Division of Internal Medicine, Gastroenterology and Hepatology, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2018 Nov;22(21):7404-7413. doi: 10.26355/eurrev_201811_16280.
The hypothesis of an important role of gut microbiota in maintaining physiological state into the gastrointestinal (GI) system is supported by qualitative and quantitative alteration of the intestinal flora in a number of physiological and pathological condition as shown in several studies. The evidence of the inflammatory state alteration, highlighted in neurodegenerative diseases such as Parkinson's and Alzheimer's strongly recalls the microbiota disturbance, highly suggesting a link between the gastrointestinal system and cognitive functions. Given this perspective, looking at the mutual influence between microbiota products, inflammation mediators and immune system, the modulation of gut microbiota may help to facilitate a physiological and non-pathological aging process and, perhaps, to contrast the progression of degenerating mechanisms. Some studies have already characterized gut microbiota in elderly, with promising results. Future studies should be designed to better understand the correlation between the gut microbiota, the ageing process and degenerative diseases typical of the elderly.
肠道微生物群在维持胃肠道(GI)系统生理状态中的重要作用的假说得到了一系列研究中肠道菌群在许多生理和病理条件下定性和定量改变的支持。在帕金森病和阿尔茨海默病等神经退行性疾病中炎症状态改变的证据强烈提示微生物群的干扰,高度提示胃肠道系统和认知功能之间存在联系。鉴于这种观点,观察微生物群产物、炎症介质和免疫系统之间的相互影响,调节肠道微生物群可能有助于促进生理和非病理性衰老过程,并可能抑制退行性机制的进展。一些研究已经对老年人的肠道微生物群进行了特征描述,结果很有前景。未来的研究应旨在更好地理解肠道微生物群、衰老过程和老年人特有的退行性疾病之间的相关性。