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两种营养因素影响肠粘膜免疫和免疫系统发育的实验研究
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摘要
适宜的营养水平是儿童免疫系统发挥正常生理功能并不断向前发育成熟的重要保证。现实中对儿童的营养性干预主要见于两个方面:纠正营养失衡所造成的免疫功能受损及发育受阻,恢复正常状态下机体对疾病的防御能力;通过营造一个良好的营养环境,促进儿童时期免疫系统的生长发育,提高儿童时期的免疫能力,进而发挥疾病预防和促进远期健康的作用。本研究就维生素A调节肠粘膜免疫功能的作用途径与机制、双歧杆菌对局部和全身免疫系统发育的影响分别进行了探讨,以期在上述两个方面丰富儿童营养与免疫关系的认识。
     目的通过研究维生素A在体内的活性代谢产物—视黄酸(retinoic acid, RA)对肠粘膜树突状细胞(dedritic cell, DC)的数量、成熟分化和细胞因子产生的影响,及其作用的途径,从免疫应答的初始环节探讨维生素A调节肠粘膜免疫的作用及其机制,为临床正确应用维生素A营养防治疾病提供理论和实验依据。
     方法大鼠肠粘膜的集合淋巴结(Peyer's patches, PP结)体外培养,分为:对照组;RA组,加入全反式视黄酸(at-RA); RA+RO组,同时加入RA和视黄酸受体RARα特异性拮抗剂(Ro 41-5253)。于培养24h、48h收获组织块后,1、采用流式细胞仪检测大鼠DC表面分化标志,观察RA对PP结DC数目(OX62阳性细胞百分比)和成熟分化(OX6、CD86荧光强度)的影响;2、采用荧光定量PCR的方法,观察RA对PP结细胞因子基因转录水平的影响,以及RARαmRNA表达水平的相应变化。
     结果1、培养24h和48h,三组PP结DC数目均无显著差异,但RA处理后DC的成熟度明显升高,该作用于培养24h显著;2、RA处理使得PP结细胞因子IL-12(主要由DC分泌)和IFN-γ(Thl细胞因子)的mRNA水平下调,调节性细胞因子IL-10的mRNA表达升高,而Th2细胞因子IL-4的产生无明显变化。此外,加入RA后可使RARα在PP结的基因表达上调;3、当Ro同时加入时,则可逆转RA的上述作用。
     结论1、视黄酸可促进体外培养的PP结中DC的成熟,并使后续的免疫应答反应向调节性T细胞的方向偏倚,有利于粘膜免疫稳态的维持,防止局部过度炎症反应的发生;2、RARα参与了视黄酸对肠粘膜免疫的调节作用。
     目的通过建立生后早期肠道双歧杆菌减灭或额外定植的动物模型,研究在免疫发育过程中,双歧杆菌对DC数量、成熟分化和功能的作用,以及对T细胞应答类型的调节、对抗体生成的影响,从抗原提呈、细胞免疫和体液免疫三方面,探讨双歧杆菌促进免疫系统发育的作用途径与机制,为在儿童中科学合理应用益生菌提供理论和实验依据。
     方法饲养在严格屏障环境的新生大鼠从出生起每天给予大剂量抗生素肠道灭菌(低菌组)或口服接种长双歧杆菌(增菌组),分别于生后1W、3W和6W观察以下免疫发育指标:1、应用流式细胞术,了解双歧杆菌对PP结、脾脏和外周血中DC数目(OX62阳性细胞百分比)和成熟度(CD86荧光强度)、T细胞亚群分布,以及胸腺中T细胞发育成熟的影响;2、采用荧光定量PCR和ELISA的方法,了解双歧杆菌对肠粘膜和血浆细胞因子表达水平,以及体外培养的外周血单个核细胞(peripheral blood mononuclear cells, PBMCs)细胞因子基因转录水平的影响;3、应用ELISA的方法,了解双歧杆菌对PBMCs生成抗体(IgG和IgM)能力的影响。
     结果1、低菌组PP结中DC的成熟度降低,增菌组则增高;低菌组胸腺中未成熟的CD4+CD8+T细胞向CD4+或CD8+成熟T细胞的分化发育延缓;2、低菌组的肠粘膜IL-12(主要由DC分泌)、IL-10(调节性细胞因子)的mRNA以及IFN-γ/IL-4(Thl/Th2)比值均下调,血浆IL-4分泌增多,PBMCs体外刺激后IFN-γ表达降低;增菌组的肠粘膜IL-12、IFN-γ、IL-10mRNA以及IFN-γ/IL-4均上调,PBMCs的IFN-γ表达增高;3、低菌组体外培养的PBMCs合成抗体IgM减少,增菌组则升高。
     结论生后早期,肠道定植的双歧杆菌能够:1、促进PP结中DC的成熟及对IL-12的表达,对肠外DC的作用则不明显;2、影响着T细胞在中枢免疫器官胸腺中的发育成熟;3、诱导局部和全身的辅助性T细胞应答向Thl方向偏倚,有助于机体Thl/Th2平衡的实现;同时促进局部肠道调节性T细胞免疫应答的发育;4、增强PBMCs合成抗体的能力,进而促进全身性的体液免疫应答。
Appropriate nutritional level is an important guarantee for the normal physiological function and continuous development of the children's immune system. The nutritional intervention for children in reality has two major cases:to correct the impaired function and blocked development of the immune-system caused by nutrient unbalance, rehabilitating the body's defensive quality to diseases; through constructing a good nutritional environment, promote the development of the immune system and enhance the immunity in childhood, thereby preventing diseases and promoting long-term health. In this paper, we discussed the mechanism of vitamin A modulation of the intestinal mucosal immunity, as well as the role of bifidobacteria on the development of both the gut and systemic immunity, to enrich the knowledge about the relationship between children's nutrition and immunity in these two aspects.
