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男性生殖泌尿系统疾病中的尿道微生物群:聚焦于良性前列腺增生和下尿路症状

The Urinary Tract Microbiome in Male Genitourinary Diseases: Focusing on Benign Prostate Hyperplasia and Lower Urinary Tract Symptoms.

作者信息

Kim Myung Soo, Jung Seung Il

机构信息

Department of Urology, Chonnam National University Medical School, Gwangju, Korea.

出版信息

Int Neurourol J. 2021 Mar;25(1):3-11. doi: 10.5213/inj.2040174.087. Epub 2021 Jan 19.

DOI:10.5213/inj.2040174.087
PMID:33504133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8022174/
Abstract

The human body is sterile during gestation; however, but during and after birth, the entire body surface becomes host to an enormous variety of microorganisms. Urine in the urinary tract was once considered sterile based on the lack of cultured microorganisms. Many recent studies have revealed evidence of microorganisms in human urine in the absence of clinical infection. Sequencing methods and analytical techniques are rapidly evolving to improve the ability to detect bacterial DNA and living bacteria and to understand the microbiota of the urinary tract. In women, fascinating evidence associates urinary tract microbiota with lower urinary tract symptoms. However, in men, the relevance of urinary tract microbiota in low urinary tract symptoms and prostate disease has not been established. In this review, we highlight a recent study that increases our ability to understand the urinary tract microbiota in men with lower urinary tract symptoms.

摘要

在妊娠期,人体是无菌的;然而,在出生期间及之后,整个体表会成为大量微生物的宿主。基于培养不出微生物,泌尿道中的尿液曾被认为是无菌的。最近许多研究揭示了在无临床感染情况下人体尿液中存在微生物的证据。测序方法和分析技术正在迅速发展,以提高检测细菌DNA和活细菌的能力,并了解泌尿道的微生物群。在女性中,有引人关注的证据表明泌尿道微生物群与下尿路症状有关。然而,在男性中,泌尿道微生物群在低尿路症状和前列腺疾病中的相关性尚未确立。在本综述中,我们重点介绍了一项最近的研究,该研究增强了我们对患有下尿路症状男性的泌尿道微生物群的理解能力。

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本文引用的文献

1
Implications of the Genitourinary Microbiota in Prostatic Disease.泌尿生殖系统微生物群在前列腺疾病中的意义。
Curr Urol Rep. 2019 May 18;20(7):34. doi: 10.1007/s11934-019-0904-6.
2
Multidisciplinary approach to prostatitis.前列腺炎的多学科治疗方法。
Arch Ital Urol Androl. 2019 Jan 18;90(4):227-248. doi: 10.4081/aiua.2018.4.227.
3
A prostate derived commensal Staphylococcus epidermidis strain prevents and ameliorates induction of chronic prostatitis by UPEC infection.一种源自前列腺的共生表皮葡萄球菌菌株可预防和改善 UPEC 感染引起的慢性前列腺炎。
Sci Rep. 2018 Nov 27;8(1):17420. doi: 10.1038/s41598-018-35818-1.
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Urinary microbes and postoperative urinary tract infection risk in urogynecologic surgical patients.泌尿生殖外科手术患者的尿液微生物与术后尿路感染风险
Int Urogynecol J. 2018 Dec;29(12):1797-1805. doi: 10.1007/s00192-018-3767-3. Epub 2018 Sep 28.
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Chronic nonbacterial prostate inflammation in a rat model is associated with changes of gut microbiota that can be modified with a galactoglucomannan-rich hemicellulose extract in the diet.在大鼠模型中,慢性非细菌性前列腺炎与肠道微生物群的变化有关,而饮食中富含半纤维素的半乳甘露聚糖可以改变这些变化。
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Male Bladder Microbiome Relates to Lower Urinary Tract Symptoms.男性膀胱微生物群与下尿路症状相关。
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