Anker-Ladefoged Clara, Langkamp Thomas, Mueller-Alcazar Anett
Department of Psychology, Faculty of Human Sciences, Medical School Hamburg, 20457 Hamburg, Germany.
Healthcare (Basel). 2021 Apr 22;9(5):494. doi: 10.3390/healthcare9050494.
The composition of the microbiome is subject to a variety of factors, such as eating behavior and the history of medical treatment. The interest in the impact of the microbiome on the stress response is mainly explained by the lack of development of new effective treatments for stress-related diseases. This scoping review aims to present the current state of research regarding the impact of bacterial strains in the gut on the stress response in humans in order to not only highlight these impacts but to also suggest potential intervention options.
We included full-text articles on studies that: (a) were consistent with our research question; and (b) included the variable stress either using biomedical parameters such as cortisol or by examining the subjective stress level. Information from selected studies was synthesized from study designs and the main findings.
Seven studies were included, although they were heterogenous. The results of these studies do not allow a general statement about the effects of the selected bacterial strains on the stress response of the subjects and their precise pathways of action. However, one of the works gives evidence that the consumption of probiotics leads to a decrease in blood pressure and others show that stress-induced symptoms (including abdominal pain and headache) in healthy subjects could be reduced.
Due to different intake period and composition of the bacterial strains administered to the subjects, the studies presented here can only provide a limited meaningful judgement. As these studies included healthy participants between the ages of 18 and 60 years, a generalization to clinical populations is also not recommended. In order to confirm current effects and implement manipulation of the microbiome as a treatment method for clinical cases, future studies would benefit from examining the effects of the intestinal microbiome on the stress response in a clinical setting.
微生物群的组成受多种因素影响,如饮食行为和治疗史。对微生物群对应激反应影响的关注主要源于缺乏针对应激相关疾病的新型有效治疗方法。本综述旨在介绍关于肠道细菌菌株对人类应激反应影响的当前研究状况,不仅要突出这些影响,还要提出潜在的干预方案。
我们纳入了符合以下条件的研究的全文文章:(a)与我们的研究问题一致;(b)通过使用生物医学参数(如皮质醇)或检查主观应激水平来纳入应激变量。从选定研究中获取的信息根据研究设计和主要发现进行了综合。
纳入了七项研究,尽管它们具有异质性。这些研究的结果无法就所选细菌菌株对受试者应激反应及其确切作用途径的影响做出一般性陈述。然而,其中一项研究表明食用益生菌可导致血压降低,其他研究表明健康受试者的应激诱导症状(包括腹痛和头痛)可以减轻。
由于给予受试者的细菌菌株的摄入期和组成不同,此处呈现的研究只能提供有限的有意义的判断。由于这些研究纳入的是18至60岁的健康参与者,因此也不建议将结果推广至临床人群。为了证实当前的效应并将微生物群的调控作为临床病例的治疗方法加以应用,未来的研究若能在临床环境中考察肠道微生物群对应激反应的影响将有所助益。