DHA

DHA
  • 文章类型: Journal Article
    多不饱和脂肪酸(PUFAs)衍生的氧化脂素是重要的内源性信号分子,但是由于慢性阻塞性肺疾病(COPD)导致的肺动脉高压(PH)很少。在这项研究中,我们在COPD患者中发现了与PH风险相关的新型血浆氧化脂素.无PH(COPD-noPH)或有PH(COPD-PH)的COPD患者的血浆氧脂素谱来自发现和验证队列,采用LC-MS/MS法分析。在COPD-PH组中,游离二十二碳六烯酸(DHA)和DHA衍生的氧化脂素的血浆水平均显着降低。多变量逻辑回归模型确定了DHA和四种DHA衍生的氧化脂素(13-HDHA,10-HDHA,8-HDHA和16-HDHA)在调整性别后两组之间表现出显着差异,BMI,FEV1%预测,和吸烟状况。通过ROC曲线分析进一步评价这些代谢物的诊断价值。通过高通量测序检测COPD-PH患者和COPD-PH患者外周血单个核细胞(PBMC)的转录组分布。富集分析显示上调的差异表达基因(DEGs)在干扰素信号通路中高度富集。此外,DHA补充证明DHA可以通过减少源自PBMC的干扰素的分泌来抑制pH的发展。COPD-PH患者的血清干扰素-γ和干扰素-α2水平高于COPD-noPH患者,进一步证实了这一推测。本研究强调,DHA和DHA衍生的氧化脂素水平降低提示COPD病例中pH值发展的风险更高。
    Oxylipins derived from polyunsaturated fatty acids (PUFAs) are important endogenous signaling molecules, but are little characterized in pulmonary hypertension (PH) due to chronic obstructive pulmonary disease (COPD). In this study, we identified novel plasma oxylipins associated with PH risk in COPD patients. The plasma oxylipin profiles of COPD patients without PH (COPD-noPH) or with PH (COPD-PH) were obtained from discovery and validation cohort, using the process of LC-MS/MS analysis. There was a significant decrease in the plasma levels of both free docosahexaenoic acid (DHA) and DHA-derived oxylipins in the COPD-PH group. The multivariable logistic regression model identified DHA and four DHA-derived oxylipins (13-HDHA, 10-HDHA, 8-HDHA and 16-HDHA) exhibited significant differences between the two groups after adjusting for sex, BMI, FEV1% predicted, and smoking status. The diagnostic value of these metabolites was further evaluated through ROC curve analysis. The transcriptome profiles in peripheral blood mononuclear cells (PBMCs) of COPD-PH patients and COPD-PH patients were detected through high-throughput sequencing. The enrichment analysis revealed that the upregulated differentially expressed genes (DEGs) were highly enriched in the interferon signaling pathway. In addition, DHA supplementation proved that DHA may inhibit the development of pH by reducing the secretion of interferons derived from PBMCs. This conjecture was further confirmed by the higher level of serum interferon-γ and interferon-α2 of COPD-PH patients than that of COPD-noPH patients. The present study highlights that decreased DHA and DHA-derived oxylipins levels are suggestive of a higher risk of pH development in COPD cases.
