Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Front Cell Infect Microbiol. 2021 Sep 23;11:729346. doi: 10.3389/fcimb.2021.729346. eCollection 2021.
Irritable bowel syndrome (IBS) is the most common functional bowel disorder worldwide and is associated with visceral hypersensitivity, gut motility, immunomodulation, gut microbiota alterations, and dysfunction of the brain-gut axis; however, its pathophysiology remains poorly understood. Gut microbiota and its metabolites are proposed as possible etiological factors of IBS. The aim of our study was to investigate specific types of microbiota-derived metabolites, especially bile acids, short-chain fatty acids, vitamins, amino acids, serotonin and hypoxanthine, which are all implicated in the pathogenesis of IBS. Metabolites-focused research has identified multiple microbial targets relevant to IBS patients, important roles of microbiota-derived metabolites in the development of IBS symptoms have been established. Thus, we provide an overview of gut microbiota and their metabolites on the different subtypes of IBS (constipation-predominant IBS-C, diarrhea-predominant IBS-D) and present controversial views regarding the role of microbiota in IBS.
肠易激综合征(IBS)是全球最常见的功能性肠病,与内脏高敏性、肠道动力、免疫调节、肠道微生物群改变和脑-肠轴功能障碍有关;然而,其病理生理学仍知之甚少。肠道微生物群及其代谢物被认为是 IBS 的可能病因。我们的研究目的是调查特定类型的微生物衍生代谢物,特别是胆汁酸、短链脂肪酸、维生素、氨基酸、血清素和次黄嘌呤,这些都与 IBS 的发病机制有关。以代谢物为重点的研究已经确定了与 IBS 患者相关的多个微生物靶点,已经确定了微生物衍生代谢物在 IBS 症状发展中的重要作用。因此,我们概述了肠道微生物群及其代谢物在不同亚型的 IBS(便秘为主型 IBS-C、腹泻为主型 IBS-D)中的作用,并提出了关于微生物群在 IBS 中的作用的争议观点。
Front Cell Infect Microbiol. 2021
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