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肠道微生物群失调对阿尔茨海默病(AD)及相关病症发病机制的影响

The Effect of Gut Microbe Dysbiosis on the Pathogenesis of Alzheimer's Disease (AD) and Related Conditions.

作者信息

Nafady Mohamed H, Sayed Zeinab S, Abdelkawy Dalia A, Shebl Mostafa E, Elsayed Reem A, Ashraf Ghulam Md, Perveen Asma, Attia Mohamed S, Bahbah Eshak I

机构信息

Radiological Imaging Technology Department, Faculty of Applied Medical Science, Misr University for Science and Technology (MUST), Cairo, Egypt.

Radiation Science Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.

出版信息

Curr Alzheimer Res. 2022;19(4):274-284. doi: 10.2174/1567205019666220419101205.

Abstract

It has been hypothesized that the shift in gut microbiota composition, known as gut microbe dysbiosis, may be correlated with the onset of Alzheimer's disease (AD), which is the most common cause of dementia characterized by a gradual deterioration in cognitive function associated with the development of amyloid-beta (Aβ) plaques. The gut microbiota dysbiosis induces the release of significant amounts of amyloids, lipopolysaccharides, and neurotoxins, which might play a role in modulating signaling pathways and immune activation, leading to the production of proinflammatory cytokines related to the pathogenesis of AD. The dysbiosis of gut microbe is associated with various diseases such as type 2 diabetes, obesity, hypertension, and some neuropsychiatric disorders like depression, anxiety, and stress. It is conceivable that these diseases trigger the onset of AD. Thus, modifying the gut microbiota composition with probiotic and prebiotic supplementation can reduce depression and anxiety symptoms, lower stress reactivity, and improve memory. This narrative review aimed to examine the possible role of gut microbe dysbiosis in AD's pathogenesis.

摘要

据推测,肠道微生物群组成的变化,即肠道微生物失调,可能与阿尔茨海默病(AD)的发病有关,AD是痴呆症最常见的病因,其特征是认知功能逐渐衰退,并伴有β-淀粉样蛋白(Aβ)斑块的形成。肠道微生物失调会诱导大量淀粉样蛋白、脂多糖和神经毒素的释放,这些物质可能在调节信号通路和免疫激活中发挥作用,导致与AD发病机制相关的促炎细胞因子的产生。肠道微生物失调与多种疾病有关,如2型糖尿病、肥胖症、高血压以及一些神经精神疾病,如抑郁症、焦虑症和应激反应。可以想象,这些疾病会引发AD的发病。因此,通过补充益生菌和益生元来改变肠道微生物群组成,可以减轻抑郁和焦虑症状,降低应激反应,并改善记忆力。这篇叙述性综述旨在探讨肠道微生物失调在AD发病机制中的可能作用。

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