Katz-Agranov Nurit, Zandman-Goddard Gisele
Department of Internal Medicine, The University of Texas Houston, Health Science Center, Houston, TX, USA.
Department of Medicine C, Wolfson Medical Center, Holon, Israel.
Immunol Res. 2017 Apr;65(2):432-437. doi: 10.1007/s12026-017-8906-2.
The microbiota, which is comprised of the collective of all microbes inhabiting the gut and its effect on the human host in which it resides, has become a growing field of interest. Various parameters of health and disease have been found to be associated with the variation in the human gut microbiome. In recent years, many studies have demonstrated an important role of gut microbes in the development of various illnesses including autoimmune diseases, such as type 1 diabetes, rheumatoid arthritis, and multiple sclerosis. Although the mechanism of the disease involves both genetic and environmental factors, lupus has been found to be affected by the composition of the microbes lining the intestines. Several recent studies have suggested that alterations of the gut microbial composition may be correlated with SLE disease manifestations, while the exact roles of either symbiotic or pathogenic microbes in this disease have yet to be explored. Elucidation of the roles of gut microbes in SLE will shed light on how this autoimmune disorder develops and provide opportunities for improved biomarkers of the disease and the potential to probe new therapies. This new knowledge, along with that enabling alteration in composition of the gut microbiome, via diet modification, antibiotic, and probiotics, may bring forward a new era in the future of lupus treatment.
微生物群由栖息在肠道中的所有微生物组成,及其对宿主的影响,已成为一个日益受到关注的领域。人们发现,健康和疾病的各种参数与人类肠道微生物组的变化有关。近年来,许多研究表明肠道微生物在包括自身免疫性疾病(如1型糖尿病、类风湿性关节炎和多发性硬化症)在内的各种疾病的发展中起着重要作用。尽管疾病机制涉及遗传和环境因素,但狼疮已被发现受肠道内微生物组成的影响。最近的几项研究表明,肠道微生物组成的改变可能与系统性红斑狼疮(SLE)的疾病表现相关,而共生或致病微生物在该疾病中的确切作用尚待探索。阐明肠道微生物在SLE中的作用将有助于了解这种自身免疫性疾病的发展过程,并为改善该疾病的生物标志物以及探索新疗法提供机会。这些新知识,连同通过饮食调整、抗生素和益生菌实现肠道微生物组组成改变的知识,可能会开创狼疮治疗未来的新纪元。
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