vitamins

维生素
  • 文章类型: Journal Article
    膳食维生素和抗氧化剂在预防结直肠癌(CRC)中的作用是营养肿瘤学中的重要研究领域。然而,这些营养素与CRC预防之间的关系是复杂的,并且受剂量等因素的影响,定时,和个人健康状况。这篇综述旨在全面分析和综合现有的关于膳食维生素和抗氧化剂在预防CRC中的潜在作用的科学文献。通过搜索电子数据库进行了全面的文献综述,以确定研究膳食维生素和抗氧化剂对预防CRC的预期影响的研究。根据这次审查的结果,这项研究综述显示了维生素和CRC之间的复杂联系.虽然一些维生素,如B2,B6和D似乎有帮助,其他如A和E的结果好坏参半。维生素C缺乏甚至与癌症患者的不良预后有关。总的来说,研究表明,关注富含各种维生素的均衡饮食,而不是仅仅依靠个体补充剂来预防CRC.另一方面,我们的综述结果表明,抗氧化剂摄入与CRC之间的关系比以前认为的更为复杂.这项审查的数据表明,服用特定的抗氧化剂补充剂,如硒和维生素E似乎没有提供相同的保护。这表明,具有多种抗氧化剂的均衡饮食比专注于单一补充剂更有帮助。虽然我们没有观察到直接关联,未来的研究可以探讨不同类型和组合的抗氧化剂如何影响CRC的发展.总之,本系统综述强调需要对维生素之间的关系进行更多的研究,抗氧化剂,和CRC。我们需要了解这些营养素如何影响CRC患者的生存和疾病的预防。这将帮助我们确定在CRC管理和预防中使用维生素和抗氧化剂的最佳方法。
    The role of dietary vitamins and antioxidants in preventing colorectal cancer (CRC) is a significant area of research within nutritional oncology. However, the relationship between these nutrients and CRC prevention is complex and influenced by factors such as dosage, timing, and individual health status. This review aims to comprehensively analyze and synthesize the existing scientific literature on the potential role of dietary vitamins and antioxidants in preventing CRC. A comprehensive literature review was conducted by searching electronic databases to identify studies examining the prospected impacts of dietary vitamins and antioxidants on the prevention of CRC. According to the outcomes of this review, this research review shows a complex link between vitamins and CRC. While some vitamins such as B2, B6, and D seemed helpful, others such as A and E had mixed results. Vitamin C deficiency was even linked to worse outcomes in cancer patients. Overall, the studies suggest focusing on a balanced diet rich in various vitamins rather than relying solely on individual supplements to prevent CRC. On the other hand, the results of our review suggest that the relationship between antioxidant intake and CRC is more intricate than previously thought. Data from this review indicates that taking specific antioxidant supplements such as selenium and vitamin E does not seem to offer the same protection. This suggests that a balanced diet with a variety of antioxidants is more helpful than focusing on single supplements. While we did not observe a direct association, future studies could investigate how different types and combinations of antioxidants might influence CRC development. In conclusion, the present systematic review highlights the need for more research on the relationship between vitamins, antioxidants, and CRC. We need to understand how these nutrients affect both the survival of people with CRC and the prevention of the disease. This will help us determine the best ways to use vitamins and antioxidants in CRC management and prevention.
