Department of Microbiology, Moyne Institute of Preventative Medicine, School of Genetics and Microbiology, Trinity College Dublin, Dublin, Ireland.
APC Microbiome Ireland, University College Cork, Cork, Ireland.
Nutrients. 2021 Nov 26;13(12):4259. doi: 10.3390/nu13124259.
Inflammatory bowel disease (IBD) is a chronic inflammatory disease. The disease has a multifactorial aetiology, involving genetic, microbial as well as environmental factors. The disease pathogenesis operates at the host-microbe interface in the gut. The intestinal epithelium plays a central role in IBD disease pathogenesis. Apart from being a physical barrier, the epithelium acts as a node that integrates environmental, dietary, and microbial cues to calibrate host immune response and maintain homeostasis in the gut. IBD patients display microbial dysbiosis in the gut, combined with an increased barrier permeability that contributes to disease pathogenesis. Metabolites produced by microbes in the gut are dynamic indicators of diet, host, and microbial interplay in the gut. Microbial metabolites are actively absorbed or diffused across the intestinal lining to affect the host response in the intestine as well as at systemic sites via the engagement of cognate receptors. In this review, we summarize insights from metabolomics studies, uncovering the dynamic changes in gut metabolite profiles in IBD and their importance as potential diagnostic and prognostic biomarkers of disease. We focus on gut microbial metabolites as key regulators of the intestinal barrier and their role in the pathogenesis of IBD.
炎症性肠病(IBD)是一种慢性炎症性疾病。该疾病具有多因素病因,涉及遗传、微生物和环境因素。疾病发病机制在肠道中的宿主-微生物界面起作用。肠道上皮在 IBD 发病机制中起着核心作用。除了作为物理屏障外,上皮还作为一个节点,整合环境、饮食和微生物线索,调节宿主免疫反应,维持肠道内的稳态。IBD 患者的肠道存在微生物失调,同时伴有屏障通透性增加,这有助于疾病的发病机制。肠道微生物产生的代谢物是饮食、宿主和肠道微生物相互作用的动态指标。微生物代谢物通过肠道衬里的主动吸收或扩散,通过与同源受体的结合,影响肠道和全身部位的宿主反应。在这篇综述中,我们总结了代谢组学研究的见解,揭示了 IBD 中肠道代谢物谱的动态变化及其作为疾病潜在诊断和预后生物标志物的重要性。我们重点关注肠道微生物代谢物作为肠道屏障的关键调节剂及其在 IBD 发病机制中的作用。
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