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肠脑轴:深入了解微生物群在帕金森病中的作用

Gut brain axis: an insight into microbiota role in Parkinson's disease.

作者信息

Moustafa Sara Ayman, Mohamed Shrouk, Dawood Abdelhameed, Azar Jihan, Elmorsy Ekramy, Rizk Noura A M, Salama Mohamed

机构信息

Institute of Global Health and Human Ecology (IGHHE) Graduate Program, The American University in Cairo, New Cairo, 11835, Egypt.

Nanotechnology Graduate Program, The American University in Cairo, New Cairo, 11835, Egypt.

出版信息

Metab Brain Dis. 2021 Oct;36(7):1545-1557. doi: 10.1007/s11011-021-00808-2. Epub 2021 Aug 9.


DOI:10.1007/s11011-021-00808-2
PMID:34370175
Abstract

Parkinson's disease (PD) is one of the most common progressive neurodegenerative diseases. It is characterized neuropathologically by the presence of alpha-synuclein containing Lewy Bodies in the substantia nigra of the brain with loss of dopaminergic neurons in the pars compacta of the substantia nigra. The presence of alpha-synuclein aggregates in the substantia nigra and the enteric nervous system (ENS) drew attention to the possibility of a correlation between the gut microbiota and Parkinson's disease. The gut-brain axis is a two-way communication system, which explains how through the vagus nerve, the gut microbiota can affect the central nervous system (CNS), including brain functions related to the ENS, as well as how CNS can alter various gut secretions and immune responses. As a result, this dysbiosis or alteration in gut microbiota can be an early sign of PD with reported changes in short chain fatty acids, bile acids, and lipids. This gave rise to the use of probiotics and faecal microbiota transplantation as alternative approaches to improve the symptoms of patients with PD. The aim of this review is to discuss investigations that have been done to explore the gastrointestinal involvement in Parkinson's disease, the effect of dysbiosis, and potential therapeutic strategies for PD.

摘要

帕金森病(PD)是最常见的进行性神经退行性疾病之一。其神经病理学特征是大脑黑质中存在含有α-突触核蛋白的路易小体,同时黑质致密部的多巴胺能神经元丧失。黑质和肠神经系统(ENS)中α-突触核蛋白聚集体的存在,引发了人们对肠道微生物群与帕金森病之间相关性的关注。肠-脑轴是一个双向通信系统,它解释了肠道微生物群如何通过迷走神经影响中枢神经系统(CNS),包括与肠神经系统相关的脑功能,以及中枢神经系统如何改变各种肠道分泌物和免疫反应。因此,这种肠道微生物群的失调或改变可能是帕金森病的早期迹象,已有报道称短链脂肪酸、胆汁酸和脂质发生了变化。这促使人们使用益生菌和粪便微生物群移植作为改善帕金森病患者症状的替代方法。本综述的目的是讨论为探索帕金森病的胃肠道受累情况、失调的影响以及帕金森病的潜在治疗策略所开展的研究。

相似文献

[1]
Gut brain axis: an insight into microbiota role in Parkinson's disease.

Metab Brain Dis. 2021-10

[2]
The role of gut dysbiosis in Parkinson's disease: mechanistic insights and therapeutic options.

Brain. 2021-10-22

[3]
Microbiota- Brain-Gut-Axis Relevance to Parkinson's Disease: Potential Therapeutic Effects of Probiotics.

Curr Pharm Des. 2022

[4]
The Gut-Brain Axis: Two Ways Signaling in Parkinson's Disease.

Cell Mol Neurobiol. 2022-3

[5]
Gut Microbial Metabolites in Parkinson's Disease: Implications of Mitochondrial Dysfunction in the Pathogenesis and Treatment.

Mol Neurobiol. 2021-8

[6]
Are We What We Eat? Impact of Diet on the Gut-Brain Axis in Parkinson's Disease.

Nutrients. 2022-1-17

[7]
Gastrointestinal dysfunction in Parkinson's disease: molecular pathology and implications of gut microbiome, probiotics, and fecal microbiota transplantation.

J Neurol. 2022-3

[8]
Fecal microbiota transplantation protects rotenone-induced Parkinson's disease mice via suppressing inflammation mediated by the lipopolysaccharide-TLR4 signaling pathway through the microbiota-gut-brain axis.

Microbiome. 2021-11-17

[9]
Roles of α‑synuclein in gastrointestinal microbiome dysbiosis‑related Parkinson's disease progression (Review).

Mol Med Rep. 2021-10

[10]
Microbiome-Gut-Brain Axis and Toll-Like Receptors in Parkinson's Disease.

Int J Mol Sci. 2018-6-6

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Am J Transl Res. 2025-5-15

[2]
Modulatory effects of traditional Chinese medicines on gut microbiota and the microbiota-gut-x axis.

Front Pharmacol. 2024-10-9

[3]
Citrobacter rodentium infection impairs dopamine metabolism and exacerbates the pathology of Parkinson's disease in mice.

J Neuroinflammation. 2024-6-7

[4]
The Interaction Between Nutraceuticals and Gut Microbiota: a Novel Therapeutic Approach to Prevent and Treatment Parkinson's Disease.

Mol Neurobiol. 2024-11

[5]
Oral Administration of Inhibits the Permeability of Blood-Brain and Gut Barriers in a Parkinsonism Model.

Behav Neurol. 2023

[6]
Co-administration of Nanowired DL-3-n-Butylphthalide (DL-NBP) Together with Mesenchymal Stem Cells, Monoclonal Antibodies to Alpha Synuclein and TDP-43 (TAR DNA-Binding Protein 43) Enhance Superior Neuroprotection in Parkinson's Disease Following Concussive Head Injury.

Adv Neurobiol. 2023

[7]
Targeted metabolomic analysis in Parkinson's disease brain frontal cortex and putamen with relation to cognitive impairment.

NPJ Parkinsons Dis. 2023-6-3

[8]
An open label, non-randomized study assessing a prebiotic fiber intervention in a small cohort of Parkinson's disease participants.

Nat Commun. 2023-2-18

[9]
The pathobiological basis of depression in Parkinson disease: challenges and outlooks.

J Neural Transm (Vienna). 2022-12

[10]
Gut microbiota relieves inflammation in the substantia nigra of chronic Parkinson's disease by protecting the function of dopamine neurons.

Exp Ther Med. 2022-1

本文引用的文献

[1]
Insight Into the Potential Value of Gut Microbial Signatures for Prediction of Gestational Anemia.

Front Cell Infect Microbiol. 2021

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Biomolecules. 2021-3-15

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Nigral overexpression of α-synuclein in a rat Parkinson's disease model indicates alterations in the enteric nervous system and the gut microbiome.

Neurogastroenterol Motil. 2020-1

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