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成人的肠道微生物群与心理健康。

The gut microbiota and mental health in adults.

机构信息

Gastroenterology Department, Baylor College of Medicine, Houston, TX, United States.

Stress Research Institute, Stockholm University, Stockholm, Sweden; Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.

出版信息

Curr Opin Neurobiol. 2020 Jun;62:102-114. doi: 10.1016/j.conb.2020.01.016. Epub 2020 Mar 9.

Abstract

A growing body of evidence point toward the bidirectional gut microbiota-brain axis playing a role in mental health. Most of this research is conducted on animals why we in this review summarize and comment upon recent studies evaluating the gut microbiome in mental health in humans. Further support for the relevance of the bidirectional gut microbiota-brain communication in mood disorders has been presented, such as the effect of probiotics on brain connectivity and mental health outcomes and pregnancy related stress on gut microbiota in the newborn child. However, the heterogeneity between studies precludes conclusions regarding differences in microbiota composition in mental disease and health and many of the studies are limited by a cross-sectional design, small sample sizes and multiple comparisons. Thus, well-designed longitudinal studies with larger sample size, accounting for confounders are needed.

摘要

越来越多的证据表明,双向肠道微生物群-大脑轴在心理健康中起着作用。这项研究大多是在动物身上进行的,因此我们在这篇综述中总结和评论了最近评估人类心理健康中肠道微生物组的研究。进一步支持了双向肠道微生物群-大脑通讯在情绪障碍中的相关性,例如益生菌对大脑连通性和心理健康结果的影响,以及与妊娠相关的压力对新生儿肠道微生物群的影响。然而,研究之间的异质性使得无法就精神疾病和健康中微生物组组成的差异得出结论,而且许多研究受到横断面设计、样本量小和多次比较的限制。因此,需要设计良好的、具有较大样本量、考虑混杂因素的纵向研究。

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