disaccharides

二糖
  • 文章类型: Journal Article
    研究了使用聚甲硅烷基化的单糖和二糖糖基供体的立体控制的1,2-反式-α-阿拉伯呋喃糖基化。对于含有五个三异丙基甲硅烷基(TIPS)基团和芳基硫醇(1)的Ara-β-(1→2)-Ara二糖糖基供体,发现了1,2-反式-阿拉伯呋喃糖基化的完全α-立体选择性(如我们以前的出版物中所示)或N-苯基三氟乙酰氨基甲酰基(2)(这项工作)离去基团。相反,在单糖硫代糖苷的情况下,用无环甲硅烷基进行聚硅烷化(TIPS,TBDPS),糖基化的立体选择性较低(α:β=7-8:1),尽管所需的α-异构体仍然占主导地位。二糖糖基供体2成功用于合成线性α-(1→5)-,β-(1→2)-连接的六阿拉伯呋喃糖苷可用于进一步制备其缀合物作为对诊断分枝杆菌有价值的抗原。
    Stereocontrolled 1,2-trans-α-arabinofuranosylation using polysilylated mono- and disaccharide glycosyl donors was investigated. A complete α-stereoselectivity of 1,2-trans-arabinofuranosylation was found for Ara-β-(1 → 2)-Ara disaccharide glycosyl donors containing five triisopropylsilyl (TIPS) groups with arylthiol (1) (as shown in our previous publications) or N-phenyltrifluoroacetimidoyl (2) (this work) leaving groups. Conversely, in case of monosaccharide thioglycosides polysilylated with acyclic silyl groups (TIPS, TBDPS), stereoselectivity of glycosylation was lower (α:β = 7-8:1), although the desired α-isomer still dominated. Disaccharide glycosyl donor 2 was successfully used in the synthesis of linear α-(1 → 5)-, β-(1 → 2)-linked hexaarabinofuranoside useful for further preparation of conjugates thereof as antigens valuable for the diagnosis of mycobacterioses.
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  • 文章类型: Journal Article
    考虑到卵泡发育是一个能量依赖的过程,用能量底物补充培养基,比如乳糖,会提高卵泡的活力和生长。因此,这项研究的目的是评估乳糖对形态学的影响,发展,谷胱甘肽(GSH)浓度,线粒体活性,DNA片段化,体外培养的绵羊次级卵泡卵母细胞的减数分裂恢复。从绵羊卵巢的皮质中分离出次级卵泡,并在补充有牛血清白蛋白(BSA)的α-MEM中单独培养18天,胰岛素,谷氨酰胺,次黄嘌呤,转铁蛋白,硒和抗坏血酸(对照培养基:α-MEM)或α-MEM加不同浓度的乳糖(0.025、0.05和0.1M)。文化之后,对一些卵母细胞进行TUNEL测定和体外成熟(IVM)。卵泡形态,在培养结束时评估谷胱甘肽(GSH)浓度和线粒体活性。在第18天,与对照组(75.55%)相比,在0.025M乳糖(92.5%)的治疗中,形态正常卵泡的百分比更高(P<0.05)。此外,与其它处理相比,含有0.025M乳糖的处理中的GSH浓度增加(P<0.05)。此外,在0.025M乳糖中培养的卵母细胞的线粒体活性水平高于α-MEM和0.1M乳糖(P<0.05)。与0.025乳糖(9.09%)相比,α-MEM+组呈现TUNEL阳性卵母细胞(35.09%)的增加。在0.025M乳糖(54.5%)中培养的次级卵泡卵母细胞的减数分裂恢复百分比高于α-MEM(45.5%)。总之,0.025M乳糖提高存活率,GSH和活性线粒体水平与体外培养次级卵泡卵母细胞减数分裂恢复。用乳糖补充腔前卵泡的培养基可以逐渐为卵泡细胞提供能量,潜在地增强生物技术如IVM和体外受精的活卵母细胞的产生。
    Considering that follicular development is an energy-dependent process, supplementation of the culture medium with energy substrates, such as lactose, would improve follicle viability and growth. Thus, the aim of this study was to evaluate the effect of lactose on morphology, development, glutathione (GSH) concentration, mitochondrial activity, DNA fragmentation, and meiotic resumption of oocytes from sheep secondary follicles cultured in vitro. Secondary follicles were isolated from the cortex of ovine ovaries and cultured individually for 18 days in α-MEM supplemented with bovine serum albumin (BSA), insulin, glutamine, hypoxanthine, transferrin, selenium and ascorbic acid (control medium: α-MEM+) or in α-MEM+ plus different concentrations of lactose (0.025, 0.05 and 0.1 M). After culture, some of the oocytes were subjected to TUNEL assay and in vitro maturation (IVM). Follicular morphology, glutathione (GSH) concentration and mitochondrial activity were evaluated at the end of the culture. At the day 18, the percentage of morphologically normal follicles was greater (P<0.05) in the treatment of 0.025 M lactose (92.5 %) compared to the control group (75.55 %). In