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逐步强化粪便微生物群移植(FMT)策略。

Step-up fecal microbiota transplantation (FMT) strategy.

作者信息

Cui Bota, Li Pan, Xu Lijuan, Peng Zhaoyuan, Xiang Jie, He Zhi, Zhang Ting, Ji Guozhong, Nie Yongzhan, Wu Kaichun, Fan Daiming, Zhang Faming

机构信息

a Medical Center for Digestive Diseases , the Second Affiliated Hospital of Nanjing Medical University , Nanjing , China.

b Key Lab of Holistic Integrative Enterology , Nanjing Medical University , Nanjing , China.

出版信息

Gut Microbes. 2016 Jul 3;7(4):323-328. doi: 10.1080/19490976.2016.1151608. Epub 2016 Mar 3.

DOI:10.1080/19490976.2016.1151608
PMID:26939622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4988439/
Abstract

Gut dysbiosis is a characteristic of inflammatory bowel disease (IBD) and is believed to play a role in the pathogenesis of IBD. Fecal microbiota transplantation (FMT) is an effective strategy to restore intestinal microbial diversity and has been reported to have a potential therapeutic value in IBD. Our recent study reported a holistic integrative therapy called "step-up FMT strategy," which was beneficial in treating steroid-dependent IBD patients. This strategy consists of scheduled FMTs combined with steroids, anti-TNF-α antibody treatment or enteral nutrition. Herein, we will elaborate the strategy thoroughly, introducing the concept, potential indication, methodology, and safety of "step-up FMT strategy" in detail.

摘要

肠道微生物群失调是炎症性肠病(IBD)的一个特征,被认为在IBD的发病机制中起作用。粪便微生物群移植(FMT)是恢复肠道微生物多样性的有效策略,据报道在IBD中具有潜在的治疗价值。我们最近的研究报告了一种名为“逐步FMT策略”的整体综合疗法,该疗法对治疗类固醇依赖型IBD患者有益。该策略包括定期FMT与类固醇、抗TNF-α抗体治疗或肠内营养相结合。在此,我们将详细阐述该策略,详细介绍“逐步FMT策略”的概念、潜在适应症、方法和安全性。

