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饮食模式、肠道微生物群与阿尔茨海默病。

Dietary Pattern, Gut Microbiota, and Alzheimer's Disease.

机构信息

Key Laboratory of Meat Processing and Quality Control, Ministry of Education, Key Laboratory of Meat Processing, Ministry of Agriculture and Rural Affairs, Jiangsu Synergistic Innovation Center of Meat Processing and Quality Control, College of Food Science and Technology, Nanjing Agricultural University, Nanjing, Jiangsu 210095, People's Republic of China.

出版信息

J Agric Food Chem. 2020 Nov 18;68(46):12800-12809. doi: 10.1021/acs.jafc.9b08309. Epub 2020 Feb 28.

Abstract

Alzheimer's disease is the most common neurodegenerative disease. Until now, there has been no specific medicine that can cure Alzheimer's disease or effectively reverse the disease process. A good dietary pattern is an efficient way to prevent or delay the progression of the disease. Evidence suggests that diet may affect β-amyloid production and tau processing or may regulate inflammation, metabolism, and oxidative stress associated with Alzheimer's disease, which can be exerted by gut microbiota. The gut microbiota is a complex microbial community that affects not only various digestive diseases but also neurodegenerative diseases. Studies have shown that gut microbial metabolites, such as pro-inflammatory factors, short-chain fatty acids, and neurotransmitters, can affect the pathogenesis of Alzheimer's disease. Clinical studies suggested that the gut microbial composition of patients with Alzheimer's disease is different, in particular to lower abundances of and , which have an anti-inflammatory activity. The purpose of this review is to summarize the neuropathological pathogenesis of Alzheimer's disease, and the modulation of dietary patterns rather than single dietary components on Alzheimer's disease through the gut-brain axis was discussed.

摘要

阿尔茨海默病是最常见的神经退行性疾病。到目前为止,还没有专门的药物可以治愈阿尔茨海默病或有效地逆转疾病进程。良好的饮食模式是预防或延缓疾病进展的有效方法。有证据表明,饮食可能会影响β-淀粉样蛋白的产生和 tau 处理,或者可能通过肠道微生物群来调节与阿尔茨海默病相关的炎症、代谢和氧化应激。肠道微生物群是一个复杂的微生物群落,不仅影响各种消化道疾病,还影响神经退行性疾病。研究表明,肠道微生物代谢物,如促炎因子、短链脂肪酸和神经递质,可以影响阿尔茨海默病的发病机制。临床研究表明,阿尔茨海默病患者的肠道微生物组成不同,特别是具有抗炎活性的 和 的丰度较低。本综述的目的是总结阿尔茨海默病的神经病理学发病机制,并通过肠道-大脑轴讨论饮食模式而非单一饮食成分对阿尔茨海默病的调节作用。

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