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健康肠道,健康大脑:神经退行性疾病中的肠道微生物组。

Healthy Gut, Healthy Brain: The Gut Microbiome in Neurodegenerative Disorders.

机构信息

CSIR-Indian Institute of Chemical Biology (CSIR-IICB), Kolkata 700032, India.

IICB-Translational Research Unit of Excellence (IICB-TRUE), Kolkata 700091, India.

出版信息

Curr Top Med Chem. 2020;20(13):1142-1153. doi: 10.2174/1568026620666200413091101.

DOI:10.2174/1568026620666200413091101
PMID:32282304
Abstract

BACKGROUND

The central nervous system (CNS) known to regulate the physiological conditions of human body, also itself gets dynamically regulated by both the physiological as well as pathological conditions of the body. These conditions get changed quite often, and often involve changes introduced into the gut microbiota which, as studies are revealing, directly modulate the CNS via a crosstalk. This cross-talk between the gut microbiota and CNS, i.e., the gut-brain axis (GBA), plays a major role in the pathogenesis of many neurodegenerative disorders such as Parkinson's disease (PD), Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS) and Huntington's disease (HD).

OBJECTIVE

We aim to discuss how gut microbiota, through GBA, regulate neurodegenerative disorders such as PD, AD, ALS, MS and HD.

METHODS

In this review, we have discussed the present understanding of the role played by the gut microbiota in neurodegenerative disorders and emphasized the probable therapeutic approaches being explored to treat them.

RESULTS

In the first part, we introduce the GBA and its relevance, followed by the changes occurring in the GBA during neurodegenerative disorders and then further discuss its role in the pathogenesis of these diseases. Finally, we discuss its applications in possible therapeutics of these diseases and the current research improvements being made to better investigate this interaction.

CONCLUSION

We concluded that alterations in the intestinal microbiota modulate various activities that could potentially lead to CNS disorders through interactions via the GBA.

摘要

背景

中枢神经系统(CNS)被认为可以调节人体的生理状况,同时也受到身体的生理和病理状况的动态调节。这些条件经常发生变化,并且经常涉及到肠道微生物群的变化,正如研究揭示的那样,肠道微生物群通过串扰直接调节中枢神经系统。肠道微生物群和中枢神经系统之间的这种串扰,即肠脑轴(GBA),在许多神经退行性疾病的发病机制中起着重要作用,如帕金森病(PD)、阿尔茨海默病(AD)、肌萎缩侧索硬化症(ALS)、多发性硬化症(MS)和亨廷顿病(HD)。

目的

我们旨在讨论肠道微生物群如何通过 GBA 调节 PD、AD、ALS、MS 和 HD 等神经退行性疾病。

方法

在这篇综述中,我们讨论了肠道微生物群在神经退行性疾病中的作用的现有理解,并强调了正在探索的可能治疗方法。

结果

在第一部分中,我们介绍了 GBA 及其相关性,接着讨论了神经退行性疾病期间 GBA 中发生的变化,然后进一步讨论了它在这些疾病发病机制中的作用。最后,我们讨论了它在这些疾病的可能治疗中的应用以及为了更好地研究这种相互作用而正在进行的当前研究进展。

结论

我们的结论是,肠道微生物群的改变通过 GBA 相互作用调节各种可能导致中枢神经系统紊乱的活动。

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