     Objectives In order to clarify the mechanism of vitamin A (VA) modulation of intestinal mucosal immunity, we investigated the effects and approaches of retinoic acid (RA), an active metabolite of VA, on the number, maturation and cytokine production of intestinal dendritic cells (DCs), to probe into its role at the initial step of immune response.
     Methods Peyer's patches (PPs) from the healthy adult SD rats were cultured in vitro, with all-trans retinoic acid (at-RA) or/and Ro 41-5253 (RO), a specific antagonist for retinoic acid receptor a were added into the culture. The tissues were harvested 24 h and 48 h later for the following analysis.1. Surface marker expressions on DCs were assessed using direct immunofluorescent antibodies and flow cytometer to evaluate the effect of RA on the number (the percentage of OX-62 positive cells) and maturation (fluorescence intensity of OX6 and CD86) of DCs in cultured PPs.2. By using RT-quantitative PCR, the effect of RA on the gene expression of cytokines and RARa in PPs were examined.
     Results 1. After culture for both 24 h and 48 h, the number of DCs in PPs showed no significant difference among the RA, RA+RO, and control group, but treated with at-RA promoted the maturation of DCs, with the effect most notable at 24 h of culture; 2. at-RA treatment led to reduced IL-12 (mainly secreted by DCs) and IFN-γ(Thl cytokine) but increased IL-10 (regulatory cytokine) gene expression in PPs, whereas there was no significant difference in IL-4 (Th2 cytokine) mRNA compared with the control. Moreover, RARa gene expression in PPs was up-regulated by at-RA; 3. All the actions of at-RA described above were reversed when cultured along with Ro 41-5253.
     Conclusion 1.Retinoic acid could promote the maturation of DCs in cultured PPs, and make immune response bias to regulatory T cell, thus be potent in maintaining homeostasis of the gut immunity, and preventing the emergence of a harmful inflammatory state; 2. RARa plays a very important role in the regulation of mucosal immunity by retinoic acid.
     Objectives We established an animal model, the rat with intestinal bifidobacteria minimisation or extra colonization, to explore how intestinal bifidobacteria affect the development of both the gut and systemic immunity in early life, especially its modulation on the differentiation, maturation and function of DCs, the type of T-cell responses and immunoglobulin synthesis, providing theoretical and experimental basis for the proper usage of probiotics in children in reality.
     Methods Neonatal SD rats housed under strict barrier systems were fed from birth with sufficient antibiotics (bifidobacteria minimisation group) or supplemented daily with live Bifidobacterium longum (bifidobacteria supplementation group). The role of intestinal bifidobacteria on the following immune-development indices was determined at one, three and six weeks old respectively:1. By use of flow cytometry, the number (the percentage of OX-62 positive cells) and maturation (fluorescence intensity of CD86) of DCs, the proportion of each T-cell subset in PPs, spleen and peripheral blood were detected, as well as the development of T cells in thymus.2. The mRNA levels of cytokines in intestinal mucosa and cultured peripheral blood mononuclear cells (PBMCs) were measured by RT-PCR, and production of these cytokines in plasma was determined by ELISA.3. The secretion of IgG and IgM by PBMCs were detected by ELISA.
