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肠脑心理学:从微生物群-肠-脑轴重新思考心理学。

Gut-Brain Psychology: Rethinking Psychology From the Microbiota-Gut-Brain Axis.

作者信息

Liang Shan, Wu Xiaoli, Jin Feng

机构信息

Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.

University of Chinese Academy of Sciences, Beijing, China.

出版信息

Front Integr Neurosci. 2018 Sep 11;12:33. doi: 10.3389/fnint.2018.00033. eCollection 2018.

Abstract

Mental disorders and neurological diseases are becoming a rapidly increasing medical burden. Although extensive studies have been conducted, the progress in developing effective therapies for these diseases has still been slow. The current dilemma reminds us that the human being is a superorganism. Only when we take the human self and its partner microbiota into consideration at the same time, can we better understand these diseases. Over the last few centuries, the partner microbiota has experienced tremendous change, much more than human genes, because of the modern transformations in diet, lifestyle, medical care, and so on, parallel to the modern epidemiological transition. Existing research indicates that gut microbiota plays an important role in this transition. According to gut-brain psychology, the gut microbiota is a crucial part of the gut-brain network, and it communicates with the brain via the microbiota-gut-brain axis. The gut microbiota almost develops synchronously with the gut-brain, brain, and mind. The gut microbiota influences various normal mental processes and mental phenomena, and is involved in the pathophysiology of numerous mental and neurological diseases. Targeting the microbiota in therapy for these diseases is a promising approach that is supported by three theories: the gut microbiota hypothesis, the "old friend" hypothesis, and the leaky gut theory. The effects of gut microbiota on the brain and behavior are fulfilled by the microbiota-gut-brain axis, which is mainly composed of the nervous pathway, endocrine pathway, and immune pathway. Undoubtedly, gut-brain psychology will bring great enhancement to psychology, neuroscience, and psychiatry. Various microbiota-improving methods including fecal microbiota transplantation, probiotics, prebiotics, a healthy diet, and healthy lifestyle have shown the capability to promote the function of the gut-brain, microbiota-gut-brain axis, and brain. It will be possible to harness the gut microbiota to improve brain and mental health and prevent and treat related diseases in the future.

摘要

精神障碍和神经疾病正成为日益沉重的医疗负担。尽管已经开展了广泛研究,但针对这些疾病开发有效疗法的进展仍然缓慢。当前的困境提醒我们,人类是一个超级生物体。只有同时考虑人类自身及其伙伴微生物群,我们才能更好地理解这些疾病。在过去几个世纪里,由于饮食、生活方式、医疗保健等方面的现代转变,与现代流行病学转变并行,伙伴微生物群经历了巨大变化,远比人类基因的变化大。现有研究表明,肠道微生物群在这一转变中发挥着重要作用。根据肠脑心理学,肠道微生物群是肠脑网络的关键部分,它通过微生物群-肠-脑轴与大脑进行交流。肠道微生物群几乎与肠脑、大脑和心智同步发育。肠道微生物群影响各种正常的心理过程和心理现象,并参与众多精神和神经疾病的病理生理学过程。针对这些疾病的治疗中靶向微生物群是一种有前景的方法,它得到了三种理论的支持:肠道微生物群假说、“老朋友”假说和肠漏理论。肠道微生物群对大脑和行为的影响是通过微生物群-肠-脑轴实现的,该轴主要由神经通路、内分泌通路和免疫通路组成。毫无疑问,肠脑心理学将极大地促进心理学、神经科学和精神病学的发展。各种改善微生物群的方法,包括粪便微生物群移植、益生菌、益生元、健康饮食和健康的生活方式,已显示出促进肠脑、微生物群-肠-脑轴和大脑功能的能力。未来有可能利用肠道微生物群来改善大脑和心理健康,并预防和治疗相关疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd6/6142822/b5c2dcb651d3/fnint-12-00033-g001.jpg

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