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