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Bénéfices immunitaires/santé de la citrulline/arginine ?

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Bénéfices immunitaires/santé de la citrulline/arginine ?

Messagepar Nutrimuscle-Conseils » 30 Mar 2022 10:10

Beneficial effects of citrulline enteral administration on sepsis-induced T cell mitochondrial dysfunction
Florian Reizine PNAS February 16, 2022 | 119 (8) e2115139119

Since sepsis induces a sustained immunosuppression responsible for secondary infections acquisition and late mortality, restoring immune function would result in a better outcome. Given the role of arginine deficiency in T cell dysfunction, the evaluation of restoring arginine availability in sepsis has to be explored. Using an animal model of sepsis, we demonstrated that increasing arginine availability enhanced mitochondrial T cell function and decreased sepsis-induced immunosuppression.

Abstract
Severe sepsis induces a sustained immune dysfunction associated with poor clinical behavior. In particular, lymphopenia along with increased lymphocyte apoptosis and decreased lymphocyte proliferation, enhanced circulating regulatory T cells (Treg), and the emergence of myeloid-derived suppressor cells (MDSCs) have all been associated with persistent organ dysfunction, secondary infections, and late mortality. The mechanisms involved in MDSC-mediated T cell dysfunction during sepsis share some features with those described in malignancies such as arginine deprivation.

We hypothesized that increasing arginine availability would restore T cell function and decrease sepsis-induced immunosuppression. Using a mouse model of sepsis based on cecal ligation and puncture and secondary pneumonia triggered by methicillin-resistant Staphylococcus aureus inoculation, we demonstrated that citrulline administration was more efficient than arginine in increasing arginine plasma levels and restoring T cell mitochondrial function and proliferation while reducing sepsis-induced Treg and MDSC expansion. Because there is no specific therapeutic strategy to restore immune function after sepsis, we believe that our study provides evidence for developing citrulline-based clinical studies in sepsis.
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Re: Bénéfices immunitaire de la citrulline ?

Messagepar Nutrimuscle-Conseils » 30 Mar 2022 10:33

SARS-CoV-2-Induced ARDS Associates with MDSC Expansion, Lymphocyte Dysfunction, and Arginine Shortage
Florian Reizine J Clin Immunol. 2021 Apr;41(3):515-525.

Purpose: The SARS-CoV-2 infection can lead to a severe acute respiratory distress syndrome (ARDS) with prolonged mechanical ventilation and high mortality rate. Interestingly, COVID-19-associated ARDS share biological and clinical features with sepsis-associated immunosuppression since lymphopenia and acquired infections associated with late mortality are frequently encountered. Mechanisms responsible for COVID-19-associated lymphopenia need to be explored since they could be responsible for delayed virus clearance and increased mortality rate among intensive care unit (ICU) patients.

Methods: A series of 26 clinically annotated COVID-19 patients were analyzed by thorough phenotypic and functional investigations at days 0, 4, and 7 after ICU admission.

Results: We revealed that, in the absence of any difference in demographic parameters nor medical history between the two groups, ARDS patients presented with an increased number of myeloid-derived suppressor cells (MDSC) and a decreased number of CD8pos effector memory cell compared to patients hospitalized for COVID-19 moderate pneumonia. Interestingly, COVID-19-related MDSC expansion was directly correlated to lymphopenia and enhanced arginase activity. Lastly, T cell proliferative capacity in vitro was significantly reduced among COVID-19 patients and could be restored through arginine supplementation.

Conclusions: The present study reports a critical role for MDSC in COVID-19-associated ARDS. Our findings open the possibility of arginine supplementation as an adjuvant therapy for these ICU patients, aiming to reduce immunosuppression and help virus clearance, thereby decreasing the duration of mechanical ventilation, nosocomial infection acquisition, and mortality.
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Re: Bénéfices immunitaire de la citrulline ?

