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应激与肠-脑轴:对癌症、炎症和脓毒症的影响

Stress and the Gut-Brain Axis: Implications for Cancer, Inflammation and Sepsis.

作者信息

Moughnyeh Mohamad M, Brawner Kyle M, Kennedy Bethany A, Yeramilli Venkata A, Udayakumar Neha, Graham Jessica A, Martin Colin A

机构信息

Division of Pediatric Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.

Division of Pediatric Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.

出版信息

J Surg Res. 2021 Oct;266:336-344. doi: 10.1016/j.jss.2021.02.055. Epub 2021 May 29.

Abstract

BACKGROUND

The gut-brain axis has been discussed, directly or indirectly, for centuries, with the ideas of the gut affecting anything from moods to overall physiology being discussed across the centuries. With a recent explosion in research that looks to the microbiota as a mechanistic link between the gut and the brain, one sees that the gut-brain axis has various means of communication, such as through the vagus nerve and the enteric nervous system and can use the metabolites in the gut to communicate to the brain.

METHODS

The purpose of this review is to view the gut-brain axis through the lens of stress and how stress, from the prenatal period all the way through adulthood can impact the physiology of a human being. Studies have shown multiple mechanisms of measurable change with disruption in the microbiota that lead to behavioral changes. There are also effects of gut inflammation on the brain and the corresponding systemic response observed.

CONCLUSION

The overall literature is encouraging that the more understanding of the gut-brain axis, the greater ability to wield that understanding for therapeutic benefits.

摘要

背景

几个世纪以来,人们一直直接或间接地讨论肠脑轴,关于肠道影响情绪乃至整体生理机能的观点也历经了数百年的探讨。随着近期大量研究聚焦于微生物群作为肠道与大脑之间的机制性联系,人们发现肠脑轴有多种沟通方式,比如通过迷走神经和肠神经系统,还能利用肠道中的代谢产物与大脑进行交流。

方法

本综述的目的是从应激的角度审视肠脑轴,以及从产前到成年期的应激如何影响人类的生理机能。研究表明,微生物群紊乱导致行为改变存在多种可测量变化的机制。同时也观察到肠道炎症对大脑及相应全身反应的影响。

结论

总体文献表明,对肠脑轴的了解越多,就越有能力将这种理解用于治疗益处,这一点令人鼓舞。

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