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  • 文章类型: Journal Article
    等黄藻在水产养殖中很有价值,因为它生产二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)。然而,实现高产量的多不饱和脂肪酸(PUFA)提出了挑战,导致创新方法的探索。本研究研究了节状芽孢杆菌对I.galbana生长及其脂肪酸组成的影响。I.galbana与B.jeotgali共培养显着增加叶绿素a含量和细胞丰度,特别是在较高的细菌种群密度(藻类与细菌的比例为1:10)。生理和生化分析发现与B.jeotgali共培养的微藻中可溶性蛋白质含量升高,伴随着超氧化物歧化酶(SOD)活性降低。脂肪酸组成分析表明在共培养的I.galbana中具有独特的特征,以增加PUFA为特征,尤其是EPA和DHA。基因表达分析表明去饱和酶基因上调(d4FAD,d5FAD,d6FAD,和d8FAD)在与jeotgali共培养期间与I.galbana中的PUFA合成途径相关。这项研究促进了我们对细菌-微藻相互作用的理解,并为提高DHA和EPA的生产提出了有希望的策略。
    Isochrysis galbana is valuable in aquaculture due to its production of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). However, achieving high yields of polyunsaturated fatty acids (PUFAs) presents challenges, leading to exploration of innovative approaches. This study investigated the influence of Bacillus jeotgali on the growth of I. galbana and its fatty acid composition. Co-culturing I. galbana with B. jeotgali significantly increased chlorophyll a content and cell abundance, particularly at higher bacterial population densities (algae-to-bacteria ratio of 1:10). Physiological and biochemical analyses found elevated soluble protein content in microalgae co-cultured with B. jeotgali, accompanied by decreased superoxide dismutase (SOD) activity. Fatty acid composition analysis demonstrated a distinctive profile in co-cultured I. galbana, characterized by increased PUFAs, especially EPA and DHA. Gene expression analysis indicated an upregulation of desaturase genes (d4FAD, d5FAD, d6FAD, and d8FAD) associated with PUFA synthesis pathway in I. galbana during co-culturing with B. jeotgali. This study advances our understanding of bacteria-microalgae interactions and presents a promising strategy for enhancing the production of DHA and EPA.
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  • 文章类型: Journal Article
    脂肪酶广泛用于功能性脂质的修饰,特别是二十二碳六烯酸(DHA)和二十碳五烯酸(EPA)的富集。在这项研究中,一种名为OUC-Sb-lip2的脂肪酶在Yarrowialipolytica中表达,通过优化培养基,实现了472.6U/mL的酶活性,特别是通过补充橄榄油。显著比例(58.8%)的脂肪酶活性位于细胞中,而41.2%分泌到上清液中。全细胞和固定化OUC-Sb-lip2均用于从鱼油中富集DHA和EPA。全细胞方法将DHA和EPA含量增加到原始油的2.59和2.55倍,分别。同样,在6小时的水解期后,固定化的OUC-Sb-lip2导致DHA增加2.00倍,EPA增加1.99倍。整个细胞和固定的OUC-Sb-lip2在六个循环的重复使用后保留了其48.7%和52.7%的活性,分别。
    Lipases are widely used in the modification of functional lipids, particularly in the enrichment of docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). In this study, a lipase named OUC-Sb-lip2 was expressed in Yarrowia lipolytica, achieving a promising enzyme activity of 472.6 U/mL by optimizing the culture medium, notably through olive oil supplementation. A significant proportion (58.8%) of the lipase activity was located in the cells, whereas 41.2% was secreted into the supernatant. Both whole-cell and immobilized OUC-Sb-lip2 were used to enrich DHA and EPA from fish oil. The whole-cell approach increased the DHA and EPA contents to 2.59 and 2.55 times that of the original oil, respectively. Similarly, the immobilized OUC-Sb-lip2 resulted in a 2.00-fold increase in DHA and an 1.99-fold increase in EPA after a 6-h hydrolysis period. Whole cell and the immobilized OUC-Sb-lip2 retained 48.7% and 52.7% of their activity after six cycles of reuse, respectively.