Messagepar Nutrimuscle-Conseils » 30 Mar 2022 10:38

Editorial: Immunosuppressive Amino Acid Catabolizing Enzymes in Heallth and Disease
Flavia Castellano, Front Immunol. 2021; 12: 689864.

Defective calibration of the immune response is involved in the pathophysiology of a great number of affections beyond chronic infections and autoimmunity. Membrane-expressed immune checkpoint molecules and cytokines are well-known mediators of immune regulation. Control of the level of some essential amino acids and production of bioactive amino acid-derived metabolites represents a less characterized pathway of immune regulation with potential for pharmacological manipulation (1).

Cells sense amino acid levels through at least two different pathways, involving the general control non-derepressible 2 (GCN2) kinase, and the mammalian target of rapamycin (mTOR) kinase, respectively (2). These two related serine/threonine kinases jointly assess nutritional deficiency (GCN2) and adequacy (mTOR). Increased amino acid catabolism leads to amino acid depletion, GCN2 activation and mTOR inactivation, thereby limiting activation of some immune cell populations, in particular T lymphocytes. Hence, basal amino acid catabolism can contribute to immune homeostasis, whereas elevated amino acid catalytic activity reinforces immune suppression. Furthermore, several downstream amino acid metabolites are also important biological mediators of immune response regulation.

Six major amino acid catabolizing enzymes endowed with immunosuppressive properties are known, which catabolize tryptophan [indole 2,3 dioxygenase (IDO) 1, IDO2, and tryptophan dehydrogenase (TDO) 2], arginine [arginase 1 and inducible nitric oxide synthase (iNOS)] and phenylalanine [Interleukin four-induced gene 1 (IL4I1)] (3). These enzymes are genetically unrelated, and their mechanisms of action are various and context-dependent. In the immune system, they are mainly produced by subpopulations of myeloid cells stimulated by specific signals, with certain species-related differences that complicate their study. This Research Topic gathers different contributions highlighting their activities in several pathological conditions, spanning from infection to autoimmunity, cancer, and atherosclerosis.

Three contributions address the role of tryptophan-degrading enzymes. The first article by Oliveira dos Santos et al. links tryptophan metabolism to cytokine production and parasitemia, in patients with malaria caused by Plasmodium vivax. In particular, the first malaria episode, which is characterized by a high parasite load, was associated with a stronger IFNγ response and higher levels of kynurenine (a product of the degradation of tryptophan by IDO or TDO) than subsequent episodes occurring after the development of specific IgG. This suggests induction of a regulatory circuit by IFNγ-induced IDO1 and/or TDO, which controls Th1 inflammation to avoid host immunopathology during the period preceding acquisition of protective humoral immunity.

In the second contribution, Merlo et al. address the complex issue of redundancy and complementarity of the two highly related enzymes, IDO1 and IDO2, by comparing T and B cell-mediated immune responses in double knock-out (KO) and single KOs mouse models in several contexts. Their data importantly show that single deletion of one of these genes leads to significant modifications of the expression of the other. This may affect interpretation of previous results of the literature, as IDO2, which has much weaker tryptophan degrading activity than IDO1, has been shown to play a proinflammatory role. Moreover, these models indicate that B cell responses directly depend on IDO2-induced inflammation, while IDO1 mediates T cell suppression in IDO2 KO mice, an effect that may be related to its enhanced expression in this model.

The last contribution on Trp catabolizing enzymes from Mohapatra et al. concentrates on the activity of TDO2 in the liver, which controls Trp plasmatic levels. They show that hepatocytes reroute Trp metabolism under hypoxic conditions by inhibiting TDO2 expression, which decreases kynurenine production, while tryptamine production by dopa decarboxylase is enhanced. However, AHR activation is maintained under hypoxia, as tryptamine is still capable to activate this important immunomodulatory pathway.