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  • 文章类型: Journal Article
    以前调查膳食补充剂(DS)使用时间变化的研究使用了代表性样本,但随着时间的推移,没有遵循相同的队列。这项研究调查了一组现役美国军人(SM)中DS使用变化的纵向模式以及与停止DS使用相关的因素。SMs(n=5778)完成了两份相同的DS使用和人口统计学/生活方式特征问卷,平均±标准差为1.3±0.2年。在基线(BL)和随访(FU)阶段报告的DS使用≥1次/周的发生率为:任何DS,BL=77%,FU=78%;多种维生素/多种矿物质(MVM),BL=50%,FU=48%;个体维生素/矿物质,BL=33%,FU35%;蛋白质/氨基酸,BL=43%,FU=39%;组合产品,BL=44%,FU=37%;激素原,BL=5%,FU=4%;草药产品,BL=23%,FU=21%;联合保健品,BL=12%,FU=12%;鱼油,BL=25%,FU=23%;其他DS,BL=17%,FU=17%。在BL用户中,FU阶段报告使用的比例为:任何DS88%,MVM74%,蛋白质/氨基酸70%,个体维生素/矿物质62%,组合产品62%,鱼油61%,联合保健品57%,草药产品50%,其他DS50%,和前激素37%。在随访中停止使用任何DS的几率较高,与女性有关。年龄较小,BMI较高,减少每周的阻力训练。总的来说,DS使用的患病率在两个阶段相对一致;然而,队列在后续行动中改变了他们的使用模式,一些停止使用,另一些开始使用,从而在这段时间内保持使用率。这些发现对重复的横截面DS研究有意义,在这些研究中,随着时间的推移,跟踪不同的样本。
    Previous studies investigating temporal changes in dietary supplement (DS) use have used representative samples but have not followed the same cohort over time. This study investigated longitudinal patterns of changes in DS use and factors associated with discontinuing DS use in a single group of active-duty United States military service members (SMs). SMs (n = 5778) completed two identical questionnaires on their DS use and demographic/lifestyle characteristics an average ± standard deviation 1.3 ± 0.2 years apart. Prevalences of reported DS use ≥1 times/week in the baseline (BL) and follow-up (FU) phases were: any DS, BL = 77%, FU = 78%; multivitamins/multiminerals (MVM), BL = 50%, FU = 48%; individual vitamins/minerals, BL = 33%, FU 35%; proteins/amino acids, BL = 43%, FU = 39%; combination products, BL = 44%, FU = 37%; prohormones, BL = 5%, FU = 4%; herbal products, BL = 23%, FU = 21%; joint health products, BL = 12%, FU = 12%; fish oils, BL = 25%, FU = 23%; other DSs, BL = 17%, FU = 17%. Among BL users, the proportions reporting use in the FU phase were: any DS 88%, MVM 74%, protein/amino acids 70%, individual vitamin/minerals 62%, combination products 62%, fish oils 61%, joint health products 57%, herbal products 50%, other DSs 50%, and prohormones 37%. Higher odds of discontinuing any DS use in the follow-up were associated with female gender, younger age, higher BMI, and less weekly resistance training. Overall, prevalence of DS use was relatively consistent in the two phases; however, the cohort changed their use patterns in the follow-up with some discontinuing use and others initiating use, thus maintaining use prevalence over the period. These findings have implications for repeated cross-sectional DS studies where different samples are followed over time.
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  • 文章类型: Journal Article
    背景:耳鸣是耳朵或头部声音的幻影感知,可能是由听觉通路的炎症引起的。由一系列维生素和矿物质组成的健康饮食可以预防耳鸣。这项研究旨在确定膳食维生素和矿物质的摄入量与10年以上耳鸣的患病率和发病率之间的关系。
    方法:在这项针对2947名参与者(年龄≥50岁)的纵向队列研究中,确定了935例(32%)耳鸣病例,并将其纳入患病率分析。对其余的2012年参与者进行随访,以确定10年的耳鸣发生率。使用经过验证的半定量食物频率问卷来确定膳食维生素和矿物质的摄入量。
    结果:未发现与耳鸣患病率有显著关联。然而,铁和锌与耳鸣事件显著相关。在锌摄入量较低的情况下,10年内发生耳鸣的风险增加了44%(多变量调整后的HR:1.44,95%CI:1.07-1.93),铁摄入量较低的风险增加了35%(多变量调整后的HR:1.35,95%CI:1.00-1.80)。
    结论:较高的锌和铁摄入量与较低的耳鸣风险显著相关。由于缺乏可比较的高质量数据,未来的研究应该包括健壮的研究设计。
    BACKGROUND: Tinnitus is the phantom perception of sound in the ears or head which may result from inflammation of the auditory pathway. A healthy diet consisting of a range of vitamins and minerals may be protective against tinnitus. This study aims to determine the association between intakes of dietary vitamins and minerals and the prevalence and incidence of tinnitus over 10 years.
