.6 ± 4.6 L). Habitual diets reflected a low-calorie diet (1399 ± 648 kcal/d), with ~20% of dancers consuming a very low-calorie diet (≤1000 kcal/d). Dancers reported under-consuming dietary protein (54.3 ± 26.2 g) and carbohydrate (171.8 ± 77.8 g). LM was positively correlated with daily total energy (r = 0.333), fat (r = 0.37), protein (r = 0.349), and leucine intake (r = 0.352).

Conclusions: Our findings emphasize the positive effect of adequate nutritional quantity and quality on body composition in female collegiate dancers.

研究背景本研究旨在评估女大学生舞蹈演员的舞蹈训练量、身体成分和习惯饮食之间的关系:来自三个舞蹈专业的 33 名大学女生(20.4 ± 1.05 岁;165.4 ± 11.3 厘米,体重指数 21.3 ± 3.4 公斤/平方米)参加了 "大学间艺术运动员研究评估(TIAARA)"研究。我们对舞蹈训练量、身体成分和习惯性饮食进行了评估。数据分析采用描述性统计(均值±标准差)。采用双样本 t 检验比较报告摄入值与运动营养推荐值。对身体成分和饮食摄入量计算双尾皮尔逊相关性(r)(p < 0.05):大学生舞蹈演员共修 16 ± 2.09 个学期学分,其中 7.7 ± 3.8 个学分为舞蹈动作课程,另外每周排练时间为 3.0 ± 1.5 小时。身体成分评估包括脂肪量(24.4 ± 6.8%)、瘦肉量(42.4 ± 10.1 kg)和身体总水分(32.6 ± 4.6 L)。习惯饮食反映出低热量饮食(1399 ± 648 千卡/天),约 20% 的舞者摄入超低热量饮食(≤1000 千卡/天)。据报告,舞蹈演员的膳食蛋白质(54.3 ± 26.2 克)和碳水化合物(171.8 ± 77.8 克)摄入不足。LM 与每日总能量(r = 0.333)、脂肪(r = 0.37)、蛋白质(r = 0.349)和亮氨酸摄入量(r = 0.352)呈正相关:我们的研究结果强调了充足的营养数量和质量对女大学生舞蹈演员身体成分的积极影响。
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引用次数: 0
Efficacy and Mechanism of Schisandra chinensis Fructus Water Extract in Alzheimer's Disease: Insights from Network Pharmacology and Validation in an Amyloid-β Infused Animal Model. 五味子果实水提取物对阿尔茨海默病的疗效和机制:网络药理学的洞察力与淀粉样β注入动物模型的验证。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213751
Hye-Jeong Yang, Ting Zhang, Min-Jung Kim, Haeng-Jeon Hur, Xuangao Wu, Dai-Ja Jang, Sunmin Park

Background/objectives: Schisandra chinensis Fructus (SCF) is a traditional medicinal herb containing lignans that improves glucose metabolism by mitigating insulin resistance. We aimed to investigate the therapeutic potential and action mechanism of SCF for Alzheimer's disease (AD) using a network pharmacology analysis, followed by experimental validation in an AD rat model.

Methods: The biological activities of SCF's bioactive compounds were assessed through a network pharmacology analysis. An AD rat model was generated by infusing amyloid-β peptide (Aβ) (25-35) into the hippocampus to induce Aβ accumulation. The AD rats were fed either 0.5% dextrin (AD-Con) or 0.5% SCF (AD-SCF group) in a high-fat diet for seven weeks. The rats in the normal/control group received an Aβ (35-25) infusion (no Aβ deposition) and were fed a control diet (Normal-C). Aβ deposition, memory function, inflammation, and glucose/lipid metabolism were evaluated.

Results: The network analysis revealed significant intersections between AD-related targets and bioactive SCF compounds, like gomisin A, schisandrin, and longikaurin A. Key AD genes prostaglandin-endoperoxide synthase-2 (PTGS2, cyclooxygenase-2) and acetylcholinesterase (AChE) were linked to SCF compounds. In the rats with AD induced by bilaterally infusing amyloid-β (25-35) into the hippocampus, the 0.5% SCF intake mitigated hippocampal amyloid-β deposition, neuroinflammation, memory deficits, and dysregulated glucose and lipid metabolism versus the AD controls. SCF reduced hippocampal AChE activity, inflammatory cytokine expression related to PTGS2, and malondialdehyde contents and preserved neuronal cell survival-related factors such as brain-derived neurotrophic factor and ciliary neurotrophic factor similar to normal rats. The neuroprotective effects validated the network analysis findings.

Conclusions: SCF could be a potential AD therapeutic agent by activating the parasympathetic nervous system to reduce hippocampal oxidative stress and inflammation, warranting further clinical investigations of its efficacy.

背景/目的:五味子(SCF)是一种传统药材,含有木酚素,能通过减轻胰岛素抵抗改善葡萄糖代谢。我们的目的是利用网络药理学分析研究五味子对阿尔茨海默病(AD)的治疗潜力和作用机制,然后在 AD 大鼠模型中进行实验验证:方法:通过网络药理学分析评估 SCF 生物活性化合物的生物活性。将淀粉样蛋白-β肽(Aβ)(25-35)注入海马,诱导Aβ积累,从而建立AD大鼠模型。在高脂饮食中添加 0.5% 的糊精(AD-Con 组)或 0.5% 的 SCF(AD-SCF 组)喂养 AD 大鼠七周。正常/对照组大鼠接受 Aβ (35-25) 输注(无 Aβ 沉积),并食用对照组饮食(Normal-C)。对 Aβ 沉积、记忆功能、炎症和糖/脂代谢进行了评估:网络分析显示,AD 相关靶点与生物活性 SCF 化合物(如五味子苷 A、五味子异黄酮和龙葵素 A)之间存在重要交叉。在双侧向海马灌注淀粉样蛋白-β(25-35)诱导的注意力缺失症大鼠中,与注意力缺失症对照组相比,摄入0.5%的SCF可减轻海马淀粉样蛋白-β沉积、神经炎症、记忆缺陷以及葡萄糖和脂质代谢失调。与正常大鼠相比,SCF降低了海马乙酰胆碱酯酶活性、与PTGS2相关的炎性细胞因子表达和丙二醛含量,并保留了神经细胞存活相关因子,如脑源性神经营养因子和睫状神经营养因子。神经保护作用验证了网络分析结果:SCF可激活副交感神经系统,减少海马氧化应激和炎症反应,是一种潜在的AD治疗药物,值得对其疗效进行进一步的临床研究。
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引用次数: 0
Association Between Chrononutrition Patterns and Multidimensional Sleep Health. 慢性营养模式与多维睡眠健康之间的关系
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213724
Namhyun Kim, Rachel Kolko Conlon, Samaneh Farsijani, Marquis Samuel Hawkins

