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粪便微生物群移植治疗 COVID-19;一种潜在的新兴治疗策略。

Fecal microbiota transplantation for COVID-19; a potential emerging treatment strategy.

机构信息

School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Systematic Review and Meta-analysis Expert Group (SRMEG), Universal Scientific Education and Research Network (USERN), Tehran, Iran.

Gastroenterology & Liver Diseases Research Center, Research Institute for Gastroenterology & Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Med Hypotheses. 2021 Feb;147:110476. doi: 10.1016/j.mehy.2020.110476. Epub 2020 Dec 31.


DOI:10.1016/j.mehy.2020.110476
PMID:33482620
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7774521/
Abstract

At the end of 2019, an emerging outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that first reported from Wuhan, China. The first manifestations of patients infected with SARS-CoV-2 was flu-like symptoms, while other type of manifestations, especially gastrointestinal manifestations were discovered recently. As of June 2020, there is no specific drug or treatment strategy for COVID-19, a disease caused by SARS-CoV-2, so different combination of antiviral drugs is currently being used. Gut microbiota mostly consists of four phyla, including Firmicutes, Bacteroidetes, Proteobacteria, and Actinobacteria. The interaction between gut microbiota and immune system through releasing some cytokines such as IL-1β, IL-2, IL-10, TNF-α, and IFN-γ that play roles in the severity of COVID-19. In this article, a new potential treatment for COVID-19 by fecal microbiota transplantation (FMT) is described. FMT revealed promising results in different diseases, especially recurrent clostridium difficile infection, and it might reduce length of hospital admission and severity of the disease by modification of gut microbiota composition.

摘要

2019 年末,一种由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的新发传染病,最初报告来自中国武汉。感染 SARS-CoV-2 的患者的最初表现为类似流感的症状,而最近发现了其他类型的表现,特别是胃肠道表现。截至 2020 年 6 月,针对由 SARS-CoV-2 引起的 COVID-19,尚无特定的药物或治疗策略,因此目前正在使用不同的抗病毒药物组合。肠道微生物群主要由四个门组成,包括厚壁菌门、拟杆菌门、变形菌门和放线菌门。肠道微生物群通过释放一些细胞因子(如 IL-1β、IL-2、IL-10、TNF-α 和 IFN-γ)与免疫系统相互作用,这些细胞因子在 COVID-19 的严重程度中发挥作用。在本文中,描述了粪便微生物群移植(FMT)治疗 COVID-19 的一种新的潜在方法。FMT 在不同疾病中显示出有希望的结果,特别是复发性艰难梭菌感染,通过改变肠道微生物群组成,可能会降低住院时间和疾病严重程度。

相似文献

[1]
Fecal microbiota transplantation for COVID-19; a potential emerging treatment strategy.

Med Hypotheses. 2021-2

[2]
COVID-19 - gastrointestinal and gut microbiota-related aspects.

Eur Rev Med Pharmacol Sci. 2020-10

[3]
Alterations in Gut Microbiota of Patients With COVID-19 During Time of Hospitalization.

Gastroenterology. 2020-5-20

[4]
Gastrointestinal disturbance and effect of fecal microbiota transplantation in discharged COVID-19 patients.

J Med Case Rep. 2021-2-8

[5]
Altered gut microbiota composition in children and their caregivers infected with the SARS-CoV-2 Omicron variant.

World J Pediatr. 2023-5

[6]
Successful therapy of Clostridium difficile infection with fecal microbiota transplantation.

J Physiol Pharmacol. 2016-12

[7]
High-throughput DNA sequence analysis reveals stable engraftment of gut microbiota following transplantation of previously frozen fecal bacteria.

Gut Microbes. 2013-1-18

[8]
The relationship between gut microbiota and COVID-19 progression: new insights into immunopathogenesis and treatment.

Front Immunol. 2023

[9]
Alterations of the gut microbiota in coronavirus disease 2019 and its therapeutic potential.

World J Gastroenterol. 2022-12-21

[10]
Recovery of the gut microbiome following fecal microbiota transplantation.

mBio. 2014-6-17

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[1]
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Curr Res Microb Sci. 2025-6-11

[2]
Characterization of the gut microbiota in drug abuse: prediction, prevention, and personalized medicine to benefit affected populations.

EPMA J. 2025-3-15

[3]
A neurotherapeutic approach with Lacticaseibacillus rhamnosus E9 on gut microbiota and intestinal barrier in MPTP-induced mouse model of Parkinson's disease.

Sci Rep. 2024-7-4

[4]
COVID-19 influenced gut dysbiosis, post-acute sequelae, immune regulation, and therapeutic regimens.

Front Cell Infect Microbiol. 2024

[5]
Gut Microbiome and Cytokine Profiles in Post-COVID Syndrome.

Viruses. 2024-5-2

[6]
Alterations in the gut microbiome and its metabolites are associated with the immune response to mucosal immunization with -displaying recombinant SARS-CoV-2 spike epitopes in mice.

Front Cell Infect Microbiol. 2023

[7]
Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy.

Int J Mol Sci. 2023-7-31

[8]
The relationship between gut microbiota and COVID-19 progression: new insights into immunopathogenesis and treatment.

Front Immunol. 2023

[9]
Gut microbiota in COVID-19: new insights from inside.

Gut Microbes. 2023

[10]
COVID-19, the Gut, and Nutritional Implications.

Curr Nutr Rep. 2023-6

本文引用的文献

[1]
INFUSION OF CONVALESCENT PLASMA IS ASSOCIATED WITH CLINICAL IMPROVEMENT IN CRITICALLY ILL PATIENTS WITH COVID-19: A PILOT STUDY.

Rev Invest Clin. 2020

[2]
Fighting COVID-19: A quick review of diagnoses, therapies, and vaccines.

Biomed J. 2020-5-30

[3]
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J Infect. 2020-5-27

[4]
Novelty in the gut: a systematic review and meta-analysis of the gastrointestinal manifestations of COVID-19.

BMJ Open Gastroenterol. 2020-5

[5]
Alterations in Gut Microbiota of Patients With COVID-19 During Time of Hospitalization.

Gastroenterology. 2020-5-20

[6]
Gut microbiota and Covid-19- possible link and implications.

Virus Res. 2020-5-13

[7]
Minimum costs to manufacture new treatments for COVID-19.

J Virus Erad. 2020-4-30

[8]
[Management of COVID-19: the Zhejiang experience].

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2020-2-21

[9]
Efficacy and safety of current therapeutic options for COVID-19 - lessons to be learnt from SARS and MERS epidemic: A systematic review and meta-analysis.

Pharmacol Res. 2020-4-30

[10]
Clinical Characteristics of COVID-19 Patients With Digestive Symptoms in Hubei, China: A Descriptive, Cross-Sectional, Multicenter Study.

Am J Gastroenterol. 2020-5

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