Potential Dietary Interventions for COVID‑19 Infection Based on the Gut‑Immune Axis: An Update Review on Bioactive Component of Macronutrients
Abstract
Keywords
Full Text:
PDFReferences
WHO. WHO-convened Global Study of Origins of SARSCoV-2: China Part. 2021. Available from: https://www.who.int/
docs/default-source/coronaviruse/who-convened-global-study-oforigins-of-sars-cov-2-china-part-joint-report.pdf. [Last accessed
on 2021 Feb 10].
WHO, 2021. World Health Organization (WHO). COVID-19
Weekly Epidemiological Update Data as received by WHO
from national authorities, as of 21 March 2021, 10 am CET.
Available from: https://www.who.int/publications/m/item/weeklyepidemiological-update-on-covid-19--[Last accessed on 2021
Mar 23].
Banerjee A, Kulcsar K, Misra V, Frieman M, Mossman K. Bats
and coronaviruses. Viruses 2019;11:41.
Chen Y, Liu Q, Guo D. Emerging coronaviruses: Genome
structure, replication, and pathogenesis. J Med Virol
;92:418‑23.
Guarner J. Three emerging coronaviruses in two decades: The
story of SARS, MERS, and now COVID‑19. Am J Clin Pathol
;153:420‑1.
Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al.
A pneumonia outbreak associated with a new coronavirus of
probable bat origin. Nature 2020;579:270‑3.
Chan JF, Kok KH, Zhu Z, Chu H, To KK, Yuan S, et al.
Genomic characterization of the 2019 novel human‑pathogenic
coronavirus isolated from a patient with atypical pneumonia after
visiting Wuhan. Emerg Microbes Infect 2020;9:221‑36.
Zhang N, Wang L, Deng X, Liang R, Su M, He C, et al. Recent
advances in the detection of respiratory virus infection in
humans. J Med Virol 2020;92:408‑17.
Perlman S. Another decade, another coronavirus. N Engl J Med
;382:760‑2.
Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute
respiratory syndrome coronavirus 2 (SARS‑CoV‑2) and
corona virus disease‑2019 (COVID‑19): The epidemic and the
challenges. Int J Antimicrob Agents 2020;55:105924.
CDC. 2021. Available from: https://www.cdc.gov/
coronavirus/2019-ncov/faq.html#Spread. [Last accessed on 2021
Feb 10].
The Lancet Respiratory Medicine. COVID-19 transmission-up in
the air. Lancet Respir Med. 2020;8:1159.
Coico R, Sunshine G. Immunology, A short course. 14.
Hypersensitivity: Type I. Hoboken NJ, USA: John Wiley & sons,
Inc.; 2009. p. 221‑35.
van der Hoek L, Pyrc K, Jebbink MF, Vermeulen‑Oost W,
Berkhout RJ, Wolthers KC, et al. Identification of a new human
coronavirus. Nat Med 2004;10:368‑73.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical
features of patients infected with 2019 novel coronavirus in
Wuhan, China. Lancet 2020;395:497‑506.
Chafekar A, Fielding BC. MERS‑CoV: Understanding the latest
human coronavirus threat. Viruses 2018;10:93.
Woo PC, Lau SK, Chu Cm, Chan Kh, Tsoi Hw, Huang Y, et al.
Characterization and complete genome sequence of a novel
coronavirus, coronavirus HKU1, from patients with pneumonia.
J Virol 2005;79:884‑95.
Deng SQ, Peng HJ. Characteristics of and public health
responses to the coronavirus disease 2019 outbreak in China.
J Clin Med 2020;9:575.
Guan Wj, Ni Zy, Hu Y, Liang Wh, Ou Cq, He Jx, et al. Clinical
characteristics of coronavirus disease 2019 in China. N Engl J
Med 2020;382:1708‑20.
Spiegel M, Schneider K, Weber F, Weidmann M, Hufert FT.
Interaction of severe acute respiratory syndrome‑associated
coronavirus with dendritic cells. J Gen Virol 2006;87:1953‑60.
Cheng PK, Wong DA, Tong LK, Ip SM, Lo AC, Lau CS, et al.