Background/objectives: Sleep health has been associated with diet quality, but the relationship between chrononutrition patterns and multidimensional sleep health is unclear. This study identifies chrononutrition patterns among U.S. adults and examines their associations with multidimensional sleep health.

Methods: This cross-sectional analysis used data from the 2017-2020 National Health and Nutrition Examination Survey. Chrononutrition behaviors were assessed using two 24 h dietary recalls. Latent profile analysis was used to identify chrononutrition profiles. Multivariable survey regression models determined the associations between chrononutrition patterns and sleep health dimensions.

Results: The sample included 5228 subjects with a median age of 49 years. Of the sample, 52% of the participants were female, and 65% were White. In adjusted models, each additional hour between wake time and first instance of eating was associated with a 19% increase in the odds of poor timing (sleep midpoint < 2:00 a.m. or >4:00 a.m.; 95% CI: 1.07-1.33) and a 21% increase in poor duration (<7 or >9 h/night; 95% CI: 1.09-1.33). Each additional hour between last eating and bedtime was associated with 9% higher odds of poor duration (95% CI: 1.03-1.16). A one-hour longer eating window was associated with 10% lower odds of poor timing (95% CI: 0.84-0.98). We identified five chrononutrition profiles: Typical Eating (reference), Early Finished Eating, Later Heavy Eating, Extended Window Eating, and Restricted Window Eating. The Later Heavy Eating profile exhibited 96% higher odds of poor timing (95% CI: 1.09-3.51) and the Restricted Window Eating profile had 94% higher odds of poor duration (95% CI: 1.10-3.43).

Conclusions: These findings highlight the importance of unique chrononutrition patterns in relation to multidimensional sleep health. We provide a framework for future studies to identify personalized chrononutrition interventions and their role in improving sleep health.

背景/目的:睡眠健康与饮食质量有关,但慢性营养模式与多维睡眠健康之间的关系尚不清楚。本研究确定了美国成年人的慢性营养模式,并研究了它们与多维睡眠健康的关系:这项横断面分析使用了 2017-2020 年全国健康与营养调查的数据。通过两次 24 小时饮食回忆对慢性营养行为进行了评估。采用潜在特征分析来确定慢性营养特征。多变量调查回归模型确定了慢性营养模式与睡眠健康维度之间的关联:样本包括 5228 名受试者,中位年龄为 49 岁。在样本中,52%的参与者为女性,65%为白人。在调整后的模型中,从起床到第一次进食之间每增加一个小时,睡眠时间不佳(睡眠中点<凌晨2:00或>凌晨4:00;95% CI:1.07-1.33)的几率增加19%,睡眠时间不佳(9小时/晚;95% CI:1.09-1.33)的几率增加21%。从最后一次进食到上床睡觉之间每增加一个小时,不良持续时间的几率就会增加 9%(95% CI:1.03-1.16)。进食时间每延长一小时,进食时间不佳的几率就会降低 10%(95% CI:0.84-0.98)。我们确定了五种慢性营养状况:典型进食(参考)、早期完成进食、后期大量进食、延长进食窗口期和限制进食窗口期。进食较晚、进食量大、进食时间延长和进食时间受限的营养状况显示,进食时间不佳的几率高出 96%(95% CI:1.09-3.51),进食时间受限的营养状况显示,进食时间不佳的几率高出 94%(95% CI:1.10-3.43):这些发现强调了独特的慢性营养模式对多维睡眠健康的重要性。我们为今后的研究提供了一个框架,以确定个性化的时态营养干预措施及其在改善睡眠健康方面的作用。
{"title":"Association Between Chrononutrition Patterns and Multidimensional Sleep Health.","authors":"Namhyun Kim, Rachel Kolko Conlon, Samaneh Farsijani, Marquis Samuel Hawkins","doi":"10.3390/nu16213724","DOIUrl":"10.3390/nu16213724","url":null,"abstract":"<p><strong>Background/objectives: </strong>Sleep health has been associated with diet quality, but the relationship between chrononutrition patterns and multidimensional sleep health is unclear. This study identifies chrononutrition patterns among U.S. adults and examines their associations with multidimensional sleep health.</p><p><strong>Methods: </strong>This cross-sectional analysis used data from the 2017-2020 National Health and Nutrition Examination Survey. Chrononutrition behaviors were assessed using two 24 h dietary recalls. Latent profile analysis was used to identify chrononutrition profiles. Multivariable survey regression models determined the associations between chrononutrition patterns and sleep health dimensions.</p><p><strong>Results: </strong>The sample included 5228 subjects with a median age of 49 years. Of the sample, 52% of the participants were female, and 65% were White. In adjusted models, each additional hour between wake time and first instance of eating was associated with a 19% increase in the odds of poor timing (sleep midpoint < 2:00 a.m. or >4:00 a.m.; 95% CI: 1.07-1.33) and a 21% increase in poor duration (<7 or >9 h/night; 95% CI: 1.09-1.33). Each additional hour between last eating and bedtime was associated with 9% higher odds of poor duration (95% CI: 1.03-1.16). A one-hour longer eating window was associated with 10% lower odds of poor timing (95% CI: 0.84-0.98). We identified five chrononutrition profiles: Typical Eating (reference), Early Finished Eating, Later Heavy Eating, Extended Window Eating, and Restricted Window Eating. The Later Heavy Eating profile exhibited 96% higher odds of poor timing (95% CI: 1.09-3.51) and the Restricted Window Eating profile had 94% higher odds of poor duration (95% CI: 1.10-3.43).</p><p><strong>Conclusions: </strong>These findings highlight the importance of unique chrononutrition patterns in relation to multidimensional sleep health. We provide a framework for future studies to identify personalized chrononutrition interventions and their role in improving sleep health.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"16 21","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11547175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediterranean Diet Pattern: Potential Impact on the Different Altered Pathways Related to Cardiovascular Risk in Advanced Chronic Kidney Disease. 地中海饮食模式:地中海饮食模式:对晚期慢性肾脏病患者心血管风险相关的不同改变途径的潜在影响。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213739
Jordi Rovira, María José Ramirez-Bajo, Elisenda Bañon-Maneus, Pedro Ventura-Aguiar, Marta Arias-Guillén, Barbara Romano-Andrioni, Raquel Ojeda, Ignacio Revuelta, Héctor García-Calderó, Joan Albert Barberà, Ana Paula Dantas, Maribel Diaz-Ricart, Fàtima Crispi, Juan Carlos García-Pagán, Josep M Campistol, Fritz Diekmann

