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[肠道的早期细菌定植:为何重要?]

[Early bacterial colonisation of the intestine: why it matters?].

作者信息

Langhendries J-P

机构信息

Centre Hospitalier Chrétien (CHC), NICU, rue François-Lefèbvre, 207, 4000 Liège Rocourt, Belgique.

出版信息

Arch Pediatr. 2006 Dec;13(12):1526-34. doi: 10.1016/j.arcped.2006.09.018. Epub 2006 Oct 31.

Abstract

The birth process allows the progressive formation of complex intestinal microflora composed of myriad bacteria, leading to this recently identified host-bacterial mutualism in the human intestine. This kind of cross-talk originating from birth is opportunistically used by the young host to initiate its own immune system. Recent epidemiogical data support the hypothesis that some increasing immune deviances observed in the last 2 decades could have originated from a modification of the bacterial environment in young populations. Our modern approach to perinatal care may, to some extent, have modified inadequately the overall quality of this bacterial-host interface. The international medical community has to be made aware of the increasing importance that initial colonising intestinal microflora could have on the health and well-being of the host later in life. It is of great concern to decrease these possible negative influences and to discover in the near future the possible means of helping to manipulate positively the gut microbiotia of infants.

摘要

分娩过程促使由无数细菌组成的复杂肠道微生物群逐步形成,从而导致了人类肠道中这种最近才被发现的宿主与细菌的共生关系。这种始于出生时的相互作用被幼嫩宿主利用,以此启动自身的免疫系统。最近的流行病学数据支持了这样一种假说:过去20年中观察到的一些不断增加的免疫偏差可能源于年轻人群体中细菌环境的改变。我们现代的围产期护理方法在一定程度上可能对这种细菌与宿主界面的整体质量产生了不适当的改变。国际医学界必须意识到,最初定殖的肠道微生物群对宿主日后的健康和幸福可能具有越来越重要的意义。减少这些可能的负面影响,并在不久的将来发现有助于积极调控婴儿肠道微生物群的可能方法,这是非常令人担忧的。

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