Guo Xirui, Yang Xuerong, Li Qi, Shen Xiaoyan, Zhong Huiyun, Yang Yong
Department of Pharmacy, Chengdu Second People's Hospital, Chengdu, China.
Department of Pharmacy, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Front Pharmacol. 2021 Nov 23;12:759095. doi: 10.3389/fphar.2021.759095. eCollection 2021.
Systemic lupus erythematosus (SLE) is a kind of chronic diffuse connective tissue illness characterized by multisystem and multiorgan involvement, repeated recurrence and remission, and the presence of a large pool of autoantibodies in the body. Although the exact cause of SLE is not thoroughly revealed, accumulating evidence has manifested that intake of probiotics alters the composition of the gut microbiome, regulating the immunomodulatory and inflammatory response, which may be linked to the disease pathogenesis. Particularly, documented experiments demonstrated that SLE patients have remarkable changes in gut microbiota compared to healthy controls, indicating that the alteration of microbiota may be implicated in different phases of SLE. In this review, the alteration of microbiota in the development of SLE is summarized, and the mechanism of intestinal microbiota on the progression of immune and inflammatory responses in SLE is also discussed. Due to limited reports on the effects of probiotics supplementation in SLE patients, we emphasize advancements made in the last few years on the function and mechanisms of probiotics in the development of SLE animal models. Besides, we follow through literature to survey whether probiotics supplements can be an adjuvant therapy for comprehensive treatment of SLE. Research has indicated that intake of probiotics alters the composition of the gut microbiome, contributing to prevent the progression of SLE. Adjustment of the gut microbiome through probiotics supplementation seems to alleviate SLE symptoms and their cardiovascular and renal complications in animal models, marking this treatment as a potentially novel approach.
系统性红斑狼疮(SLE)是一种慢性弥漫性结缔组织病,其特征为多系统、多器官受累,病情反复复发与缓解,且体内存在大量自身抗体。尽管SLE的确切病因尚未完全明确,但越来越多的证据表明,摄入益生菌会改变肠道微生物群的组成,调节免疫调节和炎症反应,这可能与疾病的发病机制有关。特别是,有记录的实验表明,与健康对照相比,SLE患者的肠道微生物群有显著变化,这表明微生物群的改变可能与SLE的不同阶段有关。在这篇综述中,总结了SLE发病过程中微生物群的变化,并讨论了肠道微生物群在SLE免疫和炎症反应进展中的作用机制。由于关于补充益生菌对SLE患者影响的报道有限,我们着重介绍了近年来益生菌在SLE动物模型发病过程中的功能和作用机制方面取得的进展。此外,我们通过文献调研了益生菌补充剂是否可以作为SLE综合治疗的辅助疗法。研究表明,摄入益生菌会改变肠道微生物群的组成,有助于预防SLE的进展。在动物模型中,通过补充益生菌来调节肠道微生物群似乎可以缓解SLE症状及其心血管和肾脏并发症,这标志着这种治疗方法可能是一种新的治疗途径。