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肠道与大脑:探究微生物群与大脑之间的生理和病理相互作用以获取脑部疾病的新治疗途径

Gut and Brain: Investigating Physiological and Pathological Interactions Between Microbiota and Brain to Gain New Therapeutic Avenues for Brain Diseases.

作者信息

Deidda Gabriele, Biazzo Manuele

机构信息

The BioArte Limited, Life Sciences Park, San Gwann, Malta.

Department of Physiology and Biochemistry, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.

出版信息

Front Neurosci. 2021 Oct 12;15:753915. doi: 10.3389/fnins.2021.753915. eCollection 2021.

Abstract

Brain physiological functions or pathological dysfunctions do surely depend on the activity of both neuronal and non-neuronal populations. Nevertheless, over the last decades, compelling and fast accumulating evidence showed that the brain is not alone. Indeed, the so-called "gut brain," composed of the microbial populations living in the gut, forms a symbiotic superorganism weighing as the human brain and strongly communicating with the latter the gut-brain axis. The gut brain does exert a control on brain (dys)functions and it will eventually become a promising valuable therapeutic target for a number of brain pathologies. In the present review, we will first describe the role of gut microbiota in normal brain physiology from neurodevelopment till adulthood, and thereafter we will discuss evidence from the literature showing how gut microbiota alterations are a signature in a number of brain pathologies ranging from neurodevelopmental to neurodegenerative disorders, and how pre/probiotic supplement interventions aimed to correct the altered dysbiosis in pathological conditions may represent a valuable future therapeutic strategy.

摘要

大脑的生理功能或病理功能确实依赖于神经元群体和非神经元群体的活动。然而,在过去几十年里,越来越多的确凿证据表明,大脑并非孤立存在。事实上,由生活在肠道中的微生物群体组成的所谓“肠道大脑”,形成了一个与人类大脑重量相当的共生超级生物体,并与大脑通过肠-脑轴进行强烈交流。肠道大脑确实对大脑(功能)失调发挥着控制作用,并且最终将成为许多脑部疾病有前景的重要治疗靶点。在本综述中,我们将首先描述从神经发育到成年期肠道微生物群在正常大脑生理中的作用,随后我们将讨论文献中的证据,这些证据表明肠道微生物群的改变是从神经发育障碍到神经退行性疾病等多种脑部疾病的一个特征,以及旨在纠正病理状态下改变的生态失调的益生元/益生菌补充干预如何可能代表一种有价值的未来治疗策略。

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