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在患有炎症性肠病的患者中,饮食和遗传学的相互作用
Daniéla Oliveira Magro1, Ligia Yukie Sassaki2, Júlio Maria Fonseca Chebli3
1Department of Surgery, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas 13083-970, São Paulo, Brazil.
饮食通过表观遗传机制显著影响炎症性肠病 (IBD). 采用地中海饮食和增加纤维摄入量可以减少IBD爆发,特别是在克罗恩病中.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- 饮食在炎症性肠病 (IBD) 发病过程中起着至关重要的作用,与遗传因素相互作用.
- 在IBD中,表观遗传修饰,如DNA甲基化,基因素修饰和微RNA受饮食的影响.
- 西方饮食缺乏纤维和微量营养素,可能会通过影响短链脂肪酸的产生来促进IBD的发展.
研究的目的:
- 评论饮食作为炎症性肠病的表观遗传因素的作用.
- 探索遗传学,肠道微生物群和IBD中的饮食之间的相互作用.
- 为IBD患者提供基于证据的饮食建议.
主要方法:
- 关于饮食和IBD的现有研究的文献综述和评论.
- 对由饮食影响的表观遗传机制 (DNA甲基化,基因素修饰,微RNA) 的分析.
- 来自像IOIBD这样的知名组织的饮食指南的综合.
主要成果:
- 西方饮食缺乏纤维和微量营养素,可能会导致IBD的发病.
- 地中海饮食和纤维摄入量与IBD爆发的减少有关,特别是在克罗恩病中.
- 对于克罗恩氏病和性结肠炎患者,有关食物摄入的具体IOIBD建议存在.
结论:
- IBD是一种复杂,异质的疾病,受到饮食和表观遗传学的影响.
- 针对表观遗传通路和微生物群调节的饮食干预措施对IBD管理有希望.
- 进一步的研究是必要的,以充分理解饮食和微生物群在IBD的表观遗传影响.
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