Servicio de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Meco, Madrid, España; Departamento de Ciencias de la Salud, Universidad de Alcalá, Alcalá de Henares, Madrid, España.
Unitat de Diabetis, Endocrinologia i Nutrició, Hospital Universitari Dr. Josep Trueta, Universitat de Girona, Girona, España; CIBERobn Fisiopatología de la Obesidad y Nutrición, España.
Gastroenterol Hepatol. 2021 Aug-Sep;44(7):519-535. doi: 10.1016/j.gastrohep.2021.01.009. Epub 2021 Feb 27.
The human body is populated by myriads of microorganisms throughout its surface and in the cavities connected to the outside. The microbial colonisers of the intestine (microbiota) are a functional and non-expendable part of the human organism: they provide genes (microbiome) and additional functions to the resources of our species and participate in multiple physiological processes (somatic development, nutrition, immunity, etc.). Some chronic non-communicable diseases of developed society (atopias, metabolic syndrome, inflammatory diseases, cancer and some behaviour disorders) are associated with dysbiosis: loss of species richness in the intestinal microbiota and deviation from the ancestral microbial environment. Changes in the vertical transmission of the microbiome, the use of antiseptics and antibiotics, and dietary habits in industrialised society appear to be at the origin of dysbiosis. Generating and maintaining diversity in the microbiota is a new clinical target for health promotion and disease prevention.
人体表面和与外界相通的腔道中栖息着无数的微生物。肠道中的微生物定植者(微生物群)是人体的一个有功能且不可或缺的组成部分:它们为我们物种的资源提供基因(微生物组)和额外功能,并参与多种生理过程(躯体发育、营养、免疫等)。一些发达社会的慢性非传染性疾病(变态反应、代谢综合征、炎症性疾病、癌症和一些行为障碍)与微生态失调有关:肠道微生物群的物种丰富度丧失,偏离了原始的微生物环境。工业化社会中微生物组的垂直传播变化、防腐剂和抗生素的使用以及饮食习惯似乎是微生态失调的根源。在促进健康和预防疾病方面,生成和维持微生物群的多样性是一个新的临床目标。