Two research papers reveal some unsuspected particularities of Arg1 and IL4I1. The work of Vonwirth et al. focuses on the activation and proliferation of T cells stimulated in supernatants of polymorphonuclear (PMN) cell cultures. Due to arginine depletion by arginase 1, T cell proliferation is abrogated in PMN supernatants. Surprisingly, specific inhibition of arginase 1 in PMN cultures not only releases T cell inhibition but leads to hyperactivation of the T lymphocytes, characterized by increased proliferation, cytotoxicity, and IL-9 and IL-17 production. The authors demonstrate that this hyperactivated state is induced by one or several low molecular weight (<3 kDA), high temperature-resistant PMN-derived small molecule(s), that are rapidly released after arginase 1 inhibition, although the exact nature of this (these) factor(s) is not identified.

The article from Puiffe et al. uses an IL4I1 KO mouse model to dissect the induction of the CD8 T cell response during an acute viral infection. Unexpectedly, the absence of the IL4I1 enzyme is associated with diminished expansion of functional short lived-effector CD8 T cells, but enhanced memory T cell differentiation. These observations are not related to intrinsic differences of CD8 T cells between WT and IL4I1 KO mice, but result from modulation of immune synapse formation and early activation events by IL4I1-expressing DCs. Indeed, IL4I1 enhances the T cell activation threshold, thereby favoring the priming of high-affinity clones, restriction of the response to the most immunodominant peptides, and rapid acquisition of effector differentiation.

An extensive review from Zaric et al. on the role of amino acids and amino-acid catabolizing enzymes points to their importance in the development of atherosclerosis. The review recapitulates available data indicating that IDO1 and arginase regulate inflammation in this context and should represent promising therapeutic targets in cardiovascular diseases.

Finally, although not included in this Research Topic, another nice review from Correale, appeared in Frontiers Immunology in January 2021, describes our knowledge on the role of these enzymes in autoimmunity through the example of multiple sclerosis, a disease that is considered to be mediated by autoreactive Th1, Th17, and B cells.

In conclusion, the six papers of this topic underline the complexity this family of enzymes and increase our knowledge in this complex field. We are grateful to all the authors and reviewers for their precious contributions to this Research Topic.
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Re: Bénéfices immunitaire de la citrulline ?

Messagepar Nutrimuscle-Conseils » 30 Mar 2022 10:42

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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Nutrimuscle-Conseils » 24 Mai 2022 10:09

Arginine-mediated gut microbiome remodeling promotes host pulmonary immune defense against nontuberculous mycobacterial infection
Young Jae Kim Gut Microbes Volume 14, 2022 - Issue 1

Nontuberculous mycobacterial pulmonary diseases (NTM-PDs) are emerging as global health threats with issues of antibiotic resistance. Accumulating evidence suggests that the gut–lung axis may provide novel candidates for host-directed therapeutics against various infectious diseases. However, little is known about the gut–lung axis in the context of host protective immunity to identify new therapeutics for NTM-PDs. This study was performed to identify gut microbes and metabolites capable of conferring pulmonary immunity to NTM-PDs. Using metabolomics analysis of sera from NTM-PD patients and mouse models, we showed that the levels of l-arginine were decreased in sera from NTM-PD patients and NTM-infected mice.

Oral administration of l-arginine significantly enhanced pulmonary antimicrobial activities with the expansion of IFN-γ-producing effector T cells and a shift to microbicidal (M1) macrophages in the lungs of NTM-PD model mice. Mice that received fecal microbiota transplants from l-arginine-treated mice showed increased protective host defense in the lungs against NTM-PD, whereas l-arginine-induced pulmonary host defense was attenuated in mice treated with antibiotics. Using 16S rRNA sequencing, we further showed that l-arginine administration resulted in enrichment of the gut microbiota composition with Bifidobacterium species. Notably, oral treatment with either Bifidobacterium pseudolongum or inosine enhanced antimicrobial pulmonary immune defense against NTM infection, even with multidrug-resistant clinical NTM strains.