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  • 文章类型: Journal Article
    在这项研究中,通过静电相互作用制备的乳清分离蛋白-高甲氧基果胶(WPI-HMP)复合物被用作制备二十二碳六烯酸(DHA)藻油的乳化剂,以改善其理化性质和氧化稳定性。结果表明,与仅使用WPI或HMP在不同离子浓度和加热温度下稳定的乳液相比,使用WPI-HMP复合物在不同油相体积分数(30-70%)稳定的乳液表现出一致的粒度和增强的稳定性。此外,使用WPI-HMP复合物稳定的DHA藻油乳液也显示出优异的储存稳定性,因为它们没有表现出可辨别的乳化或油滴溢出,并且在25°C下储存30天的整个过程中粒度变化保持相对较小。通过测量DHA损失率来评估乳液的加速氧化,脂质过氧化氢水平,和丙二醛水平。使用WPI-HMP复合物稳定的乳剂表现出较低的DHA损失率和降低的脂质氢过氧化物和丙二醛水平。这表明WPI-HMP稳定的Pickering乳液表现出更高的DHA保留率。这些乳液的优异稳定性可以证明在食品加工中用于DHA营养增强的价值。
    In this study, the whey protein isolate-high-methoxyl pectin (WPI-HMP) complex prepared by electrostatic interaction was utilized as an emulsifier in the preparation of docosahexaenoic acid (DHA) algal oils in order to improve their physicochemical properties and oxidation stability. The results showed that the emulsions stabilized using the WPI-HMP complex across varying oil-phase volume fractions (30-70%) exhibited consistent particle size and enhanced stability compared to emulsions stabilized solely using WPI or HMP at different ionic concentrations and heating temperatures. Furthermore, DHA algal oil emulsions stabilized using the WPI-HMP complex also showed superior storage stability, as they exhibited no discernible emulsification or oil droplet overflow and the particle size variation remained relatively minor throughout the storage at 25 °C for 30 days. The accelerated oxidation of the emulsions was assessed by measuring the rate of DHA loss, lipid hydroperoxide levels, and malondialdehyde levels. Emulsions stabilized using the WPI-HMP complex exhibited a lower rate of DHA loss and reduced levels of lipid hydroperoxides and malondialdehyde. This indicated that WPI-HMP-stabilized Pickering emulsions exhibit a greater rate of DHA retention. The excellent stability of these emulsions could prove valuable in food processing for DHA nutritional enhancement.
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  • 文章类型: Journal Article
    背景:蛋白质和脂质水平的变化可能发生在阿尔茨海默病的大脑中,和DHA可以对它有有益的影响。探讨DHA饮食干预对ApoE-/-小鼠和C57小鼠脑蛋白和血脂谱的影响。
    方法:将3月龄ApoE-/-小鼠和C57小鼠随机分为两组,并以控制饮食和DHA强化饮食喂养五个月。皮质TC,通过ELISA或免疫组织化学方法测量HDL-C和LDL-C水平以及胆固醇代谢相关蛋白的表达。通过LC-MS/MS收集海马进行蛋白质组学和脂质组学分析,筛选差异蛋白和脂质代谢产物,并通过GO功能注释和KEGG途径富集分析进行进一步分析。
    结果:DHA干预降低了C57和ApoE-/-小鼠的皮质TC水平(P<0.05),但引起皮质HDL-C的不同变化,C57和ApoE-/-小鼠的LDL-C水平和LDL-C/HDL-C比值(P<0.05)。不同的皮质和海马LDLR,在C57和ApoE-/-小鼠之间发现ABCG1,Lox1和SORT1蛋白表达(P<0.05),和DHA处理在C57和ApoE-/-小鼠中引起这些蛋白的不同变化(P<0.05)。在DHA治疗前后,C57和ApoE-/-小鼠的海马蛋白和脂质分布差异。主要参与囊泡转运和磷脂代谢途径。
    结论:ApoE基因缺陷导致胆固醇代谢异常,以及受影响的蛋白质和脂质分布,以及给予DHA强化饮食干预的小鼠大脑中海马蛋白和脂质谱的不同反应。
    BACKGROUND: Changes in protein and lipid levels may occur in the Alzheimer\'s disease brain, and DHA can have beneficial effects on it. To investigate the impact of DHA dietary intervention on brain protein and lipid profile in ApoE-/- mice and C57 mice.
    METHODS: Three-month-old ApoE-/- mice and C57 mice were randomly divided into two groups respectively, and fed with control diet and DHA-fortified diet for five months. Cortical TC, HDL-C and LDL-C levels and cholesterol metabolism-related protein expression were measured by ELISA or immunohistochemistry methods. Hippocampus were collected for proteomic and lipidomics analysis by LC-MS/MS and differential proteins and lipid metabolites were screened and further analyzed by GO functional annotation and KEGG pathway enrichment analysis.
