免疫调节饮食在癌症化疗期间维持食物摄入

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引用次数: 0

摘要

免疫调节饮食(IMD)是一种富含免疫营养和乳清水解肽的肠内饮食,已被证明可以通过抑制手术后或应激下的炎症来改善预后。在这项研究中,我们通过实验和临床研究了IMD在癌症化疗中的作用。在结直肠癌细胞移植小鼠实验中,与对照组相比,IMD联合抗癌剂可显著维持小鼠除瘤体重,降低血浆白细胞介素-6 (IL-6)水平。此外,喂食IMD的正常小鼠血浆胃饥饿素水平升高,尤其是酰基胃饥饿素。一项针对恶性淋巴瘤患者的临床试验显示,当患者在化疗的同时补充IMD时,酰基/去酰基胃饥饿素比率和总热量摄入增加。这些结果表明,在癌症化疗期间补充IMD可能通过提高患者的酰基胃饥饿素水平来维持患者的食物摄入量
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An Immune-modulating Diet Maintains Food Intake during Cancer Chemotherapy
An immune-modulating diet (IMD), an enteral diet enriched with immunonutrition and whey-hydrolyzed peptides, has been shown to bring an improvement of prognosis by suppressing inflammation after surgery or under stress. In this study, we have experimentally and clinically examined the effect of the IMD in cancer chemotherapy. In experiments using colorectal cancer cell-transplanted mice, the mice fed with the IMD in combination with anti-cancer agent showed significantly to maintain their body weight excluding tumor, and to reduce plasma interleukin-6 (IL-6) levels compared with the control group. Furthermore, normal mice fed with the IMD elevated the level of plasma ghrelin, in particular acyl ghrelin. An clinical trial for a patient with malignant lymphoma revealed that the acyl/desacyl ghrelin ratio and total calorie intake was increased when the patient was supplemented with the IMD in conjunction with chemotherapy. These results suggested that the supplementation of the IMD during cancer chemotherapy might enable to maintain the food intake of the patients through elevating their acyl ghrelin levels
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