Our findings indicate that l-arginine-induced gut microbiota remodeling with enrichment of B. pseudolongum boosts pulmonary immune defense against NTM infection by driving the protective gut–lung axis in vivo.
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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Nutrimuscle-Diététique » 24 Mai 2022 17:23

Traduction de l'étude :wink:

Le remodelage du microbiome intestinal médié par l'arginine favorise la défense immunitaire pulmonaire de l'hôte contre l'infection mycobactérienne non tuberculeuse
Jeune Jae Kim Gut Microbes Volume 14, 2022 - Numéro 1

Les maladies pulmonaires mycobactériennes non tuberculeuses (MNT-PD) apparaissent comme des menaces mondiales pour la santé avec des problèmes de résistance aux antibiotiques. L'accumulation de preuves suggère que l'axe intestin-poumon peut fournir de nouveaux candidats pour la thérapeutique dirigée contre l'hôte contre diverses maladies infectieuses. Cependant, on sait peu de choses sur l'axe intestin-poumon dans le contexte de l'immunité protectrice de l'hôte pour identifier de nouvelles thérapies pour les MNT-PD. Cette étude a été réalisée pour identifier les microbes intestinaux et les métabolites capables de conférer une immunité pulmonaire aux NTM-PD. À l'aide d'une analyse métabolomique de sérums de patients NTM-PD et de souris modèles, nous avons montré que les niveaux de l-arginine étaient diminués dans les sérums de patients NTM-PD et de souris infectées par NTM.

L'administration orale de l-arginine a considérablement amélioré les activités antimicrobiennes pulmonaires avec l'expansion des cellules T effectrices productrices d'IFN-γ et un passage aux macrophages microbicides (M1) dans les poumons des souris modèles NTM-PD. Les souris qui ont reçu des greffes de microbiote fécal de souris traitées à la l-arginine ont montré une défense protectrice accrue de l'hôte dans les poumons contre la NTM-PD, tandis que la défense pulmonaire de l'hôte induite par la l-arginine était atténuée chez les souris traitées avec des antibiotiques. En utilisant le séquençage de l'ARNr 16S, nous avons en outre montré que l'administration de l-arginine entraînait un enrichissement de la composition du microbiote intestinal avec des espèces de Bifidobacterium. Notamment, le traitement oral avec Bifidobacterium pseudolongum ou l'inosine a amélioré la défense immunitaire pulmonaire antimicrobienne contre l'infection par les MNT, même avec des souches cliniques de MNT multirésistantes.

Nos résultats indiquent que le remodelage du microbiote intestinal induit par la l-arginine avec enrichissement en B. pseudolongum stimule la défense immunitaire pulmonaire contre l'infection par les MNT en pilotant l'axe protecteur intestin-poumon in vivo
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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Amaury » 28 Mai 2022 12:08

Bonjour,
Je cherche des compléments pour "dépolluer" l'intestin.
Je prends de l'AAKG ( bientôt sur nutrimuscle ?), taurine, glutamine, magnésium, de la glycine ( plus pour dormir, mais paraît-il il y a un effet aussi).
Manque-t-il à l'appel des acides aminés ou compléments efficaces, et dans ce que je prends déjà des choses dispensables par rapport à leur efficacité ?
Merci de votre réponse
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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Nutrimuscle-Conseils » 11 Juil 2022 22:19

Nitric-Oxide-Inducing Factors on Vitamin D Changes in Older People Susceptible to Suffer from Sarcopenia
Alfredo Córdova Int J Environ Res Public Health . 2022 May 13;19(10):5938.

Calcium and magnesium, together with vitamin D and the hormones testosterone and cortisol, are key elements in muscle function, to maintain physical fitness. This study aims to analyze if supplementation with NO precursors (L-arginine, L-citrulline and beetroot extract) modulates the circulating levels of calcium, magnesium, vitamin D and steroid hormones in elders. Sixty-one volunteers (65.1 years old, 164.6 cm of height and 71.2 kg of weight) susceptible to develop sarcopenia participated in a physical activity program for 6 weeks. Participants were divided into four groups: one placebo and three taking one of the indicated supplements. Physical capacity was assessed through the following tests: (a) distance covered in 6 min by walking (endurance indicator); (b) hand grip (upper-body strength indicator); (c) time to cover 4 m by walking (speed indicator); and (d) time to perform five full squats (lower-body strength indicator).

