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考虑在艰难梭菌感染的粪便微生物群移植期间的免疫系统。

Considering the Immune System during Fecal Microbiota Transplantation for Clostridioides difficile Infection.

机构信息

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.

出版信息

Trends Mol Med. 2020 May;26(5):496-507. doi: 10.1016/j.molmed.2020.01.009. Epub 2020 Feb 17.


DOI:10.1016/j.molmed.2020.01.009
PMID:32359480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7198612/
Abstract

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.

摘要

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。

相似文献

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Considering the Immune System during Fecal Microbiota Transplantation for Clostridioides difficile Infection.

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[2]
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[3]
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[4]
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[5]
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[6]
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[9]
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[10]
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[1]
Factors associated with failure of fecal microbiota transplant for recurrent infection.

Therap Adv Gastroenterol. 2025-4-23

[2]
Advances in Fecal Microbiota Transplantation for Gut Dysbiosis-Related Diseases.

Adv Sci (Weinh). 2025-4

[3]
Integrative analysis of intestinal flora and untargeted metabolomics in attention-deficit/hyperactivity disorder.

Front Microbiol. 2025-1-29

[4]
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[5]
Fecal microbiota transplantation stimulates type 2 and tolerogenic immune responses in a mouse model.

Anaerobe. 2024-4

[6]
Investigating the impact of antibiotic-induced dysbiosis on protection from colitis by mouse colonic innate lymphoid cells.

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[7]
Dynamics of inflammation-associated plasma proteins following faecal microbiota transplantation in patients with psoriatic arthritis and healthy controls: exploratory findings from the FLORA trial.

RMD Open. 2024-1-30

[8]
Butyrate Protects against Clostridium difficile Infection by Regulating Bile Acid Metabolism.

Microbiol Spectr. 2023-8-17

[9]
Fecal Microbiota Transplantation in Inflammatory Bowel Disease.

Biomedicines. 2023-3-27

[10]
Host Immunity and Immunization Strategies for Clostridioides difficile Infection.

Clin Microbiol Rev. 2023-6-21

本文引用的文献

[1]
IL-33 drives group 2 innate lymphoid cell-mediated protection during Clostridium difficile infection.

Nat Commun. 2019-6-20

[2]
Colitis-Induced Th17 Cells Increase the Risk for Severe Subsequent Clostridium difficile Infection.

Cell Host Microbe. 2019-4-16

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Cell Rep. 2019-4-16

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J Biol Chem. 2019-1-15

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Microbiota-Induced TNF-like Ligand 1A Drives Group 3 Innate Lymphoid Cell-Mediated Barrier Protection and Intestinal T Cell Activation during Colitis.

Immunity. 2018-12-11

[6]
Therapeutic faecal microbiota transplantation controls intestinal inflammation through IL10 secretion by immune cells.

Nat Commun. 2018-12-5

[7]
Apoptosis of intestinal epithelial cells restricts Clostridium difficile infection in a model of pseudomembranous colitis.

Nat Commun. 2018-11-19

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Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals.

N Engl J Med. 2018-11-1

[9]
Development and Validation of a Prediction Model for Mortality and Adverse Outcomes Among Patients With Peripheral Eosinopenia on Admission for Clostridium difficile Infection.

JAMA Surg. 2018-12-1

[10]
Fecal Microbiota Transplantation Ameliorates Experimentally Induced Colitis in Mice by Upregulating AhR.

Front Microbiol. 2018-8-24

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