     Results 1. Minimisation of the intestinal bifidobacteria delayed maturation of DCs in PPs, whereas supplementation with bifidobacteria promoted DC maturation in PPs. Besides, in bifidobacteria minimisation group, the differentiation of immature CD4+CD8+T cell to mature CD4+or CD8+T cell was delayed in thymus; 2. Bifidobacteria minimisation down-regulated IL-12, IL-10 mRNA and the IFN-y/IL-4 (Thl/Th2) mRNA ratio in intestinal mucosa, increased IL-4 secretion in the plasma, decreased IFN-y mRNA in cultured PBMCs; bifidobacteria supplementation up-regulated IL-12, IFN-y, IL-10 mRNA and the IFN-y/IL-4 ratio in intestinal mucosa, increased IFN-y gene expression in PBMCs; 3. Bifidobacteria minimisation group had a decreased production of IgM by cultured PBMCs, whereas bifidobacteria supplementation group had an increased secretion of it.
     Conclusion In early life, intestinal bifidobacteria colonisation could:1. promote DC maturation and its espression of IL-12 in PPs; 2. influence the development of T cells in thymus; 3. favour the T-helper cell response of the body in a Thl type and meanwhile ensure the development of regulatory T cell response in the gut; 4. enhance antibody synthesis by PBMCs, thereby having a potential role in strengthening the humoral immunity.
引文
[1]Maziya-Dixon BB, Akinyele 10, Sanusi RA, et al. Vitamin A deficiency is prevalent in children less than 5 y of age in Nigeria [J]. J Nutr,2006,136(8): 2255-2261.
    [2]Villamor E, Fawzi WW. Vitamin A supplementation:implications for morbidity and mortality in children [J]. J Infect Dis,2000,182(1 Suppl):122S-133S.
    [3]Fitch CW, Neville J. Nutrient intake of infants hospitalized with lower respiratory tract infections [J]. J Am Diet Assoc,2001,101(6):690-692.
    [4]Haidar J, Tsegaye D, Maiam DH, et al. Vitamin A supplementation on child morbidity [J]. E Afr Med J,2003,80(1):17-21.
    [5]Donnen P, DramaixM, Brasseur D, et al. Randomized placebo-controlled clinical trial of the effect of a single high dose or daily low doses of vitamin A on the morbidity of hospitalized malnourished children [J]. J Am J Clin Nutr,1998, 68(6):1254-1260.
    [6]Mahalanabis D, Lahiri M, Paul D, et al. Randomized double-blind placebo-controlled clinical trial of the efficacy of treatment with zinc or vitamin A in infants and young children with severe acute lower respiratory infection [J]. Am J Clin Nutr,2004,79(3):430-436.
    [7]王卫平.维生素A促进人淋巴细胞抗体生成能力的机理探讨[J].中华儿科杂志,1994,32(5):263-266.
    [8]周小建,王卫平,杨毅.视黄酸对人胸腺细胞成熟分化影响及其作用机制[J].营养学报,2004,26(1):9-12.
    [9]魏东,杨毅,王卫平.视黄酸对幼儿淋巴结B细胞发育的影响[J].营养学报,2004,26(6):442-444.
    [10]Granucci F, Ricciardi-Castagnoli P. Interactions of bacterial pathogens with dendritic cells during invasion of mucosal surfaces [J]. Curr Opin Microb,2003, 6(1):72-76.
    [11]Johansson C, Kelsall BL. Phenotype and function of intestinal dendritic cells [J]. Semin Immunol,2005,17(4):284-294.
    [12]Paust S, Cantor H. Regulatory T cells and autoimmune disease [J]. Immunol Rev,2005,204:195-207.
    [13]Izcue A, Powrie F. Special regulatory T-cell review:regulatory T cells and the
    intestinal tract-patrolling the frontier [J]. Immunology,2008,123(1):6-10.
    [14]Banchereau J, Steinman RM. Dendritic cells and control of immunity [J]. Nature,1998,392:245-252.
    [15]Verhasselt V, Vosters O, Beuneu C, et al. Induction of FOXP3-expressing regulatory CD4 (pos) T cells by human mature autologous dendritic cells [J]. Eur J Immunol,2004,34(3):762-772.
    [16]Jonuleit H, Schmitt E, Schuler G, et al. Induction of interleukin 10-producing nonproliferating CD4 (+) T cells with regulatory properties by repetitive stimulation with allogeneic immature human dendritic cells [J]. J Exp Med,2000, 192(9):1213-1222.
    [17]Tao Y, Yang Y, Wang W. Effect of all-trans-retinoic acid on the differentiation, maturation and functions of dendritic cells derived from cord blood monocytes [J]. FEMS Immunol Med Microbiol,2006,47(3):444-450.
    [18]Hoag KA, Nashold FE, Goverman J, et al. Retinoic acid enhances the T helper 2 cell development that is essential for robust antibody responses through its action on antigen-presenting cells [J]. J Nutr,2002,132(12):3736-3739.
