饮食和多发性硬化症风险:英国生物库嵌套病例对照研究和门德尔随机化分析的证据
Lian Chen1,2, Xiao-Wei Pang1,2, Luo-Qi Zhou1,2
1Department of Neurology, Tongji Hospital, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan, China.
Molecular nutrition & food research
|November 22, 2025
概括
饮食中摄入油性鱼和全麦/全谷物面包可能会降低多发性硬化症 (MS) 的风险. 维生素D和中性粒细胞水平部分介导这种保护作用,为MS预防策略提供了洞察力.
科学领域:
- 营养科学 营养科学
- 流行病学 流行病学
- 免疫学 免疫学 免疫学
背景情况:
- 多发性硬化症 (MS) 的发病受到遗传和环境因素的影响.
- 饮食是MS感兴趣的一个关键可修改的环境因素.
- 了解饮食影响对于MS预防和管理至关重要.
研究的目的:
- 调查饮食习惯与患多发性硬化症 (MS) 的风险之间的联系.
- 探索食物消费与MS风险之间的遗传联系.
- 为了确定饮食与MS关系中的潜在调解因素,如血清测量.
主要方法:
- 一个嵌套的病例控制研究设计,利用英国生物库数据.
- 包括303个MS病例和1212个匹配的对照.
- 应用条件逻辑回归,孟德尔随机化和调解分析 (卡尔森-霍尔姆-布林方法).
主要成果:
- 定期食用油性鱼和增加面包摄入量与MS风险降低有关.
- 遗传分析证实,高摄入量的油性鱼和谷物与较低的MS风险有关.
- 鉴定出维生素D水平和中性粒细胞数量是油性鱼类消费保护作用的独立媒介.
结论:
- 增加油性鱼和全麦/全谷物面包的摄入量可能会降低MS发病风险.
- 维生素D和中性粒细胞数量在饮食和MS之间的保护性关联中起着部分调解作用.
- 饮食修改,特别是涉及油性鱼和特定类型的面包,是减少多发性硬化风险的潜在途径.
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