Hogenová Helena Tlaskalová, Zákostelská Zuzana Jirásková, Petanová Jitka, Kverka Miloslav
Vnitr Lek. 2019 Winter;65(2):98-107.
Each individual is colonized by broad spectrum of microbes. Recent surge of interest in microbiota across all fields of medicine was motivated by an increasing body of knowledge on how commensals influence human health. This is most notable in the gut, where most microbes reside, but microbes colonizing other niches, such as oral cavity or skin, may influence health as well. Microbiota fundamentally influences the immune system development and its perturbation, i.e. dysbiosis, is associated with many inflammatory, autoimmune and neoplastic diseases. Microbiota forms a symbiotic relationship with the host - maintaining balanced and efficient immune response and protects from colonization by pathogens. Modern medicine may benefit greatly by adopting these ideas for therapeutic or prophylactic purposes. These may include manipulation with microbiota by diet, changes in lifestyle or directly by probiotics or fecal microbiota transfer.
每个人都被各种各样的微生物所定植。近年来,医学各领域对微生物群的兴趣激增,这是由于越来越多关于共生菌如何影响人类健康的知识所推动的。这在肠道中最为显著,大多数微生物都栖息于此,但定植于其他部位(如口腔或皮肤)的微生物也可能影响健康。微生物群从根本上影响免疫系统的发育,其紊乱(即生态失调)与许多炎症性、自身免疫性和肿瘤性疾病相关。微生物群与宿主形成共生关系——维持平衡而有效的免疫反应,并防止病原体定植。现代医学若将这些理念用于治疗或预防目的,可能会受益匪浅。这些方法可能包括通过饮食、生活方式的改变,或直接通过益生菌或粪便微生物群移植来操纵微生物群。