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微生物群移植治疗肥胖症和糖尿病:现状与未来展望

Microbiota Transplant in the Treatment of Obesity and Diabetes: Current and Future Perspectives.

作者信息

Napolitano Michael, Covasa Mihai

机构信息

Department of Basic Medical Sciences, College of Osteopathic Medicine, Western University of Health Sciences, Pomona, CA, United States.

Department of Health and Human Development, Stefan Cel Mare University of Suceava, Suceava, Romania.

出版信息

Front Microbiol. 2020 Nov 12;11:590370. doi: 10.3389/fmicb.2020.590370. eCollection 2020.

Abstract

A wealth of evidence has revealed the critical role of the gut microbiota in health and disease. Many chronic diseases have been associated with gut microbiota imbalance in its composition, diversity and functional capacity. Several types of interventions have been shown to correct microbiota imbalance and restore the beneficial metabolic outcomes of a normal microbiota. Among them, fecal microbiota transplantation (FMT) is an emergent, promising technology employed to improve clinical outcomes of various pathological conditions through modifications in the gut microbiota composition. FMT has been used successfully as a treatment option in recurrent , a condition characterized by severe gut microbiota dysbiosis. However, the potential usage of FMT in other microbiota-associated conditions different from such as metabolic syndrome or obesity that are also marked by gut dysbiosis is still under investigation. Furthermore, the contribution of the gut microbiota as a cause or consequence in metabolic disease is still largely debated. This review provides critical information on the methodological approaches of FMT and its technological innovation in clinical applications. This review sheds light on the current findings and gaps in our understanding of how FMT can be used as a future biotherapeutic to restore microbial homeostasis in amelioration of obesity and diabetes.

摘要

大量证据揭示了肠道微生物群在健康与疾病中的关键作用。许多慢性疾病都与肠道微生物群在组成、多样性和功能能力方面的失衡有关。已证明几种类型的干预措施可纠正微生物群失衡,并恢复正常微生物群的有益代谢结果。其中,粪便微生物群移植(FMT)是一种新兴的、有前景的技术,通过改变肠道微生物群组成来改善各种病理状况的临床结果。FMT已成功用作复发性艰难梭菌感染的治疗选择,该病症的特征是严重的肠道微生物群失调。然而,FMT在其他与微生物群相关的病症(不同于艰难梭菌感染,如同样以肠道菌群失调为特征的代谢综合征或肥胖症)中的潜在用途仍在研究中。此外,肠道微生物群作为代谢疾病的病因或结果的作用仍存在很大争议。本综述提供了关于FMT的方法学途径及其在临床应用中的技术创新的关键信息。本综述阐明了目前在理解FMT如何用作未来生物疗法以恢复微生物稳态来改善肥胖症和糖尿病方面的研究结果和差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df2/7693552/74b21f9d04e7/fmicb-11-590370-g001.jpg

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