addition, GSH concentrations increased (P<0.05) in treatment containing 0.025 M lactose compared to the other treatments. Furthermore, oocytes cultured in 0.025 M lactose had greater (P<0.05) mitochondrial activity levels than in α-MEM+ and 0.1 M lactose. The group α-MEM+ presented a increase of TUNEL-positive oocytes (35.09 %) compared to 0.025 lactose (9.09 %). The percentage of meiotic resumption was greater (P<0.05) in oocytes from secondary follicles cultured in 0.025 M lactose (54.5 %) than in α-MEM+ (45.5 %). In conclusion, 0.025 M lactose improved survival, GSH and active mitochondria levels and meiotic resumption of oocytes from in vitro cultured secondary follicles. Supplementation of the culture medium of preantral follicles with lactose can gradually provide energy to follicular cells, potentially enhancing the production of viable oocytes for biotechniques such as IVM and in vitro fertilization.
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  • 文章类型: Journal Article
    目的:我们假设低可发酵寡糖,二糖,单糖,和多元醇(FODMAP)饮食可能与溃疡性结肠炎(UC)的疾病严重程度有关。因此,这项横断面研究旨在评估FODMAP评分与UC严重程度之间的相关性.
    方法:在本研究中,158例UC患者入选。使用Mayo评分指定疾病严重程度。饮食关系信息是使用160项食物频率问卷获得的。要计算FODMAP分数,所有食品的消耗量换算为每天1克,再乘以FODMAP因子.FODMAP因子是从莫纳什大学(墨尔本,维多利亚,澳大利亚)。疾病严重程度(依赖因素)与FODMAP评分三位数(独立因素)之间的关联通过逻辑回归对不同的协变量进行校正来评估。
    结果:在本研究中,参与者的年龄范围是18到64岁,46.2%的患者有中度或重度疾病活动。性别差异显著,身体质量指数,并在FODMAP评分的不同三元之间补充使用。在原始模型和校正模型中,FODMAP评分的三位数与疾病严重程度之间没有显着关联。
    结论:本研究结果显示FODMAP评分与UC严重程度之间无显著关联。然而,考虑到这项研究的局限性,需要更多的前瞻性和介入性设计研究使用更准确的饮食评估方法来确认这些初步结果.
    OBJECTIVE: We hypothesized that a low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet may be associated with the disease severity of ulcerative colitis (UC). Therefore, this cross-sectional study was undertaken to assess the association between FODMAP score and UC severity.
    METHODS: In this study, 158 patients with UC were enrolled. The disease severity was designated using the Mayo score. The diet relation information was obtained using the 160-item food frequency questionnaire. To calculate the FODMAP score, the consumption of all food items was converted to a gram per day and multiplied by the FODMAP factor. The FODMAP factor was obtained from the application developed by Monash University (Melbourne, Victoria, Australia). The association between disease severity (dependent factor) and FODMAP score tertiles (independent factors) was assessed by logistic regression adjusted for different covariates.
    RESULTS: In the present study, the age range of participants was 18 to 64 y old, and 46.2% of patients had moderate or severe disease activity. There were significant differences in sex, body mass index, and supplement use across different tertiles of FODMAP score. There was no significant association between the FODMAP score tertiles and disease severity in the crude model and adjusted models.
    CONCLUSIONS: The results of the present study showed that there was no significant association between the FODMAP score and UC severity. However, considering the limitations of the study, more studies with prospective and interventional designs using more accurate methods of dietary assessments are needed to confirm these preliminary results.