    [19]Hengesbach LM, Hoag KA. Physiological concentrations of retinoic acid favor myeloid dendritic cell development over granulocyte development in cultures of bone marrow cells from mice [J]. J Nutr,2004,134(10):2653-2659.
    [20]太光平,杨家驹,糜漫天.新型甾体激素核受体超基因子家族维甲酸受体[J].国外医学药学分册,1996,23(2):92-95.
    [21]Chambon P. A decade of molecular biology of retinoic acid receptors [J]. FASEB J,1996,10(9):940-954.
    [22]Pavli P. Murine intestinal dendritic cell isolation [A]. In:Robinson SP, Stagg AJ, Knight SC. Methods in molecular medicine:dendritic cell protocols [M]. Totowa: Humana Press,2001:63-72.
    [23]Liu LM, Macpherson GG. Rat intestinal dendritic cells:immunostimulatory potency and phenotypic characterization [J]. Immunology,1995,85(1):88-93.
    [24]Turnbull E, Macpherson G. Immunobiology of dendritic cells in the rat [J]. Immunol Rev,2001,184:58-68.
    [25]Stenphensen CB. Vitamin A, infection, and immune function [J]. Annu Rev Nutr, 2001,21:167-192.
    [26]Geissmann F, Revy P, Brousse N, et al. Retiniods regulate survival and antigen presentation by immature dendritic cells [J]. J Exp Med,2003,198(4):623-634.
    [27]Adams S, O'Neill DW, Bhardwaj N. Recent advances in dendritic cell biology [J]. J Clin Immunol,2005,25(3):175-188.
    [28]Reyes H, Villalpando S, Perez-Cuevas R, et al. Frequency and determinants of vitamin A deficiency in children under 5 years of age with pneumonia [J]. Arch Med Res,2002,33(2):180-185.
    [29]Iwasaki A, Kelsall BL. Freshly isolated Peyer's patch, but not spleen, dendritic cells produce interleukin 10 and induce the differentiation of T helper type 2 cells [J]. J Exp Med,1999,190(2):229-239.
    [30]周连鸿.肠道微生态系统[J].胃肠病学,2003,8(1):35-37.
    [31]李国平,杨恬.粘膜免疫系统的研究进展[J].细胞与分子免疫学杂志,2001,17(6):594-596.
    [32]Fanaro S, Chierici R, Guerrini P, et al. Intestinal microflora in early infancy: composition and development [J]. Acta Paediatr,2003,91(441 Suppl):48S-55S.
    [33]Madsen K. Probiotics and the immune response [J]. J Clin Gastroenterol,2006, 40(3):232-234.
    [34]Calder PC, Krauss-Etschmann S, de Jong EC, et al. Early nutrition and immunity-progress and perspectives [J]. Br J Nutr,2006,96(4):774-790.
    [35]Akbari O, Stock P, DeKruyff RH, et al. Role of regulatory T cells in allergy and asthma [J]. Curr Opin Immunol,2003,15(6):627-633.
    [36]Kalliomaki M, Salminen S, Poussa T, et al. Probiotics and prevention of atopic disease:4-year follow-up of a randomised placebo-controlled trial [J]. Lancet, 2003,361 (9372):1869-1871.
    [37]Kukkonen K, Savilahti E, Haahtela T, et al. Probiotics and prebiotic galacto-oligosaccharides in the prevention of allergic diseases:a randomized, double-blind, placebo-controlled trial [J]. J Allergy Clin Immunol,2007,119(1): 192-198.
    [38]Lin HC, Su BH, Chen AC, et al. Oral probiotics reduce the incidence and severity of necrotizing enterocolitis in very low birth weight infant [J]. Pediatr, 2005,115(1):1-4.
    [39]Bin-Nun A, Bromiker R, Wilschanski M, et al. Oral probiotics prevent necrotizing enterocolitis in very low birth weight neonates [J]. J Pediatr,2005,
    147(2):192-196.
    [40]Lee MC, Lin LH, Hung KL, et al. Oral bacterial therapy promotes recovery from acute diarrhea in children [J]. Acta Paediatr Taiwan,2001,42(5):301-305.
    [41]Saavedra JM, Bauman NA, Oung I, et al. Feeding of Bifidobacterium bifidum and Streptococcus thermophilus to infants in hospital for prevention of diarrhea and shedding of rotavirus [J]. Lancet,1994,344(8929):1046-1049.
    [42]Weizman Z, Asli G, Alsheikh A. Effect of a probiotic infant formula on infections in child care centers:comparison of two probiotic agents [J]. Pediatr, 2005,115(1):5-9.