Viral shedding patterns of coronavirus in patients with probable
severe acute respiratory syndrome. Lancet 2004;363:1699‑700.
Belouzard S, Chu VC, Whittaker GR. Activation of the SARS
coronavirus spike protein via sequential proteolytic cleavage at
two distinct sites. Proc Natl Acad Sci USA 2009;106:5871‑6.
Bosch BJ, van der Zee R, de Haan CA, Rottier PJ. The
coronavirus spike protein is a class I virus fusion protein:
Structural and functional characterization of the fusion core
complex. J Virol 2003;77:8801‑11.
Baranov PV, Henderson CM, Anderson CB, Gesteland RF,
Atkins JF, Howard MT. Programmed ribosomal frameshifting in
decoding the SARS‑CoV genome. Virology 2005;332:498‑510.
Snijder EJ, Bredenbeek PJ, Dobbe JC, Thiel V, Ziebuhr J,
Poon LL, et al. Unique and conserved features of genome and
proteome of SARS‑coronavirus, an early split‑off from the
coronavirus group 2 lineage. J Mol Biol 2003;331:991‑1004.
Boehm M, Nabel EG. Angiotensin‑converting enzyme 2‑‑A new
cardiac regulator. N Engl 2002;347:1795‑7.
Donoghue M, Hsieh F, Baronas E, Godbout K, Gosselin M,
Stagliano N, et al. A novel angiotensin‑converting enzyme–
related carboxypeptidase (ACE2) converts angiotensin I to
angiotensin 1‑9. Circ Res 2000;87:e1‑9.
Keidar S, Kaplan M, Gamliel‑Lazarovich A. ACE2 of the
heart: From angiotensin I to angiotensin (1–7). Cardiovasc Res
;73:463‑9.
Towler P, Staker B, Prasad SG, Menon S, Tang J, Parsons T,
et al. ACE2 X‑ray structures reveal a large hinge‑bending
motion important for inhibitor binding and catalysis. J Biol
;279:17996‑8007.
Wu K, Peng G, Wilken M, Geraghty RJ, Li F. Mechanisms of
host receptor adaptation by severe acute respiratory syndrome
coronavirus. J. Biol 2012;287:8904‑11.
Wu K, Li W, Peng G, Li F. Crystal structure of NL63 respiratory
coronavirus receptor‑binding domain complexed with its human
receptor. Proc Natl Acad Sci USA 2009;106, 19970‑4.
Baig AM, Khaleeq A, Ali U, Syeda H. Evidence of the
COVID‑19 virus targeting the CNS: Tissue distribution, host–
virus interaction, and proposed neurotropic mechanisms. ACS
Chem Neurosci 2020;11:995‑8.
Glowacka I, Bertram S, Herzog P, Pfefferle S, Steffen I,
Muench MO, et al. Differential downregulation of ACE2 by the
spike proteins of severe acute respiratory syndrome coronavirus
and human coronavirus NL63. J Virol 2010;84:1198‑205.
Wang S, Guo F, Liu K, Wang H, Rao S, Yang P, et al.
Endocytosis of the receptor‑binding domain of SARS‑CoV
spike protein together with virus receptor ACE2. Virus Res
;136:8‑15.
Imai Y, Kuba K, Rao S, Huan Y, Guo F, Guan B, et al.
Angiotensin‑converting enzyme 2 protects from severe acute
lung failure. Nature 2005;436:112‑6.
Hamming I, Timens W, Bulthuis M, Lely A, Navis G,
van Goor H. Tissue distribution of ACE2 protein, the functional
receptor for SARS coronavirus. A first step in understanding
SARS pathogenesis. J Pathol 2004;203:631‑7.
Cheung CY, Poon LL, Ng IH, Luk W, Sia SF, Wu MH, et al.
Cytokine responses in severe acute respiratory syndrome
coronavirus‑infected macrophages in vitro: Possible relevance to pathogenesis. J Virol 2005;79:7819‑26.
Law HK, Cheung CY, Ng HY, Sia SF, Chan YO, Luk W,
et al. Chemokine up‑regulation in sars‑coronavirus–
infected, monocyte‑derived human dendritic cells. Blood
;106:2366‑74.
