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益生菌给药对肠道微生物群的影响、现有知识及潜在应用

Effect of probiotic administration on the intestinal microbiota, current knowledge and potential applications.

作者信息

de Moreno de LeBlanc Alejandra, LeBlanc Jean Guy

机构信息

Alejandra de Moreno de LeBlanc, Jean Guy LeBlanc, Centro de Referencia para Lactobacilos, San Miguel de Tucuman, Tucumán T4000ILC, Argentina.

出版信息

World J Gastroenterol. 2014 Nov 28;20(44):16518-28. doi: 10.3748/wjg.v20.i44.16518.

Abstract

Although it is now known that the human body is colonized by a wide variety of microbial populations in different parts (such as the mouth, pharynx and respiratory system, the skin, the gastro- and urogenital tracts), many effects of the complex interactions between the human host and microbial symbionts are still not completely understood. The dysbiosis of the gastrointestinal tract microbiota is considered to be one of the most important contributing factors in the development of many gastrointestinal diseases such as inflammatory bowel disease, irritable bowel syndrome and colorectal cancer, as well as systemic diseases like obesity, diabetes, atherosclerosis and non-alcoholic fatty liver disease. Fecal microbial transplantations appear to be promising therapies for dysbiosis-associated diseases; however, probiotic microorganisms have been growing in popularity due to increasing numbers of studies proving that certain strains present health promoting properties, among them the beneficial balance of the intestinal microbiota. Inflammatory bowel diseases and obesity are the pathologies in which there are more studies showing this beneficial association using animal models and even in human clinical trials. In this review, the association of the human gut microbiota and human health will be discussed along with the benefits that probiotics can confer on this symbiotic activity and on the prevention or treatment of associated diseases.

摘要

尽管现在已知人体在不同部位(如口腔、咽部和呼吸系统、皮肤、胃肠道和泌尿生殖道)被各种各样的微生物群体所定植,但人类宿主与微生物共生体之间复杂相互作用的许多影响仍未被完全理解。胃肠道微生物群的失调被认为是许多胃肠道疾病(如炎症性肠病、肠易激综合征和结直肠癌)以及肥胖、糖尿病、动脉粥样硬化和非酒精性脂肪性肝病等全身性疾病发展的最重要促成因素之一。粪便微生物移植似乎是治疗与失调相关疾病的有前景的疗法;然而,由于越来越多的研究证明某些菌株具有促进健康的特性,其中包括肠道微生物群的有益平衡,益生菌微生物越来越受欢迎。炎症性肠病和肥胖是有更多研究使用动物模型甚至人类临床试验表明这种有益关联的病症。在这篇综述中,将讨论人类肠道微生物群与人类健康的关联,以及益生菌对这种共生活动以及相关疾病的预防或治疗所能带来的益处。

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