Ahlawat S, Sharma K K
Laboratory of Enzymology and Recombinant DNA Technology, Department of Microbiology, Maharshi Dayanand University, Rohtak, Haryana, India.
Lett Appl Microbiol. 2021 Jun;72(6):636-668. doi: 10.1111/lam.13333. Epub 2020 Jul 16.
Human gut microbiota (GM) includes a complex and dynamic population of microorganisms that are crucial for well-being and survival of the organism. It has been reported as diverse and relatively stable with shared core microbiota, including Bacteroidetes and Firmicutes as the major dominants. They are the key regulators of body homeostasis, involving both intestinal and extra-intestinal effects by influencing many physiological functions such as metabolism, maintenance of barrier homeostasis, inflammation and hematopoiesis. Any alteration in GM community structures not only trigger gut disorders but also influence other organs and cause associated diseases. In recent past, the GM has been defined as a 'vital organ' with its involvement with other organs; thus, establishing a link or a bi- or multidirectional communication axis between the organs via neural, endocrine, immune, humoral and metabolic pathways. Alterations in GM have been linked to several diseases known to humans; although the exact interaction mechanism between the gut and the organs is yet to be defined. In this review, the bidirectional relationship between the gut and the vital human organs was envisaged and discussed under several headings. Furthermore, several disease symptoms were also revisited to redefine the communication network between the gut microbes and the associated organs.
人类肠道微生物群(GM)包含复杂且动态变化的微生物群体,这些微生物对生物体的健康和生存至关重要。据报道,其具有多样性且相对稳定,拥有共同的核心微生物群,其中拟杆菌门和厚壁菌门为主要优势菌群。它们是身体内环境稳态的关键调节因子,通过影响代谢、维持屏障稳态、炎症和造血等多种生理功能,在肠道和肠道外均发挥作用。GM群落结构的任何改变不仅会引发肠道疾病,还会影响其他器官并导致相关疾病。最近,GM被定义为一个“重要器官”,因为它与其他器官相互关联;因此,通过神经、内分泌、免疫、体液和代谢途径在各器官之间建立了联系或双向或多向通信轴。GM的改变已与人类已知的几种疾病相关联;尽管肠道与器官之间的确切相互作用机制尚待确定。在这篇综述中,我们设想并在几个标题下讨论了肠道与人体重要器官之间的双向关系。此外,还重新审视了几种疾病症状,以重新定义肠道微生物与相关器官之间的通信网络。
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