Yen YT, Liao F, Hsiao CH, Kao CL, Chen YC, Wu‑Hsieh BA.
Modeling the early events of severe acute respiratory syndrome
coronavirus infection in vitro. J Virol 2006;80:2684‑93.
He L, Ding Y, Zhang Q, Che X, He Y, Shen H, et al. Expression
of elevated levels of pro‐inflammatory cytokines in SARS‐CoV‐
infected ACE2+cells in SARS patients: Relation to the acute lung
injury and pathogenesis of SARS. J Pathol 2006;210:288‑97.
Gao QY, Chen YX, Fang JY. 2019 novel coronavirus infection
and gastrointestinal tract. J Dig Dis 2020;21:125‑6.
Nguyen TM, Zhang Y, Pandolfi PP. Virus against virus:
A potential treatment for 2019‑nCov (SARS‑CoV‑2) and other
RNA viruses. Cell Res 2020;30:189‑90.
Wang M, Cao R, Zhang L, Yang X, Liu J, Xu M, et al.
Remdesivir and chloroquine effectively inhibit the recently
emerged novel coronavirus (2019‑nCoV) in vitro. Cell Res
;30:269‑71.
Islam MT, Sarkar C, El‐Kersh DM, Jamaddar S, Uddin SJ,
Shilpi JA, et al. Natural products and their derivatives against
coronavirus: A review of the non‐clinical and pre‐clinical data.
Phytother Res 2020;34:2471‑92.
Lupton JR, Brooks GA, Butte NF, Caballero B,
Flatt JP, Fried SK, et al. Dietary reference intakes for energy,
carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and
amino acids. NAP: Washington, DC, USA 2002;5:589-768.
Kierstein S, Krytska K, Kierstein G, Hortobágyi L, Zhu X,
Haczku A. Sugar consumption increases susceptibility to allergic
airway inflammation and activates the innate immune system in
the lung. J Allergy Clin Immunol 2008;121:S196.
Lin CS, Chang CJ, Lu CC, Martel J, Ojcius DM, Ko YF, et al.
Impact of the gut microbiota, prebiotics, and probiotics on
human health and disease. Biomed J 2014;37:259‑68.
Hutkins RW, Krumbeck JA, Bindels LB, Cani PD, Fahey G Jr,
Goh YJ, et al. Prebiotics: Why definitions matter. Curr Opin
Biotechnol 2016;37:1‑7.
Manning T, Gibson G. Microbial‑gut interactions in health
and disease. Prebiotics. Best Pract Res Clin Gastroenterol
;18:287‑98.
Shamasbi SG, Dehgan P, Charandabi SMA, Aliasgarzadeh A,
Mirghafourvand M. The effect of resistant dextrin as a prebiotic
on metabolic parameters and androgen level in women with
polycystic ovarian syndrome: A randomized, triple‑blind,
controlled, clinical trial. Eur J Nutr 2019;58:629‑40.
Dehghan P, Farhangi MA, Nikniaz L, Nikniaz Z,
Asghari‐Jafarabadi M. Gut microbiota‐derived metabolite
trimethylamine N‐oxide (TMAO) potentially increases the risk
of obesity in adults: An exploratory systematic review and dose‐
response meta‐analysis. Obes Rev 2020;19:76.
Enaud R, Prevel R, Ciarlo E, Beaufils F, Wieërs G, Guery B,
et al. The gut‑lung axis in health and respiratory diseases:
A place for inter‑organ and inter‑kingdom crosstalks. Front Cell
Infect Microbiol 2020;10:9.
Farhangi MA, Dehghan P, Namazi N. Prebiotic supplementation
modulates advanced glycation end‑products (AGEs),
soluble receptor for AGEs (sRAGE), and cardiometabolic
risk factors through improving metabolic endotoxemia:
A randomized‑controlled clinical trial. Eur J Nutr
;59:3009‑21.
Farhangi MA, Javid AZ, Sarmadi B, Karimi P, Dehghan P.
