Department of Microbiology, Immunology, and Cancer Biology, University of Virginia Health System, Charlottesville, Virginia 22908, USA.
Department of Microbiology, Immunology, and Cancer Biology, University of Virginia Health System, Charlottesville, Virginia 22908, USA; Department of Medicine, University of Virginia Health System, Charlottesville, Virginia 22908, USA; Department of Pathology, University of Virginia Health System, Charlottesville, Virginia 22908, USA.
Trends Mol Med. 2020 May;26(5):496-507. doi: 10.1016/j.molmed.2020.01.009. Epub 2020 Feb 17.
Our understanding and utilization of fecal microbiota transplantation (FMT) has jump-started over the past two decades. Recent technological advancements in sequencing and metabolomics have allowed for better characterization of our intestinal microbial counterparts, triggering a surge of excitement in the fields of mucosal immunology and microbiology. This excitement is well founded, as demonstrated by 90% relapse-free cure rates in FMT treatment for recurrent Clostridioides difficile infections. Growing evidence suggests that in addition to bacterial factors, the host immune response during C. difficile infection greatly influences disease severity. In this review, we discuss recent advancements in understanding the interplay between immune cells and the microbiota and how they may relate to recovery from C. difficile through FMT therapy.
在过去的二十年中,我们对粪便微生物群移植(FMT)的理解和利用有了飞跃式的发展。最近测序和代谢组学技术的进步使我们能够更好地描述肠道微生物群,这在黏膜免疫学和微生物学领域引发了热潮。这种兴奋是有充分依据的,因为 FMT 治疗复发性艰难梭菌感染的无复发治愈率达到了 90%。越来越多的证据表明,除了细菌因素外,艰难梭菌感染期间宿主的免疫反应对疾病严重程度有很大影响。在这篇综述中,我们讨论了目前对免疫细胞和微生物群之间相互作用的理解的最新进展,以及它们如何通过 FMT 治疗与艰难梭菌的恢复相关。
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