    METHODS: In this longitudinal cohort study of 2947 participants (aged ≥ 50 years), 935 (32%) cases of tinnitus were identified and included in prevalence analyses. The remaining 2012 participants were followed to establish 10-year incidence of tinnitus. A validated semi-quantitative food frequency questionnaire was used to determine intakes of dietary vitamins and minerals.
    RESULTS: No significant associations with tinnitus prevalence were found. However, iron and zinc were significantly associated with incident tinnitus. There was a 44% (multivariate-adjusted HR: 1.44, 95% CI: 1.07-1.93) increased risk of developing incident tinnitus over 10 years with lower zinc intakes and a 35% increased risk with lower iron intakes (multivariate-adjusted HR: 1.35, 95% CI: 1.00-1.80).
    CONCLUSIONS: Higher intakes of zinc and iron were significantly associated with lower tinnitus risk. Due to a lack of comparable high-quality data, future research studies should include robust study designs.
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  • 文章类型: Journal Article
    背景:端粒是染色体末端的核蛋白复合物,受遗传和环境触发因素的控制。加速的端粒缩短与疾病发病率的增加有因果关系。地中海饮食最近被认为是一种可以预防疾病的饮食。这篇综述旨在确定地中海饮食的每个组成部分对端粒长度动力学的影响。突出了潜在的分子机制。
    方法:搜索PubMed以确定相关研究,以提取数据进行叙述性综述。
    结果:地中海饮食可减轻许多疾病的临床表现。专注于自身免疫性疾病,地中海饮食可以预防炎症,线粒体功能障碍,端粒酶活性异常。此外,每个地中海饮食成分似乎通过端粒长度的维持或延长来减轻衰老,提供对潜在分子机制的见解。多酚,维生素,矿物,脂肪酸似乎在端粒体内平衡中是必不可少的,因为它们抑制炎症反应,DNA损伤,氧化应激,线粒体功能障碍,和细胞死亡并诱导端粒酶活化。
    结论:地中海饮食有利于维持端粒动力学和减轻与年龄有关的疾病。这篇综述全面概述了横截面,观察,以及关于地中海饮食中每种成分对端粒长度和慢性疾病管理的有益影响的随机对照试验。
    BACKGROUND: Telomeres are nucleoprotein complexes at the ends of chromosomes that are under the control of genetic and environmental triggers. Accelerated telomere shortening is causally implicated in the increasing incidence of diseases. The Mediterranean diet has recently been identified as one that confers protection against diseases. This review aimed to identify the effect of each component of the Mediterranean diet on telomere length dynamics, highlighting the underlying molecular mechanisms.
    METHODS: PubMed was searched to identify relevant studies to extract data for conducting a narrative review.
    RESULTS: The Mediterranean diet alleviates clinical manifestations in many diseases. Focusing on autoimmune diseases, the Mediterranean diet can be protective by preventing inflammation, mitochondrial malfunction, and abnormal telomerase activity. Also, each Mediterranean diet constituent seems to attenuate aging through the sustenance or elongation of telomere length, providing insights into the underlying molecular mechanisms. Polyphenols, vitamins, minerals, and fatty acids seem to be essential in telomere homeostasis, since they inhibit inflammatory responses, DNA damage, oxidative stress, mitochondrial malfunction, and cell death and induce telomerase activation.
    CONCLUSIONS: The Mediterranean diet is beneficial for maintaining telomere dynamics and alleviating age-related illnesses. This review provides a comprehensive overview of cross-sectional, observational, and randomized controlled trials regarding the beneficial impact of every constituent in the Mediterranean diet on telomere length and chronic disease management.
