Læknablaðið - 15.02.2002, Blaðsíða 35
FRÆÐIGREINAR / ÁHRIF LÝSIS / BAKTERÍUTEGUNDIR
vegar úr framleiðslu sérhæfðra T-eitilfrumna (30,31).
Fleiri breytingum á starfsemi og fjölgun eitilfrumna
hefur verið lýst (32). Rannsóknir hafa einnig bent til
að draga mætti úr bælingu lymfocýta í sepsis með
lýsisgjöf (23). Niðurstöður hafa einnig sýnt fram á
minni framleiðslu IL-12 og interferón-gamma í dýr-
um (33). Einnig hefur verið bent á aukningu á sjálf-
stýrðum frumudauða hjá tilraunadýrum sem fengu
lýsisríkt fæði (34). Þó hafa einnig verið birtar niður-
stöður sem sýna minni vöxt malaríu in vitro og in vivo
eftir lýsisneyslu tilraunadýra sem varla styður kenn-
ingar um ónæmisbælingu (24). Því má ætla að áhrif
lýsisins á ónæmissvar líkamans sé afar fjölbreytt.
I rannsóknum okkar og annarra hefur ýmist verið
notað kornolíubætt fæði eða ólífuolíubætt fæði til við-
miðunar við lýsisgjöfina (6, 7, 9, 14, 16, 35, 36). Mis-
munur á fitusýrusamsetningunni felst fyrst og fremst í
omega-3 innihaldi lýsisins sem hvorki er í ólífuolíu né
komolíu. Viðmiðunarfæðið hefur hins vegar sýnt sömu
niðurstöður og hefðbundið fæði í tilraunum okkar (6,7,
37). Því er eðlilegt að álykta að áhrifin séu fyrst og
fremst vegna lýsisgjafarinnar og þá vegna omega-3
innihalds lýsisins.
Niðurstöður okkar nú benda ákveðið til þess að
áhrif lýsisrfks fæðis tilraunadýra séu greinileg í sýk-
ingum með Klebsiella pertumoniae en ekki í sýking-
um með Streptococcus pneumoniae. Astæður þessa
munar eru enn ekki Ijósar.
Þakkir
Sonja Vilhjálmsdóttir annaðist dýrahald á Keldum.
Örn Ólafsson aðstoðaði við tölfræðiútreikninga.
Styrkir til rannsóknarinnar fengust frá RANNÍS, Ný-
sköpunarsjóði námsmanna, Lýsi ehf, Aðstoðarmanna-
sjóði Háskóla Islands og Vísindasjóði Landspítalans.
Sýklafræðideild Landspítala lagði til bakteríurnar.
Heimildir
1. Kremer JM, Lawrence DA, Petrillo GF, Litts LL, Mullaly PM,
Rynes RI, et al. Effects of high-dose fish oil on rheumatoid
arthritis after stopping nonsteroidal antiinflammatory drugs.
Clinical and immune correlates. Arthritis Rheum 1995; 38:
1107-14.
2. Bittner SB, Tucker WB, Cartwright I, Bleehen SS. A double
blind, randomised, placebo-controlled trial of físh oil in
psoriasis. Lancet 1988; 1: 378-80.
3. Miura S, Tsuzuki Y, Hokari R, Ishii H. Modulation of intes-
tinal immune system by dietary fat intake: relevance to
Crohn’s disease. J Gastroenterol Hepatol 1998; 13:1183-90.
4. Cheng IK, Chan PC, Chan MK. The effect of físh-oil dietary
supplement on the progression of mesangial IgA glomeru-
lonephritis. Nephrol Dial Transplant 1990; 5: 241-6.
5. Harbige LS. Dietary n-6 and n-3 fatty acids in immunity and
autoimmune disease. Proc Nutr Soc 1998; 57: 555-62.
6. Björnsson S, Harðardóttir I, Gunnarsson E, Haraldsson Á.
Lýsisneysla eykur lifun músa eftir sýkingu með Klebsiella
pneumoniae. Læknablaðið 1997; 83: 289-93.
7. Bjornsson S, Hardardottir I, Gunnarsson E, Haraldsson A.
Dietary fish oil supplementation increases survival in mice
following Klebsiella pneamoniae infection. Scand J Infect Dis
1997; 29:491-3.
8. Blok WL, Vogels MTE, Curfs JHAJ, Eling WMC, Buurman
WA, van der Meer JWM. Dietary fish-oil supplementation in
experimental gram-negative infection and in cerebral malaria
in mice. J Infect Dis 1992; 165: 898-903.
9. Þórisdóttir A, Sigurðsson JR, Erlendsdóttir H, Einarsson I,
Guðmundsson S, Gunnarsson E, et al. Áhrif lýsisneyslu á
bakteríuvöxt in vivo. Læknablaðið 2001; 87: 715-18.
10. Peck MD, Alexander JW, Ogle CK, Babcock GF The effect of
dietary fatty acids on response to Pseudomonas infection in
burned mice. J Trauma 1990; 30: 445-52.