Background: Cardiovascular disease (CVD) remains the most common cause of mortality in chronic kidney disease (CKD) patients. Several studies suggest that the Mediterranean diet reduces the risk of CVD due to its influence on endothelial function, inflammation, lipid profile, and blood pressure. Integrating metabolomic and proteomic analyses of CKD could provide insights into the pathways involved in uremia-induced CVD and those pathways modifiable by the Mediterranean diet.

Methods: We performed metabolomic and proteomic analyses on serum samples from 19 patients with advanced CKD (aCKD) and 27 healthy volunteers. The metabolites were quantified using four different approaches, based on their properties. Proteomic analysis was performed after depletion of seven abundant serum proteins (Albumin, IgG, antitrypsin, IgA, transferrin, haptoglobin, and fibrinogen). Integrative analysis was performed using MetaboAnalyst 4.0 and STRING 11.0 software to identify the dysregulated pathways and biomarkers.

Results: A total of 135 metabolites and 75 proteins were differentially expressed in aCKD patients, compared to the controls. Pathway enrichment analysis showed significant alterations in the innate immune system pathways, including complement, coagulation, and neutrophil degranulation, along with disrupted linoleic acid and cholesterol metabolism. Additionally, certain key metabolites and proteins were altered in aCKD patients, such as glutathione peroxidase 3, carnitine, homocitrulline, 3-methylhistidine, and several amino acids and derivatives.

Conclusions: Our findings reveal significant dysregulation of the serum metabolome and proteome in aCKD, particularly in those pathways associated with endothelial dysfunction and CVD. These results suggest that CVD prevention in CKD may benefit from a multifaceted approach, including dietary interventions such as the Mediterranean diet.

背景:心血管疾病(CVD)仍然是慢性肾脏病(CKD)患者最常见的死亡原因。一些研究表明,地中海饮食可降低心血管疾病的风险,因为它对内皮功能、炎症、血脂和血压有影响。将 CKD 代谢组学和蛋白质组学分析结合起来,可以深入了解尿毒症诱发心血管疾病的途径,以及地中海饮食可改变的途径:我们对 19 名晚期 CKD 患者(aCKD)和 27 名健康志愿者的血清样本进行了代谢组学和蛋白质组学分析。根据代谢物的特性,我们采用四种不同的方法对其进行了量化。蛋白质组分析是在去除七种丰富的血清蛋白(白蛋白、IgG、抗胰蛋白酶、IgA、转铁蛋白、高铁血红蛋白和纤维蛋白原)后进行的。使用 MetaboAnalyst 4.0 和 STRING 11.0 软件进行了整合分析,以确定失调的通路和生物标志物:结果:与对照组相比,aCKD 患者共有 135 种代谢物和 75 种蛋白质存在表达差异。通路富集分析表明,先天性免疫系统通路(包括补体、凝血和中性粒细胞脱颗粒)发生了显著改变,亚油酸和胆固醇代谢也发生了紊乱。此外,aCKD 患者体内的某些关键代谢物和蛋白质也发生了改变,如谷胱甘肽过氧化物酶 3、肉碱、高瓜氨酸、3-甲基组氨酸以及几种氨基酸和衍生物:我们的研究结果揭示了 aCKD 患者血清代谢组和蛋白质组的严重失调,尤其是与内皮功能障碍和心血管疾病相关的通路。这些结果表明,预防 CKD 患者的心血管疾病可能要从多方面入手,包括饮食干预,如地中海饮食。
{"title":"Mediterranean Diet Pattern: Potential Impact on the Different Altered Pathways Related to Cardiovascular Risk in Advanced Chronic Kidney Disease.","authors":"Jordi Rovira, María José Ramirez-Bajo, Elisenda Bañon-Maneus, Pedro Ventura-Aguiar, Marta Arias-Guillén, Barbara Romano-Andrioni, Raquel Ojeda, Ignacio Revuelta, Héctor García-Calderó, Joan Albert Barberà, Ana Paula Dantas, Maribel Diaz-Ricart, Fàtima Crispi, Juan Carlos García-Pagán, Josep M Campistol, Fritz Diekmann","doi":"10.3390/nu16213739","DOIUrl":"10.3390/nu16213739","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease (CVD) remains the most common cause of mortality in chronic kidney disease (CKD) patients. Several studies suggest that the Mediterranean diet reduces the risk of CVD due to its influence on endothelial function, inflammation, lipid profile, and blood pressure. Integrating metabolomic and proteomic analyses of CKD could provide insights into the pathways involved in uremia-induced CVD and those pathways modifiable by the Mediterranean diet.</p><p><strong>Methods: </strong>We performed metabolomic and proteomic analyses on serum samples from 19 patients with advanced CKD (aCKD) and 27 healthy volunteers. The metabolites were quantified using four different approaches, based on their properties. Proteomic analysis was performed after depletion of seven abundant serum proteins (Albumin, IgG, antitrypsin, IgA, transferrin, haptoglobin, and fibrinogen). Integrative analysis was performed using MetaboAnalyst 4.0 and STRING 11.0 software to identify the dysregulated pathways and biomarkers.</p><p><strong>Results: </strong>A total of 135 metabolites and 75 proteins were differentially expressed in aCKD patients, compared to the controls. Pathway enrichment analysis showed significant alterations in the innate immune system pathways, including complement, coagulation, and neutrophil degranulation, along with disrupted linoleic acid and cholesterol metabolism. Additionally, certain key metabolites and proteins were altered in aCKD patients, such as glutathione peroxidase 3, carnitine, homocitrulline, 3-methylhistidine, and several amino acids and derivatives.</p><p><strong>Conclusions: </strong>Our findings reveal significant dysregulation of the serum metabolome and proteome in aCKD, particularly in those pathways associated with endothelial dysfunction and CVD. These results suggest that CVD prevention in CKD may benefit from a multifaceted approach, including dietary interventions such as the Mediterranean diet.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"16 21","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11547550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supplementation of Miso to a Western-Type Diet Stimulates ILC3s and Decreases Inflammation in the Small Intestine. 在西式饮食中添加味噌能刺激 ILC3s 并减轻小肠炎症。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213743
River Budau, Takuro Okamura, Yuka Hasegawa, Naoko Nakanishi, Masahide Hamaguchi, Michiaki Fukui