    [43]Wang RF, Cao WW, Cerniglia CE. PCR detection and quantitation of predominant anaerobic bacteria in human and animal fecal samples [J]. Appl Environ Microbiol,1996,62(4):1242-1247.
    [44]Kurata M, Iidaka T, Hamada Y, et al. Simultaneous measurement of nucleated cell counts and cellular differentials in rat bone marrow examination using flow cytometer [J]. J Toxicol Sci,2007,32(3):289-299.
    [45]Kelly D, King T, Aminov R. Importance of microbial colonization of the gut in early life to the development of immunity [J]. Mutat Res,2007,622(1):58-69.
    [46]Mohamadzadeh M, Olson S, Kalina WV, et al. Lactobacilli activate human dendritic cells that skew T cells toward T helper 1 polarization [J]. Proc Natl Acad Sci USA,2005,102(8):2880-2885.
    [47]Drakes M, Blanchard T, Czinn S. Bacterial probiotic modulation of dendritic cells [J]. Infect Immun,2004,72(6):3299-3309.
    [48]Young SL, Simon MA, Baird MA, et al. Bifidobacterial species differentially affect expression of cell surface markers and cytokines of dendritic cells harvested from cord blood [J]. Clinic Diag Lab Immun,2004,11(4):686-690.
    [49]Christensen HR, Fr(?)kiaer H, Pestka JJ. Lactobacilli differentially modulate expression of cytokines and maturation surface markers in murine dendritic cells [J]. J Immunol,2002,168(1):171-178.
    [50]Hart AL, Lammers K, Brigidi P, et al. Modulation of human dendritic cell phenotype and function by probiotic bacteria [J]. Gut,2004,53(11):1602-1609.
    [51]Berg RD. Bacterial translocation from the gastrointestinal tract [J]. Adv Exp Med Biol,1999,473:11-30.
    [52]Macpherson AJ, Harris NL. Interactions between commensal intestinal bacteria and the immune system [J]. Nat Rev Immunol,2004,4(6):478-485.
    [53]Rescigno M, Rotta G, Valzasina B, et al. Dendritic cells shuttle microbes across gut epithelial monolayers [J]. Immunobiology,2001,204(5):572-581.
    [54]Niess JH, Brand S, Gu X, et al. CX3CR1-mediated dendritic cell access to the intestinal lumen and bacterial clearance [J]. Science,2005,307(5707):254-258.
    [55]Adkins B. T-cell function in newborn mice and humans [J]. Immunol Today, 1999,20(7):330-335.
    [56]Piguet PF, Irle C, Kollatte E, et al. Post-thymic T lymphocyte maturation during ontogenesis [J]. J Exp Med,1981,154(3):581-593.
    [57]Vicente A, Varas A, Acedon RS, et al. Appearance and maturation of T-cell subsets during rat thymus ontogeny [J]. Dev Immunol,1998,5(4):319-331.
    [58]Kelly KA, Scollay R. Seeding of neonatal lymph nodes by T cells and identification of a novel population of CD3-CD4+ cells [J]. Eur J Immunol,1992, 22(2):329-334.
    [59]Modigliani Y, Coutinho G, Burlen-Defranoux O, et al. Differential contribution of thymic outputs and peripheral expansion in the development of peripheral T cell pools [J]. Eur J Immunol,1994,24(5):1223-1227.
    [60]Vanderwaaij D. The influence of the intestinal microflora on the relative thymus weight [J]. Med Microbiol Immunol,1986,175(6):335-340.
    [61]Gray DHD, Ueno T, Chidgey AP, et al. Controlling the thymic microenvironment [J]. Curr Opin Immunol,2005,17(2):137-143.
    [62]Aattour N, Bouras M, Tome D, et al. Oral ingestion of lactic-acid bacteria by rats increases lymphocyte proliferation and interferon-gamma production [J]. Br J Nutr,2002,87:367-373.
    [63]Roller M, Rechkemmer G, Watzl B. Prebiotic inulin enriched with oligofructose in combination with the probiotics Lactobacillus rhamnosus and Bifidobacterium lactis modulates intestinal immune functions in rats [J]. J Nutr,2004,134(1): 153-156.
    [64]Pestka JJ, Ha CL, Warner RW, et al. Effects of ingestion of yogurts containing Bifidobacterium and Lactobacillus acidophilus on spleen and Peyer's patch lymphocyte populations in the mouse [J]. J Food Prot,2001,64(3):392-395.
    [65]Gill HS, Rutherfurd KJ, Prasad J, et al. Enhancement of natural and acquired immunity by Lactobacillus rhamnosus (HN001), Lactobacillus acidophilus (HN017) and Bifidobacterium lactis (HN019) [J]. Br J Nutr,2000,83(2): 167-176.
