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Gut microbiota dysbiosis in functional gastrointestinal disorders: Underpinning the symptoms and pathophysiology.

作者信息

Wei Lai, Singh Rajan, Ro Seungil, Ghoshal Uday C

机构信息

Department of Physiology and Cell Biology University of Nevada, Reno, School of Medicine Reno Nevada USA.

Department of Gastroenterology Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow India.

出版信息

JGH Open. 2021 Mar 23;5(9):976-987. doi: 10.1002/jgh3.12528. eCollection 2021 Sep.


DOI:10.1002/jgh3.12528
PMID:34584964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8454481/
Abstract

Functional gastrointestinal disorders (FGIDs), currently known as disorders of gut-brain interaction, are emerging microbiota-gut-brain abnormalities that are prevalent worldwide. The pathogenesis of FGIDs is heterogeneous and is intertwined with gut microbiota and its derived molecule-modulated mechanisms, including gut dysmotility, visceral hypersensitivity, gut immune abnormalities, abnormal secretion, and impaired barrier function. There has been phenomenal progress in understanding the role of gut microbiota in FGIDs by underpinning the species alternations between healthy and pathological conditions such as FGIDs. However, the precise gut microbiota-directed cellular and molecular pathogeneses of FGIDs are yet enigmatic. Determining the mechanistic link between the gut microbiota and gastrointestinal (GI) diseases has been difficult due to (i) the lack of robust animal models imitating the various aspects of human FGID pathophysiology; (ii) the absence of longitudinal human and/or animal studies to unveil the interaction of the gut microbiota with FGID-relevant pathogenesis; (iii) uncertainty about connections between human and animal studies; and (iv) insufficient data supporting a holistic view of disease-specific pathophysiological changes in FGID patients. These unidentified gaps open possibilities to explore pathological mechanisms directed through gut microbiota dysbiosis in FGIDs. The current treatment options for dysbiotic gut microbiota are limited; dietary interventions, antibiotics, probiotics, and fecal microbiota transplantation are the front-line clinical options. Here, we review the contribution of gut microbiota and its derived molecules in gut homeostasis and explore the possible pathophysiological mechanisms involved in FGIDs leading to potential therapeutics options.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb0/8454481/af7557b0704d/JGH3-5-976-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb0/8454481/2671b2ce0e5b/JGH3-5-976-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb0/8454481/af7557b0704d/JGH3-5-976-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb0/8454481/2671b2ce0e5b/JGH3-5-976-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb0/8454481/af7557b0704d/JGH3-5-976-g003.jpg

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本文引用的文献

[1]
miR-222 regulates cell growth, apoptosis, and autophagy of interstitial cells of Cajal isolated from slow transit constipation rats by targeting c-kit.

Indian J Gastroenterol. 2021-4

[2]
Micro-organic basis of functional gastrointestinal (GI) disorders: Role of microRNAs in GI pacemaking cells.

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Serotonin Deficiency Is Associated With Delayed Gastric Emptying.

Gastroenterology. 2021-6

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Nat Rev Gastroenterol Hepatol. 2021-5

[5]
The Microbiota-Gut-Brain Axis: From Motility to Mood.

Gastroenterology. 2021-4

[6]
Local immune response to food antigens drives meal-induced abdominal pain.

Nature. 2021-2

[7]
miR-10b-5p Rescues Diabetes and Gastrointestinal Dysmotility.

Gastroenterology. 2021-4

[8]
Microbial Modulation of the Development and Physiology of the Enteric Nervous System.

Trends Microbiol. 2021-8

[9]
Functional Gastrointestinal Disorders and the Microbiome-What Is the Best Strategy for Moving Microbiome-based Therapies for Functional Gastrointestinal Disorders into the Clinic?

Gastroenterology. 2021-1

[10]
The Healthy Microbiome-What Is the Definition of a Healthy Gut Microbiome?

Gastroenterology. 2021-1

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