慢性阻塞性肺疾病合并COVID-19患者的Omega-3多不饱和脂肪酸:综述

IF 4.6 3区 医学 Q1 NUTRITION & DIETETICS
Halliru Zailani, Senthil Kumaran Satyanarayanan, Wei-Chih Liao, Kuan-Pin Su, Jane Pei-Chen Chang
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引用次数: 0

摘要

综述的目的:越来越多的证据表明,慢性阻塞性肺疾病(COPD)患者在感染2019冠状病毒病(COVID-19)后面临严重后果的风险增加。目前针对COVID-19的药物通常会产生副作用,因此需要提高耐受性的替代疗法。本综述探讨了COPD患者更容易发生严重COVID-19的生物学机制,并探讨了omega-3多不饱和脂肪酸(n-3 PUFAs)在减轻COPD患者COVID-19严重程度方面的潜力。最新发现:目前的证据表明,由于肺功能受损、炎症失调、免疫反应减弱、氧化应激增加、肺部血管紧张素转换酶(ACE2)受体表达升高和遗传易感性等因素,COPD患者发生严重COVID-19的风险增加。值得注意的是,n-3 PUFAs通过调节炎症、增强身体的抗氧化防御、减少病毒进入和复制以及增强免疫力,显示出改善COPD合并COVID-19患者临床结果的潜力。N-3 PUFAs具有改善COPD患者COVID-19预后的潜力。然而,关于n-3 PUFAs在提高COPD患者临床预后方面的治疗效果的研究有限。严格的临床研究对于评估n-3 PUFAs对合并COVID-19感染的COPD患者的影响至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Omega-3 Polyunsaturated Fatty Acids in Chronic Obstructive Pulmonary Disease Patients with COVID-19: A Review.

Purpose of the review: Mounting evidence indicates that individuals with chronic obstructive pulmonary disease (COPD) face a heightened risk of severe outcomes upon contracting coronavirus disease 2019 (COVID-19). Current medications for COVID-19 often carry side effects, necessitating alternative therapies with improved tolerance. This review explores the biological mechanisms rendering COPD patients more susceptible to severe COVID-19 and investigates the potential of omega-3 polyunsaturated fatty acids (n-3 PUFAs) in mitigating the severity of COVID-19 in COPD patients.

Recent findings: Current evidence indicates that COPD patients are at an increased risk of severe COVID-19 due to factors including compromised pulmonary function, dysregulated inflammation, weakened immune response, increased oxidative stress, elevated expression of angiotensin-converting enzyme (ACE2) receptors in the lungs, and genetic predispositions. Remarkably, n-3 PUFAs exhibit the potential in ameliorating the clinical outcomes of COPD patients with COVID-19 by modulating inflammation, reinforcing the body's antioxidant defenses, reducing viral entry and replication, and enhancing immunity. N-3 PUFAs hold potential for improving COVID-19 outcomes in patients with COPD. However, there has been limited investigation into the therapeutic effects of n-3 PUFAs in enhancing clinical outcomes for COPD patients. Rigorous clinical studies are essential to evaluate the impact of n-3 PUFAs on COPD patients with concurrent COVID-19 infection.

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来源期刊
Current Nutrition Reports
Current Nutrition Reports Agricultural and Biological Sciences-Food Science
CiteScore
7.70
自引率
2.00%
发文量
59
期刊介绍: This journal aims to provide comprehensive review articles that emphasize significant developments in nutrition research emerging in recent publications. By presenting clear, insightful, balanced contributions by international experts, the journal intends to discuss the influence of nutrition on major health conditions such as diabetes, cardiovascular disease, cancer, and obesity, as well as the impact of nutrition on genetics, metabolic function, and public health. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 25 internationally diverse members reviews the annual table of contents, suggests topics of special importance to their country/region, and ensures that topics and current and include emerging research.
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