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益生菌、益生元和合生菌对肥胖宿主的生化、临床和免疫标志物以及肠道微生物群的影响。

The impact of probiotics, prebiotics, and synbiotics on the biochemical, clinical, and immunological markers, as well as on the gut microbiota of obese hosts.

机构信息

Departamento de Engenharia e Tecnologia de Alimentos, Universidade Estadual Paulista (UNESP), São José do Rio Preto, Brazil.

Instituto de Ciências Naturais e Exatas, Universidade Federal de Rondonópolis (UFR), Rondonópolis, Brazil.

出版信息

Crit Rev Food Sci Nutr. 2021;61(2):337-355. doi: 10.1080/10408398.2020.1733483. Epub 2020 Mar 10.


DOI:10.1080/10408398.2020.1733483
PMID:32156153
Abstract

Obesity is currently considered a global epidemic and it leads to several alterations on the human body and its metabolism. There are evidences showing that the intestinal microbiota can influence on the pathogenesis of obesity. Microbiota plays a vital role not only in the digestion and absorption of nutrients, but also in the homeostatic maintenance of host immunity, metabolism, and gut barrier. Its dietary alteration is an important target in the treatment of obesity. Emerging evidence suggests that modifying the composition of the gut microbiota through probiotic, prebiotic, and synbiotic supplementation may be a viable adjuvant treatment option for obese individuals. In this review, the impact of probiotics, prebiotics, and synbiotics on the anthropometric profile, biochemical regulation, clinical, and immunological markers, as well as on the gut microbiota of obese hosts is described. It also emphasizes how changes in the composition and/or metabolic activity of the gut microbiota through the administration of nutrients with probiotic, prebiotic, or synbiotic properties can modulate the host's gene expression and metabolism, and thereby positively influence on the host's adipose tissue development and related metabolic disorders. The beneficial effects on the host's metabolism promoted by prebiotics, probiotics, and synbiotics have been successfully demonstrated by several studies. However, further investigation is needed to fully explain the cellular mechanisms of action of probiotics and prebiotics on human health, and also to elucidate the relationship between microbiota and obesity etiology, using well-designed, long-term, and large-scale clinical interventions.

摘要

肥胖目前被认为是一种全球性的流行病,它会导致人体和新陈代谢发生多种改变。有证据表明,肠道微生物群可能会影响肥胖的发病机制。微生物群不仅在营养物质的消化和吸收中发挥着重要作用,而且在宿主免疫、代谢和肠道屏障的稳态维持中也起着至关重要的作用。改变饮食是肥胖治疗的一个重要目标。新出现的证据表明,通过益生菌、益生元和合生元补充来改变肠道微生物群的组成可能是肥胖个体可行的辅助治疗选择。在这篇综述中,描述了益生菌、益生元和合生元对肥胖宿主的人体测量学特征、生化调节、临床和免疫标志物以及肠道微生物群的影响。它还强调了通过给予具有益生菌、益生元和合生元特性的营养素,如何改变肠道微生物群的组成和/或代谢活性,从而调节宿主的基因表达和代谢,从而对宿主的脂肪组织发育和相关代谢紊乱产生积极影响。许多研究已经成功证明了益生元、益生菌和合生元对宿主代谢的有益影响。然而,需要进一步的研究来充分解释益生菌和益生元对人类健康的细胞作用机制,以及阐明微生物群与肥胖病因之间的关系,这需要通过精心设计、长期和大规模的临床干预来实现。

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