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[肠道菌群与精神障碍:聚焦情绪障碍和自闭症谱系障碍]

[Intestinal Flora and Mental Disorders: A Focus on Mood Disorders and Autism Spectrum Disorder].

作者信息

Kunugi Hiroshi

机构信息

Department of Psychiatry, Teikyo University School of Medicine.

出版信息

Brain Nerve. 2021 Aug;73(8):871-877. doi: 10.11477/mf.1416201854.

Abstract

The intestinal flora plays a key role in the stress response and barrier function of the gut, both of which are closely associated with the pathophysiology of mental health conditions, such as mood disorders and autistic spectrum disorder through the phenomenon of brain-gut interaction. Despite increasing accumulation of empirical data regarding the contribution of the gut microbiota to these disorders, studies have reported inconsistent results. Notably, short chain fatty acid-producing bacteria and those implicated in the pathophysiology of metabolic diseases appear to be associated with the psychiatric conditions. Clinical trials have shown some evidence to suggest the beneficial effects of probiotics in depressive and neurodevelopmental disorders. Limited studies have discussed this subject; however, the role of the intestinal flora in the pathophysiology and treatment of mental disorders appears to be a promising field of research.

摘要

肠道菌群在肠道的应激反应和屏障功能中起关键作用,而这两者都通过脑-肠相互作用现象与心理健康状况(如情绪障碍和自闭症谱系障碍)的病理生理学密切相关。尽管关于肠道微生物群对这些疾病的贡献的实证数据不断积累,但研究报告的结果并不一致。值得注意的是,产生短链脂肪酸的细菌以及那些与代谢疾病病理生理学有关的细菌似乎与精神疾病有关。临床试验已显示出一些证据表明益生菌对抑郁症和神经发育障碍有有益作用。对此主题的研究有限;然而,肠道菌群在精神障碍的病理生理学和治疗中的作用似乎是一个很有前景的研究领域。

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