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  • 文章类型: Journal Article
    甲状腺功能通过饮食-肠-甲状腺轴与营养密切相关。这篇叙述性综述强调了营养成分和微量营养素对甲状腺发育和功能的影响。以及肠道微生物群。微量营养素如碘,硒,铁,锌,铜,镁,维生素A,和维生素B12影响甲状腺激素的合成和调节整个生命。饮食变化可以改变肠道微生物群,不仅导致菌群失调和微量营养素缺乏,而且通过免疫调节导致甲状腺功能的变化,营养吸收,和表观遗传变化。营养失衡可导致甲状腺功能障碍和/或疾病,比如甲状腺功能减退和甲状腺功能亢进,并可能导致自身免疫性甲状腺疾病和甲状腺癌,但有争议的问题。了解这些关系对于合理化富含必需微量营养素的均衡饮食对于维持甲状腺健康和预防甲状腺相关疾病非常重要。对当前知识的综合综合概述显示了微量营养素和肠道微生物群对甲状腺功能的重要性,并揭示了需要进一步研究的潜在差距。
    Thyroid function is closely linked to nutrition through the diet-gut-thyroid axis. This narrative review highlights the influence of nutritional components and micronutrients on thyroid development and function, as well as on the gut microbiota. Micronutrients such as iodine, selenium, iron, zinc, copper, magnesium, vitamin A, and vitamin B12 influence thyroid hormone synthesis and regulation throughout life. Dietary changes can alter the gut microbiota, leading not just to dysbiosis and micronutrient deficiency but also to changes in thyroid function through immunological regulation, nutrient absorption, and epigenetic changes. Nutritional imbalance can lead to thyroid dysfunction and/or disorders, such as hypothyroidism and hyperthyroidism, and possibly contribute to autoimmune thyroid diseases and thyroid cancer, yet controversial issues. Understanding these relationships is important to rationalize a balanced diet rich in essential micronutrients for maintaining thyroid health and preventing thyroid-related diseases. The synthetic comprehensive overview of current knowledge shows the importance of micronutrients and gut microbiota for thyroid function and uncovers potential gaps that require further investigation.
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  • 文章类型: Journal Article
    病毒感染由于其快速传播性而构成重大的全球挑战。因此,及时预防和治疗这些感染对于遏制其传播至关重要。这篇综述集中在营养和病毒感染之间的重要联系,强调饮食因素如何影响免疫系统调节。营养不良,以维生素A等必需营养素缺乏为特征,C,D,E,还有锌,会损害免疫系统,从而增加了病毒感染的脆弱性,并可能导致更严重的健康结果,使康复复杂化。此外,新的证据强调了共生微生物在免疫调节中的作用,这会影响宿主对感染的易感性。特定的饮食成分,包括生物活性化合物,维生素,和益生菌,可以有益地改变肠道微生物群,从而增强免疫反应并提供对病毒感染的保护。这篇综述旨在阐明饮食调整和肠道菌群影响病毒感染发病机制的机制。特别注重加强免疫系统。
    Viral infections pose significant global challenges due to their rapid transmissibility. Therefore, preventing and treating these infections promptly is crucial to curbing their spread. This review focuses on the vital link between nutrition and viral infections, underscoring how dietary factors influence immune system modulation. Malnutrition, characterized by deficiencies in essential nutrients such as vitamins A, C, D, E, and zinc, can impair the immune system, thereby increasing vulnerability to viral infections and potentially leading to more severe health outcomes that complicate recovery. Additionally, emerging evidence highlights the role of commensal microbiota in immune regulation, which can affect hosts\' susceptibility to infections. Specific dietary components, including bioactive compounds, vitamins, and probiotics, can beneficially modify gut microbiota, thus enhancing immune response and offering protection against viral infections. This review aims to elucidate the mechanisms by which dietary adjustments and gut microbiota impact the pathogenesis of viral infections, with a particular focus on strengthening the immune system.