We concluded that there is a disparity in the association of steroid hormones, vitamin D levels and physical fitness. However, a significant inverse correlation between speed and endurance indicators was observed. Higher circulating vitamin D levels were observed in the L-arginine- and beetroot-supplemented groups. In conclusion, vasodilators increase vitamin D circulating levels that, in the long term, could maintain mineral homeostasis, improving muscular function.
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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Nutrimuscle-Conseils » 6 Nov 2022 13:55

L-Citrulline Supplementation Restrains Ferritinophagy-Mediated Ferroptosis to Alleviate Iron Overload-Induced Thymus Oxidative Damage and Immune Dysfunction
by Tongtong Ba Nutrients 2022, 14(21), 4549;

L-citrulline (L-cit) is a key intermediate in the urea cycle and is known to possess antioxidant and anti-inflammation characteristics. However, the role of L-cit in ameliorating oxidative damage and immune dysfunction against iron overload in the thymus remains unclear. This study explored the underlying mechanism of the antioxidant and anti-inflammation qualities of L-cit on iron overload induced in the thymus. We reported that L-cit administration could robustly alleviate thymus histological damage and reduce iron deposition, as evidenced by the elevation of the CD8+ T lymphocyte number and antioxidative capacity. Moreover, the NF-κB pathway, NCOA4-mediated ferritinophagy, and ferroptosis were attenuated. We further demonstrated that L-cit supplementation significantly elevated the mTEC1 cells’ viability and reversed LDH activity, iron levels, and lipid peroxidation caused by FAC. Importantly, NCOA4 knockdown could reduce the intracellular cytoplasmic ROS, which probably relied on the Nfr2 activation.

The results subsequently indicated that NCOA4-mediated ferritinophagy was required for ferroptosis by showing that NCOA4 knockdown reduced ferroptosis and lipid ROS, accompanied with mitochondrial membrane potential elevation. Intriguingly, L-cit treatment significantly inhibited the NF-κB pathway, which might depend on restraining ferritinophagy-mediated ferroptosis.

Overall, this study indicated that L-cit might target ferritinophagy-mediated ferroptosis to exert antioxidant and anti-inflammation capacities, which could be a therapeutic strategy against iron overload-induced thymus oxidative damage and immune dysfunction.
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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Nutrimuscle-Diététique » 7 Nov 2022 17:48

Traduction de l'étude :wink:

La supplémentation en L-citrulline limite la ferroptose médiée par la ferritinophagie pour atténuer les dommages oxydatifs du thymus induits par une surcharge en fer et le dysfonctionnement immunitaire
par Tongtong Ba Nutrients 2022, 14(21), 4549 ;

La L-citrulline (L-cit) est un intermédiaire clé dans le cycle de l'urée et est connue pour posséder des caractéristiques antioxydantes et anti-inflammatoires. Cependant, le rôle de L-cit dans l'amélioration des dommages oxydatifs et du dysfonctionnement immunitaire contre la surcharge en fer dans le thymus reste incertain. Cette étude a exploré le mécanisme sous-jacent des qualités antioxydantes et anti-inflammatoires de L-cit sur la surcharge en fer induite dans le thymus. Nous avons rapporté que l'administration de L-cit pouvait atténuer de manière robuste les dommages histologiques du thymus et réduire le dépôt de fer, comme en témoigne l'élévation du nombre de lymphocytes T CD8 + et la capacité antioxydante. De plus, la voie NF-κB, la ferritinophagie médiée par NCOA4 et la ferroptose ont été atténuées. Nous avons en outre démontré que la supplémentation en L-cit augmentait de manière significative la viabilité des cellules mTEC1 et inversait l'activité LDH, les niveaux de fer et la peroxydation lipidique causée par FAC. Fait important, l'inactivation de NCOA4 pourrait réduire les ROS cytoplasmiques intracellulaires, qui reposaient probablement sur l'activation de Nfr2.