A randomized controlled trial on the efficacy of resistant dextrin,
as functional food, in women with type 2 diabetes: Targeting the
hypothalamic–pituitary–adrenal axis and immune system. Clin
Nutr 2018;37:1216‑23.
Hakimi S, Farhan F, Farshbaf‑Khalili A, Dehghan P,
Javadzadeh Y, Abbasalizadeh S, et al. The effect of prebiotic
vaginal gel with adjuvant oral metronidazole tablets on treatment
and recurrence of bacterial vaginosis: A triple‑blind randomized
controlled study. Arch Gynecol Obstet 2018;297:109‑16.
Tabrizi A, Khalili L, Homayouni-Rad A, Pourjafar H, Dehghan P,
Ansari F. Prebiotics, as promising functional food to patients with
psychological disorders: A review on mood disorders, sleep, and
cognition. NeuroQuantology 2019;17:1-9.
Hashempour‑Baltork F, Hosseini H, Shojaee‑Aliabadi S,
Torbati M, Alizadeh AM, Alizadeh M. Drug resistance and the
prevention strategies in food borne bacteria: An update review.
Adv Pharm Bull 2019;9:335‑47.
Blaut M. Relationship of prebiotics and food to intestinal
microflora. Eur J Nutr 2002;41(Suppl 1):I11‑6.
Gibson GR, Wang X. Enrichment of bifidobacteria from human
gut contents by oligofructose using continuous culture. FEMS
Microbiol Lett 1994;118:121‑7.
Barcelo A, Claustre J, Moro F, Chayvialle JA, Cuber JC,
Plaisancié P. Mucin secretion is modulated by luminal factors in
the isolated vascularly perfused rat colon. Frontline Gastroenterol
;46:218‑24.
Vulevic J, Drakoularakou A, Yaqoob P, Tzortzis G, Gibson GR.
Modulation of the fecal microflora profile and immune function
by a novel trans‑galactooligosaccharide mixture (B‑GOS) in
healthy elderly volunteers. Am J Clin Nutr 2008;88:1438‑46.
Lehtoranta L, Pitkäranta A, Korpela R. Probiotics in
respiratory virus infections. Eur J Clin Microbiol Infect Dis
;33:1289‑302.
Luoto R, Ruuskanen O, Waris M, Kalliomäki M, Salminen S,
Isolauri E. Prebiotic and probiotic supplementation prevents
rhinovirus infections in preterm infants: A randomized,
placebo‑controlled trial. J Allergy Clin Immunol
;133:405‑13.
Arslanoglu S, Moro GE, Boehm G. Early Supplementation
of prebiotic oligosaccharides protects formula‑fed infants
against infections during the first 6 months of life. J Nutr
;137:2420‑4.
Firmansyah A, Pramita G, Carrie Fassler A, Haschke F,
Link‑Amster H. Improved humoral immune response to
measles vaccine in infants receiving infant cereal with
fructooligosaccharides. J Pediatr Gastroenterol Nutr
;31:A521.
Bakker‑Zierikzee AM, Tol EA, Kroes H, Alles MS, Kok FJ,
Bindels JG. Faecal SIgA secretion in infants fed on
pre‑ or probiotic infant formula. Pediatr Allergy Immunol
;17:134‑40.
Duggan C, Penny ME, Hibberd P, Gil A, Huapaya A, Cooper A,
et al. Oligofructose‑supplemented infant cereal: 2 randomized,
blinded, community‑based trials in Peruvian infants. Am J Clin
Nutr 2003;77:937‑42.
Waligora‑Dupriet AJ, Campeotto F, Nicolis I, Bonet A,
Soulaines P, Dupont C, et al. Effect of oligofructose
supplementation on gut microflora and well‑being in young
children attending a day care centre. Int J Food Microbiol
;113:108‑13.
Lomax AR, Cheung LV, Noakes PS, Miles EA, Calder PC.
Inulin‑type β2‑1 fructans have some effect on the antibody response to seasonal influenza vaccination in healthy middle‑aged humans. Front Immunol 2015;6:490.
Seidel C, Boehm V, Vogelsang H, Wagner A, Persin C, Glei M,
et al. Influence of prebiotics and antioxidants in bread on the
immune system, antioxidative status and antioxidative capacity
in male smokers and non‑smokers. Br J Nutr 2007;97:349‑56.
