State Key Laboratory of Food Science and Technology, Jiangnan University, Wuxi 214122, PR China.
Food Funct. 2020 Jun 24;11(6):5192-5204. doi: 10.1039/c9fo02554e.
Polycystic ovarian syndrome (PCOS) is a common endocrine disease across the world. Because gut microbiota play a key role in the pathogenesis of PCOS, probiotics may alleviate PCOS symptoms through the regulation of intestinal flora. The effects of 8 lactic acid bacterial strains on PCOS were investigated. Letrozole was used to produce a PCOS rat model and a 4-week-strain-intervention was performed. Diane-35, as a clinical PCOS treatment medicine, was effective in attenuating rats' reproductive disorders. Lactobacillus plantarum HL2 was protective against ovary pathological changes and restored luteinizing hormone, follicle stimulating hormone and testosterone levels. Bifidobacterium longum HB3 also alleviated ovary abnormalities and decreased testosterone levels. Administration of lactic acid bacteria up-regulated short-chain fatty acid levels. Based on 16S rRNA sequencing, lactic acid bacteria improved letrozole induced gut microbiota dysbiosis with different degrees. Akkermansia, Roseburia, Prevotella, Staphylococcus and Lactobacillus genera were correlated with sex hormone levels. Some of the sex hormone-related gut microbiota were restored by treatment with the strains. These results demonstrated that lactic acid bacteria alleviated PCOS in a rat model by regulating sex hormone related gut microbiota. Modifying gut microbiota by probiotic interventions may thus be a promising therapeutic option for PCOS.
多囊卵巢综合征(PCOS)是一种常见的全球内分泌疾病。由于肠道微生物群在 PCOS 的发病机制中起着关键作用,益生菌可能通过调节肠道菌群来缓解 PCOS 症状。研究了 8 种乳酸菌对 PCOS 的影响。使用来曲唑制造 PCOS 大鼠模型,并进行了 4 周的菌株干预。达英-35 作为一种临床 PCOS 治疗药物,有效缓解了大鼠的生殖障碍。植物乳杆菌 HL2 对卵巢病理变化具有保护作用,并恢复了黄体生成素、卵泡刺激素和睾酮水平。长双歧杆菌 HB3 也减轻了卵巢异常并降低了睾酮水平。乳酸杆菌的给药增加了短链脂肪酸水平。基于 16S rRNA 测序,乳酸杆菌不同程度地改善了来曲唑诱导的肠道微生物群失调。阿克曼氏菌、罗斯伯里氏菌、普雷沃特氏菌、葡萄球菌和乳杆菌属与性激素水平相关。一些与性激素相关的肠道微生物群通过菌株治疗得到了恢复。这些结果表明,乳酸杆菌通过调节与性激素相关的肠道微生物群缓解了大鼠模型中的 PCOS。通过益生菌干预来改变肠道微生物群可能是治疗 PCOS 的一种有前途的选择。