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  • 文章类型: Journal Article
    Melibiosamine(Gal-α(1,6)-GlcNH2),由半乳糖和葡糖胺通过α(1,6)-糖苷键连接组成,是相对于HUC-F2正常细胞选择性抑制K562肿瘤细胞增殖的人工二糖衍生物。在这项研究中,我们采用连接编辑策略,通过氟乙烯基-C-糖苷的化学选择性和立体选择性氢化,合成了CH2-和CHF-连接的melibiosamine类似物.(R)-CHF-Melibiosamine表现出比O-连接的Melibiosamine更有效的抗增殖活性,而(S)-CHF-melibiosamine的效力较低。
    Melibiosamine (Gal-α(1,6)-GlcNH2), consisting of galactose and glucosamine linked by an α(1,6)-glycosidic bond, is an artificial disaccharide derivative that selectively inhibits the proliferation of K562 tumor cells relative to HUC-F2 normal cells. In this study, we employed a linkage-editing strategy to synthesize CH2- and CHF-linked melibiosamine analogs through chemo- and stereoselective hydrogenation of fluorovinyl-C-glycoside. (R)-CHF-Melibiosamine exhibited more potent antiproliferative activity than O-linked melibiosamine, while (S)-CHF-melibiosamine was less potent.
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  • 文章类型: Journal Article
    目的:骨关节炎(OA)是一种以软骨退变为特征的慢性退行性疾病,涉及炎症,焦亡,和细胞外基质(ECM)的变性。pectolinarigenin(PEC)是一种具有抗氧化剂的天然类黄酮,抗炎和抗肿瘤特性。本研究旨在探讨PEC在改善OA进展中的潜力及其潜在机制。
    方法:将软骨细胞暴露于10ng/mLIL-1β以模拟OA样变化。使用ELISA评估PEC对IL-1β处理的软骨细胞的影响,westernblot,和免疫荧光。采用mRNA测序(mRNA-seq)来探索PEC在延迟OA进展中的可能靶标。通过前交叉韧带横断(ACLT)诱导OA小鼠模型,并将其分为假手术,ACLT,ACLT+5mg/kgPEC,和ACLT+10mg/kgPEC组。进行显微计算机断层扫描和组织学分析以证实PEC对体内OA的有益作用。
    结果:PEC减轻了软骨细胞的焦亡,如通过降低的焦亡相关蛋白的水平证明。此外,PEC减弱IL-1β介导的软骨细胞ECM降解和炎症。机械上,mRNA-seq显示FGFR3是PEC的下游靶标。FGFR3沉默逆转了PEC对IL-1β暴露的软骨细胞的有益作用。PEC发挥了反致变性,抗ECM降解,并通过上调FGFR3抑制NF-κB/NLRP3细胞凋亡相关通路发挥抗炎作用。始终如一,体内实验证明了PEC对OA小鼠的软骨保护作用。
    结论:PEC通过FGFR3/NF-κB/NLRP3通路介导的软骨细胞焦亡缓解OA进展,ECM降解和炎症,提示PEC作为OA治疗剂的潜力。
    OBJECTIVE: Osteoarthritis (OA) is a chronic degenerative disease characterized by cartilage degeneration, involving inflammation, pyroptosis, and degeneration of the extracellular matrix (ECM). Pectolinarigenin (PEC) is a natural flavonoid with antioxidant, anti-inflammatory and anti-tumor properties. This study aims to explore the potential of PEC in ameliorating OA progression and its underlying mechanisms.
    METHODS: Chondrocytes were exposed to 10 ng/mL IL-1β to simulate OA-like changes. The effect of PEC on IL-1β-treated chondrocytes was assessed using ELISA, western blot, and immunofluorescence. The mRNA sequencing (mRNA-seq) was employed to explore the possible targets of PEC in delaying OA progression. The OA mouse model was induced through anterior cruciate ligament transection (ACLT) and divided into sham, ACLT, ACLT+5 mg/kg PEC, and ACLT+10 mg/kg PEC groups. Micro-computed tomography and histological analysis were conducted to confirm the beneficial effects of PEC on OA in vivo.
    RESULTS: PEC mitigated chondrocyte pyroptosis, as evidenced by reduced levels of pyroptosis-related proteins. Additionally, PEC attenuated IL-1β-mediated chondrocyte ECM degradation and inflammation. Mechanistically, mRNA-seq showed that FGFR3 was a downstream target of PEC. FGFR3 silencing reversed the beneficial effects of PEC on IL-1β-exposed chondrocytes. PEC exerted anti-pyroptotic, anti-ECM degradative, and anti-inflammatory effects through upregulating FGFR3 to inhibit the NF-κB/NLRP3 pyroptosis-related pathway. Consistently, in vivo experiments demonstrated the chondroprotective effects of PEC in OA mice.
