Mannose Treatment: A Promising Novel Strategy to Suppress Inflammation

Front Immunol. 2021 Sep 27:12:756920. doi: 10.3389/fimmu.2021.756920. eCollection 2021.

Abstract

High glucose and fructose intake have been proven to display pro-inflammatory roles during the progression of inflammatory diseases. However, mannose has been shown to be a special type of hexose that has immune regulatory functions. In this review, we trace the discovery process of the regulatory functions of mannose and summarize some past and recent studies showing the therapeutic functions of mannose in inflammatory diseases. We conclude that treatment with mannose can suppress inflammation by inducing regulatory T cells, suppressing effector T cells and inflammatory macrophages, and increasing anti-inflammatory gut microbiome. By summarizing all the important findings, we highlight that mannose treatment is a safe and promising novel strategy to suppress inflammatory diseases, including autoimmune disease and allergic disease.

Keywords: hexose; inflammation; inflammatory diseases; mannose; mannose treatment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Autoimmune Diseases / drug therapy
  • Autoimmune Diseases / immunology
  • Dysbiosis / drug therapy
  • Dysbiosis / prevention & control
  • Fructose / adverse effects
  • Gastrointestinal Microbiome / drug effects
  • Glucose / adverse effects
  • Humans
  • Hypersensitivity / drug therapy
  • Hypersensitivity / immunology
  • Inflammation / chemically induced
  • Inflammation / drug therapy*
  • Inflammation / immunology
  • Inflammation / prevention & control
  • Macrophages / drug effects
  • Macrophages / immunology
  • Mannose / pharmacology
  • Mannose / therapeutic use*
  • Mice
  • Obesity / drug therapy
  • Sucrose / adverse effects
  • T-Lymphocyte Subsets / drug effects
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocytes, Regulatory / drug effects
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Fructose
  • Sucrose
  • Glucose
  • Mannose