Medical Faculty, Genetics and Pharmacogenomics Laboratory, Kunming University of Science and Technology, Kunming, Yunnan, China.
Medical Faculty, Pathogen biology Laboratory, Kunming University of Science and Technology, Kunming, Yunnan, China.
Hormones (Athens). 2017 Jul;16(3):223-234. doi: 10.14310/horm.2002.1742.
Obesity is a major public health issue as it is causally associated with several chronic disorders, including type-2 diabetes, cerebrovascular disease (CVD), and cancer. In the United States and other countries worldwide, the obesity epidemic has drastically impacted the status of health of millions as well as healthcare costs. Aside from poor diet, hygiene, and genetics, there are many other factors thought to play an important role in the emergence of obesity. Nowadays, accumulating evidence is elucidating the relation of dysbiosis of intestinal bacteria with obesity and metabolic disorders. Certain gut microbial strains have been shown to inhibit or attenuate immune responses related to chronic inflammation in experimental models, suggesting that specific species among gut microbiota may play either a protective or a pathogenic role in the progression of obesity. Fecal microbiota transplantation (FMT) can therefore represent a therapeutic approach for obesity treatment. FMT is a relatively straightforward therapy that manipulates the human gastrointestinal (GI) microbiota by transferring healthy donor microbiota into an existing but disturbed microbial ecosystem. However, the relevant scientific work is still in its early stages. In this review, we summarize the cutting-edge research being done into FMT treatment of obesity, current issues in FMT treatment, and the future of FMT and microbial therapeutics.
肥胖是一个主要的公共卫生问题,因为它与几种慢性疾病有关,包括 2 型糖尿病、脑血管疾病(CVD)和癌症。在美国和世界其他国家,肥胖流行极大地影响了数百万人的健康状况和医疗保健成本。除了不良的饮食、卫生和遗传因素外,还有许多其他因素被认为在肥胖的出现中起着重要作用。如今,越来越多的证据阐明了肠道细菌失调与肥胖和代谢紊乱的关系。某些肠道微生物菌株已被证明可以抑制或减弱与慢性炎症相关的免疫反应,这表明肠道微生物群中的某些特定物种可能在肥胖的进展中发挥保护或致病作用。粪便微生物群移植(FMT)因此可以成为肥胖治疗的一种治疗方法。FMT 是一种相对简单的疗法,通过将健康供体的微生物群转移到现有的但受到干扰的微生物生态系统中,来操纵人体胃肠道(GI)微生物群。然而,相关的科学工作仍处于早期阶段。在这篇综述中,我们总结了 FMT 治疗肥胖症的最新研究、FMT 治疗的当前问题以及 FMT 和微生物治疗学的未来。
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