Background/objectives: Western-type diets (WDs) damage the intestinal barrier by disrupting the gut microbiota composition and causing inflammation, leading to the development of obesity, type 2 diabetes, and non-alcoholic fatty liver disease. Short-chain fatty acids (SCFAs) are produced by the gut microbiota and found in fermented foods and can stimulate the anti-inflammatory action of type 3 innate lymphoid cells (ILCS3s) in the intestine. This study hypothesised that supplementing miso, a Japanese fermented food, to a WD could increase the levels of SCFAs and thus stimulate ILC3s, decreasing inflammation in the intestine and protecting intestinal barrier integrity.

Methods: Mice with RORγt total (KI/KI) or partial (KI/w) knockout were fed a high-fat high-sugar diet (HFHSD) for eight weeks as a model of WD. Half of the mice received miso supplementation in addition to the HFHSD. Weight gain, glucose tolerance and insulin resistance, intestinal barrier integrity, intestinal immunity, and liver condition were assessed.

Results: Miso supplementation increased SCFA levels in the small intestine, which stimulated ILC3 function in KI/w mice. Glucose tolerance was improved, intestinal barrier integrity was ameliorated, and mucus production was increased. The level of IL-22 was increased, while pro-inflammatory ILC1s, M1 macrophages, TNF-α, and IL-1β were decreased. Liver condition was not affected.

Conclusions: This study demonstrated that miso supplementation influenced several factors involved in inflammation and intestinal barrier integrity by stimulating ILC3s in RORγt heterozygous mice. Moreover, it showed that the number of ILC3s is not the key factor in immune regulation, but rather the ability of ILC3 to produce IL-22 and employ it to control the immune response in the small intestine.

背景/目的:西式膳食(WDs)会破坏肠道微生物群的组成并引起炎症,从而损害肠道屏障,导致肥胖、2 型糖尿病和非酒精性脂肪肝的发生。短链脂肪酸(SCFAs)由肠道微生物群产生,存在于发酵食品中,可刺激肠道中的 3 型先天性淋巴细胞(ILCS3s)发挥抗炎作用。本研究假设,向 WD 补充日本发酵食品味噌可提高 SCFAs 的水平,从而刺激 ILC3,减轻肠道炎症并保护肠道屏障的完整性:方法:以RORγt完全(KI/KI)或部分(KI/w)敲除的小鼠为WD模型,喂食高脂高糖饮食(HFHSD)八周。半数小鼠在摄入高脂高糖饮食的同时还补充了味噌。对小鼠的体重增加、糖耐量和胰岛素抵抗、肠道屏障完整性、肠道免疫力和肝脏状况进行了评估:结果:补充味噌能增加小肠中的 SCFA 水平,从而刺激 KI/w 小鼠的 ILC3 功能。葡萄糖耐量得到改善,肠道屏障完整性得到改善,粘液分泌增加。IL-22 水平升高,而促炎性 ILC1、M1 巨噬细胞、TNF-α 和 IL-1β 水平下降。肝脏状况未受影响:本研究表明,在 RORγt 杂合子小鼠体内补充味噌能刺激 ILC3,从而影响炎症和肠道屏障完整性所涉及的几个因素。此外,研究还表明,ILC3 的数量并不是免疫调节的关键因素,ILC3 产生 IL-22 并利用其控制小肠免疫反应的能力才是关键。
{"title":"Supplementation of Miso to a Western-Type Diet Stimulates ILC3s and Decreases Inflammation in the Small Intestine.","authors":"River Budau, Takuro Okamura, Yuka Hasegawa, Naoko Nakanishi, Masahide Hamaguchi, Michiaki Fukui","doi":"10.3390/nu16213743","DOIUrl":"10.3390/nu16213743","url":null,"abstract":"<p><strong>Background/objectives: </strong>Western-type diets (WDs) damage the intestinal barrier by disrupting the gut microbiota composition and causing inflammation, leading to the development of obesity, type 2 diabetes, and non-alcoholic fatty liver disease. Short-chain fatty acids (SCFAs) are produced by the gut microbiota and found in fermented foods and can stimulate the anti-inflammatory action of type 3 innate lymphoid cells (ILCS3s) in the intestine. This study hypothesised that supplementing miso, a Japanese fermented food, to a WD could increase the levels of SCFAs and thus stimulate ILC3s, decreasing inflammation in the intestine and protecting intestinal barrier integrity.</p><p><strong>Methods: </strong>Mice with RORγt total (KI/KI) or partial (KI/w) knockout were fed a high-fat high-sugar diet (HFHSD) for eight weeks as a model of WD. Half of the mice received miso supplementation in addition to the HFHSD. Weight gain, glucose tolerance and insulin resistance, intestinal barrier integrity, intestinal immunity, and liver condition were assessed.</p><p><strong>Results: </strong>Miso supplementation increased SCFA levels in the small intestine, which stimulated ILC3 function in KI/w mice. Glucose tolerance was improved, intestinal barrier integrity was ameliorated, and mucus production was increased. The level of IL-22 was increased, while pro-inflammatory ILC1s, M1 macrophages, TNF-α, and IL-1β were decreased. Liver condition was not affected.</p><p><strong>Conclusions: </strong>This study demonstrated that miso supplementation influenced several factors involved in inflammation and intestinal barrier integrity by stimulating ILC3s in RORγt heterozygous mice. Moreover, it showed that the number of ILC3s is not the key factor in immune regulation, but rather the ability of ILC3 to produce IL-22 and employ it to control the immune response in the small intestine.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"16 21","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11547460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serum Iron Status and Retinal Degenerative Diseases: A Mendelian Randomization Study on AMD, RP, and DR. 血清铁状态与视网膜退行性疾病:关于 AMD、RP 和 DR 的孟德尔随机研究。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213747
Sichang Qu, Yewen Zhu, Norbert Pfeiffer, Franz H Grus

