脑-肠-微生物群系统:自闭症谱系障碍的途径和影响。
The Brain-Gut-Microbiome System: Pathways and Implications for Autism Spectrum Disorder.
机构信息
USC Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA 90033, USA.
Brain and Creativity Institute, University of Southern California, Los Angeles, CA 90089, USA.
出版信息
Nutrients. 2021 Dec 16;13(12):4497. doi: 10.3390/nu13124497.
Gastrointestinal dysfunction is one of the most prevalent physiological symptoms of autism spectrum disorder (ASD). A growing body of largely preclinical research suggests that dysbiotic gut microbiota may modulate brain function and social behavior, yet little is known about the mechanisms that underlie these relationships and how they may influence the pathogenesis or severity of ASD. While various genetic and environmental risk factors have been implicated in ASD, this review aims to provide an overview of studies elucidating the mechanisms by which gut microbiota, associated metabolites, and the brain interact to influence behavior and ASD development, in at least a subgroup of individuals with gastrointestinal problems. Specifically, we review the brain-gut-microbiome system and discuss findings from current animal and human studies as they relate to social-behavioral and neurological impairments in ASD, microbiota-targeted therapies (i.e., probiotics, fecal microbiota transplantation) in ASD, and how microbiota may influence the brain at molecular, structural, and functional levels, with a particular interest in social and emotion-related brain networks. A deeper understanding of microbiome-brain-behavior interactions has the potential to inform new therapies aimed at modulating this system and alleviating both behavioral and physiological symptomatology in individuals with ASD.
胃肠道功能障碍是自闭症谱系障碍(ASD)最常见的生理症状之一。越来越多的主要是临床前研究表明,肠道菌群失调可能调节大脑功能和社交行为,但我们对这些关系背后的机制以及它们如何影响 ASD 的发病机制或严重程度知之甚少。虽然各种遗传和环境风险因素与 ASD 有关,但本综述旨在概述阐明肠道微生物群、相关代谢物和大脑相互作用以影响行为和 ASD 发展的机制的研究,至少在有胃肠道问题的亚组人群中。具体来说,我们回顾了脑-肠-微生物群系统,并讨论了当前动物和人类研究的结果,这些结果与 ASD 中的社交行为和神经损伤、ASD 中的靶向微生物组疗法(即益生菌、粪便微生物移植)以及微生物组如何在分子、结构和功能水平上影响大脑有关,特别关注与社交和情绪相关的大脑网络。更深入地了解微生物组-大脑-行为相互作用有可能为旨在调节该系统的新疗法提供信息,并减轻 ASD 个体的行为和生理症状。