11. Rosa DM, Spillert CR, Flanagan JJ, Lazaro EJ. Beneficial
effect of cod liver oil in murine endotoxemia. Research Com-
munications in Chemical Pathology and Pharmacology 1990;
70:125-7.
12. Wang X, Sjunnesson H, Sturegard E, Wadstrom T, Willen R,
Aleljung P. Dietary factors influence the recovery rates of
Helicobacter pylori in a BALB/cA mouse model. Zentralblatt
fúr Bakteriologie 1998; 288:195-205.
13. Thompson L, Cockayne A, Spiller RC. Inhibitory effect of
polyunsaturated fatty acids on the growth of Helicobacter
pylori: a possible explanation of the effect of diet on peptic
ulceration. Gut 1994; 35:1557-61.
14. Paul KP, Leichsenring M, Pfisterer M, Mayatepek E, Wagner
D, Domann M, et al. Influence of n-6 and n-3 polyunsaturated
fatty acids on the resistance to experimental tuberculosis.
Metabolism 1997; 46: 619-24.
15. Fevang P, Sááv H, Hpstmark AT. Dietary Fish Oils and Long-
Term Malaria Protection in Mice. Lipids 1995; 30: 437-41.
16. D'AmboIa JB, Aeberhard EE, Trang N, Gaffar S, Barrett CT,
Sherman MP. Effect of dietary (n-3) and (n-6) fatty acids on in
vivo pulmonary bacterial clearance by neonatal rabbits. J Nutr
1991; 121:1262-9.
17. Palombo JD, DeMichele SJ, Boyce PJ, Lydon EE, Liu JW,
Huang YS, et al. Effect of short-term enteral feeding with
eicosapentaenoic and gamma- linolenic acids on alveolar
macrophage eicosanoid synthesis and bactericidal function in
rats. Crit Care Med 1999; 27:1908-15.
18. Fritsche KL, Shahbazian LM, Feng C, Berg JN. Dietary fish oil
reduces survival and impairs bacterial clearance in C3H/Hen
mice challenged with Listeria monocytogenes. Clin Sci (Colch)
1997; 92: 95-101.
19. Bluestone C, Klein J, Paradise J, et.al. Workshop on effects of
otitis media on the child. Pediatrics 1983; 71: 639-52.
20. Williams W, Hickson M, Kane M, Kendal A, Spika J, Hinman
A. Immunization policies and vaccine coverage among adults.
The risk for missed opportunities (published erratum appears
in Ann Intern Med 1988; 109:348). Ann Intern Med 1988; 108:
616-25.
21. Magnusson V, Erlendsdóttir H, Kristinsson KG, Guðmunds-
son S. Comparative efficiacy of penicillin and ceftriaxone
against penicillin resistant pneumococci in a mouse pneum-
onia model. In: ICAAC; 1995; 1995.
22. Mascioli E, Leader L, Flores E, Trimbo S, Bistrian B, Black-
burn G. Enhanced survival to endotoxin in guinea pigs fed IV
fish oil emulsion. Lipids 1988; 23: 623-5.
23. Lanza-Jacoby S, Flynn JT, Miller S. Parenteral supplementa-
tion with a fish-oil emulsion prolongs survival and improves
rat lymphocyte function during sepsis. Nutrition 2001; 17:112-6.
24. Kumaratilake LM, Robinson BS, Ferrante A, Poulos A. Anti-
malarial properties of n-3 and n-6 polyunsaturated fatty acids:
in vitro effects on Plasmodium falciparum and in vivo effects
on P. berghei. J Clin Invest 1992; 89: 961-7.
25. Thormar H, Isaacs CE, Brown HR, Barshatzky MR, Pessoano
T. Inactivation of enveloped viruses and killing of cells by fatty
acids and monoglycerides. Antimicrob agents chemother 1987;
31:27-31.
26. Byleveld PM, Pang GT, Clancy RL, Roberts DC. Fish oil
feeding delays influenza virus clearance and impairs produc-
tion of interferon-gamma and virus-specific immunoglobulin
A in the lungs of mice. J Nutr 1999; 129: 328-35.
27. Cundell D, Masure HR, E.I. T. The molecular basis of
pneumococcal infection: A hypothesis. Clin Infect Dis 1995;
21: S204-12.
28. Calder PC. Can co-3 polyunsaturated fatty acids be used as
immunomodulary agents? Pharmacological targets in the
immune response. 1996; 24: 211-20.
29. Calder PC. n-3 polyunsaturated fatty acids and cytokine pro-
duction in health and disease. Ann Nutr Metab 1997; 41:203-34.
30. Calder PC. Immunoregulatory and anti-inflammatory effects
of n-3 polyunsaturated fatty acids. Braz J Med Biol Res 1998;
31: 467-90.
31. 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.
32. Yaqoob P, Newsholme EA, Calder PC. The effect of dietary
lipid manipulation on rat lymphocyte subsets and prolifera-
tion. Immunology 1994; 82:603-10.
Læknablaðið 2002/88 123