肠道微生物组的修饰以对抗神经退行性变。
Modification of the gut microbiome to combat neurodegeneration.
机构信息
Göttingen Graduate School for Neurosciences, Biophysics, and Molecular Biosciences, Georg-August-Universität Göttingen, Grisebachstr 537077, Göttingen, Germany.
出版信息
Rev Neurosci. 2019 Nov 26;30(8):795-805. doi: 10.1515/revneuro-2019-0005.
The gut microbiome was extensively researched for its biological variety and its potential role in propagating diseases outside of the gastrointestinal (GI) tract. Recently, a lot of effort was focused on comprehending the gut-brain axis and the bizarre communication between the GI system and the nervous system. Ample amount of studies being carried out also revealed the involvement of the gut microbiome in enhancing the degree of many neurological disorders, including neurodegenerative diseases. It was widely observed that there were distinct microbiome profiles and dysbiosis within patients suffering from Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, and multiple sclerosis. Various approaches to re-establish the balance of the gut microbiome, from antibiotic therapy, fecal microbiota transplant, or ingestion of psychobiotics, are discussed within this review within the specific context of combating neurodegenerative diseases. Present studies and clinical trials indicate that although there is an immense potential of gut microbiome modification to be preventive or therapeutic, there are still many intercalated components of the gut-brain axis at play and thus, more research needs to be carried out to delineate microbiome factors that may potentially alleviate symptoms of neurodegeneration.
肠道微生物组因其生物多样性及其在胃肠道 (GI) 以外传播疾病的潜在作用而受到广泛研究。最近,人们大量致力于理解肠道-大脑轴和胃肠道系统与神经系统之间的奇异通讯。大量正在进行的研究还揭示了肠道微生物组参与增强许多神经退行性疾病的程度,包括神经退行性疾病。广泛观察到,患有阿尔茨海默病、帕金森病、肌萎缩侧索硬化症和多发性硬化症的患者存在明显的微生物组特征和失调。在这篇综述中,讨论了各种恢复肠道微生物组平衡的方法,包括抗生素治疗、粪便微生物群移植或摄入益生菌,具体涉及对抗神经退行性疾病。目前的研究和临床试验表明,尽管肠道微生物组修饰具有巨大的预防或治疗潜力,但肠道-大脑轴的许多相互交织的成分仍在发挥作用,因此需要进行更多的研究来描绘可能潜在缓解神经退行性症状的微生物组因素。