Department of Physiology, Emory University, Atlanta, GA 30322, United States.
Neurobiol Dis. 2020 Feb;135:104426. doi: 10.1016/j.nbd.2019.03.014. Epub 2019 Mar 15.
The gastrointestinal tract is inhabited by trillions of individual microbes, representing hundreds to thousands of distinct species. These indigenous organisms are not simply spectators to host activity, but instead actively modulate critical aspects of host physiology. From digestion and the production of small molecules, to the maturation and tuning of immune responses, the gastrointestinal microbiome influences every organ system in the body. Growing experimental evidence demonstrates microbial influence on neurological function in both health and disease. Furthermore, sequencing of the intestinal microbe population reveals altered community structures in various neurological conditions. Here, we provide a perspective on the potential roles for the intestinal microbiome in modulating Parkinson's disease. While Parkinson's disease has been historically studied as a disease of the central nervous system, there is growing appreciation for the roles of both gastrointestinal function and its resident microbes within this disease state. Recent studies focused on the microbiome during Parkinson's disease may advance our understanding of disease etiology and provide perspective for previously unrecognized therapeutic avenues through modulation of intestinal microbes.
胃肠道中栖息着数以万亿计的个体微生物,代表了数百到数千种不同的物种。这些土著生物不仅仅是宿主活动的旁观者,而是积极调节宿主生理的关键方面。从消化和小分子的产生,到免疫反应的成熟和调节,胃肠道微生物组影响着身体的每一个器官系统。越来越多的实验证据表明,微生物对健康和疾病中的神经功能有影响。此外,肠道微生物种群的测序揭示了各种神经疾病中群落结构的改变。在这里,我们提供了一个观点,即肠道微生物组在调节帕金森病方面的潜在作用。虽然帕金森病一直被作为中枢神经系统疾病进行研究,但人们越来越认识到胃肠道功能及其在这种疾病状态下的常驻微生物的作用。最近对帕金森病期间微生物组的研究可能会增进我们对疾病病因的理解,并为通过调节肠道微生物开辟以前未被认识的治疗途径提供视角。
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