Evrensel Alper, Ceylan Mehmet Emin
Department of Psychiatry, Uskudar University, Istanbul, Turkey.
Clin Psychopharmacol Neurosci. 2016 Aug 31;14(3):231-7. doi: 10.9758/cpn.2016.14.3.231.
Fecal microbiota transplantation has a 1700-year history. This forgotten treatment method has been put into use again during the last 50 years. The interest in microbiota-gut-brain axis and fecal microbiota transplantation is rapidly increasing. New evidence is obtained in the etiopathogenesis of neuropsychiatric disorders. There is a large number of experimental and clinical researches in the field of gut-brain axis. There is limited information on fecal microbiota transplantation. Despite this, initial results are promising. It is commonly used in the treatment of gastrointestinal diseases such as Clostridium difficile infection, Crohn's disease, ulcerative colitis. It is also experimentally used in the treatment of metabolic and autoimmune diseases. There are case reports that it is effective in the treatment of autism, Parkinson's disease, multiple sclerosis, chronic fatigue syndrome and irritable bowel syndrome. Its implementation is easy, and it is a cheap and reliable treatment method. However, the long-term risks are unknown. Additionally, standard application protocols have not yet been established. There are a lot of questions to be answered. A university in Turkey has got official permission this year, and started to apply fecal microbiota transplantation. In this review, neuropsychiatric areas of use of fecal microbiota transplantation have been discussed in the light of the current information.
粪便微生物群移植已有1700年的历史。这种被遗忘的治疗方法在过去50年里又重新投入使用。人们对微生物群-肠道-脑轴和粪便微生物群移植的兴趣正在迅速增加。在神经精神疾病的病因发病机制方面获得了新的证据。在肠道-脑轴领域有大量的实验和临床研究。关于粪便微生物群移植的信息有限。尽管如此,初步结果很有前景。它常用于治疗胃肠道疾病,如艰难梭菌感染、克罗恩病、溃疡性结肠炎。它也被实验性地用于治疗代谢和自身免疫性疾病。有病例报告表明它对自闭症、帕金森病、多发性硬化症、慢性疲劳综合征和肠易激综合征的治疗有效。其实施容易,是一种廉价且可靠的治疗方法。然而,长期风险尚不清楚。此外,尚未建立标准的应用方案。有很多问题有待解答。土耳其一所大学今年已获得官方许可,并开始应用粪便微生物群移植。在这篇综述中,根据当前信息讨论了粪便微生物群移植在神经精神领域的应用。