    RESULTS: DHA intervention decreased cortical TC level in both C57 and ApoE-/- mice (P < 0.05), but caused different change of cortical HDL-C, LDL-C level and LDL-C/HDL-C ratio in C57 and ApoE-/- mice (P < 0.05). Discrepant cortical and hippocampal LDLR, ABCG1, Lox1 and SORT1 protein expression was found between C57 and ApoE-/- mice (P < 0.05), and DHA treatment caused different changes of these proteins in C57 and ApoE-/- mice (P < 0.05). Differential hippocampal proteins and lipids profile were found in C57 and ApoE-/- mice before and after DHA treatment, which were mainly involved in vesicular transport and phospholipid metabolic pathways.
    CONCLUSIONS: ApoE genetic defect caused abnormal cholesterol metabolism, and affected protein and lipid profile, as well as discrepant response of hippocampal protein and lipids profile in the brain of mice given DHA fortified diet intervention.
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  • 文章类型: Journal Article
    背景:产妇期间缺乏n-3多不饱和脂肪酸会大大降低后代脑中二十二碳六烯酸(DHA)的水平,研究表明不同分子形式的DHA有益于大脑发育。这项研究的目的是研究短期补充富含DHA的磷脂酰丝氨酸(PS)和磷脂酰胆碱(PC)对先天性n-3缺陷小鼠肝脏和大脑中DHA水平的影响。
    结果:饮食中补充DHA显著改变了大脑皮质和肝脏中各种磷脂分子的脂肪酸组成,而富含DHA的磷脂比DHA甘油三酯(TG)在增加脑和肝脏DHA方面更有效。DHA-PS和DHA-PC均能有效提高DHA水平,但是PS形式的DHA在脑醚连接的PC(ePC)和肝脏溶血磷脂酰胆碱分子物种中DHA含量的贡献方面优于PC。DHA-PC对肝脏TG、PC,ePC,磷脂酰乙醇胺(PE)和PE缩醛磷脂(pPE)分子种类和降低肝脏PC缩醛磷脂中的花生四烯酸水平,ePC,与DHA-PS相比,PE和pPE分子种类。
    结论:不同分子形式的DHA饮食干预对脑和肝血脂谱的影响是不同的,为人们膳食补充DHA提供理论指导。©2024化学工业学会。
    BACKGROUND: Lack of n-3 polyunsaturated fatty acids during the period of maternity drastically lowers the docosahexaenoic acid (DHA) level in the brain of offspring and studies have demonstrated that different molecular forms of DHA are beneficial to brain development. The aim of this study was to investigate the effect of short-term supplementation with DHA-enriched phosphatidylserine (PS) and phosphatidylcholine (PC) on DHA levels in the liver and brain of congenital n-3-deficient mice.
    RESULTS: Dietary supplementation with DHA significantly changed the fatty acid composition of various phospholipid molecules in the cerebral cortex and liver while DHA-enriched phospholipid was more effective than DHA triglyceride (TG) in increasing brain and liver DHA. Both DHA-PS and DHA-PC could effectively increase the DHA levels, but DHA in the PS form was superior to PC in the contribution of DHA content in the brain ether-linked PC (ePC) and liver lyso-phosphatidylcholine molecular species. DHA-PC showed more significant effects on the increase of DHA in liver TG, PC, ePC, phosphatidylethanolamine (PE) and PE plasmalogen (pPE) molecular species and decreasing the arachidonic acid level in liver PC plasmalogen, ePC, PE and pPE molecular species compared with DHA-PS.
