一项随机对照试验,研究专利海洋脂肽配方与omega-3对纤维肌痛患者细胞因子谱、焦虑和疼痛症状的有效性

IF 1.3 Q4 FOOD SCIENCE & TECHNOLOGY Functional Foods in Health and Disease Pub Date : 2022-08-26 DOI:10.31989/ffhd.v12i8.954
R. Rastmanesh, U. Solimene, A. Lorenzetti, F. Marotta, He Fang, Cristiana Aperio, Nevenka Anzulovic, Giuseppe Cervi, N. Zerbinati
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引用次数: 0

摘要

目的:本研究的目的是通过随机对照试验(医生和患者)研究一种新型脂肽海洋化合物LD-1227,在以omega-3为对照组的情况下,对纤维肌痛患者的身体、情绪和功能相关症状主诉以及炎症细胞因子谱和基因表达的影响。方法:采用以下基于问卷或临床评估的参数进行评估:广泛疼痛指数[WPI]患者整体印象变化、总压痛点[TTP]、纤维肌痛影响问卷、贝克抑郁量表、疲劳严重程度评分、认知症状严重程度、症状严重程度评分[SSS]和每周疼痛强度评分。同时进行细胞因子(il - 6、TNF-α、IL-1β、MCP-1、IL-8、IL-13、IL-1α和GM-CSF)的生化和基因表达分析。根据参数分布或非参数分布,采用配对t检验或Wilcoxon符号秩检验对数据进行分析。结果:B组患者治疗前后TTP、WPI评分、SSS评分比较,差异均有统计学意义(p=0.05)。这些数据表明,使用LD-1227治疗3个月而不是omega-3治疗对纤维肌痛疼痛和相关焦虑/抑郁症状有积极作用。HRV和细胞因子检测发现LD1227治疗后有统计学意义的改善。与补充omega-3的组不同,LD-1227治疗对大多数参与者带来了WPI和每周疼痛强度症状的降低。B组治疗前后TPC、WPI、SSS评分均有统计学意义(p=0.05)。无不良事件报告。结论:这些结果首次表明,LD-1227治疗对WPI、TTP和SSS等公认的纤维肌痛诊断指标以及炎症标志物和副交感神经平衡具有统计学意义。关键词:纤维肌痛,海洋化合物,脂肽,细胞因子,焦虑,疼痛,LD-1227
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A randomized, controlled trial on the effectiveness of a proprietary marine lipo-peptide formula vs omega-3 on cytokines profile, anxiety, and pain symptoms in patients with fibromyalgia
Objective: The aim of the present study in an RCT manner (physicians and patients) a novel lipo-peptide marine compound, LD-1227, on physical-, emotional- and functional-related symptomatic complaints in fibromyalgia patients as well as inflammatory cytokines profile and gene expression while using omega-3 as a control group.Methods: The following questionnaire-based or clinical evaluation-based parameters were evaluated: widespread pain index [WPI] patient global impression of change, total tender points [TTP], fibromyalgia impact questionnaire, Beck depression inventory, fatigue severity ratings, cognitive symptom severity, symptom severity score [SSS] and weekly pain intensity ratings. Additional biochemical and gene expression analysis of cytokines (IL6, TNF-α, IL-1β, MCP-1, IL-8, IL-13, IL-1α, and GM-CSF) was performed as well. Data were analyzed with either a paired t-test or the Wilcoxon signed rank test depending on the parametric or non-parametric distribution.Results: Comparing the data from before and after treatment for Group B indicated a statistically significant reduction (p=0.05) in TTP, WPI score, and SSS score. These data suggest a positive effect of a 3-month treatment with the LD-1227 but not omega-3 treatment on Fibromyalgia pain and related anxiety/depressive symptoms. Inspections of HRV and Cytokines found a statistically significant improvement after LD1227 treatment. Unlike the group supplemented with omega-3, the treatment with LD-1227 brought about a decrease in WPI and weekly pain intensity symptoms for the majority of participants. The pre-and post-treatment data for Group B indicated a statistically significant reduction (p=0.05) in TPC, WPI, and SSS scores. No adverse events were reported.Conclusion: These results provide the first indications that the LD-1227 treatment has a statistically significant effect on the recognized fibromyalgia diagnosis metrics of WPI, TTP, and SSS as well on inflammatory markers and parasympathetic balance.Keywords: fibromyalgia, marine compound, lipopeptide, cytokines, anxiety, pain, LD-1227.
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来源期刊
Functional Foods in Health and Disease
Functional Foods in Health and Disease FOOD SCIENCE & TECHNOLOGY-
CiteScore
2.20
自引率
20.00%
发文量
47
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