Department of Internal Medicine II, Shimane University Faculty of Medicine, Izumo 693-8501, Japan.
Int J Mol Sci. 2020 Nov 17;21(22):8664. doi: 10.3390/ijms21228664.
Irritable bowel syndrome (IBS) is one of the most prevalent functional gastrointestinal disorders, and accumulating evidence gained in both preclinical and clinical studies indicate the involvement of enteric microbiota in its pathogenesis. Gut resident microbiota appear to influence brain activity through the enteric nervous system, while their composition and function are affected by the central nervous system. Based on these results, the term "brain-gut-microbiome axis" has been proposed and enteric microbiota have become a potential therapeutic target in IBS cases. However, details regarding the microbe-related pathophysiology of IBS remain elusive. This review summarizes the existing knowledge of molecular mechanisms in the pathogenesis of IBS as well as recent progress related to microbiome-derived neurotransmitters, compounds, metabolites, neuroendocrine factors, and enzymes.
肠易激综合征(IBS)是最常见的功能性胃肠道疾病之一,越来越多的临床前和临床研究证据表明肠道微生物群在其发病机制中起作用。肠道常驻微生物群似乎通过肠神经系统影响大脑活动,而它们的组成和功能受中枢神经系统的影响。基于这些结果,提出了“脑-肠-微生物群轴”一词,肠道微生物群已成为 IBS 病例的潜在治疗靶点。然而,关于 IBS 的微生物相关病理生理学的细节仍不清楚。这篇综述总结了 IBS 发病机制中的分子机制的现有知识,以及与微生物衍生的神经递质、化合物、代谢物、神经内分泌因子和酶相关的最新进展。
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