肠道微生物群对大脑和行为的影响:对精神病学的启示。
The impact of gut microbiota on brain and behaviour: implications for psychiatry.
作者信息
Dinan Timothy G, Cryan John F
机构信息
aDepartment of Psychiatry and Neurobehavioural Science bDepartment of Anatomy and Neuroscience, APC Microbiome Institute, University College Cork, Cork, Ireland.
出版信息
Curr Opin Clin Nutr Metab Care. 2015 Nov;18(6):552-8. doi: 10.1097/MCO.0000000000000221.
PURPOSE OF REVIEW
The gut microbiota has become a focus of research for those interested in the brain and behaviour. Here, we profile the gut microbiota in a variety of neuropsychiatric syndromes.
RECENT FINDINGS
Multiple routes of communication between the gut and brain have been established and these include the vagus nerve, immune system, short chain fatty acids and tryptophan. Developmentally, those born by caesarean section have a distinctly different microbiota in early life to those born per vaginum. At the other extreme, individuals who age with considerable ill-heath tend to show narrowing in microbial diversity. Recently, the gut microbiota has been profiled in a variety of conditions including autism, major depression and Parkinson's disease. There is still debate as to whether or not these changes are core to the pathophysiology or merely epiphenomenal.
SUMMARY
The current narrative suggests that certain neuropsychiatric disorders might be treated by targeting the microbiota either by microbiota transplantation, antibiotics or psychobiotics.
综述目的
肠道微生物群已成为对大脑和行为感兴趣的研究人员的关注焦点。在此,我们概述了多种神经精神综合征中的肠道微生物群。
最新发现
肠道与大脑之间已确立了多种通讯途径,其中包括迷走神经、免疫系统、短链脂肪酸和色氨酸。在发育方面,剖腹产出生的婴儿在生命早期的微生物群与经阴道出生的婴儿明显不同。在另一个极端情况下,健康状况不佳的老年人往往微生物多样性会变窄。最近,已对包括自闭症、重度抑郁症和帕金森病在内的多种病症中的肠道微生物群进行了概述。这些变化究竟是病理生理学的核心还是仅仅是一种附带现象,仍存在争议。
总结
目前的说法表明,某些神经精神疾病可能通过微生物群移植、抗生素或精神益生菌等针对微生物群的方法来治疗。