Background: Observational studies have noted that patients with certain retinal degenerative diseases exhibit iron disturbances in the retina or vitreous compared to healthy controls. However, the connection between serum iron status and these diseases remains unclear. This study aims to explore the potential causal relationship between serum iron status biomarkers and the development of age-related macular degeneration (AMD), retinitis pigmentosa (RP), and diabetic retinopathy (DR). Methods: A two-sample Mendelian randomization (MR) analysis was conducted to investigate the causal relationship between serum iron status and several retinal degenerative diseases. Genome-wide association study (GWAS) summary-level data were extracted from public GWAS databases. Inverse-variance weighting (IVW), MR-Egger regressions, Simple model, Weighted median, and Weight mode were used as MR methods. Sensitivity analysis was conducted to confirm the robustness of the results by examining horizontal pleiotropy and heterogeneity through MR-Egger intercept and leave-one-out analysis. Results: The MR analysis revealed causal relationships between genetically predicted serum iron status biomarkers and various retinal diseases. Transferrin was positively associated with the odds of AMD (whether dry or wet) (OR = 1.167, 95% CI = 1.045-1.304, p = 0.006) and wet AMD (OR = 1.194, 95% CI = 1.018-1.402, p = 0.030). Ferritin was negatively associated with the odds of wet AMD (OR = 0.555, 95% CI = 0.333-0.927, p = 0.024). Serum iron (OR = 0.508, 95% CI = 0.260-0.993, p = 0.048) and transferrin saturation (OR = 0.508, 95% CI = 0.260-0.993, p = 0.048) were negatively associated with the odds of RP. Conclusions: These findings provide evidence supporting a potential causal relationship between serum iron status and various retinal degenerative diseases, highlighting a direction for future research into the underlying mechanisms of these diseases.

背景:观察性研究发现,与健康对照组相比,某些视网膜变性疾病患者的视网膜或玻璃体内会出现铁紊乱。然而,血清铁状态与这些疾病之间的联系仍不清楚。本研究旨在探讨血清铁状态生物标志物与老年性黄斑变性(AMD)、色素性视网膜炎(RP)和糖尿病视网膜病变(DR)之间的潜在因果关系。研究方法通过双样本孟德尔随机化(MR)分析,研究血清铁状态与几种视网膜退行性疾病之间的因果关系。从公共 GWAS 数据库中提取了全基因组关联研究(GWAS)的摘要级数据。采用反方差加权(IVW)、MR-Egger 回归、简单模型、加权中位数和加权模式作为 MR 方法。通过MR-Egger截距和leave-one-out分析检查水平多向性和异质性,进行了敏感性分析以确认结果的稳健性。结果磁共振分析揭示了基因预测的血清铁状态生物标志物与各种视网膜疾病之间的因果关系。转铁蛋白与老年性视网膜病变(无论是干性还是湿性)(OR = 1.167,95% CI = 1.045-1.304,p = 0.006)和湿性老年性视网膜病变(OR = 1.194,95% CI = 1.018-1.402,p = 0.030)的几率呈正相关。铁蛋白与湿性黄斑变性的几率呈负相关(OR = 0.555,95% CI = 0.333-0.927,p = 0.024)。血清铁(OR = 0.508,95% CI = 0.260-0.993,p = 0.048)和转铁蛋白饱和度(OR = 0.508,95% CI = 0.260-0.993,p = 0.048)与RP的几率呈负相关。结论这些发现为血清铁状态与各种视网膜退行性疾病之间的潜在因果关系提供了证据,为今后研究这些疾病的内在机制指明了方向。
{"title":"Serum Iron Status and Retinal Degenerative Diseases: A Mendelian Randomization Study on AMD, RP, and DR.","authors":"Sichang Qu, Yewen Zhu, Norbert Pfeiffer, Franz H Grus","doi":"10.3390/nu16213747","DOIUrl":"10.3390/nu16213747","url":null,"abstract":"<p><p><b>Background</b>: Observational studies have noted that patients with certain retinal degenerative diseases exhibit iron disturbances in the retina or vitreous compared to healthy controls. However, the connection between serum iron status and these diseases remains unclear. This study aims to explore the potential causal relationship between serum iron status biomarkers and the development of age-related macular degeneration (AMD), retinitis pigmentosa (RP), and diabetic retinopathy (DR). <b>Methods</b>: A two-sample Mendelian randomization (MR) analysis was conducted to investigate the causal relationship between serum iron status and several retinal degenerative diseases. Genome-wide association study (GWAS) summary-level data were extracted from public GWAS databases. Inverse-variance weighting (IVW), MR-Egger regressions, Simple model, Weighted median, and Weight mode were used as MR methods. Sensitivity analysis was conducted to confirm the robustness of the results by examining horizontal pleiotropy and heterogeneity through MR-Egger intercept and leave-one-out analysis. <b>Results</b>: The MR analysis revealed causal relationships between genetically predicted serum iron status biomarkers and various retinal diseases. Transferrin was positively associated with the odds of AMD (whether dry or wet) (OR = 1.167, 95% CI = 1.045-1.304, <i>p</i> = 0.006) and wet AMD (OR = 1.194, 95% CI = 1.018-1.402, <i>p</i> = 0.030). Ferritin was negatively associated with the odds of wet AMD (OR = 0.555, 95% CI = 0.333-0.927, <i>p</i> = 0.024). Serum iron (OR = 0.508, 95% CI = 0.260-0.993, <i>p</i> = 0.048) and transferrin saturation (OR = 0.508, 95% CI = 0.260-0.993, <i>p</i> = 0.048) were negatively associated with the odds of RP. <b>Conclusions</b>: These findings provide evidence supporting a potential causal relationship between serum iron status and various retinal degenerative diseases, highlighting a direction for future research into the underlying mechanisms of these diseases.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"16 21","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11547415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sodium Benzoate Induces Fat Accumulation and Reduces Lifespan via the SKN-1/Nrf2 Signaling Pathway: Evidence from the Caenorhabditis elegans Model. 苯甲酸钠通过 SKN-1/Nrf2 信号通路诱导脂肪积累并缩短寿命:来自秀丽隐杆线虫模型的证据
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213753
Jiah D Lee, Jiwoo Lee, Jerry Vang, Xiaoping Pan

