益生菌、益生元和上皮紧密连接:调节肠道屏障功能的有前途的方法。

Probiotics, Prebiotics and Epithelial Tight Junctions: A Promising Approach to Modulate Intestinal Barrier Function.

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.

Laboratory of Developmental Nutrition, Department of Animal Science, College of Agriculture and Life Sciences, North Carolina State University, Raleigh, NC 27607, USA.

出版信息

Int J Mol Sci. 2021 Jun 23;22(13):6729. doi: 10.3390/ijms22136729.

Abstract

Disruptions in the intestinal epithelial barrier can result in devastating consequences and a multitude of disease syndromes, particularly among preterm neonates. The association between barrier dysfunction and intestinal dysbiosis suggests that the intestinal barrier function is interactive with specific gut commensals and pathogenic microbes. In vitro and in vivo studies demonstrate that probiotic supplementation promotes significant upregulation and relocalization of interepithelial tight junction proteins, which form the microscopic scaffolds of the intestinal barrier. Probiotics facilitate some of these effects through the ligand-mediated stimulation of several toll-like receptors that are expressed by the intestinal epithelium. In particular, bacterial-mediated stimulation of toll-like receptor-2 modulates the expression and localization of specific protein constituents of intestinal tight junctions. Given that ingested prebiotics are robust modulators of the intestinal microbiota, prebiotic supplementation has been similarly investigated as a potential, indirect mechanism of barrier preservation. Emerging evidence suggests that prebiotics may additionally exert a direct effect on intestinal barrier function through mechanisms independent of the gut microbiota. In this review, we summarize current views on the effects of pro- and prebiotics on the intestinal epithelial barrier as well as on non-epithelial cell barrier constituents, such as the enteric glial cell network. Through continued investigation of these bioactive compounds, we can maximize their therapeutic potential for preventing and treating gastrointestinal diseases associated with impaired intestinal barrier function and dysbiosis.

摘要

肠道上皮屏障的破坏可导致严重的后果和多种疾病综合征,尤其是在早产儿中。屏障功能障碍与肠道菌群失调之间的关联表明,肠道屏障功能与特定的肠道共生菌和致病性微生物相互作用。体外和体内研究表明,益生菌补充可显著上调和重新定位上皮细胞间紧密连接蛋白,这些蛋白形成肠道屏障的微观支架。益生菌通过肠道上皮细胞表达的几种 Toll 样受体的配体介导刺激来促进其中一些作用。特别是,细菌介导的 Toll 样受体-2 刺激调节肠道紧密连接的特定蛋白成分的表达和定位。鉴于摄入的益生元是肠道微生物群的强大调节剂,因此同样研究了益生元补充作为屏障保护的潜在间接机制。新出现的证据表明,益生元可能通过独立于肠道微生物群的机制对肠道屏障功能产生直接影响。在这篇综述中,我们总结了目前关于益生菌和益生元对肠道上皮屏障以及肠神经胶质细胞网络等非上皮细胞屏障成分的影响的观点。通过对这些生物活性化合物的持续研究,我们可以最大限度地发挥它们在预防和治疗与肠道屏障功能障碍和菌群失调相关的胃肠道疾病方面的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edbb/8268081/121eaa3aa09c/ijms-22-06729-g001.jpg

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