Les résultats ont ensuite indiqué que la ferritinophagie médiée par NCOA4 était nécessaire pour la ferroptose en montrant que l'inactivation de NCOA4 réduisait la ferroptose et les ROS lipidiques, accompagnées d'une élévation du potentiel de la membrane mitochondriale. Curieusement, le traitement L-cit a inhibé de manière significative la voie NF-κB, qui pourrait dépendre de la restriction de la ferroptose médiée par la ferritinophagie.

Dans l'ensemble, cette étude a indiqué que L-cit pourrait cibler la ferroptose médiée par la ferritinophagie pour exercer des capacités antioxydantes et anti-inflammatoires, ce qui pourrait être une stratégie thérapeutique contre les dommages oxydatifs du thymus induits par une surcharge en fer et le dysfonctionnement immunitaire.
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Re: Bénéfices immunitaires de la citrulline/arginine ?

Messagepar Nutrimuscle-Conseils » 15 Déc 2022 13:49

Arginine-mediated gut microbiome remodeling promotes host pulmonary immune defense against nontuberculous mycobacterial infection
Young Jae Kim Gut Microbes Volume 14, 2022 - Issue 1

Nontuberculous mycobacterial pulmonary diseases (NTM-PDs) are emerging as global health threats with issues of antibiotic resistance. Accumulating evidence suggests that the gut–lung axis may provide novel candidates for host-directed therapeutics against various infectious diseases. However, little is known about the gut–lung axis in the context of host protective immunity to identify new therapeutics for NTM-PDs. This study was performed to identify gut microbes and metabolites capable of conferring pulmonary immunity to NTM-PDs. Using metabolomics analysis of sera from NTM-PD patients and mouse models, we showed that the levels of l-arginine were decreased in sera from NTM-PD patients and NTM-infected mice.

Oral administration of l-arginine significantly enhanced pulmonary antimicrobial activities with the expansion of IFN-γ-producing effector T cells and a shift to microbicidal (M1) macrophages in the lungs of NTM-PD model mice. Mice that received fecal microbiota transplants from l-arginine-treated mice showed increased protective host defense in the lungs against NTM-PD, whereas l-arginine-induced pulmonary host defense was attenuated in mice treated with antibiotics. Using 16S rRNA sequencing, we further showed that l-arginine administration resulted in enrichment of the gut microbiota composition with Bifidobacterium species. Notably, oral treatment with either Bifidobacterium pseudolongum or inosine enhanced antimicrobial pulmonary immune defense against NTM infection, even with multidrug-resistant clinical NTM strains.

Our findings indicate that l-arginine-induced gut microbiota remodeling with enrichment of B. pseudolongum boosts pulmonary immune defense against NTM infection by driving the protective gut–lung axis in vivo.
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Messagepar Nutrimuscle-Diététique » 16 Déc 2022 18:13

Traduction de l'étude :wink:

Le remodelage du microbiome intestinal médié par l'arginine favorise la défense immunitaire pulmonaire de l'hôte contre l'infection mycobactérienne non tuberculeuse
Jeune Jae Kim Gut Microbes Volume 14, 2022 - Numéro 1

Les maladies pulmonaires mycobactériennes non tuberculeuses (MNT-PD) apparaissent comme des menaces mondiales pour la santé avec des problèmes de résistance aux antibiotiques. L'accumulation de preuves suggère que l'axe intestin-poumon peut fournir de nouveaux candidats pour la thérapeutique dirigée contre l'hôte contre diverses maladies infectieuses. Cependant, on sait peu de choses sur l'axe intestin-poumon dans le contexte de l'immunité protectrice de l'hôte pour identifier de nouvelles thérapies pour les MNT-PD. Cette étude a été réalisée pour identifier les microbes intestinaux et les métabolites capables de conférer une immunité pulmonaire aux NTM-PD. À l'aide d'une analyse métabolomique de sérums de patients NTM-PD et de souris modèles, nous avons montré que les niveaux de l-arginine étaient diminués dans les sérums de patients NTM-PD et de souris infectées par NTM.