Background: Sodium benzoate (SB) is widely used in food products, cosmetics, and medical solutions due to its antimicrobial properties. While it is generally considered safe and has potential neuroprotective benefits, SB has also been linked to adverse effects, including hepatic oxidative stress and inflammation. However, the potential effects of SB on obesity and lifespan remain poorly understood.

Objectives: In this study, we investigated the effects of SB on fat accumulation and lifespan using the nematode Caenorhabditis elegans (C. elegans) as a model system.

Methods: Wild-type worms were exposed to various SB concentrations (0%, 0.0004%, 0.0008%, 0.004%, and 0.1%) and 0.016% glucose as a positive control for 72 h in liquid or on NGM agar plates.

Result: Fat accumulation was assessed through the Oil Red O staining, which revealed that SB induced more fat accumulation compared to vehicle control, even at low concentrations, including the dosage of 0.0004%. Lifespan analysis also demonstrated that SB significantly reduced lifespan in wild-type worms, even at low concentrations. Further investigations found that SKN-1 (an Nrf2 homolog) is necessary for SB-induced fat accumulation and lifespan reduction. Moreover, SB inhibited the nuclear localization of SKN-1 under oxidative stress conditions.

Conclusion: These findings suggest that SB may induce fat accumulation and reduce lifespan by inhibiting the oxidative stress-mediated SKN-1 signaling pathway.

背景:苯甲酸钠(SB)因其抗菌特性被广泛用于食品、化妆品和医疗溶液中。虽然人们普遍认为苯甲酸钠是安全的,并具有潜在的神经保护作用,但苯甲酸钠也与肝脏氧化应激和炎症等不良反应有关。然而,人们对 SB 对肥胖和寿命的潜在影响仍然知之甚少:在这项研究中,我们以线虫(Caenorhabditis elegans)为模型系统,研究了 SB 对脂肪积累和寿命的影响:方法:野生型蠕虫在液体或 NGM 琼脂平板中暴露于不同浓度的 SB(0%、0.0004%、0.0008%、0.004% 和 0.1%)和作为阳性对照的 0.016% 葡萄糖 72 小时:结果:通过油红 O 染色法评估了脂肪积累情况,结果显示,与载体对照组相比,即使在低浓度(包括 0.0004% 的剂量)下,SB 也能诱导更多的脂肪积累。寿命分析也表明,即使在低浓度下,SB 也会显著降低野生型蠕虫的寿命。进一步研究发现,SKN-1(一种 Nrf2 同源物)是 SB 诱导脂肪积累和寿命缩短的必要条件。此外,在氧化应激条件下,SKB 会抑制 SKN-1 的核定位:这些研究结果表明,SB 可通过抑制氧化应激介导的 SKN-1 信号通路来诱导脂肪积累和缩短寿命。
{"title":"Sodium Benzoate Induces Fat Accumulation and Reduces Lifespan via the SKN-1/Nrf2 Signaling Pathway: Evidence from the <i>Caenorhabditis elegans</i> Model.","authors":"Jiah D Lee, Jiwoo Lee, Jerry Vang, Xiaoping Pan","doi":"10.3390/nu16213753","DOIUrl":"10.3390/nu16213753","url":null,"abstract":"<p><strong>Background: </strong>Sodium benzoate (SB) is widely used in food products, cosmetics, and medical solutions due to its antimicrobial properties. While it is generally considered safe and has potential neuroprotective benefits, SB has also been linked to adverse effects, including hepatic oxidative stress and inflammation. However, the potential effects of SB on obesity and lifespan remain poorly understood.</p><p><strong>Objectives: </strong>In this study, we investigated the effects of SB on fat accumulation and lifespan using the nematode <i>Caenorhabditis elegans</i> (<i>C. elegans</i>) as a model system.</p><p><strong>Methods: </strong>Wild-type worms were exposed to various SB concentrations (0%, 0.0004%, 0.0008%, 0.004%, and 0.1%) and 0.016% glucose as a positive control for 72 h in liquid or on NGM agar plates.</p><p><strong>Result: </strong>Fat accumulation was assessed through the Oil Red O staining, which revealed that SB induced more fat accumulation compared to vehicle control, even at low concentrations, including the dosage of 0.0004%. Lifespan analysis also demonstrated that SB significantly reduced lifespan in wild-type worms, even at low concentrations. Further investigations found that SKN-1 (an Nrf2 homolog) is necessary for SB-induced fat accumulation and lifespan reduction. Moreover, SB inhibited the nuclear localization of SKN-1 under oxidative stress conditions.</p><p><strong>Conclusion: </strong>These findings suggest that SB may induce fat accumulation and reduce lifespan by inhibiting the oxidative stress-mediated SKN-1 signaling pathway.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"16 21","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11547805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Potential Strategies for Overcoming Drug Resistance Pathways Using Propolis and Its Polyphenolic/Flavonoid Compounds in Combination with Chemotherapy and Radiotherapy. 利用蜂胶及其多酚/类黄酮化合物与化疗和放疗相结合克服抗药性途径的潜在策略。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213741
Nada Oršolić, Maja Jazvinšćak Jembrek