Langkamp-Henken B, Bender BS, Gardner EM,
Herrlinger-Garcia KA, Kelley MJ, Murasko DM, et al.
Nutritional formula enhanced immune function and reduced days
of symptoms of upper respiratory tract infection in seniors. J Am
Geriatr Soc 2004;52:3‑12.
Langkamp‑Henken B, Wood SM, Herlinger‑Garcia KA,
Thomas DJ, Stechmiller JK, Bender BS, et al. Nutritional
formula improved immune profiles of seniors living in nursing
homes. J Am Geriatr Soc 2006;54:1861‑70.
Guigoz Y, Rochat F, Perruisseau‑Carrier G, Rochat I, Schiffrin E.
Effects of oligosaccharide on the faecal flora and non‑specific
immune system in elderly people. Nutr Res 2002;22:13–25.
Bunout D, Hirsch S, Pía de la Maza M, Muñoz C, Haschke F,
Steenhout P, et al. Effects of prebiotics on the immune response
to vaccination in the elderly. JPEN J 2002;26:372‑6.
Daliri EBM, Lee BH, Oh DH. Safety of probiotics in health
and disease. In The Role of Functional Food Security in Global
Health. Elsevier; 2019. p. 603‑22.
Hashempour‑Baltork F, Torbati M, Azadmard‑Damirchi S,
Savage GP. Quality properties of sesame and olive oils
incorporated with flaxseed oil. Adv Pharm Bull 2017;7:97‑101.
Hashempour‑Baltork F, Torbati M, Azadmard‑Damirchi S,
P Savage G. Chemical, rheological and nutritional characteristics
of sesame and olive oils blended with linseed oil. Adv Pharm
Bull 2018;8:107‑13.
Hashempour‐Baltork F, Torbati M, Azadmard‐Damirchi S,
Savage GP. Quality properties of puffed corn snacks incorporated
with sesame seed powder. Food Sci Nutr 2018;6:85‑93.
de Jong AJ, Kloppenburg M, Toes REM, Ioan‑Facsinay A.
Fatty acids, lipid mediators, and T‑cell function. Front Immunol
;5:483.
Conti P, Ronconi G, Caraffa A, Gallenga C, Ross R, Frydas I,
et al. Induction of pro‑inflammatory cytokines (IL‑1 and
IL‑6) and lung inflammation by Coronavirus‑19 (COVID‑19
or SARS‑CoV‑2): Anti‑inflammatory strategies. J Biol Regul
Homeost Agents 2020;34:327‑31.
Rocha D, Caldas A, Oliveira L, Bressan J, Hermsdorff H.
Saturated fatty acids trigger TLR4‑mediated inflammatory
response. Atherosclerosis 2016;244:211‑5.
Gomaa AM, El‑Aziz EAA. Omega‑3 fatty acids decreases
oxidative stress, tumor necrosis factor‑alpha, and interleukin‑1
beta in hyperthyroidism‑induced hepatic dysfunction rat model.
Pathophysiology 2016;23:295‑301.
Das UN. Can essential fatty acids reduce the burden of
disease(s)? Lipids Health Dis 2008;7:9.
Das UN. Can Bioactive Lipids Inactivate
Coronavirus (COVID‑19)? Arch Med Res 2020;51:282‑6.
Chandrabose KA, Cuatrecasas P, Pottathil R. Interferon‑mediated
changes in lipid metabolism. Tex Rep Biol Med 1981;41:499‑508.
Pottathil R, Chandrabose KA, Cuatrecasas P, Lang DJ.
Establishment of the interferon‑mediated antiviral state:
Role of fatty acid cyclooxygenase. Proc Natl Acad Sci USA
;77:5437‑40.
Purasiri P, McKechnie A, Heys S, Eremin O. Modulation in vitro
of human natural cytotoxicity, lymphocyte proliferative response
to mitogens and cytokine production by essential fatty acids.
Immunology 1997;92:166‑72.
Horrobin DF. Essential fatty acids, immunity and viral infections.