    [66]Gaboriau-Routhiau V, Raibaud P, Dubuquoy C, et al. Colonization of gnotobiotic mice with human gut microflora at birth protects against Escherichia coli heat-labile enterotoxin-mediated abrogation of oral tolerance [J]. Pediatr Res, 2003,54(5):739-746.
    [67]Sudo N, Yu XN, Aiba Y, et al. An oral introduction of intestinal bacteria prevents the development of a long-term Th2-skewed immunological memory induced by neonatal antibiotic treatment in mice [J]. Clin Exp Allergy,2002,32(7): 1112-1116.
    [68]Holt PG, Sly PD, Bjorksten B. Atopic versus infectious diseases in childhood:a question of balance? [J]. Pediatr Allergy Immunol,1997,8(2):53-58.
    [69]Snapper CM, Paul WE. Interferon-y and B cell stimulatory factor-1 reciprocally regulate Ig isotype production [J]. Science,1987,236(4804):944-947.
    [70]Adkins B, Leclerc C, Marshall-Clarke S. Neonatal adaptive immunity comes of age [J]. Nat Rev Immunol,2004,4(7):553-564.
    [71]Sutas Y, Autio S, Rantala I, et al. IFN-gamma enhances macromolecular transport across Peyer's patches in suckling rats:implications for natural immune responses to dietary antigens early in life [J]. J Pediatr Gastroenterol Nutr,1997, 24(2):162-169.
    [72]Krajci P, Tasken K, Kvale D, et al. Interferon-gamma stimulation of messenger RNA for human secretory component (poly-Ig receptor) depends on continuous intermediate protein synthesis [J]. Scand J Immunol,1993,37(2):251-256.
    [73]Herias MV, Hessle C, Telemo E, et al. Immunomodulatory effects of Lactobacillus plantarum colonizing the intestine of gnotobiotic rats [J]. Clin Exp Immunol,1999,116(2):283-290.
    [74]Pessi T, Sutas Y, Hurme H, et al. Interleukin-10 generation in atopic children following oral Lactobacillus rhamnosus GG [J]. Clin Exp Allergy,2000,30(12): 1804-1808.
    [75]Rinne M, Kalliomaki M, Arvilommi H, et al. Effect of probiotics and breastfeeding on the bifidobacterium and lactobacillus/enterococcus microbiota and humoral immune responses [J]. J Pediatr,2005,147(2):186-191.
    [76]Martino DJ, Currie H, Taylor A, et al. Relationship between early intestinal colonization, mucosal immunoglobulin A production and systemic immune development [J]. Clin Exp Allergy,2008,38(1):69-78.
    [1]Long KZ, Estrada-Garcia T, Rosado JL, et al. The effect of Vitamin a supplementation on the intestinal immune response in Mexican children is modified by pathogen infections and diarrhea [J]. J Nutr,2006,136(5): 1365-1370.
    [2]Stephensen CB. Vitamin A, infection, and immune function [J]. Annu Rev Nutr, 2001,21:167-192.
    [3]Quadro L, Gamble MV, Vogrl S, et al. Retinol and Retinol-Binding Protein:Gut Integrity and Circulating Immunoglobulins [J]. J Infect Dis,2000,182 (Suppl 1): S97-102.
    [4]Lawson ND, Berliner N. Neutrophil maturation and the role of retinoic acid [J]. Exp Hematol,1999,27(9):1355-1367.
    [5]Zhao Z, Ross AC. Retinoic acid repletion restores the number of leukocytes and their subsets and stimulates natural cytotoxicity in vitamin A-deficient rats [J]. J Nutr,1999,125(8):2064-2073.
    [6]Wiedermann U, Tarkowski A, Bremell T, et al. Vitamin A deficiency predisposes to Staphylococcus aureus infection [J]. Infect Immun,2004,64(1):209-214.
    [7]Seguin-Devaux, Rochette-Egly, Latger-Cannard, et al. Enhancement of the inducible NO synthase activation by retinoic acid is mimicked by RAR alpha
    agonist in vivo [J]. Am J Physiol Endocrinol Metab,2002,283(9):525-535.
    [8]Ross AC, Stephensen CB. Vitamin A and retinoids in antiviral responses [J]. FASEB J,1996,10(9):979-985.
    [9]Stephensen CB, Jiang XW, Tammy F. Vitamin A deficiency increases the in vivo development of IL-10-positive Th2 cells and decreases development of Thl cells in mice [J]. J Nutr,2004,134(10):2660-2666.
