APC Microbiome Ireland, University College Cork, Cork, Ireland; Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland.
APC Microbiome Ireland, University College Cork, Cork, Ireland.
Lancet Neurol. 2020 Feb;19(2):179-194. doi: 10.1016/S1474-4422(19)30356-4. Epub 2019 Nov 18.
Research into the role of the gut microbiome in modulating brain function has rapidly increased over the past 10 years, albeit chiefly in animal models. Increasing clinical and preclinical evidence implicates the microbiome as a possible key susceptibility factor for neurological disorders, including Alzheimer's disease, autism spectrum disorder, multiple sclerosis, Parkinson's disease, and stroke. Cross-sectional clinical studies are bolstering the concept of altered microbial composition contributing to the pathophysiology of such diseases. However, the field is nascent, and interpretation of such data is often difficult given that the composition of the microbiome is influenced by various factors such as diet and exercise. Longitudinal studies and randomised controlled trials in humans are needed to find out if targeting the microbiome can yield novel therapeutic strategies. Systems biology approaches will also be important in integrating such data with genomic and metabolomic datasets from clinical cohorts with neurological disease to help guide individual treatment selection.
在过去的 10 年中,尽管主要是在动物模型中,肠道微生物组在调节大脑功能方面的作用的研究迅速增加。越来越多的临床前和临床证据表明,微生物组可能是神经紊乱的一个潜在关键易感因素,包括阿尔茨海默病、自闭症谱系障碍、多发性硬化症、帕金森病和中风。横断面临床研究支持了这样的概念,即微生物组成的改变可能导致这些疾病的病理生理学变化。然而,该领域尚处于起步阶段,由于微生物组的组成受到饮食和运动等多种因素的影响,因此对这些数据的解释往往很困难。需要在人类中进行纵向研究和随机对照试验,以确定针对微生物组是否可以产生新的治疗策略。系统生物学方法也将有助于将此类数据与具有神经疾病的临床队列的基因组和代谢组数据集进行整合,以帮助指导个体治疗选择。