    CONCLUSIONS: The effect of dietary interventions with different molecular forms of DHA for brain and liver lipid profiles is different, which may provide theoretical guidance for dietary supplementation of DHA for people. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    为了评估脂肪酸(FA)的代谢状态和作为养殖的玛瑙的DHA来源的可能性,总共168条鱼(2.03±0.23g)饲喂四种补充鱼油(FO)的饮食,亚麻籽油(LO),大豆油(SO),以及LO和SO油(MO)的混合物,分别,70天。修改身体FA组成,反映饮食FA。比较肝脏和肠道脂肪酸与喂食四种饮食的鱼,饲喂SO的鱼中ARA的含量明显高于其他(P<0.05),但肌肉没有差异.组织FA谱显示,FO喂养组成功沉积DHA,而LO馈电组有效地将ALA转化为DHA,以及肝脏和肠道EPA在FO组中显著最高,而FO和LO组在肌肉中没有差异。FA结果表明,与其他几种水产养殖产量最高的鱼类相比,大型Onychostopa的肌肉中DHA含量处于中高水平。相应地,在用LO喂养的鱼的饮食中,所以,还有MO,大多数FA生物合成的基因,交通运输,转录调节因子在肝脏和肌肉中增加,但在Elovl4b的基因表达中没有观察到显著差异,肌肉中的FATP1和FABP10。此外,参与PUFA代谢的酶活性在以植物油为基础的饮食中更高,证实了基因表达的结果。在无鱼油的鱼食中记录了体内延长酶和去饱和酶(Δ5,Δ6和Δ9)活性的增加,这导致在鱼中出现与延伸酶和去饱和酶活性相关的产物。此外,作为特定的n-3PUFA合成底物,ALA的饮食补充不仅保留了大部分的营养价值,而且确保了肌肉质地,如纤维直径和密度。结论是,养殖O.macrolepis具有很强的n-3LC-PUFA生物合成能力和高DHA含量,因此可以成为该种群的良好DHA来源。
    To evaluate the fatty acid (FA) metabolism status and possibility as a DHA source of farmed Onychostoma macrolepis, a total of 168 fish (2.03 ± 0.23 g) were fed four diets supplemented with fish oil (FO), linseed oil (LO), soybean oil (SO), and a mixture of LO and SO oil (MO), respectively, for 70 days. Body FA compositions were modified reflecting dietary FAs. Comparing liver and intestine fatty acids with fish fed four diets, the content of ARA in fish fed SO was significantly higher than others (P < 0.05), but showed no difference in muscle. The tissue FA profile showed that the FO-fed group successfully deposited DHA, while the LO-fed group converted ALA to DHA effectively, as well as the liver and intestine EPA was notably highest in the FO group, whereas no difference between the FO and LO group in the muscle. The FA results showed that the DHA contents in the muscle of Onychostoma macrolepis are at a medium-high level compared with several other fish species with the highest aquaculture yield. Correspondingly, in the fish fed diet with LO, SO, and MO, the genes of most FA biosynthesis, transportation, and transcriptional regulation factors were increased in the liver and muscle, but no significant difference was observed in the gene expression of Elovl4b, FATP1, and FABP10 in the muscle. In addition, the enzyme activity involved in PUFA metabolism was higher in fish fed vegetable oil-based diets, corroborating the results of the gene expression. Increased in vivo elongase and desaturase (Δ5, Δ6, and Δ9) activities were recorded in fish fed fish oil-devoid diets, which resulted in the appearance of products associated with elongase and desaturase activities in fish. Besides, as the specific n-3 PUFA synthesis substrate, the dietary supplementation of ALA not only retains most of the nutrition value but also ensures the muscular texture, such as fiber diameter and density. It is concluded that farmed O. macrolepis owns strong n-3 LC-PUFA biosynthetic capacity and high DHA contents so it can be a good DHA source for the population.
