Univ. Bordeaux, INRA, Bordeaux INP, NutriNeuro, UMR 1286, F-33000, Bordeaux, France.
Proc Nutr Soc. 2020 Feb;79(1):113-132. doi: 10.1017/S0029665119000958. Epub 2019 Jun 28.
The developmental period constitutes a critical window of sensitivity to stress. Indeed, early-life adversity increases the risk to develop psychiatric diseases, but also gastrointestinal disorders such as the irritable bowel syndrome at adulthood. In the past decade, there has been huge interest in the gut-brain axis, especially as regards stress-related emotional behaviours. Animal models of early-life adversity, in particular, maternal separation (MS) in rodents, demonstrate lasting deleterious effects on both the gut and the brain. Here, we review the effects of MS on both systems with a focus on stress-related behaviours. In addition, we discuss more recent findings showing the impact of gut-directed interventions, including nutrition with pre- and probiotics, illustrating the role played by gut microbiota in mediating the long-term effects of MS. Overall, preclinical studies suggest that nutritional approaches with pro- and prebiotics may constitute safe and efficient strategies to attenuate the effects of early-life stress on the gut-brain axis. Further research is required to understand the complex mechanisms underlying gut-brain interaction dysfunctions after early-life stress as well as to determine the beneficial impact of gut-directed strategies in a context of early-life adversity in human subjects.
发育期是对压力敏感的关键时期。事实上,早期生活逆境会增加患精神疾病的风险,也会增加成年后患胃肠道疾病(如肠易激综合征)的风险。在过去的十年中,人们对肠脑轴产生了浓厚的兴趣,尤其是在与压力相关的情绪行为方面。特别是,早期生活逆境的动物模型,如啮齿动物的母体分离(MS),对肠道和大脑都有持久的有害影响。在这里,我们回顾了 MS 对这两个系统的影响,重点关注与压力相关的行为。此外,我们还讨论了最近的发现,这些发现表明肠道导向干预的影响,包括使用预生物和益生菌进行营养干预,说明了肠道微生物群在介导 MS 的长期影响方面的作用。总的来说,临床前研究表明,使用益生菌和预生物的营养方法可能是减轻早期生活压力对肠脑轴影响的安全有效的策略。需要进一步研究来了解早期生活压力后肠道-大脑相互作用功能障碍的复杂机制,并确定在人类早期生活逆境背景下肠道导向策略的有益影响。