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除幽门螺杆菌外的胃微生物在胃部疾病发生与治疗中的作用 。 (注:原文中“Other than ”后面缺少具体内容,这里按常规理解补充了“幽门螺杆菌”,如果实际不是这个意思,请根据正确内容进行调整)

Role of Gastric Microorganisms Other than in the Development and Treatment of Gastric Diseases.

作者信息

Duan Xiaoyan, Chen Ping, Xu Xiaoxia, Han Meiling, Li Jianbo

机构信息

Department of Gastroenterology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.

Inner Mongolia Key Laboratory of Molecular Imaging, Hohhot, 010050, China.

出版信息

Biomed Res Int. 2022 Mar 14;2022:6263423. doi: 10.1155/2022/6263423. eCollection 2022.

Abstract

The microenvironment in the stomach is different from other digestive tracts, mainly because of the secretion of gastric acid and digestive enzymes, bile reflux, special mucus barrier, gastric peristalsis, and so on, which all contribute to the formation of antibacterial environment. Microecological disorders can lead to gastric immune disorders or lead to the decrease of dominant bacteria and the increase of the abundance and virulence of pathogenic microorganisms and then promote the occurrence of diseases. The body performs its immune function through innate and adaptive immunity and maintains microbial balance through the mechanism of immune homeostasis. Microecological imbalance can lead to the invasion of pathogenic microorganisms and damage mucosal barrier and immune system. The coexistence of gastric microorganisms (including viruses and fungi) may play a synergistic or antagonistic role in the pathogenesis of gastric diseases. Probiotics have the ability to compete with intestinal pathogens, increase the secretion of immunoglobulin A (IgA), stimulate the production of mucin, bacteriocin, and lactic acid, regulate the expression and secretion of cytokines, and regulate the growth of microbiota, which all have beneficial effects on the host microbial environment. At present, most studies focused on , ignoring other stomach microbes and the overall stomach microecology. So, in this article, we reviewed advances in human gastric microecology, the relationship between gastric microecology and immunity or gastric diseases, and the treatment of probiotics in gastric diseases, in order to explore new area for further study of gastric microorganisms and treatment of gastric diseases.

摘要

胃内的微环境不同于其他消化道,主要是由于胃酸和消化酶的分泌、胆汁反流、特殊的黏液屏障、胃蠕动等,这些都有助于形成抗菌环境。微生态失调可导致胃免疫紊乱,或导致优势菌减少,致病微生物的丰度和毒力增加,进而促进疾病的发生。机体通过固有免疫和适应性免疫来执行其免疫功能,并通过免疫稳态机制维持微生物平衡。微生态失衡可导致致病微生物入侵,破坏黏膜屏障和免疫系统。胃内微生物(包括病毒和真菌)的共存可能在胃部疾病的发病机制中起协同或拮抗作用。益生菌具有与肠道病原体竞争的能力,增加免疫球蛋白A(IgA)的分泌,刺激黏蛋白、细菌素和乳酸的产生,调节细胞因子的表达和分泌,调节微生物群的生长,这些都对宿主微生物环境有有益影响。目前,大多数研究集中在 ,而忽略了其他胃内微生物和整体胃微生态。因此,在本文中,我们综述了人类胃微生态的进展、胃微生态与免疫或胃部疾病的关系以及益生菌在胃部疾病中的治疗作用,以便探索胃部微生物进一步研究和胃部疾病治疗的新领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba2/8938066/c81e5a3e5703/BMRI2022-6263423.001.jpg

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