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  • 文章类型: Journal Article
    在这项研究中,比较了新型上流式电催化水解酸化反应器(UEHAR)和缺氧/氧(ANO2/O2)组合系统(S2)的性能与传统的厌氧/缺氧/氧(ANA/ANO1/O1)系统(S1)在不同水力停留时间(HRT)下处理焦化废水。S2的化学需氧量(COD)的出水不达标率为45%,35%,HRT分别为94、76、65和54h,比S1低25%和55%。甲苯,S2中的乙苯和二甲苯(BTEX)比S1中的高10.6±2.4%。S2中挥发性酚类化合物(VPs)的出水浓度低于0.3mg/L。与O1相比,O2的脱氢酶活性(DHA)和三磷酸腺苷(ATP)分别提高了67.2±26.3%和40.6±14.2%。此外,COD被用来反映有机质的矿化指标,COD去除率与微生物活性呈正相关,VPs,并测定BTEX。这些结果表明S2具有非凡的微生物活性,稳定的污染物去除能力,和先验废水达标率。
    In this study, the performance of a novel up-flow electrocatalytic hydrolytic acidification reactor (UEHAR) and anoxic/oxic (ANO2/O2) combined system (S2) was compared with that of a traditional anaerobic/anoxic/oxic (ANA/ANO1/O1) system (S1) for treating coking wastewater at different hydraulic retention time (HRT). The effluent non-compliance rates of chemical oxygen demand (COD) of S2 were 45 %, 35 %, 25 % and 55 % lower than S1 with HRT of 94, 76, 65 and 54 h. The removal efficiency of benzene, toluene, ethylbenzene and xylene (BTEX) in S2 was 10.6 ± 2.4 % higher than that in S1. The effluent concentration of volatile phenolic compounds (VPs) in S2 was lower than 0.3 mg/L. The dehydrogenase activity (DHA) and adenosine triphosphate (ATP) of O2 were enhanced by 67.2 ± 26.3 % and 40.6 ± 14.2 % compared with O1, respectively. Moreover, COD was used to reflect the mineralization index of organic matter, and the positive correlation between COD removal rate and microbial activity, VPs, and BTEX was determined. These results indicated that S2 had extraordinary microbial activity, stable pollutant removal ability, and transcendental effluent compliance rate.
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  • 文章类型: Journal Article
    在非小细胞肺癌(NSCLC)中,识别具有某些分子靶标的成分可以帮助研究癌症治疗。双氢青蒿素(DHA)是青蒿素的半合成衍生物,通过STAT3信号通路诱导抗癌作用,但是潜在的分子机制仍然难以捉摸。在这项研究中,我们首先证明了DHA在体外和体内都能抑制肿瘤的生长。转录组学数据显示,DHA降低了细胞周期促进和抗凋亡基因的表达水平,最重要的是,DHA限制了受体酪氨酸激酶样孤儿受体1(ROR1)的表达水平,据报道ROR1在肿瘤细胞上表达异常,并与STAT3信号传导密切相关。然后,我们进行了全面的实验,发现DHA在mRNA和蛋白质水平上均显着降低ROR1的表达,并且还降低了NSCLC细胞系中STAT3的磷酸化水平。此外,我们的数据显示,外源引入的ROR1可以显著增强STAT3的磷酸化,而阻断ROR1则具有相反的作用,这表明ROR1在促进STAT3信号传导的活性中起关键作用.最后,我们发现ROR1过表达可以部分逆转DHA诱导的STAT3活性降低,这表明DHA诱导的抗生长信号被赋予,至少在某种程度上,通过阻断ROR1介导的STAT3激活。总之,我们的研究表明,在NSCLC中,ROR1可能是介导DHA诱导的STAT3延迟的关键分子靶标之一。
    In non-small cell lung cancer (NSCLC), identifying a component with certain molecular targets can aid research on cancer treatment. Dihydroartemisinin (DHA) is a semisynthetic derivative of artemisinin which induced the anti-cancer effects via the STAT3 signaling pathway, but the underlying molecular mechanism is still elusive. In this study, we first proved that DHA prohibits the growth of tumors both in vitro and in vivo. Data from transcriptomics showed that DHA reduced the expression level of the genes involved in cell cycle-promoting and anti-apoptosis, and most importantly, DHA restricted the expression level of receptor tyrosine kinase-like orphan receptor 1 (ROR1) which has been reported to have abnormal expression on tumor cells and had close interaction with STAT3 signaling. Then, we performed comprehensive experiments and found that DHA remarkably decreased the expression of ROR1 at both mRNA and protein levels and it also diminished the phosphorylation level of STAT3 in NSCLC cell lines. In addition, our data showed that exogenously introduced ROR1 could significantly enhance the phosphorylation of STAT3 while blocking ROR1 had the opposite effects indicating that ROR1 plays a critical role in promoting the activity of STAT3 signaling. Finally, we found that ROR1 overexpression could partially reverse the decreased activity of STAT3 induced by DHA which indicates that DHA-induced anti-growth signaling is conferred, at least in part, through blocking ROR1-mediated STAT3 activation. In summary, our study indicates that in NSCLC, ROR1 could be one of the critical molecular targets mediating DHA-induced STAT3 retardation.