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  • 文章类型: Journal Article
    本研究旨在研究足球训练对血小板膜脂肪酸水平和抗氧化维生素的长期影响。44名受试者分为足球运动员(SP;n=22;20.86±0.36岁)和对照组(CG;n=22;21.23±0.49岁)。血小板膜的脂肪酸,去饱和率,评估脂质过氧化指数和血小板内维生素C和E水平.SP在多不饱和脂肪酸18:3:3(α-亚麻酸)中获得较低的值,20:5:3(二十碳五烯酸)和22:6:3(二十二碳六烯酸)(p<0.05)。SP的去饱和指数Δ5较高(p<0.05),它们具有较高的脂质过氧化指数20:4:6(花生四烯酸)/16:0(棕榈酸)(p<0.05)。SP中维生素E和C的血小板值也较高(p<0.01)。ω6/ω3指数呈正相关(p<0.05),去饱和指数Δ5(p<0.05),脂质过氧化指数20:4:6/16:0和血小板内维生素E和C(p<0.01)与身体活动水平。此外,脂肪酸24:0(二十四酸)呈负相关,16:1(棕榈油酸),根据身体活动的程度,20:3:6(二十碳二烯酸)和18:3:3(α-亚麻酸)(p<0.05)。定期的长期足球训练可以改变脂肪酸的浓度,例如24:0、16:1、18:6、20:3:6、18:3:3、20:5:3、26:6:3血小板膜中的3和ω3PUFA。
    This research aimed to study the long-term effects of soccer training on platelet membrane fatty acid levels and antioxidant vitamins. Forty-four subjects divided into soccer players (SP; n = 22; 20.86 ± 0.36 years) and a control group (CG; n = 22; 21.23 ± 0.49 years) participated in the study. The fatty acids of the platelet membrane, the rates of desaturation, lipid peroxidation indexes and intra-platelet levels of vitamins C and E were assessed. SP obtained lower values in polyunsaturated fatty acids 18:3:3 (alpha-linolenic acid), 20:5:3 (eicosapentaenoic acid) and 22:6:3 (docosahexaenoic acid) (p < 0.05). The desaturation index ∆5 was higher in SP (p < 0.05), and they had a higher lipid peroxidation index 20:4:6 (arachidonic acid)/16:0 (palmitic acid) (p < 0.05). Vitamin E and C platelet values were also higher in SP (p < 0.01). There were positive correlations in the ω6/ω3 index (p < 0.05), desaturation index ∆5 (p < 0.05), lipid peroxidation index 20:4:6/16:0 and intra-platelet vitamins E and C (p < 0.01) with the level of physical activity. In addition, there were inverse correlations in fatty acids 24:0 (lignoceric acid), 16:1 (palmitoleic acid), 20:3:6 (eicosadienoic acid) and 18:3:3 (alpha-linolenic acid) (p < 0.05) depending on the degree of physical activity. Regular long-term soccer training could modify the concentration of fatty acids such as 24:0, 16:1, 18:6, 20:3:6, 18:3:3:3, 20:5:3, 26:6:3 and ω3 PUFAs in the platelet membrane.
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  • 文章类型: Journal Article
    添加甘油,维生素C,和烟酰胺在猪饮食中增加了背最长肌的发红;然而,目前尚不清楚这些补充剂如何影响肠道微生物群和代谢产物.将84头仔猪(20.35±2.14kg)随机分配到A组(对照组),B(补充甘油),C(补充维生素C和烟酰胺),和D(甘油,在喂养实验中补充维生素C和烟酰胺)。宏基因组和代谢组学技术用于分析胆汁酸的粪便组成,代谢物,和微生物群。结果表明,与A组的猪相比,D组猪脂多糖毒力因子表达较低(p<0.05),脂肪酸抵抗系统(p<0.05),和胶囊(p<0.01);较高的粪便铁离子水平(p<0.05),异胆酸(p<0.01),脱氧胆酸(p<0.05),牛磺熊去氧胆酸二水合物(p<0.01),乙丙胆酸(p<0.05),L-脯氨酸(p<0.01)和骨化三醇(p<0.01);以及更高(p<0.05)的铁获取微生物群(Methanobrebacter,梭菌属,梭菌科,梭状芽孢杆菌_sp_CAG_1000,粪杆菌_sp_CAG_74_58_120,肠杆菌_Family_XIII_Incertae_Sedis,Alistipes_sp_CAG_435,Alistipes_sp_CAG_514和Methanobrevibacter_sp_YE315)。补充甘油,维生素C,和烟酰胺对猪显著促进粪便中铁获取微生物群的生长,降低粪便病原体的一些毒力因子基因的表达,增加了粪便中三价铁离子的含量,L-脯氨酸,和一些次级胆汁酸。甘油的给药,维生素C,和烟酰胺对猪的治疗可能是通过改变粪便微生物群和代谢物的组成来改善肌肉发红的有效措施。