    [10]李婷欣,李云.维生素A对免疫功能的影响[J].生命的化学,2005,25(1):56-59.
    [11]Rahman MM, Mahalanabis D, Hossain S, et al. Simultaneous vitamin A administration at routine immunization contact enhances antibody response to diphtheria vaccine in infants younger than six months [J]. J Nutr,1999,129(11): 2192-2195.
    [12]Stephensen CB, Rasooly R, Jiang XW, et al. Vitamin A enhances in vitro Th2 development via retinoid X receptor pathway [J]. J Immunol,2002,168(9): 4495-4503.
    [13]Diab A, Hussain RZ, Lovett-Racke AE, et al. Ligands for the peroxisome proliferator-activated receptor-gamma and the Retinoid X receptor exert additive anti-inflammatory effects on experimental autoimmune encephalomyelitis [J]. J Neuroimmunol,2004,148(1-2):116-126.
    [14]Na SY, Kang BY, Chung SW, et al. Retinoids inhibit interleukin-12 production in macrophages through physical associations of retinoid X receptor and NF-kappa-B [J]. J Biol Chem,1999,274(12):7674-7680.
    [15]Hoag KA, Nashold FE, Goverman J, et al. Retinoic acid enhances the T helper 2 cell development that is essential for robust antibody responses through its action on antigen-presenting cells [J]. J Nutr,2002,132(12):3736-3739.
    [16]魏东,杨毅,王卫平.视黄酸对幼儿淋巴结B细胞发育的影响[J].营养学报,2004,26(6):441-443.
    [17]Tokuyama H, Tokuyama Y. The regulatory effects of all-trans-retinoic acid on isotype switching:retinoic acid induces IgA switch rearrangemen in cooperation with IL-5 and inhibits IgGl switching [J]. Cell Immunol,1999,192(1):41-47.
    [18]Lomo J, Smeland EB, Ulven S, et al. RAR-, not RXR, ligands inhibit cell activation and prevent apoptosis in B-lymphocytes [J]. J Cell Physiol,1998, 175(1):68-77.
    [19]陶月红,杨毅.维生素A对脐血树突状细胞分化与成熟及其功能的影响[J]. 中华儿科杂志,2004,42(5):340-344.
    [20]Geissmann F, Revy P, Brousse N, et al. Retinoids regulate survival and antigen presentation by immature dendritic cells [J]. J Exp Med,2003,198(4):623-634.
    [21]Hengesbach LM, Hoag KA. Physiological concentrations of retinoic acid favor myeloid dendritic cell development over granulocyte development in cultures of bone marrow cells from mice [J]. J Nutr,2004,134(10):2653-2659.
    [22]West KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age [J]. J Nutr,2002,132 (Suppl 9):S2857-2866.
    [1]周连鸿.肠道微生态系统[J].胃肠病学,2003,8(1):35-37.
    [2]Pollard M, Sharon N. Resportese of the peyer's in germ free mice to angyenic stimulation [J]. Infect Immune,1970,2(1):96-100.
    [3]Walker WA. Role of nutrients and bacterial colonisation in the development of intestinal host defence [J]. J Pediatr Gastroenterol Nutr,2000,30(1 Suppl): 227S-330S.
    [4]Rautava S, Ruuskanen O, Ouwehand A, et al. The hygiene hypothesis of atopic disease:an extended version [J]. J Pediatr Gastroenterol Nutr,2004,38(4):378-388.
    [5]Niers LEM, Hoekstra MO, Timmerman HM, et al. Selection of probiotic bacteria for prevention of allergic diseases:immunomodutation of neonatal dendritic cells [J]. Clin Exp Immunol,2007,149(2):344-352.
    [6]Ghadimi D, Folster-Holst R, de Vrese M, et al. Effects of probiotic bacteria and their genomic DNA on T(H)1/T(H)2-cytokine production by peripheral blood mononuclear cells (PBMCs) of healthy and allergic subjects [J]. Immunobiology, 2008,213(8):677-692.
    [7]Izcue A, Powrie F. Special regulatory T-cell review:regulatory T cells and the intestinal tract-patrolling the frontier [J]. Immunology,2008,123(1):6-10.
    [8]Duchmann R, Kaiser I, Hermann E, et al. Tolerance exists towards resident intestinal flora but is broken in active inflammatory bowel disease (IBD) [J]. Clin Exp Immunol,1995,102(3):448-455.
    [9]MacPherson A, Khoo UY, Forgacs I, et al. Mucosal antibodies in inflammatory bowel disease are directed against intestinal bacteria [J]. Gut,1996,38(3): 365-375.