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  • 文章类型: Systematic Review
    二十二碳六烯酸(DHA)在婴儿大脑的生长和功能发育中起着至关重要的作用。然而,在随机对照试验中,额外补充DHA对婴儿神经发育的影响仍存在争议.在这篇系统综述和荟萃分析中,我们旨在研究产前和产后补充DHA对神经发育的影响。
    我们系统地搜索了MEDLINE,EMBASE,和Cochrane图书馆电子数据库使用预定义的策略,直到2024年2月8日。我们提取了与神经系统相关的相关研究特征和结果。两名独立审稿人对纳入的研究进行了批判性评估,以评估其有效性和偏倚风险。
    共有21项研究符合我们的纳入标准,一项研究在质量评估后被删除,荟萃分析包括9项随机对照试验.meta分析结果显示,DHA补充组与安慰剂组比较差异无统计学意义,根据智力发展指数[MDI;平均差异(MD),0.41;95%置信区间(CI),-0.91至1.73;p=0.55]。然而,DHA组的精神运动发育指数(PDI)明显高于安慰剂组(MD,1.47;95%CI,0.23至2.72;p=0.02)。基于人群的亚组分析显示,对于两种MDI的婴儿,DHA补充剂均优于安慰剂(语言评分转换;MD,2.05;95%CI,-0.16至4.26;p=0.07)和PDI(MD,1.94;95%CI,0.23至3.65;p=0.03)。其他亚组分析表明两组之间没有统计学差异。无法定量总结的其余评估进行了叙述性评估。
    根据BSID评估,婴儿补充DHA可能具有潜在的神经发育益处。由于荟萃分析包含的高质量文章很少,并且有一定的局限性,需要更多相关文章来解决婴儿单独补充DHA的需求,孕妇,和哺乳期的母亲。
    https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42022348100,标识符:CRD42022348100。
    UNASSIGNED: Docosahexaenoic acid (DHA) plays a crucial role in the growth and functional development of the infant brain. However, the impact of additional DHA supplementation on neurodevelopment in infants remains controversial in randomized controlled trials. In this systematic review and meta-analysis, we aimed to investigate the effects of prenatal and postnatal DHA supplementation on neurodevelopment.
    UNASSIGNED: We systematically searched the MEDLINE, EMBASE, and Cochrane Library electronic databases using a predefined strategy until 8 February 2024. We extracted relevant study characteristics and outcomes related to the nervous system. Two independent reviewers critically evaluated the included studies to assess their validity and risk of bias.
    UNASSIGNED: A total of 21 studies met our inclusion criteria, one study was removed after quality assessment, and the meta-analysis included 9 randomized controlled trials. The meta-analysis results indicated that there was no statistically significant difference between the DHA supplementation group and the placebo group, as assessed by the Mental Development Index [MDI; mean difference (MD), 0.41; 95% confidence interval (CI), -0.91 to 1.73; p = 0.55]. However, the DHA group had a significantly higher Psychomotor Development Index (PDI) than the placebo group (MD, 1.47; 95% CI, 0.23 to 2.72; p = 0.02). Subgroup analyses based on populations showed that DHA supplementation was superior to placebo for infants in both MDI (language score conversion; MD, 2.05; 95% CI, -0.16 to 4.26; p = 0.07) and PDI (MD, 1.94; 95% CI, 0.23 to 3.65; p = 0.03). Other subgroup analyses indicated no statistical differences between the two groups. The remaining assessments that could not be summarized quantitatively underwent a narrative evaluation.
    UNASSIGNED: Based on the BSID assessments, DHA supplementation in infants may have potential neurodevelopmental benefits. Because the meta-analysis included few high-quality articles and had some limitations, more relevant articles are needed to address the need for separate DHA supplementation in infants, pregnant women, and lactating mothers.
    UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022348100, identifier: CRD42022348100.
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