Department of Microbiology and Immunology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0435, USA.
Center for Tropical Diseases, Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0435, USA.
Gastroenterol Clin North Am. 2018 Dec;47(4):813-827. doi: 10.1016/j.gtc.2018.07.007. Epub 2018 Sep 28.
The volume of research into the pathogenesis and treatment of malnutrition has increased markedly over the past ten years, providing mechanistic insights that can be leveraged into more effective treatment options. These discoveries have been driven by several landmark studies employing metabolomics, metagenomics, and new preclinical models. This review highlights some of the most important recent findings, focusing in particular on the emerging roles of prenatal and perinatal factors, protein deficiency, impaired gut barrier function, immune deficiency, and the intestinal microbiome.
过去十年中,对营养不良的发病机制和治疗的研究显著增加,为更有效的治疗方法提供了机制上的见解。这些发现是由几项具有里程碑意义的研究推动的,这些研究采用了代谢组学、宏基因组学和新的临床前模型。这篇综述强调了一些最近最重要的发现,特别关注产前和围产期因素、蛋白质缺乏、肠道屏障功能受损、免疫缺陷和肠道微生物组的新兴作用。