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艰难梭菌与微生物群

Clostridium difficile and the microbiota.

作者信息

Seekatz Anna M, Young Vincent B

出版信息

J Clin Invest. 2014 Oct;124(10):4182-9. doi: 10.1172/JCI72336. Epub 2014 Jul 18.

DOI:10.1172/JCI72336
PMID:25036699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4191019/
Abstract

Clostridium difficile infection (CDI) is the leading health care-associated illness. Both human and animal models have demonstrated the importance of the gut microbiota's capability of providing colonization resistance against C. difficile. Risk factors for disease development include antibiotic use, which disrupts the gut microbiota, leading to the loss of colonization resistance and subsequent CDI. Identification of the specific microbes capable of restoring this function remains elusive. Future studies directed at how microbial communities influence the metabolic environment may help elucidate the role of the microbiota in disease development. These findings will improve current biotherapeutics for patients with CDI, particularly those with recurrent disease.

摘要

艰难梭菌感染(CDI)是主要的医疗保健相关疾病。人类和动物模型均已证明肠道微生物群具有提供针对艰难梭菌的定植抗性的能力的重要性。疾病发展的风险因素包括抗生素的使用,这会破坏肠道微生物群,导致定植抗性丧失及随后的CDI。能够恢复此功能的特定微生物的鉴定仍然难以捉摸。针对微生物群落如何影响代谢环境的未来研究可能有助于阐明微生物群在疾病发展中的作用。这些发现将改善目前针对CDI患者,尤其是复发性疾病患者的生物疗法。

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本文引用的文献

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Recovery of the gut microbiome following fecal microbiota transplantation.粪便微生物群移植后肠道微生物群的恢复
mBio. 2014 Jun 17;5(3):e00893-14. doi: 10.1128/mBio.00893-14.
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Microbiome data distinguish patients with Clostridium difficile infection and non-C. difficile-associated diarrhea from healthy controls.微生物组数据可将艰难梭菌感染患者、非艰难梭菌相关性腹泻患者与健康对照区分开来。
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Antimicrob Agents Chemother. 2014 May;58(5):2767-74. doi: 10.1128/AAC.02262-13. Epub 2014 Mar 3.
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Reset of a critically disturbed microbial ecosystem: faecal transplant in recurrent Clostridium difficile infection.严重失调的微生物生态系统的重置:粪便移植治疗复发性艰难梭菌感染
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Antibiotic-induced shifts in the mouse gut microbiome and metabolome increase susceptibility to Clostridium difficile infection.抗生素引起的小鼠肠道微生物群和代谢组变化会增加其对艰难梭菌感染的易感性。
Nat Commun. 2014;5:3114. doi: 10.1038/ncomms4114.
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Diverse sources of C. difficile infection.艰难梭菌感染的多种来源。
N Engl J Med. 2014 Jan 9;370(2):183-4. doi: 10.1056/NEJMc1313601.
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