Conventional cancer treatments include surgical resection, chemotherapy, hyperthermia, immunotherapy, hormone therapy, and locally targeted therapies such as radiation therapy. Standard cancer therapies often require the use of multiple agents, which can activate nuclear factor kappa B (NF-κB) in tumor cells, leading to reduced cell death and increased drug resistance. Moreover, the use of multiple agents also contributes to added toxicity, resulting in poor treatment outcomes. Cancer cells gradually develop resistance to almost all chemotherapeutics through various mechanisms, such as drug efflux, alterations in drug metabolism and transport, changes in signal transduction pathways, enhanced DNA repair capacity, evasion of apoptosis, increased mutations, reactivation of drug targets, interaction with the cancer microenvironment, cancer cell-stroma interactions, epithelial-mesenchymal transition (EMT)-mediated chemoresistance, epigenetic modifications, metabolic alterations, and the effect of cancer stem cells (CSCs). Developing new strategies to improve chemotherapy sensitivity while minimizing side effects is essential for achieving better therapeutic outcomes and enhancing patients' quality of life. One promising approach involves combining conventional cancer treatments with propolis and its flavonoids. These natural compounds may enhance tumor response to treatment while reducing toxicity. Propolis and its components can sensitize cancer cells to chemotherapeutic agents, likely by inhibiting NF-κB activation, reprogramming tumor-associated macrophages (TAMs; an M2-like phenotype), and thereby reducing the release of matrix metalloproteinase (MMP)-9, cytokines, chemokines, and the vascular endothelial growth factor (VEGF). By reducing TAMs, propolis and its components may also overcome EMT-mediated chemoresistance, disrupt the crosstalk between macrophages and CSCs, inhibit the maintenance of stemness, and reverse acquired immunosuppression, thus promoting an antitumor response mediated by cytotoxic T-cells. This review highlights the potential of flavonoids to modulate the responsiveness of cancer to conventional treatment modalities. The evidence suggests that novel therapeutic strategies incorporating flavonoids could be developed to improve treatment outcomes. The positive effects of combining propolis with chemotherapeutics include reduced cytotoxicity to peripheral blood leukocytes, liver, and kidney cells. Therefore, polyphenolic/flavonoid components may hold potential for use in combination with chemotherapeutic agents in the clinical treatment of various types of cancers.