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本文引用的文献

1
Colonic transendoscopic enteral tubing: A novel way of transplanting fecal microbiota.结肠经内镜肠内置管:一种移植粪便微生物群的新方法。
Endosc Int Open. 2016 Jun;4(6):E610-3. doi: 10.1055/s-0042-105205. Epub 2016 Apr 28.
2
Frozen vs Fresh Fecal Microbiota Transplantation and Clinical Resolution of Diarrhea in Patients With Recurrent Clostridium difficile Infection: A Randomized Clinical Trial.冷冻与新鲜粪便微生物群移植治疗复发性艰难梭菌感染患者腹泻的临床缓解效果:一项随机临床试验。
JAMA. 2016 Jan 12;315(2):142-9. doi: 10.1001/jama.2015.18098.
3
Methodology, Not Concept of Fecal Microbiota Transplantation, Affects Clinical Findings.
粪便微生物群移植治疗肠道和肠道外疾病:机制基础、临床应用及潜在前景。
Bioeng Transl Med. 2024 Nov 7;10(2):e10728. doi: 10.1002/btm2.10728. eCollection 2025 Mar.
4
The role of fecal microbiota transplantation in type 2 diabetes mellitus treatment.粪便微生物群移植在2型糖尿病治疗中的作用。
Front Endocrinol (Lausanne). 2024 Dec 13;15:1469165. doi: 10.3389/fendo.2024.1469165. eCollection 2024.
5
Mesenchymal stem cells: a novel therapeutic approach for feline inflammatory bowel disease.间质干细胞:猫科动物炎症性肠病的一种新的治疗方法。
Stem Cell Res Ther. 2024 Nov 9;15(1):409. doi: 10.1186/s13287-024-04038-y.
6
Washed microbiota transplantation via colonic transendoscopic enteral tube rescues severe acute pancreatitis: A case series.经结肠经内镜肠内管进行的洗涤菌群移植挽救重症急性胰腺炎:病例系列
Heliyon. 2024 Jun 26;10(13):e33678. doi: 10.1016/j.heliyon.2024.e33678. eCollection 2024 Jul 15.
7
Fecal Microbiota Transplantation: A Prospective Treatment for Type 2 Diabetes Mellitus.粪便微生物群移植:2型糖尿病的一种前瞻性治疗方法。
Diabetes Metab Syndr Obes. 2024 Feb 8;17:647-659. doi: 10.2147/DMSO.S447784. eCollection 2024.
8
Interplay between inflammatory bowel disease therapeutics and the gut microbiome reveals opportunities for novel treatment approaches.炎症性肠病治疗方法与肠道微生物群之间的相互作用揭示了新型治疗方法的机会。
Microbiome Res Rep. 2023 Sep 26;2(4):35. doi: 10.20517/mrr.2023.41.
9
Pharmacomicrobiomics of Classical Immunosuppressant Drugs: A Systematic Review.经典免疫抑制剂的药物微生物组学:一项系统综述
Biomedicines. 2023 Sep 18;11(9):2562. doi: 10.3390/biomedicines11092562.
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The Underlying Changes in Serum Metabolic Profiles and Efficacy Prediction in Patients with Extensive Ulcerative Colitis Undergoing Fecal Microbiota Transplantation.粪便微生物移植治疗广泛溃疡性结肠炎患者血清代谢谱的变化及其疗效预测。
Nutrients. 2023 Jul 27;15(15):3340. doi: 10.3390/nu15153340.
影响临床结果的是粪便微生物群移植的方法,而非概念。
Gastroenterology. 2016 Jan;150(1):285-6. doi: 10.1053/j.gastro.2015.05.065. Epub 2015 Nov 23.
4
Donor Species Richness Determines Faecal Microbiota Transplantation Success in Inflammatory Bowel Disease.供体物种丰富度决定炎症性肠病中粪便微生物群移植的成功率。
J Crohns Colitis. 2016 Apr;10(4):387-94. doi: 10.1093/ecco-jcc/jjv203. Epub 2015 Oct 29.
5
Rate of establishing the gut microbiota in infancy has consequences for future health.婴儿期肠道微生物群的建立速度会对未来健康产生影响。
Gut Microbes. 2015;6(5):321-5. doi: 10.1080/19490976.2015.1078051. Epub 2015 Aug 20.
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Step-up fecal microbiota transplantation strategy: a pilot study for steroid-dependent ulcerative colitis.逐步增加的粪便微生物群移植策略:一项针对类固醇依赖型溃疡性结肠炎的试点研究。
J Transl Med. 2015 Sep 12;13:298. doi: 10.1186/s12967-015-0646-2.
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Update on Fecal Microbiota Transplantation 2015: Indications, Methodologies, Mechanisms, and Outlook.2015年粪便微生物群移植最新进展:适应证、方法、机制及展望
Gastroenterology. 2015 Jul;149(1):223-37. doi: 10.1053/j.gastro.2015.05.008. Epub 2015 May 15.
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Successful treatment of severe sepsis and diarrhea after vagotomy utilizing fecal microbiota transplantation: a case report.利用粪便微生物群移植成功治疗迷走神经切断术后的严重脓毒症和腹泻:一例报告
Crit Care. 2015 Feb 9;19(1):37. doi: 10.1186/s13054-015-0738-7.
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Fecal Microbiota Transplantation Induces Remission in Patients With Active Ulcerative Colitis in a Randomized Controlled Trial.粪便微生物群移植在随机对照试验中诱导活动期溃疡性结肠炎患者缓解。
Gastroenterology. 2015 Jul;149(1):102-109.e6. doi: 10.1053/j.gastro.2015.04.001. Epub 2015 Apr 7.