    CONCLUSIONS: PEC alleviate OA progression by FGFR3/NF-κB/NLRP3 pathway mediated chondrocyte pyroptosis, ECM degradation and inflammation, suggesting the potential of PEC as a therapeutic agent for OA.
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  • 文章类型: Journal Article
    在小鼠阿尔茨海默病的实验模型中,口服海藻糖二糖可减少通过小胶质细胞活化标志物Iba1表达水平评估的神经炎症,并影响中性粒细胞脱颗粒活性。揭示了与血浆中白细胞弹性蛋白酶活性降低相关的4%海藻糖溶液的潜在抗炎作用。
    In an experimental model of Alzheimer\'s disease in mice, oral administration of trehalose disaccharide reduces neuroinflammation assessed by the expression level of microglia activation marker Iba1 and affects the neutrophil degranulation activity. A potential anti-inflammatory effect of 4% trehalose solution associated with a decrease in the activity of leukocyte elastase in plasma was revealed.
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  • 文章类型: Journal Article
    纤维二糖2-差向异构酶(CE)催化乳糖转化为其高价值衍生物,表乳糖和乳果糖,在食品应用中具有很大的前景。在这项研究中,来自青藏高原基因目录的CE序列,我们通过分子动力学模拟筛选了这些结构的灵活性,以确定潜在的嗜冷CE候选物。我们称之为psyCE的一种这样的嗜冷CE表现出特殊的差向异构化活性,最佳活性为122.2±1.6U/mg。其差向异构化活性的动力学参数(Kcat和Km)为219.9±5.6s-1和261.9±18.1mM,分别,代表已知冷活跃CEs中记录的最高Kcat。值得注意的是,这是关于嗜冷CE的第一份报告。psyCE可以在8°C下有效产生外延糖,在4小时内将20.3%的200mM乳糖转化为表皮糖。这些发现表明,psyCE非常适合低温食品加工,和冰川可能是一个有价值的嗜冷酶库。
    Cellobiose 2-epimerase (CE) catalyzes the conversion of the lactose into its high-value derivatives, epilactose and lactulose, which has great prospects in food applications. In this study, CE sequences from the Qinghai-Tibet Plateau gene catalogue, we screened these for structural flexibility through molecular dynamics simulation to identify potential psychrophilic CE candidates. One such psychrophilic CE we termed psyCE demonstrated exceptional epimerization activity, achieving an optimum activity of 122.2 ± 1.6 U/mg. Its kinetic parameters (Kcat and Km) for epimerization activity were 219.9 ± 5.6 s-1 and 261.9 ± 18.1 mM, respectively, representing the highest Kcat recorded among known cold-active CEs. Notably, this is the first report of a psychrophilic CE. The psyCE can effectively produce epilactose at 8 °C, converting 20.3 % of 200 mM lactose into epilactose within four hours. These findings suggest that psyCE is highly suitable for cryogenic food processing, and glaciers may serve as a valuable repository of psychrophilic enzymes.
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  • 文章类型: Journal Article
    这项研究的目的是在从移植中丢弃的七个心脏移植物中使用Celsior溶液在现实的临床冷藏条件下提供对高能磷酸盐化合物浓度动态的了解。七个当地捐赠者的心(三个男性,四位女性,年龄37±17岁,高度175±5厘米,体重75±9kg)最初考虑移植并最终丢弃,在临床磁共振成像扫描仪中接受磁共振波谱观察至少9小时。在整个检查过程中,移植物在4°C下保持在无菌容器中。因此,磷酸肌酸(PCr),三磷酸腺苷(ATP),以30分钟的间隔无损地记录无机磷酸盐(Pi)和细胞内pH。随着缺血时间Ti,浓度比在PCr/ATP=1.68-0.0028·Tis时降低,Pi/ATP=1.38+0.0029·Tis,细胞内pH为7.43-0.0012·Tis。ATP浓度保持稳定至少9小时,只要可检测到磷酸肌酸,则不会降低。酸中毒仍然中等。除了检索时评估的标准参数外,磁共振波谱可以在移植前评估心脏移植物的代谢状态。这些结果显示HEPC代谢物在冷藏期间如何耗尽。尽管许多参数决定了冷藏过程中的移植物质量,HEPC和细胞内pH的动力学可能有助于制定旨在延长缺血时间的策略。
    The aim of this study was to provide insight into high-energy phosphate compound concentration dynamics under realistic clinical cold-storage conditions using the Celsior solution in seven heart grafts discarded from transplantation. The hearts of seven local donors (three males, four females, age 37 ± 17 years, height 175 ± 5 cm, weight 75 ± 9 kg) initially considered for transplantation and eventually discarded were submitted to a Magnetic Resonance Spectroscopy observation in a clinical Magnetic Resonance Imaging scanner over at least 9 h. The grafts remained in their sterile container at 4°C during the entire