Istituto di Patologia Speciale Medica, Università Cattolica del Sacro Cuore, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2019 Sep;23(18):8075-8083. doi: 10.26355/eurrev_201909_19024.
Gut microbiota has a key role in host metabolic regulation and immune response, and its dysbiosis represents one of the main causes of gastrointestinal diseases. In this scenario, Akkermansia muciniphila is a crucial player in keeping the integrity of the gastrointestinal tract.
This review focuses on the correlation between gut microbiota and intestinal homeostasis, primarily exploring A. muciniphila and its involvement in the development of metabolic disorders and gastrointestinal diseases.
Akkermansia muciniphila belongs to the Verrucomicrobia phylum, and it colonizes the mucus layer in the gastrointestinal tract, representing 1 to 4% of the fecal microbiota. It stimulates mucosal microbial networks, and it improves intestinal barrier function, providing crucial host immunological responses. Several studies have demonstrated the possible involvement of A. muciniphila in the development of intestinal and metabolic disorders. Indeed, adipose and glucose metabolisms are influenced by A. muciniphila, and its levels inversely correlate to inflammatory conditions, such as inflammatory bowel disease, obesity, and diabetes. Conversely, its therapeutic administration decreases their development.
A. muciniphila exerts a key role in the maintenance of intestinal health and in host metabolic modulation. Future studies could open new horizons towards its potential therapeutic applications in gastrointestinal and extra-intestinal diseases.
肠道微生物群在宿主代谢调节和免疫反应中起着关键作用,其失调是胃肠道疾病的主要原因之一。在这种情况下,黏蛋白阿克曼菌是保持胃肠道完整性的关键因素。
本综述重点探讨了肠道微生物群与肠道内稳态的相关性,主要研究黏蛋白阿克曼菌及其在代谢紊乱和胃肠道疾病发展中的作用。
黏蛋白阿克曼菌属于韦荣球菌门,定植于胃肠道的黏液层,占粪便微生物群的 1%至 4%。它刺激黏膜微生物网络,并改善肠道屏障功能,为宿主提供重要的免疫反应。多项研究表明,黏蛋白阿克曼菌可能参与了肠道和代谢紊乱的发生。事实上,脂肪和葡萄糖代谢受黏蛋白阿克曼菌的影响,其水平与炎症性疾病(如炎症性肠病、肥胖症和糖尿病)呈负相关。相反,它的治疗性给药可以减少这些疾病的发生。
黏蛋白阿克曼菌在维持肠道健康和宿主代谢调节方面起着关键作用。未来的研究可能为其在胃肠道和肠外疾病的潜在治疗应用开辟新的前景。