Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada ; Brain-Body Institute, St Joseph's Healthcare, Hamilton, ON, Canada.
Neuropsychiatr Dis Treat. 2015 Mar 16;11:715-23. doi: 10.2147/NDT.S61997. eCollection 2015.
The human intestine houses an astounding number and species of microorganisms, estimated at more than 10(14) gut microbiota and composed of over a thousand species. An individual's profile of microbiota is continually influenced by a variety of factors including but not limited to genetics, age, sex, diet, and lifestyle. Although each person's microbial profile is distinct, the relative abundance and distribution of bacterial species is similar among healthy individuals, aiding in the maintenance of one's overall health. Consequently, the ability of gut microbiota to bidirectionally communicate with the brain, known as the gut-brain axis, in the modulation of human health is at the forefront of current research. At a basic level, the gut microbiota interacts with the human host in a mutualistic relationship - the host intestine provides the bacteria with an environment to grow and the bacterium aids in governing homeostasis within the host. Therefore, it is reasonable to think that the lack of healthy gut microbiota may also lead to a deterioration of these relationships and ultimately disease. Indeed, a dysfunction in the gut-brain axis has been elucidated by a multitude of studies linked to neuropsychological, metabolic, and gastrointestinal disorders. For instance, altered microbiota has been linked to neuropsychological disorders including depression and autism spectrum disorder, metabolic disorders such as obesity, and gastrointestinal disorders including inflammatory bowel disease and irritable bowel syndrome. Fortunately, studies have also indicated that gut microbiota may be modulated with the use of probiotics, antibiotics, and fecal microbiota transplants as a prospect for therapy in microbiota-associated diseases. This modulation of gut microbiota is currently a growing area of research as it just might hold the key to treatment.
人类肠道中栖息着数量惊人、种类繁多的微生物,估计有超过 10(14) 种肠道微生物群,由 1000 多种物种组成。一个人的微生物群特征不断受到多种因素的影响,包括但不限于遗传、年龄、性别、饮食和生活方式。尽管每个人的微生物特征都是独特的,但健康个体之间细菌种类的相对丰度和分布是相似的,有助于维持整体健康。因此,肠道微生物群与大脑进行双向通信的能力,即肠道-大脑轴,在调节人类健康方面是当前研究的前沿。在基本层面上,肠道微生物群与人类宿主之间存在互利关系——宿主肠道为细菌提供生长环境,细菌则有助于宿主体内的内稳态调节。因此,我们有理由认为,健康的肠道微生物群的缺乏也可能导致这些关系的恶化,并最终导致疾病。事实上,许多研究已经阐明了肠道-大脑轴的功能障碍与神经心理、代谢和胃肠道疾病有关。例如,微生物群的改变与神经心理障碍有关,包括抑郁症和自闭症谱系障碍,与代谢障碍有关,如肥胖症,与胃肠道障碍有关,如炎症性肠病和肠易激综合征。幸运的是,研究还表明,肠道微生物群可以通过使用益生菌、抗生素和粪便微生物移植来调节,作为治疗与微生物群相关疾病的一种前景。这种对肠道微生物群的调节是目前一个正在发展的研究领域,因为它可能是治疗的关键。