    The addition of glycerin, vitamin C, and niacinamide to pig diets increased the redness of longissimus dorsi; however, it remains unclear how these supplements affect gut microbiota and metabolites. A total of 84 piglets (20.35 ± 2.14 kg) were randomly allotted to groups A (control), B (glycerin-supplemented), C (vitamin C and niacinamide-supplemented), and D (glycerin, vitamin C and niacinamide-supplemented) during a feeding experiment. Metagenomic and metabolomic technologies were used to analyze the fecal compositions of bile acids, metabolites, and microbiota. The results showed that compared to pigs in group A, pigs in group D had lower virulence factor expressions of lipopolysaccharide (p < 0.05), fatty acid resistance system (p < 0.05), and capsule (p < 0.01); higher fecal levels of ferric ion (p < 0.05), allolithocholic acid (p < 0.01), deoxycholic acid (p < 0.05), tauroursodeoxycholic acid dihydrate (p < 0.01), glycodeoxycholic acid (p < 0.05), L-proline (p < 0.01) and calcitriol (p < 0.01); and higher (p < 0.05) abundances of iron-acquiring microbiota (Methanobrevibacter, Clostridium, Clostridiaceae, Clostridium_sp_CAG_1000, Faecalibacterium_sp_CAG_74_58_120, Eubacteriales_Family_XIII_Incertae_Sedis, Alistipes_sp_CAG_435, Alistipes_sp_CAG_514 and Methanobrevibacter_sp_YE315). Supplementation with glycerin, vitamin C, and niacinamide to pigs significantly promoted the growth of iron-acquiring microbiota in feces, reduced the expression of some virulence factor genes of fecal pathogens, and increased the fecal levels of ferric ion, L-proline, and some secondary bile acids. The administration of glycerol, vitamin C, and niacinamide to pigs may serve as an effective measure for muscle redness improvement by altering the compositions of fecal microbiota and metabolites.
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  • 文章类型: Journal Article
    目的:氧化应激与特应性皮炎(AD)密切相关,增加抗氧化剂的摄入量可能会降低其症状的风险或减轻其症状。然而,这个论点是有争议的。因此,我们进行了孟德尔随机化(MR)分析,以探讨膳食抗氧化剂维生素摄入量与AD之间的因果关系.
    方法:我们应用MR分析来检查膳食抗氧化剂维生素摄入量(维生素C,维生素E,胡萝卜素,和视黄醇)和AD。抗氧化维生素摄入和AD的全基因组关联研究(GWAS)汇总数据来自IEUOpenGWAS数据库和英国生物库。我们的研究由两大部分组成,MR分析以检测暴露与结果之间的因果关系,和敏感性分析作为补充证据,验证结果的稳健性。
    结果:结果显示维生素E摄入量与AD之间存在因果关系(p=0.038,OR95%CI=0.745-0.992)。然而,其他三种维生素(维生素C,胡萝卜素,和视黄醇)和AD(p=0.507,OR95%CI=0.826-1.099)(p=0.890,OR95%CI=0.864-1.184)(p=0.492,OR95%CI=0.893-1.264)。在敏感性分析中,没有发现单核苷酸多态性(SNP)具有异质性和多效性(p>0.05)。
    结论:分析表明,饮食中摄入维生素E可能会降低AD的风险。相反,摄入维生素C,视黄醇,胡萝卜素与AD无因果关系。虽然摄入维生素E可以预防AD,摄入膳食抗氧化维生素来预防或治疗AD是不必要的。
    OBJECTIVE: Oxidative stress is strongly associated with atopic dermatitis (AD), and increased antioxidant intake could potentially reduce the risk of or alleviate its symptoms. However, the argument is disputed. Therefore, we conducted a Mendelian randomization (MR) analysis to explore the causal relationship between dietary antioxidant vitamin intake and AD.
    METHODS: We applied MR analysis to examine the causative association between dietary antioxidant vitamin intake (vitamin C, vitamin E, carotene, and retinol) and AD. The genome-wide association study (GWAS) summary data for antioxidant vitamins intake and AD were obtained from the IEU OpenGWAS database and the UK biobank. Our study consisted of two major parts, MR analysis to detect the causal relationship between exposure and outcome, and sensitivity analysis as supplemental evidence to verify the robustness of the results.