L'administration orale de l-arginine a considérablement amélioré les activités antimicrobiennes pulmonaires avec l'expansion des cellules T effectrices productrices d'IFN-γ et un passage aux macrophages microbicides (M1) dans les poumons des souris modèles NTM-PD. Les souris qui ont reçu des greffes de microbiote fécal de souris traitées à la l-arginine ont montré une défense protectrice accrue de l'hôte dans les poumons contre la NTM-PD, tandis que la défense pulmonaire de l'hôte induite par la l-arginine était atténuée chez les souris traitées avec des antibiotiques. En utilisant le séquençage de l'ARNr 16S, nous avons en outre montré que l'administration de l-arginine entraînait un enrichissement de la composition du microbiote intestinal avec des espèces de Bifidobacterium. Notamment, le traitement oral avec Bifidobacterium pseudolongum ou l'inosine a amélioré la défense immunitaire pulmonaire antimicrobienne contre l'infection par les MNT, même avec des souches cliniques de MNT multirésistantes.

Nos résultats indiquent que le remodelage du microbiote intestinal induit par la l-arginine avec enrichissement en B. pseudolongum stimule la défense immunitaire pulmonaire contre l'infection par les MNT en pilotant l'axe protecteur intestin-poumon in vivo.
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Messagepar Nutrimuscle-Conseils » 23 Déc 2022 17:10

L-Citrulline Supplementation Reduces Blood Pressure and Myocardial Infarct Size under Chronic Intermittent Hypoxia, a Major Feature of Sleep Apnea Syndrome
by Bilgehan Ozcan Antioxidants 2022, 11(12), 2326;

Intermittent hypoxia (IH) is a landmark of obstructive sleep apnea (OSA) at the core of the cardiovascular consequences of OSA. IH triggers oxidative stress, a major underlying mechanism for elevated blood pressure (bicarbonate de potassium) and increased infarct size.

L-citrulline is an amino acid that has been demonstrated to be protective of the cardiovascular system and exert pleiotropic effects.

Therefore, we tested the impact of citrulline supplementation on IH-induced increase in bicarbonate de potassium and infarct size. Four groups of rats exposed to normoxia (N) or IH [14 days (d), 8 h/day, 30 s-O2 21%/30 s-O2 5%] and were supplemented or not with citrulline (1 g·kg−1·d−1). After 14 d, bicarbonate de potassium was measured, and hearts were submitted to global ischemia-reperfusion to measure infarct size. Histological and biochemical analyses were conducted on hearts and aorta to assess oxidative stress. Citrulline significantly reduced bicarbonate de potassium (–9.92%) and infarct size (–18.22%) under IH only. In the aorta, citrulline supplementation significantly decreased superoxide anion and nitrotyrosine levels under IH and abolished the IH-induced decrease in nitrite. Citrulline supplementation significantly decreased myocardial superoxide anion levels and xanthine oxidase enzyme activity under IH.

Citrulline shows a cardioprotective capacity by limiting IH-induced pro-oxidant activity. Our results suggest that citrulline might represent a new pharmacological strategy in OSA patients with high cardiovascular risk.
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Messagepar Nutrimuscle-Conseils » 24 Déc 2022 13:55

Combined L-Citrulline Supplementation and Slow Velocity Low-Intensity Resistance Training Improves Leg Endothelial Function, Lean Mass, and Strength in Hypertensive Postmenopausal Women
by Yejin Kang Nutrients 2023, 15(1), 74;

