协生菌对系统性红斑狼疾病活性的影响:随机临床试验的结果
Zahra Mirfeizi1, Mahmoud Mahmoudi2,3, Mohammad Hassan Jokar1
1Rheumatology Department, Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Journal of food science
|October 22, 2024
概括
综合生菌补充剂显著降低了系统性红斑狼 (SLE) 患者的胰岛素17A (IL-17A) 水平和疾病活性. 这表明共生菌可能是SLE管理的有益辅助疗法.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
- 类风湿病学 类风湿病学
背景情况:
- 系统性红斑狼 (SLE) 是一种复杂的自身免疫性疾病,其特征是炎症.
- 炎症性细胞因子,如17A (IL-17A),是SLE发病的关键驱动因素.
- 目前的SLE治疗通常涉及免疫抑制疗法,并可能产生副作用.
研究的目的:
- 评估协生菌作为SLE的辅助疗法的疗效.
- 评估协生菌对SLE患者IL-17A水平,疾病活性和炎症标志物的影响.
- 研究协生菌在调节SLE.炎症过程中的潜力.
主要方法:
- 进行了一项随机,双盲,安慰剂控制的试验.
- 50名SLE患者被随机分配,接受标准治疗加上协生菌或仅接受标准治疗两个月.
- 干预包括一种含有多个Lactobacillus和Bifidobacterium菌株以及果性寡糖的共生配方.
主要成果:
- 与基线相比,同生物组显示IL-17A的蛋白质和mRNA水平显著降低.
- 系统性狼红斑血病活动指数2000 (SLEDAI-2K) 的得分在同生菌组显著下降.
- 在安慰剂组中没有观察到IL-17A水平或疾病活性的显著变化.
结论:
- 同生菌补充剂显示出作为有效的辅助治疗来管理SLE的潜力.
- 协生菌可能有助于降低SLE患者的关键炎症标志物和疾病活性.
- 进一步的研究是有必要的,以充分阐明SLE中协生菌的作用机制.
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