Effects of altered salt intake and diet on cytokines in humans: A 20-week randomized cross-over intervention study

Teemu Niiranen1,2, Iris Erlund3, Sirpa Jalkanen4,5,6

  • 1Department of Medicine, Turku University Hospital and University of Turku, Turku, Finland.

Insights

High salt intake did not alter key immune cell signaling in humans. This study found no significant changes in pro-inflammatory cytokines, suggesting salt may not be a direct driver of autoimmune disease in vivo.

Area of Science:

  • Immunology and Nutrition Science
  • Investigating the impact of dietary factors on immune responses.

Background:

  • High sodium concentration is linked to altered leukocyte activation and autoimmune disease development in preclinical and in vitro studies.
  • Salt has been implicated as a potential risk factor for autoimmune diseases based on existing research.

Purpose of the Study:

  • To investigate whether physiologically relevant changes in salt intake or diet affect plasma cytokine concentrations in humans.
  • To examine the in vivo effects of dietary salt on immune system markers.

Main Methods:

  • A 20-week double-blinded, placebo-controlled crossover study involving 106 participants.
  • Participants were randomized to Habitual and Healthy Nordic diets, with usual and reduced sodium intake groups.
  • Plasma concentrations of 45 cytokines were measured using a multiplex assay at three time-points.

Main Results:

  • High salt ingestion or dietary changes did not induce significant alterations in signature cytokines controlling T-helper cell polarization (Th1, Th2, Th17).
  • Pro-inflammatory interleukins, chemokines, and growth factors remained unaffected by varying salt intake levels or dietary modifications.
  • No significant changes in systemic cytokine concentrations were observed in relation to salt intake or diet.

Conclusions:

  • Clinically relevant changes in salt intake or diet do not significantly impact systemic concentrations of pro-inflammatory cytokines in vivo in humans.
  • The study suggests that the link between salt and autoimmune diseases in humans may not be mediated by direct changes in these specific cytokine profiles.
  • Further research may be needed to explore other potential mechanisms or specific populations affected by salt intake.