Department of Gastroenterology, Faculty of Medicine, Gazi University, 06570 Ankara, Turkey.
Department of Pharmaceutical Microbiology, Faculty of Pharmacy, HacettepeUniversity, Sıhhiye, 06110 Ankara, Turkey.
Nutrients. 2021 Jan 27;13(2):389. doi: 10.3390/nu13020389.
Gut microbiota composition and function are major areas of research for functional gastrointestinal disorders. There is a connection between gastrointestinal tract and central nervous system and this is mediated by neurotransmitters, inflammatory cytokines, the vagus nerve and the hypothalamic-pituitary-adrenal axis. Functional gastrointestinal disorders are prevalent diseases affecting more than one third of the population. The etiology of these disorders is not clarified. Visceral hyperalgesia is the main hypothesis for explaining clinical symptoms, however gut-brain axis disorder is a new terminology for functional disorders. In this review, microbiota-gut-brain axis connection pathways and related disorders are discussed. Antibiotics are widely used in developed countries and recent evidence indicates antibiotic-induced dysbiosis as an important factor for functional disorders. Antibiotics exert negative effects on gut microbiota composition and functions. Antibiotic-induced dysbiosis is a major factor for occurrence of post-infectious irritable bowel syndrome. Cognitive and mood disorders are also frequent in functional gastrointestinal disorders. Animal and human trials show strong evidence for the causal relationship between gut microbiota and brain functions. Therapeutic implications of these newly defined pathogenic pathways are also discussed.
肠道微生物组成和功能是功能性胃肠疾病的主要研究领域。胃肠道和中枢神经系统之间存在联系,这种联系是通过神经递质、炎症细胞因子、迷走神经和下丘脑-垂体-肾上腺轴介导的。功能性胃肠疾病是一种常见疾病,影响超过三分之一的人口。这些疾病的病因尚不清楚。内脏痛觉过敏是解释临床症状的主要假说,但肠道-大脑轴障碍是功能性疾病的一个新术语。在这篇综述中,讨论了微生物群-肠道-大脑轴的连接途径和相关疾病。抗生素在发达国家被广泛使用,最近的证据表明,抗生素诱导的肠道菌群失调是功能性疾病的一个重要因素。抗生素对肠道微生物群的组成和功能有负面影响。抗生素诱导的肠道菌群失调是感染后肠易激综合征发生的一个主要因素。认知和情绪障碍在功能性胃肠疾病中也很常见。动物和人体试验为肠道微生物群和大脑功能之间的因果关系提供了强有力的证据。这些新定义的致病途径的治疗意义也在讨论之中。
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