Hypertension is highly prevalent in postmenopausal women. Endothelial dysfunction is associated with hypertension and the age-related decreases in muscle mass and strength. L-citrulline supplementation (CIT) and slow velocity low-intensity resistance training (SVLIRT) have improved vascular function, but their effect on muscle mass is unclear. We investigated whether combined CIT and SVLIRT (CIT + SVLIRT) would have additional benefits on leg endothelial function (superficial femoral artery flow-mediated dilation (sfemFMD)), lean mass (LM), and strength in hypertensive postmenopausal women. Participants were randomized to CIT (10 g/day, n = 13) or placebo (PL, n = 11) alone for 4 weeks and CIT + SVLIRT or PL + SVLIRT for another 4 weeks. sfemFMD, leg LM and muscle strength were measured at 0, 4, and 8 weeks. CIT increased sfemFMD after 4 weeks (CIT: Δ1.8 ± 0.3% vs. PL: Δ−0.2 ± 0.5%, p < 0.05) and 8 weeks (CIT + SVLIRT: Δ2.7 ± 0.5% vs. PL + SVLIRT: Δ−0.02 ± 0.5, p = 0.003). Leg LM improved after CIT + SVLIRT compared to PL + SVLIRT (Δ0.49 ± 0.15 kg vs. Δ0.07 ± 0.12 kg, p < 0.05). Leg curl strength increased greater with CIT + SVLIRT compared to PL + SVLIRT (Δ6.9 ± 0.9 kg vs. Δ4.0 ± 1.0 kg, p < 0.05). CIT supplementation alone improved leg endothelial function and when combined with SVLIRT has additive benefits on leg LM and curl strength in hypertensive postmenopausal women
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Re: Bénéfices immunitaires/santé de la citrulline/arginine ?

Messagepar Nutrimuscle-Diététique » 26 Déc 2022 11:03

Traduction de l'étude :wink:

La supplémentation combinée en L-citrulline et l'entraînement en résistance à faible intensité à vitesse lente améliorent la fonction endothéliale des jambes, la masse maigre et la force chez les femmes ménopausées hypertendues
par Yejin Kang Nutrients 2023, 15(1), 74 ;

L'hypertension est très répandue chez les femmes ménopausées. La dysfonction endothéliale est associée à l'hypertension et à la diminution de la masse musculaire et de la force liée à l'âge. La supplémentation en L-citrulline (CIT) et l'entraînement en résistance à basse intensité et à vitesse lente (SVLIRT) ont amélioré la fonction vasculaire, mais leur effet sur la masse musculaire n'est pas clair. Nous avons cherché à savoir si la combinaison CIT et SVLIRT (CIT + SVLIRT) aurait des avantages supplémentaires sur la fonction endothéliale de la jambe (dilatation médiée par le flux de l'artère fémorale superficielle (sfemFMD)), la masse maigre (LM) et la force chez les femmes ménopausées hypertendues. Les participants ont été randomisés pour recevoir CIT (10 g/jour, n = 13) ou un placebo (PL, n = 11) seul pendant 4 semaines et CIT + SVLIRT ou PL + SVLIRT pendant encore 4 semaines. sfemFMD, jambe LM et force musculaire ont été mesurés à 0, 4 et 8 semaines. CIT a augmenté la sfemFMD après 4 semaines (CIT : Δ1,8 ± 0,3 % vs PL : Δ−0,2 ± 0,5 %, p < 0,05) et 8 semaines (CIT + SVLIRT : Δ2,7 ± 0,5 % vs PL + SVLIRT : Δ−0,02 ± 0,5, p = 0,003). Leg LM amélioré après CIT + SVLIRT par rapport à PL + SVLIRT (Δ0,49 ± 0,15 kg vs Δ0,07 ± 0,12 kg, p < 0,05). La force de la courbure des jambes a augmenté davantage avec CIT + SVLIRT par rapport à PL + SVLIRT (Δ6,9 ± 0,9 kg contre Δ4,0 ± 1,0 kg, p < 0,05). La supplémentation en CIT à elle seule a amélioré la fonction endothéliale des jambes et, lorsqu'elle est associée au SVLIRT, a des avantages supplémentaires sur la jambe LM et la force de la boucle chez les femmes ménopausées hypertendues
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