J Nutr Med 1990;1:145‑51.
Roessler C, Kuhlmann K, Hellwing C, Leimert A, Schumann J.
Impact of polyunsaturated fatty acids on miRNA profiles of
monocytes/macrophages and endothelial cells‑A pilot study. Int J
Mol Sci 2017;18:284.
Gutiérrez S, Svahn SL, Johansson ME. Effects of omega‑3 fatty
acids on immune cells. Int J Mol Sci 2019;20:5028.
Kumar N, Gupta G, Anilkumar K, Fatima N, Karnati R,
Reddy GV, et al. 15‑Lipoxygenase metabolites of α‑linolenic
acid, [13‑(S)‑HPOTrE and 13‑(S)‑HOTrE], mediate
anti‑inflammatory effects by inactivating NLRP3 inflammasome.
Sci Rep 2016;6:31649.
Hellwing C, Tigistu‑Sahle F, Fuhrmann H, Käkelä R,
Schumann J. Lipid composition of membrane microdomains
isolated detergent‑free from PUFA supplemented RAW264.7
macrophages. J Cell Physiol 2018;233:2602‑12.
Schoeniger A, Fuhrmann H, Schumann J. LPS‑ or Pseudomonas
aeruginosa‑mediated activation of the macrophage TLR4
signaling cascade depends on membrane lipid composition
;4:e1663.
Superti F, Marziano ML, Donelli G, Marchetti M, Seganti L.
Enhancement of rotavirus infectivity by saturated fatty acids.
Comp Immunol Microbiol Infect Dis 1995;18:129‑35.
Rubin RH, Wilkinson RA, Xu L, Robinson DR. Dietary marine
lipid does not alter susceptibility of (NZBxNZW) F1 mice to
pathogenic microorganisms. Prostaglandins 1989;38:251‑62.
Fritsche KL, Johnston PV. Modulation of eicosanoid production
and cell‐mediated cytotoxicity by dietary α‐linolenic acid in
BALB/c mice. Lipids 1989;24:305‑11.
Fernandes G, Tomar V, Venkatraman MN, Venkatraman JT.
Potential of diet therapy on murine AIDS. J Nutr
;122:716‑22.
Xi S, Cohen D, Chen LH. Effects of fish oil on cytokines and
immune functions of mice with murine AIDS. J Lipid Res
;39:1677‑87.
Giron DJ. Inhibition of viral replication in cell cultures treated
with prostaglandin E1. Proc Soc Exp Biol Med 1982;170:25‑8.
Kohn A, Gitelman J, Inbar M. Unsaturated free fatty acids
inactivate animal enveloped viruses. Arch Virol 1980;66:301‑7.
Bégin ME, Manku MS, Horrobin DF. Plasma fatty acid
levels in patients with acquired immune deficiency syndrome
and in controls. Prostaglandins Leukot Essent Fatty Acids
;37:135‑7.
Byleveld M, Pang GT, Clancy RL, Roberts DC. Fish oil feeding
enhances lymphocyte proliferation but impairs virus‑specific
T lymphocyte cytotoxicity in mice following challenge with
influenza virus. Clin Exp Immunol 2000;119:287‑92.
Byleveld PM, Pang GT, Clancy RL, Roberts DC. Fish oil
feeding delays influenza virus clearance and impairs production
of interferon‑gamma and virus‑specific immunoglobulin A in the
lungs of mice. J Nutr 1999;129:328‑35.
Morita M, Kuba K, Ichikawa A, Nakayama M, Katahira J,
Iwamoto R, et al. The lipid mediator protectin D1 inhibits
influenza virus replication and improves severe influenza. Cell
;153:112‑25.
Huang H, Chen Y, Ye J. Inhibition of hepatitis C virus replication
by peroxidation of arachidonate and restoration by vitamin E.
Proc Natl Acad Sci USA 2007;104:18666‑70.
Leu GZ, Lin TY, Hsu JT. Anti‑HCV activities of selective
polyunsaturated fatty acids. Biochem Biophys Res Commun
;318:275‑80.
Jones GJB, Roper RL. The effects of diets enriched in omega‑3
polyunsaturated fatty acids on systemic vaccinia virus infection. Sci Rep 2017;7:15999.