examination. Hence, Phosphocreatine (PCr), adenosine triphosphate (ATP), inorganic phosphate (Pi) and intracellular pH were recorded non-destructively at a 30-minute interval. With the ischemic time Ti, the concentration ratios decreased at PCr/ATP = 1.68-0.0028·Tis, Pi/ATP = 1.38 + 0.0029·Tis, and intracellular pH at 7.43-0.0012·Tis. ATP concentration remained stable for at least 9 h and did not decrease as long as phosphocreatine was detectable. Acidosis remained moderate. In addition to the standard parameters assessed at the time of retrieval, Magnetic Resonance Spectroscopy can provide an assesment of the metabolic status of heart grafts before transplantation. These results show how HEPC metabolites deplete during cold storage. Although many parameters determine graft quality during cold storage, the dynamics of HEPC and intracellular pH may be helpful in the development of strategies aiming at extending the ischemic time.
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  • 文章类型: Journal Article
    碳水化合物具有基于其结构的各种生物功能。然而,碳水化合物的组成和糖苷键连接和构型对其表征提出了挑战。此外,异构体特征有助于分子内氢键的形成,影响碳水化合物的灵活性和动力学。氢/氘交换质谱(HDX-MS)通过监测HDX后不同时间长度的氘标记来分析蛋白质动力学。电喷雾电离(in-ESI)HDX-MS已用于快速标记溶剂化的碳水化合物,在ESI液滴去溶剂化过程中发生标记。因此,HDX标记时间可以通过改变喷雾溶剂电导率来改变,这改变了ESI液滴的初始大小及其产生的寿命。这里,我们利用in-ESIHDX-MS来表征具有不同单糖组成和糖苷键连接和构型的九种异构二糖。我们比较了异构体在各个电导率下的相对D吸收,或HDX标记时间,以及在多个电导率下与标记相关的趋势。有趣的是,相对D摄取趋势与影响二糖柔韧性的异构特征相关,包括分子内氢键的形成。在研究的异构特征中,观察到与(1-3)连接的二糖的连接对相对D-摄取具有显著影响,与其他连接相比,随着电导率的变化,相对D-摄取具有更大的变化。总的来说,这项研究说明了如何应用in-ESIHDX-MS在结构上表征具有不同异构特征的二糖。此外,这项工作表明,in-ESIHDX-MS可用于监测具有快速交换官能团的溶剂化分子的动力学。
    Carbohydrates have various biological functions that are based on their structures. However, the composition and the glycosidic-bond linkage and configuration of carbohydrates present challenges for their characterization. Furthermore, isomeric features contribute to the formation of intramolecular hydrogen bonds, which influence the flexibility and dynamics of carbohydrates. Hydrogen/deuterium exchange-mass spectrometry (HDX-MS) enables the analysis of protein dynamics by monitoring deuterium labeling after HDX for different lengths of time. In-electrospray ionization (in-ESI) HDX-MS has been used to rapidly label solvated carbohydrates with labeling occurring during desolvation of ESI droplets. Therefore, HDX-labeling times can be altered by changing the spray-solvent conductivity, which changes the initial size of ESI droplets and their resulting lifetimes. Here, we utilize in-ESI HDX-MS to characterize nine isomeric disaccharides with different monosaccharide compositions and glycosidic-bond linkages and configurations. We compared both the relative D-uptake of isomers at individual conductivities, or HDX-labeling times, and the trends associated with labeling at multiple conductivities. Interestingly, the relative D-uptake trends were correlated to isomeric features that affect disaccharide flexibility, including formation of intramolecular hydrogen bonds. Among the isomeric features studied, linkage was observed to have a significant influence on relative D-uptake with (1-3)-linked disaccharides having more change in relative D-uptake with changing conductivity compared to other linkages. Overall, this research illustrates how in-ESI HDX-MS can be applied to structurally characterize disaccharides with distinct isomeric features. Furthermore, this work shows that in-ESI HDX-MS can be used to monitor the dynamics of solvated molecules with rapidly exchanging functional groups.
