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肠菌代谢物与肠易激综合征

Gut Microbiota-Derived Metabolites in Irritable Bowel Syndrome.

机构信息

Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

出版信息

Front Cell Infect Microbiol. 2021 Sep 23;11:729346. doi: 10.3389/fcimb.2021.729346. eCollection 2021.


DOI:10.3389/fcimb.2021.729346
PMID:34631603
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8495119/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d4/8495119/f3c24860e106/fcimb-11-729346-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d4/8495119/858d4b6fd6af/fcimb-11-729346-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d4/8495119/f3c24860e106/fcimb-11-729346-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d4/8495119/858d4b6fd6af/fcimb-11-729346-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d4/8495119/f3c24860e106/fcimb-11-729346-g002.jpg

相似文献

[1]
Gut Microbiota-Derived Metabolites in Irritable Bowel Syndrome.

Front Cell Infect Microbiol. 2021

[2]
The function of the gut microbiota-bile acid-TGR5 axis in diarrhea-predominant irritable bowel syndrome.

mSystems. 2024-3-19

[3]
Intestinal crosstalk between bile acids and microbiota in irritable bowel syndrome.

J Gastroenterol Hepatol. 2023-7

[4]
Short chain fatty acids and colon motility in a mouse model of irritable bowel syndrome.

BMC Gastroenterol. 2021-1-26

[5]
Altered metabolism of bile acids correlates with clinical parameters and the gut microbiota in patients with diarrhea-predominant irritable bowel syndrome.

World J Gastroenterol. 2020-12-7

[6]
Clinical response to fecal microbiota transplantation in patients with diarrhea-predominant irritable bowel syndrome is associated with normalization of fecal microbiota composition and short-chain fatty acid levels.

Scand J Gastroenterol. 2019-6

[7]
Bile acid-gut microbiota crosstalk in irritable bowel syndrome.

Crit Rev Microbiol. 2023-5

[8]
Endocrine regulation of gut function - a role for glucagon-like peptide-1 in the pathophysiology of irritable bowel syndrome.

Exp Physiol. 2019-1

[9]
Alterations in short-chain fatty acids and serotonin in irritable bowel syndrome: a systematic review and meta-analysis.

BMC Gastroenterol. 2021-1-6

[10]
Tong-Xie-Yao-Fang strengthens intestinal feedback control of bile acid synthesis to ameliorate irritable bowel syndrome by enhancing bile salt hydrolase-expressing microbiota.

J Ethnopharmacol. 2024-9-15

引用本文的文献

[1]
A bibliometric analysis of global research status and trends in irritable bowel syndrome and gut microbiota metabolites.

Front Microbiol. 2025-8-4

[2]
Indole Propionic Acid Regulates Gut Immunity: Mechanisms of Metabolite-Driven Immunomodulation and Barrier Integrity.

J Microbiol Biotechnol. 2025-8-18

[3]
TMAO Activates the NLRP3 Inflammasome, Disrupts Gut-Kidney Interaction, and Promotes Intestinal Inflammation.

Int J Mol Sci. 2025-8-1

[4]
Exploring the relationship between co-abundance of gut microbiota and novel metabolic pathways in different subtypes of irritable bowel syndrome: insights from the American Gut Project.

Front Med (Lausanne). 2025-7-22

[5]
Untargeted metabolomics as a tool to assess the impact of dietary approaches on pig gut health: a review.

J Anim Sci Biotechnol. 2025-7-22

[6]
IBS May Have a Causal Effect on Increased Tryptophan Metabolites Levels: Insights from a Bidirectional Two-Sample Mendelian Randomization Study.

Int J Tryptophan Res. 2025-6-25

[7]
Unravelling the gut-brain connection: a systematic review of migraine and the gut microbiome.

J Headache Pain. 2025-5-21

[8]
Role of Antioxidants in Modulating the Microbiota-Gut-Brain Axis and Their Impact on Neurodegenerative Diseases.

Int J Mol Sci. 2025-4-12

[9]
Association between dietary index for gut microbiota and diarrhea among US adults: a cross-sectional analysis of NHANES 2005-2010.

Front Nutr. 2025-4-11

[10]
Metabolomics Insights into Gut Microbiota and Functional Constipation.

Metabolites. 2025-4-12

本文引用的文献

[1]
Vitamin D supplementation in people with IBS has no effect on symptom severity and quality of life: results of a randomised controlled trial.

Eur J Nutr. 2022-2

[2]
Mucosal Biofilms Are an Endoscopic Feature of Irritable Bowel Syndrome and Ulcerative Colitis.

Gastroenterology. 2021-10

[3]
Gut microbiota profiles and characterization of cultivable fungal isolates in IBS patients.

Appl Microbiol Biotechnol. 2021-4

[4]
Alterations in short-chain fatty acids and serotonin in irritable bowel syndrome: a systematic review and meta-analysis.

BMC Gastroenterol. 2021-1-6

[5]
Altered metabolism of bile acids correlates with clinical parameters and the gut microbiota in patients with diarrhea-predominant irritable bowel syndrome.

World J Gastroenterol. 2020-12-7

[6]
Metabolites of microbiota response to tryptophan and intestinal mucosal immunity: A therapeutic target to control intestinal inflammation.

Med Res Rev. 2021-3

[7]
Gut microbial metabolites as multi-kingdom intermediates.

Nat Rev Microbiol. 2021-2

[8]
Gut microbiota-derived tryptophan metabolism mediates renal fibrosis by aryl hydrocarbon receptor signaling activation.

Cell Mol Life Sci. 2021-2

[9]
Longitudinal Multi-omics Reveals Subset-Specific Mechanisms Underlying Irritable Bowel Syndrome.

Cell. 2020-9-17

[10]
Vitamin D receptor is overexpressed in the duodenum of patients with irritable bowel syndrome.

J Gastroenterol Hepatol. 2021-4

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