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研究提供肠道细菌与类风湿性关节炎发展有关的新证据_我的网站

一 | 类风湿性关节炎被广泛认为是一种多因素的疾病。这意味着没有一个单一的基因或环境暴露是对其发展的唯一责任。相反,可能需要一系列的因素来触发与该疾病相关的自身免疫行为。越来越多的证据表明,肠道微生物组在该疾病的发生中起着作用。 (ECNS) -- Shanghai is piloting a new approach to weight management for children and adolescents, combining artificial intelligence, targeted health education and multidisciplinary medical care. “Weight management for children is not simply about losing weight, but about correcting unhealthy lifestyles while ensuring normal growth,” said Hong Li, a pediatric clinical nutrition expert in Shanghai. The approach was tested during a youth weight management camp held from Aug. 8 to 10 by the Shanghai Health Promotion Center and Shanghai Children’s Medical Center, affiliated with Shanghai Jiao Tong University School of Medicine. The camp involved 11 families with children aged 8 to 15 who were overweight or obese. The program used an AI-powered health management system called “Fuxing” to analyze participants’ metabolic, dietary, behavioral and mental health data, generating personalized health profiles and intervention plans. The system will continue to track participants after the camp, supporting long-term weight management through coordination among hospitals, communities and families. The camp also adopted a multidisciplinary team (MDT) approach, bringing together specialists in pediatric endocrinology and genetics, clinical nutrition, cardiac rehabilitation and other fields. Experts assessed each child’s physical condition, lifestyle and psychological well-being before developing individualized management plans. During the program, specialists provided guidance on nutrition, exercise, mental health and obesity-related health risks, helping families build healthier daily habits. Participants also learned how to read food labels and make healthier dietary choices, while receiving information on medication and surgical options for obesity treatment, as well as traditional Chinese medicine approaches. The Shanghai Health Promotion Center said it will continue to strengthen cooperation among medical institutions, communities and schools, while promoting more systematic approaches to the prevention and management of childhood obesity. (By Helen Mo, intern Liu Shuangjing)
。事实上,一种特定的细菌菌株已经成为近年来许多研究的焦点。Prevotella copri通常不被认为是一种有害的肠道细菌菌株。它可以在大多数人的微生物组中找到,甚至与高纤维、低脂肪的饮食有关。但在过去十年中,一些研究发现类风湿性关节炎与Prevotella copri的异常水平之间存在关联。这项新的研究专门研究了一种免疫抗体的血液水平,这种抗体是针对Prevotella copri所表达的一种特定蛋白质而产生的。研究人员不仅对预先存在的类风湿性关节炎患者是否对这种特殊的细菌蛋白表现出过度的免疫反应感兴趣,而且他们还观察了处于疾病早期阶段的人群,以及被归类为发展该疾病高风险的群体。分析技术显示,与健康对照组相比,那些患有类风湿性关节炎的人确实显示出更高的抗体水平。但更重要的是,与对照组相比,那些处于该疾病高风险的人也显示出更高的抗体水平。而且,研究表明一种可能的因果关系,那些已经确立的类风湿关节炎患者与那些处于疾病最早阶段的人相比显示出更高的抗体水平。当然,这些证据还远不是确定的,仍然存在严重的问题。虽然针对这种细菌蛋白的免疫活动增加与类风湿性关节炎之间可能存在关联,但这并不一定意味着这种关系会推动疾病的发展。尽管如此,2017年的一项研究已经假设了这种特殊的Prevotella copri的蛋白质如何可能合理地触发自身免疫活动,导致关节炎的发生。

二 | 但这仍然是令人难以置信的推测,新研究的通讯作者Jennifer Seifert说,这些发现需要做更多的工作,以更好地了解肠道细菌和类风湿性关节炎(RA)之间的任何潜在关系。Seifert说:“我们的希望是,这些发现可以帮助进一步阐明细菌共生体在有患RA风险的人和RA患者中的复杂病因作用,从而可以开发出有针对性的疗法,目的是提供更好的治疗,并最终预防该疾病。”这项新研究发表在《关节炎与风湿病学》上。
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