Blanco A, Blanco G. Medical Biochemistry. Academic Press;
Li P, Yin YL, Li D, Kim SW, Wu, G. Amino acids and immune
function. Br J Nutr 2007;98:237‑52.
Siqueiros‑Cendón T, Arévalo‑Gallegos S, Iglesias‑Figueroa BF,
García‑Montoya IA, Salazar‑Martínez J, Rascón‑Cruz Q.
Immunomodulatory effects of lactoferrin. Acta Pharmacol
;35:557‑66.
Sun H, Jenssen H. Milk Derived Peptides with Immune
Stimulating Antiviral Properties. Milk Protein. Rijeka, Croatia:
Intech; 2012. p. 45‑82.
Ng TB, Lam TL, Au TK, Ye XY, Wan CC. Inhibition of human
immunodeficiency virus type 1 reverse transcriptase, protease
and integrase by bovine milk proteins. Life Sci 2001;69:2217‑23.
Karacabey K. The effect of nutritional elements on the immune
system. J Obes Weight Loss Ther 2012;9:1‑6.
Chandra RK. Nutrition and the immune system: An introduction.
Am J Clin Nutr 1997;66:460‑3.
Rytter MJ, Kolte L, Briend A, Friis H, Christensen VB. The
immune system in children with malnutrition‑‑A systematic
review. PLoS One 2014;9:e105017.
Gruppen EG, Garcia E, Connelly MA, Jeyarajah EJ, Otvos JD,
Bakker SJL, et al. TMAO is associated with mortality: Impact of
modestly impaired renal function. Sci Rep 2017;7:13781.
Mafune A, Iwamoto T, Tsutsumi Y, Nakashima A,
Yamamoto I, Yokoyama K, et al. Associations among serum
trimethylamine‑N‑oxide (TMAO) levels, kidney function
and infarcted coronary artery number in patients undergoing
cardiovascular surgery: A cross‑sectional study. Clin Exp
Nephrol 2016;20:731‑9.
Mente A, Chalcraft K, Ak H, Davis AD, Lonn E, Miller R, et al.
The relationship between trimethylamine‑n‑oxide and prevalent
cardiovascular disease in a multiethnic population living in
Canada. Can J Cardiol 2015;31:1189‑94.
Martinon F, Burns K, Tschopp J. The inflammasome: A molecular
platform triggering activation of inflammatory caspases and
processing of proIL‑β. Mol. Cell 2002;10:417‑26.
Martinon F, Tschopp J. Inflammatory caspases and
inflammasomes: Master switches of inflammation. Cell Death
Differ 2007;14:10‑22.
Takahashi M. NLRP3 inflammasome as a novel player in
myocardial infarction. Int Heart J 2014;55:101‑5.
Chen Ml, Zhu Xh, Ran L, Lang Hd, Yi L, Mi Mt.
Trimethylamine‐N‐oxide induces vascular inflammation by
activating the NLRP3 inflammasome through the SIRT3‐SOD2‐
mtROS signaling pathway. Am Heart J 2017;6:e006347.
Wang W, Yang Q, Sun Z, Chen X, Yang C, Ma X. Editorial:
Advance of interactions between exogenous natural bioactive
peptides and intestinal barrier and immune responses. Curr
Protein Pept Sci 2015;16:574‑5.
Zhao J, Zhang X, Liu H, Brown MA, Qiao S. Dietary protein
and gut microbiota composition and function. Curr Protein Pept
Sci 2019;20:145‑54.
Barker HA. Amino acid degradation by anaerobic bacteria. Annu
Rev Biochem 1981;50:23‑40.
Macfarlane S, Macfarlane GT. Regulation of short‑chain fatty
acid production. Proc Nutr Soc 2003;62:67‑72.
Ma N, Tian Y, Wu Y, Ma X. Contributions of the interaction
between dietary protein and gut microbiota to intestinal health.
Curr Protein Pept Sci 2017;18:795‑808.