    RESULTS: The results revealed a suggestive causal relationship between vitamin E intake and AD (p = 0.038, OR 95% CI = 0.745-0.992). However, there was no causal relationship between the other three vitamins (vitamin C, carotene, and retinol) and AD (p = 0.507, OR 95% CI = 0.826-1.099) (p = 0.890, OR 95% CI = 0.864-1.184) (p = 0.492, OR 95% CI = 0.893-1.264). None of the single nucleotide polymorphisms (SNPs) were detected as heterogeneous and pleiotropy in the sensitivity analysis (p > 0.05).
    CONCLUSIONS: The analysis suggested that dietary intake of vitamin E may potentially lower the risk of AD. Conversely, intake of vitamin C, retinol, and carotene is not causally related to AD. Although vitamin E intake could be protective against AD, intake of dietary antioxidant vitamins to prevent or treat AD is not necessary.
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  • 文章类型: Journal Article
    多壁碳纳米管(MWCNT)是基于纳米技术的癌症治疗进展的前沿,特别是在靶向药物递送领域。纳米管的特征在于它们的同心石墨烯层,这给了他们突出的结构强度。它们可以提供大量的治疗剂,可能减少治疗频率并提高患者依从性。MWCNTs的小尺寸和可修饰的表面使它们具有高的药物负载能力并穿透生物屏障。由于对这些纳米材料的广泛研究,它们作为合成和化学官能化的分子被广泛研究,它可以与各种配体(如叶酸,抗体,肽,甘露糖,半乳糖,聚合物)和连接体,并提供抗癌药物,包括但不限于紫杉醇,多西他赛,顺铂,阿霉素,他莫昔芬,甲氨蝶呤,槲皮素和其他,癌细胞。这种功能化促进了癌细胞的选择性靶向,因为这些配体与肿瘤细胞中过表达的特异性受体结合。通过保留非癌细胞并将治疗有效载荷精确地传递给癌细胞,这种治疗有效负载递送能力降低了化疗的全身毒性。MWCNT用作药物的靶向递送系统具有很大的潜力。在这次审查中,我们讨论了使用天然和生物大分子接头将MWCNT功能化和缀合到药物上的技术,可以与癌细胞受体/生物分子结合。使用MWCNT管理癌症药物是结合纳米技术和药物治疗的癌症治疗的变革性方法。探索和优化用于药物递送目的的MWCNT是一个令人兴奋和丰富的研究领域,这可能会给癌症患者带来巨大的好处。
    Multiwalled carbon nanotubes (MWCNTs) are at the forefront of nanotechnology-based advancements in cancer therapy, particularly in the field of targeted drug delivery. The nanotubes are characterized by their concentric graphene layers, which give them outstanding structural strength. They can deliver substantial doses of therapeutic agents, potentially reducing treatment frequency and improving patient compliance. MWCNTs\' diminutive size and modifiable surface enable them to have a high drug loading capacity and penetrate biological barriers. As a result of the extensive research on these nanomaterials, they have been studied extensively as synthetic and chemically functionalized molecules, which can be combined with various ligands (such as folic acid, antibodies, peptides, mannose, galactose, polymers) and linkers, and to deliver anticancer drugs, including but not limited to paclitaxel, docetaxel, cisplatin, doxorubicin, tamoxifen, methotrexate, quercetin and others, to cancer cells. This functionalization facilitates selective targeting of cancer cells, as these ligands bind to specific receptors overexpressed in tumor cells. By sparing non-cancerous cells and delivering the therapeutic payload precisely to cancer cells, this therapeutic payload delivery ability reduces chemotherapy systemic toxicity. There is great potential for MWCNTs to be used as targeted delivery systems for drugs. In this review, we discuss techniques for functionalizing and conjugating MWCNTs to drugs using natural and biomacromolecular linkers, which can bind to the cancer cells\' receptors/biomolecules. Using MWCNTs to administer cancer drugs is a transformative approach to cancer treatment that combines nanotechnology and pharmacotherapy. It is an exciting and rich field of research to explore and optimize MWCNTs for drug delivery purposes, which could result in significant benefits for cancer patients.
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