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吲哚类物质:肠道细菌产生的代谢物,能够控制肝脏疾病的表现。

Indoles: metabolites produced by intestinal bacteria capable of controlling liver disease manifestation.

机构信息

Department of Medicine, University of California San Diego, La Jolla, CA, USA.

Department of Medicine, VA San Diego Healthcare System, San Diego, CA, USA.

出版信息

J Intern Med. 2019 Jul;286(1):32-40. doi: 10.1111/joim.12892. Epub 2019 Mar 14.

Abstract

Alterations in the bacteria that reside in our gastrointestinal tract play a role in the pathogenesis and progression of many disorders including liver and gastrointestinal diseases. Both qualitative (composition) and quantitative (amount) changes in gut microbes are associated with increased susceptibility to liver disease. Importantly, the intestinal microbiota is involved in the regulation of many host signalling pathways via the generation of different metabolites. Hence, dysbiosis influences disease development and progression by directly affecting the host-bacteria metabolic interaction. Microbe-derived harmful metabolites can translocate to distant organs due to increased intestinal permeability as observed during dysbiosis. Contrary, certain bacterial metabolites such as tryptophan metabolites contribute to intestinal and systemic homeostasis. Here, we provide an overview of current evidence describing to what extent microbial metabolites modulate the development of chronic liver diseases such as alcoholic steatohepatitis and nonalcoholic fatty liver disease with a special emphasis on indoles.

摘要

肠道内栖息的细菌的改变在许多疾病的发病机制和进展中发挥作用,包括肝脏和胃肠道疾病。肠道微生物的定性(组成)和定量(数量)变化都与肝病易感性增加有关。重要的是,肠道微生物群通过产生不同的代谢物参与许多宿主信号通路的调节。因此,肠道微生物群通过直接影响宿主-细菌代谢相互作用而影响疾病的发展和进展。由于在肠道失调期间观察到的肠道通透性增加,微生物衍生的有害代谢物可以转移到远处的器官。相反,某些细菌代谢物,如色氨酸代谢物,有助于肠道和全身的稳态。在这里,我们提供了一个概述,描述了微生物代谢物在多大程度上调节慢性肝病的发展,如酒精性脂肪性肝炎和非酒精性脂肪性肝病,特别强调吲哚。

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