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肠道微生物组在自身免疫性葡萄膜炎中的作用。

The Role of Gut Microbiome in Autoimmune Uveitis.

机构信息

The Research Laboratory of Ophthalmology and Vision Sciences, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China.

The Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Ophthalmic Res. 2021;64(2):168-177. doi: 10.1159/000510212. Epub 2020 Jul 16.

Abstract

The gut microbiome has important physiological functions and plays an indispensable role in the human body. Currently, there are an increasing number of studies revealing the close correlation between dysbiosis of the gut microbiome and a variety of autoimmune diseases, including autoimmune uveitis. This brief review summarizes recent literature regarding the relationship between dysbiosis and the occurrence and development of autoimmune uveitis. Dysbiosis participates in the pathogenesis of autoimmune uveitis largely by 4 mechanisms: antigenic mimicry, disturbance of intestinal immune homeostasis, destruction of the intestinal barrier, and reduction of beneficial anti-inflammatory metabolites. Further elucidation of these mechanisms will facilitate the treatment of the gut-microbiome-relevant autoimmune diseases by potential therapeutic strategies, such as antibiotics, probiotics, diet modifications, and fecal microbial transplantation.

摘要

肠道微生物组具有重要的生理功能,在人体中起着不可或缺的作用。目前,越来越多的研究揭示了肠道微生物组失调与多种自身免疫性疾病之间的密切关联,包括自身免疫性葡萄膜炎。本综述简要总结了近期关于肠道微生物组失调与自身免疫性葡萄膜炎发生和发展之间关系的文献。肠道微生物组失调通过 4 种机制参与自身免疫性葡萄膜炎的发病机制:抗原模拟、肠道免疫稳态紊乱、肠道屏障破坏和有益抗炎代谢物减少。进一步阐明这些机制将有助于通过潜在的治疗策略(如抗生素、益生菌、饮食改变和粪便微生物移植)来治疗与肠道微生物组相关的自身免疫性疾病。

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