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益生菌作为活菌治疗剂防治胃肠道疾病的最新进展。

Recent Advances in Probiotics as Live Biotherapeutics Against Gastrointestinal Diseases.

机构信息

Department of Biotechnology, Vignan's Foundation for Science, Technology and Research, Vadlamudi, Guntur-522213, Andhra Pradesh, India.

Department of Biotechnology, Acharya Nagarjuna University Nagarjuna Nagar, Guntur- 522510, Andhra Pradesh, India.

出版信息

Curr Pharm Des. 2018;24(27):3162-3171. doi: 10.2174/1381612824666180717105128.

Abstract

BACKGROUND

Gastrointestinal (GI) diseases are a major cause of emergency department visits requiring hospitalizations leading to considerable burden on global economy. Several factors contribute to the onset of gastrointestinal diseases such as pathogens (parasites, bacteria, virus, toxins etc.), autoimmune disorders and severe inflammation of intestine.

OBJECTIVE

One common feature among all these diseases is the dysentery and alteration of gut microbiota composition (gut dysbiosis). Apart from conventional therapies such as antibiotics and ORS supplementation, gut microbiota modulation with probiotic supplementation has emerged as a successful and healthy alternative in mitigating GI diseases. In this review our goal is to discuss the causes of gastrointestinal diseases and the present state of various therapeutic strategies such as probiotics as live biotherapeutics and Fecal Microbial Transplants (FMT's).

CONCLUSION

Several reports and clinical trials point out to the beneficial effects of probiotics in modulating the gut microbiota and improving the side effects of gastrointestinal diseases. Live biotherapeutics and FMT's could be suitable and successful alternatives to conventional therapies in mitigating the gastrointestinal pathogens.

摘要

背景

胃肠道(GI)疾病是导致急诊就诊和住院的主要原因,给全球经济带来了巨大负担。多种因素可导致胃肠道疾病的发生,如病原体(寄生虫、细菌、病毒、毒素等)、自身免疫紊乱和肠道严重炎症。

目的

这些疾病的一个共同特征是痢疾和肠道微生物群落组成的改变(肠道菌群失调)。除了抗生素和口服补液盐(ORS)补充等常规疗法外,益生菌等肠道微生物群落调节已成为减轻胃肠道疾病的一种成功且健康的替代疗法。在本次综述中,我们的目标是讨论胃肠道疾病的病因以及各种治疗策略(如益生菌作为活体生物治疗剂和粪便微生物移植(FMT))的现状。

结论

多项报告和临床试验指出益生菌在调节肠道微生物群落和改善胃肠道疾病副作用方面的有益作用。活体生物治疗剂和 FMT 可能是减轻胃肠道病原体的常规疗法的合适和成功替代疗法。

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