Veiga P, Gallini CA, Beal C, Michaud M, Delaney ML,
DuBois A, et al. Bifidobacterium animalis subsp. lactis
fermented milk product reduces inflammation by altering a
niche for colitogenic microbes. Proc Natl Acad Sci USA 2010;
:18132‑7.
Fan P, Li L, Rezaei A, Eslamfam S, Che D, Ma X. Metabolites
of dietary protein and peptides by intestinal microbes and their
impacts on gut. Curr Protein Pept Sci 2015;16:646‑54.
Keller L, Surette MG. Communication in bacteria: An ecological
and evolutionary perspective. Nat Rev Microbiol 2006;4:249‑58.
Marsland BJ. Regulating inflammation with microbial
metabolites. Nat Med 2016;22:581‑3.
Ma N, Ma X. Dietary amino acids and the gut‐microbiome‐
immune axis: Physiological metabolism and therapeutic
prospects. Compr Rev Food Sci Food Saf 2018;18:221‑42.
Makino S, Ikegami S, Kume A, Horiuchi H, Sasaki H, Orii N.
Reducing the risk of infection in the elderly by dietary intake of
yoghurt fermented with Lactobacillus delbrueckii ssp. bulgaricus
OLL1073R‑1. Br J Nutr 2010;104:998‑1006.
Halpern GM, Vruwink KG, Van De Water J, Keen CL,
Gershwin ME. Influence of long‑term yoghurt consumption in
young adults. Int J Immunother 1991;7:205‑10.
Micke P, Beeh KM, Schlaak JF, Buhl R. Oral supplementation
with whey proteins increases plasma glutathione levels of
HIV‑infected patients. Eur J Clin Invest 2001;31:171‑8.
Sattler FR, Rajicic N, Mulligan K, Yarasheski KE, Koletar SL,
Zolopa A, et al. Evaluation of high‑protein supplementation in
weight‑stable HIV‑positive subjects with a history of weight loss:
A randomized, double‑blind, multicenter trial. Am J Clin Nutr
;88:1313‑21.
Butorov EV. Impact of high protein intake on viral load and
hematological parameters in HIV‑infected patients. Curr HIV
Res 2017;15:345‑54.
Ahmed M, Henson DA, Sanderson MC, Nieman DC, Gillitt ND,
Lila MA. The protective effects of a polyphenol‑enriched protein
powder on exercise‑induced susceptibility to virus infection.
Phytother Res 2014;28:1829‑36.
Pinnock CB, Graham NM, Mylvaganam A, Douglas RM.
Relationship between milk intake and mucus production in adult
volunteers challenged with rhinovirus‑2. Am Rev Respir Dis
;141:352‑6.
Vitetta L, Coulson S, Beck SL, Gramotnev H, Du S, Lewis S.
The clinical efficacy of a bovine lactoferrin/whey protein
Ig‑rich fraction (Lf/IgF) for the common cold: A double blind
randomized study. Complement Ther Med 2013;21:164‑71.
Ochoa TJ, Chea‑Woo E, Baiocchi N, Pecho I, Campos M,
Prada A, et al. Randomized double‑blind controlled trial of
bovine lactoferrin for prevention of diarrhea in children. J Pediatr
;162:349‑56.
Wolber FM, Broomfield AM, Fray L, Cross ML, Dey D. Supplemental
dietary whey protein concentrate reduces rotavirus‑induced disease
symptoms in suckling mice. J Nutr 2005;135:1470‑4.
Low PP, Rutherfurd KJ, Gill HS, Cross ML. Effect of dietary whey
protein concentrate on primary and secondary antibody responses in
immunized BALB/c mice. Int Immunopharmacol 2003;3:393‑401.
Wahl A, Swanson MD, Nochi T, Olesen R, Denton PW,
Chateau M, et al. Human breast milk and antiretrovirals
dramatically reduce oral HIV‑1 transmission in BLT humanized
mice. PLoS Pathog 2012;8:e1002732.
Wakabayashi H, Kurokawa M, Shin K, Teraguchi S,
Tamura Y, Shiraki K. Oral lactoferrin prevents body weight
loss and increases cytokine responses during herpes simplex
virus type 1 infection of mice. Biosci Biotechnol Biochem
;68:537‑44.