    [10]Lilic D, Cant AJ, Abinun M, et al. Cytokine production differs in children and adults [J]. Pediate Res,1997,42(2):237-240.
    [11]Marschan E, Kuitunen M, Kukkonen K, et al. Probiotics in infancy induce protective immune profiles that are characteristic for chronic low-grade inflammation [J]. Clin Exp Allergy,2008,38(4):611-618.
    [12]Sudo N, Sawamura SA, Tanaka K, et al. The requirement of intestinal basterial flora for the development of an IgE production system fully surceptible to oral tolerance induction [J]. J Immunol,1997,159(4):1739-1745.
    [13]Pessi T, Sutas Y, Hurme H, et al. Interleukin-10 generation in atopic children following oral Lactobacillus rhamnosus GG [J]. Clin Exp Allergy,2000,30(12): 1804-1808.
    [14]Gronlund MM, Arvilommi H, Kero P, et al. Importance of interstinal colonization in the maturation of humoral immunity in early infancy:a prospective follow-up study of healthy infants aged 0-6 months [J]. Arch Dis Child,2000,83(3):186-192.
    [15]Matsuzaki T. Immunomodulation by treatment with Lactobacillus casei strain Shirota [J]. Int J Food Microbiol,1998,41(2):133-140.
    [16]Kalliomaki M, Salminen S, Poussa T, et al. Probiotics and prevention of atopic disease:4-year follow-up of a randomised placebo-controlled trial [J]. Lancet, 2003,361 (9372):1869-1871.
    [17]Rautava S, Kalidomaki M, Lsolauri E. Probiotics during pregnancy and breast-feeding might confer immunomodulatory protection against atopic disease in the infant [J]. J Allergy Clin Inununol,2002,109(1):119-121.
    [18]Rautava S, Kalidomaki M, Lsolauri E. New therapeutic strategy for combating the increasing burden of allergic disease:Probiotics-A Nutrition, Allergy, Mucosal Immunology and Intestinal Microbiota (NAM I) Research Group report [J]. J Allergy Clin Immunol,2005,116(1):31-37.
    [19]Lodinova-Zadnikova R, Cukrowska B, Tlaskalova-Hogenova H. Oral administration of probiotic Escherichia coli after birth reduces frequency of allergies and repeated infections later in life (after 10 and 20 years) [J]. Int Arch Allergy Immunol,2003,131(3):209-211.
    [20]Phuapradit P, Varavithya W, Vathanophas K, et al. Reduction of rotavirus infection in children receiving bifidobacteria-supplemented formula [J]. J Med Assoc Thai,1999,82(1 Suppl):43S-48S.
    [21]Chouraqui JP, Van Egroo LD, Fichot MC. Acidified milk formula supplemented with Bifidobacterium lactis:impact on infant diarrhea in residential care settings [J]. J Pediatr Gastroenterol Nutr,2004,38(3):288-292.
    [22]Weizman Z, Asli G, Alsheikh A. Effect of a probiotic infant formula on infections in child care centers:comparison of two probiotic agents [J]. Pediatrics, 2005,115(1):5-9.
    [23]Correa NB, Peret Filho LA, Penna FJ, et al. A randomized formula controlled trial of Bifidobacterium lactis and Streptococcus thermophilus for prevention of antibiotic-associated diarrhea in infants [J]. J Clin Gastroenterol,2005,39(5): 385-389.
    [24]Sudarmo SM, Ranuh RG, Rochim A, et al. Management of infant diarrhea with high-lactose probiotic-containing formula [J]. Southeast Asian J Trop Med Public Health,2003,34(4):845-848.
    [25]Lin HC, Su BH, Chen AC, et al. Oral probiotic reduce the incidence and severity of necrotizing enterocolitis in very low birth weight infant [J]. Pediatr,2005, 115(1):124-127.
    [26]Siggers RH, Siggers J, Boye M, et al. Early administration of Probiotics alters bacterial colonization and limits diet-induced gut dysfunction and severity of necrotizing enterocolitis in preterm pigs [J]. J Nutr,2008,138(8):1437-1444.
    [27]Guarner F. The intestinal flora in inflammatory bowel disease:normal or abnormal? [J]. Curr Opin Gastroenterol,2005,21(4):414-418.
    [28]Heriasm V, Koninkxj F, Vosj G, et al. Probiotic effects of Lactobacillus casei on DSS-induced ulcerative colitis in mice [J]. Int J Food Microbiol,2005,103(2): 143-155.
    [29]Gionchetti P, Rizzello F, Venturi A, et al. Oral bacterio-therapy as maintenance treatment in patients with chronic pouchitis:a double-blind, placebo-controlled trial [J]. Gastroenterology,2000,119(2):305-309.

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