传统的癌症治疗方法包括手术切除、化疗、热疗、免疫疗法、激素疗法以及放疗等局部靶向疗法。标准的癌症疗法通常需要使用多种药物,这可能会激活肿瘤细胞中的核因子卡巴B(NF-κB),导致细胞死亡减少和耐药性增强。此外,使用多种药物还会增加毒性,导致治疗效果不佳。癌细胞通过各种机制逐渐对几乎所有化疗药物产生耐药性,如药物外流、药物代谢和转运改变、信号转导通路改变、DNA 修复能力增强、逃避凋亡、突变增加、药物靶点重新激活、与癌症微环境相互作用、癌细胞-间质相互作用、上皮-间质转化(EMT)介导的化疗耐药性、表观遗传修饰、代谢改变以及癌症干细胞(CSCs)的影响。要取得更好的治疗效果并提高患者的生活质量,就必须开发新的策略来提高化疗的敏感性,同时最大限度地减少副作用。一种很有前景的方法是将传统的癌症治疗方法与蜂胶及其黄酮类化合物相结合。这些天然化合物可增强肿瘤对治疗的反应,同时降低毒性。蜂胶及其成分可使癌细胞对化疗药物敏感,这可能是通过抑制NF-κB活化、重编程肿瘤相关巨噬细胞(TAMs;一种类似M2的表型),从而减少基质金属蛋白酶(MMP)-9、细胞因子、趋化因子和血管内皮生长因子(VEGF)的释放。通过减少TAMs,蜂胶及其成分还可以克服EMT介导的化疗抗性,破坏巨噬细胞和CSCs之间的串联,抑制干性的维持,逆转获得性免疫抑制,从而促进细胞毒性T细胞介导的抗肿瘤反应。这篇综述强调了类黄酮调节癌症对传统治疗方式反应的潜力。有证据表明,可以开发出结合类黄酮的新型治疗策略,以改善治疗效果。蜂胶与化疗药物结合的积极作用包括降低对外周血白细胞、肝脏和肾脏细胞的细胞毒性。因此,多酚/类黄酮成分在临床治疗各类癌症中与化疗药物结合使用可能具有潜力。
{"title":"Potential Strategies for Overcoming Drug Resistance Pathways Using Propolis and Its Polyphenolic/Flavonoid Compounds in Combination with Chemotherapy and Radiotherapy.","authors":"Nada Oršolić, Maja Jazvinšćak Jembrek","doi":"10.3390/nu16213741","DOIUrl":"10.3390/nu16213741","url":null,"abstract":"<p><p>Conventional cancer treatments include surgical resection, chemotherapy, hyperthermia, immunotherapy, hormone therapy, and locally targeted therapies such as radiation therapy. Standard cancer therapies often require the use of multiple agents, which can activate nuclear factor kappa B (NF-κB) in tumor cells, leading to reduced cell death and increased drug resistance. Moreover, the use of multiple agents also contributes to added toxicity, resulting in poor treatment outcomes. Cancer cells gradually develop resistance to almost all chemotherapeutics through various mechanisms, such as drug efflux, alterations in drug metabolism and transport, changes in signal transduction pathways, enhanced DNA repair capacity, evasion of apoptosis, increased mutations, reactivation of drug targets, interaction with the cancer microenvironment, cancer cell-stroma interactions, epithelial-mesenchymal transition (EMT)-mediated chemoresistance, epigenetic modifications, metabolic alterations, and the effect of cancer stem cells (CSCs). Developing new strategies to improve chemotherapy sensitivity while minimizing side effects is essential for achieving better therapeutic outcomes and enhancing patients' quality of life. One promising approach involves combining conventional cancer treatments with propolis and its flavonoids. These natural compounds may enhance tumor response to treatment while reducing toxicity. Propolis and its components can sensitize cancer cells to chemotherapeutic agents, likely by inhibiting NF-κB activation, reprogramming tumor-associated macrophages (TAMs; an M2-like phenotype), and thereby reducing the release of matrix metalloproteinase (MMP)-9, cytokines, chemokines, and the vascular endothelial growth factor (VEGF). By reducing TAMs, propolis and its components may also overcome EMT-mediated chemoresistance, disrupt the crosstalk between macrophages and CSCs, inhibit the maintenance of stemness, and reverse acquired immunosuppression, thus promoting an antitumor response mediated by cytotoxic T-cells. This review highlights the potential of flavonoids to modulate the responsiveness of cancer to conventional treatment modalities. The evidence suggests that novel therapeutic strategies incorporating flavonoids could be developed to improve treatment outcomes. The positive effects of combining propolis with chemotherapeutics include reduced cytotoxicity to peripheral blood leukocytes, liver, and kidney cells. Therefore, polyphenolic/flavonoid components may hold potential for use in combination with chemotherapeutic agents in the clinical treatment of various types of cancers.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"16 21","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11547968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food Consumption According to the NOVA Food Classification and Its Relationship with Symptoms of Depression, Anxiety, and Stress in Women. 根据 NOVA 食物分类法得出的食物摄入量及其与女性抑郁、焦虑和压力症状的关系。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-10-31 DOI: 10.3390/nu16213734
Daniel Emiliano de Farias Xavier, Rúbia Cartaxo Squizato de Moraes, Thallyta Alanna Ferreira Viana, Joicy Karla Grangeiro Pereira, Paulo César Trindade da Costa, Davyson Barbosa Duarte, Melyssa Kellyane Cavalcanti Galdino, Adélia da Costa Pereira de Arruda Neta, José Luiz de Brito Alves, Vinícius José Baccin Martins

Background/objectives: Depression, anxiety, and stress are highly prevalent mental disorders worldwide, and food consumption can change in individuals with these conditions. We aimed to assess the food consumption of women with depressive symptoms and compare it to a control without symptoms.

Methods: A cross-sectional study was conducted with 96 women, aged 18-59, allocated into two groups: control (n = 62) or depressive symptoms (n = 34). The participants underwent an anthropometric assessment, and food consumption was evaluated using a 24 h food recall and the NOVA classification. Depressive symptoms, anxiety, and stress were measured using the DASS-21 questionnaire.

Results: Anthropometric parameters did not differ between the groups. Women with depressive symptoms consumed fewer calories (p = 0.006), carbohydrates (p = 0.014), proteins (p = 0.036), and lipids (0.011) from unprocessed and minimally processed foods (UMPF) compared to the control women. A negative correlation was found between the dietary consumption energy of UMPF and symptoms of depression (r = -0.337; p = 0.001), anxiety (r = -0.262; p = 0.014), and stress (r = -0.260; p = 0.014), as well as a positive correlation between energy intake from ultra-processed foods (UPF) and symptoms of depression (r = 0.218; p = 0.042) and stress (r = 0.227; p = 0.034). Regression analysis showed that depressive symptoms accounted for 7.6% of the lower energy consumption from UMPF.

Conclusions: Women with depressive symptoms displayed lower UMPF consumption, and this was negatively correlated with symptoms of depression, anxiety, and stress. Professional dietary advice can improve health status in these patients.

背景/目的:抑郁症、焦虑症和压力症是全球高发的精神疾病,这些疾病患者的食物摄入量会发生变化。我们旨在评估有抑郁症状的女性的食物摄入量,并将其与无抑郁症状的对照组进行比较:我们对 96 名年龄在 18-59 岁之间的女性进行了横断面研究,并将她们分为两组:对照组(62 人)或抑郁症状组(34 人)。参与者接受了人体测量评估,并通过 24 小时食物回忆和 NOVA 分类法评估了食物消耗量。抑郁症状、焦虑和压力通过 DASS-21 问卷进行测量:结果:各组之间的人体测量参数没有差异。与对照组妇女相比,有抑郁症状的妇女从未加工和微加工食品(UMPF)中摄入的热量(p = 0.006)、碳水化合物(p = 0.014)、蛋白质(p = 0.036)和脂类(0.011)均较少。研究发现,从未加工和微加工食品(UMPF)中摄入的能量与抑郁症状(r = -0.337;p = 0.001)、焦虑(r = -0.262;p = 0.014)和压力(r = -0.260;p = 0.014)呈负相关,从超加工食品(UPF)中摄入的能量与抑郁症状(r = 0.218;p = 0.042)和压力(r = 0.227;p = 0.034)呈正相关。回归分析表明,抑郁症状导致的 UMPF 能量消耗降低占 7.6%:结论:有抑郁症状的妇女的 UMPF 消费量较低,这与抑郁症状、焦虑和压力呈负相关。专业的饮食建议可以改善这些患者的健康状况。
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引用次数: 0
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