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肠道微生物群与粪便微生物群移植在胃肠道疾病中的疗效

Intestinal microbiota and the efficacy of fecal microbiota transplantation in gastrointestinal disease.

作者信息

Aroniadis Olga C, Brandt Lawrence J

机构信息

Dr Aroniadis is a gastroenterology fellow at Montefiore Medical Center in the Bronx, New York. Dr Brandt is the emeritus chief of gastroenterology at Montefiore Medical Center and a professor of medicine and surgery at the Albert Einstein College of Medicine of Yeshiva University in the Bronx, New York.

出版信息

Gastroenterol Hepatol (N Y). 2014 Apr;10(4):230-7.

Abstract

Fecal microbiota transplantation (FMT) refers to the infusion of a fecal suspension from a healthy person into the gastrointestinal (GI) tract of another person to cure a specific disease. FMT is by no means a new therapeutic modality, although it was only relatively recently that stool was shown to be a biologically active, complex mixture of living organisms with great therapeutic potential for recurrent Clostridium difficile infection and perhaps other GI and non-GI disorders. The published revelations about the human microbiome are bringing the strength of science to clinical observation and enhancing the understanding of not only disease but also how much of a person's daily function and health depends on the microorganisms living in intimate relationship with each cell in the body.

摘要

粪便微生物群移植(FMT)是指将健康人的粪便悬液输注到另一人的胃肠道中以治疗特定疾病。尽管直到最近才发现粪便其实是一种具有生物活性的复杂生物体混合物,对复发性艰难梭菌感染以及其他可能的胃肠道和非胃肠道疾病具有巨大治疗潜力,但FMT绝不是一种新的治疗方式。已发表的关于人类微生物组的研究成果正将科学力量引入临床观察,不仅增进了对疾病的理解,还加深了对人体日常功能和健康在多大程度上依赖于与体内每个细胞密切共生的微生物的认识。

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本文引用的文献

1
Treatment of Recurrent Diarrhea.复发性腹泻的治疗
Gastroenterol Hepatol (N Y). 2006 Mar;2(3):203-208.
4
Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome.肠内微生物群与免疫功能在肠易激综合征发病机制中的作用。
Am J Physiol Gastrointest Liver Physiol. 2013 Oct 15;305(8):G529-41. doi: 10.1152/ajpgi.00207.2012. Epub 2013 Jul 25.
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Guidelines for diagnosis, treatment, and prevention of Clostridium difficile infections.艰难梭菌感染的诊断、治疗和预防指南。
Am J Gastroenterol. 2013 Apr;108(4):478-98; quiz 499. doi: 10.1038/ajg.2013.4. Epub 2013 Feb 26.
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