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心血管疾病的内分泌器官:肠道微生物群。

Endocrine organs of cardiovascular diseases: Gut microbiota.

机构信息

First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Tianjin University of Traditional Chinese Medicine, Tianjin, China.

出版信息

J Cell Mol Med. 2019 Apr;23(4):2314-2323. doi: 10.1111/jcmm.14164. Epub 2019 Jan 27.

Abstract

Gut microbiota (GM) is a collection of bacteria, fungi, archaea, viruses and protozoa, etc. They inhabit human intestines and play an essential role in human health and disease. Close information exchange between the intestinal microbes and the host performs a vital role in digestion, immune defence, nervous system regulation, especially metabolism, maintaining a delicate balance between itself and the human host. Studies have shown that the composition of GM and its metabolites are firmly related to the occurrence of various diseases. More and more researchers have demonstrated that the intestinal microbiota is a virtual 'organ' with endocrine function and the bioactive metabolites produced by it can affect the physiological role of the host. With deepening researches in recent years, clinical data indicated that the GM has a significant effect on the occurrence and development of cardiovascular diseases (CVD). This article systematically elaborated the relationship between metabolites of GM and its effects, the relationship between intestinal dysbacteriosis and cardiovascular risk factors, coronary heart disease, myocardial infarction, heart failure and hypertension and the possible pathogenic mechanisms. Regulating the GM is supposed to be a potential new therapeutic target for CVD.

摘要

肠道微生物群(GM)是细菌、真菌、古菌、病毒和原生动物等的集合体。它们栖息在人类肠道内,在人类健康和疾病中发挥着重要作用。肠道微生物与宿主之间的密切信息交流在消化、免疫防御、神经系统调节中发挥着重要作用,特别是在代谢方面,它与人类宿主之间保持着微妙的平衡。研究表明,GM 的组成及其代谢物与各种疾病的发生密切相关。越来越多的研究人员已经证明,肠道微生物群是具有内分泌功能的虚拟“器官”,其产生的生物活性代谢物可以影响宿主的生理作用。近年来随着研究的深入,临床数据表明 GM 对心血管疾病(CVD)的发生和发展有显著影响。本文系统阐述了 GM 代谢物与其作用、肠道菌群失调与心血管危险因素、冠心病、心肌梗死、心力衰竭和高血压的关系及其可能的发病机制。调节 GM 可能成为 CVD 的一个有潜力的新治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802f/6433674/5b1f4d4dbe42/JCMM-23-2314-g001.jpg

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