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  • 文章类型: Journal Article
    子宫内膜异位症是一种雌激素依赖性慢性疾病,其特征是子宫外存在子宫内膜样组织,通常与症状有关。如痛经,排尿困难,Dyschezia,慢性盆腔疼痛,和不孕症。此外,诊断为子宫内膜异位症的女性可以报告胃肠道症状,包括腹胀,便秘或腹泻,腹部痉挛,这可能与肠易激综合征有关,并可能导致子宫内膜异位症最初误诊为肠易激综合征。治疗通常包括激素治疗,疼痛管理,手术,和/或不孕情况下的辅助生殖技术。尽管如此,这些治疗方法可能不足以缓解症状或可能具有不可接受的副作用,导致不遵守。因此,女性经常采用自我管理策略,包括饮食干预。经常建议在社交媒体和患者论坛上作为管理子宫内膜异位症相关症状的工具之一的饮食是无麸质饮食。尽管无麸质饮食已被证明可有效控制非乳糜泻小麦敏感性或乳糜泻,其在子宫内膜异位症中的有效性仍不确定。护士健康研究II发现,麸质摄入不太可能是子宫内膜异位症病因和症状学的重要因素。据我们所知,关于无麸质饮食对子宫内膜异位症疗效的最常引用和唯一发表的干预研究有几个重要的限制因素,包括没有对照组。此外,麸质消费极易受到安慰剂效应和nocebo效应的影响,女性在消除麸质后可能会出现症状缓解,并在再次食用麸质后恢复症状,仅仅因为他们认为面筋对他们有害。尽管体重指数与子宫内膜异位症之间存在负相关,但无麸质饮食与增加的体重指数之间存在负相关,这是一个协会,没有因果关系被证明。此外,应考虑其他因素。值得注意的是,无麸质饮食是昂贵的,可用性有限,对生活质量有显著影响。此外,没有适当的饮食指导,它可能会对胃肠道微生物组产生不利影响。因此,关于使用无麸质饮食治疗子宫内膜异位症相关症状的科学依据建议目前尚不可用,并且不鼓励无麸质饮食,除非有非乳糜泻小麦敏感性或乳糜泻的额外诊断。
    Endometriosis is an estrogen-dependent chronic disease characterized by the presence of endometriumlike tissue outside the uterus and is often associated with symptoms, such as dysmenorrhea, dysuria, dyschezia, chronic pelvic pain, and infertility. Moreover, women diagnosed with endometriosis can report gastrointestinal symptoms, including bloating, constipation or diarrhea, and abdominal cramping, which can be associated with irritable bowel syndrome and can result in the misdiagnosis of endometriosis as irritable bowel syndrome at first. Treatment usually involves hormonal therapy, pain management, surgery, and/or assisted reproductive techniques in case of infertility. Nonetheless, these treatment methods can be insufficient for alleviating symptoms or can have unacceptable side effects, leading to noncompliance. Therefore, women often apply self-management strategies, including dietary interventions. One of the diets frequently suggested as a tool to manage endometriosis-related symptoms on social media and patient forums is a gluten-free diet. Although a gluten-free diet has been proven effective in managing nonceliac wheat sensitivity or celiac disease, its effectiveness in endometriosis remains uncertain. The Nurses\' Health Study II found it unlikely that gluten intake was a strong factor in endometriosis etiology and symptomatology. To the best of our knowledge, the most frequently cited and sole published intervention study on the efficacy of a gluten-free diet for endometriosis has several important limiting factors, including the absence of a control group. In addition, gluten consumption is highly susceptible to a placebo effect and a nocebo effect, where women might experience symptom relief after eliminating gluten and return of symptoms after they consume gluten again, solely because they believe that gluten is bad for them. Despite the inverse association between body mass index and endometriosis and between a gluten-free diet and increased body mass index, this is an association, and no causality was proven. In addition, other factors should be taken into consideration. Of note, a gluten-free diet is expensive, has limited availability, and has a significant effect on quality of life. Moreover, without proper dietary guidance, it may adversely affect the gastrointestinal microbiome. Therefore, scientifically substantiated advice regarding the use of a gluten-free diet for endometriosis-related symptoms is currently not available, and a gluten-free diet should be discouraged unless there is an additional diagnosis of nonceliac wheat sensitivity or celiac disease.
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