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肠道微生物群可能是个性化医疗的一种潜在诊疗工具。

The Intestinal Microbiota May Be a Potential Theranostic Tool for Personalized Medicine.

作者信息

Di Domenico Marina, Ballini Andrea, Boccellino Mariarosaria, Scacco Salvatore, Lovero Roberto, Charitos Ioannis Alexandros, Santacroce Luigi

机构信息

Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.

Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari "Aldo Moro", 70124 Bari, Italy.

出版信息

J Pers Med. 2022 Mar 24;12(4):523. doi: 10.3390/jpm12040523.

Abstract

The human intestine is colonized by a huge number of microorganisms from the moment of birth. This set of microorganisms found throughout the human body, is called the microbiota; the microbiome indicates the totality of genes that the microbiota can express, i.e., its genetic heritage. Thus, microbiota participates in and influences the proper functioning of the organism. The microbiota is unique for each person; it differs in the types of microorganisms it contains, the number of each microorganism, and the ratio between them, but mainly it changes over time and under the influence of many factors. Therefore, the correct functioning of the human body depends not only on the expression of its genes but also on the expression of the genes of the microorganisms it coexists with. This fact makes clear the enormous interest of community science in studying the relationship of the human microbiota with human health and the incidence of disease. The microbiota is like a unique personalized "mold" for each person; it differs quantitatively and qualitatively for the microorganisms it contains together with the relationship between them, and it changes over time and under the influence of many factors. We are attempting to modulate the microbial components in the human intestinal microbiota over time to provide positive feedback on the health of the host, from intestinal diseases to cancer. These interventions to modulate the intestinal microbiota as well as to identify the relative microbiome (genetic analysis) can range from dietary (with adjuvant prebiotics or probiotics) to fecal transplantation. This article researches the recent advances in these strategies by exploring their advantages and limitations. Furthermore, we aim to understand the relationship between intestinal dysbiosis and pathologies, through the research of resident microbiota, that would allow the personalization of the therapeutic antibiotic strategy.

摘要

从出生那一刻起,人类肠道就被大量微生物定殖。遍布人体的这组微生物被称为微生物群;微生物组则表示微生物群能够表达的基因总和,即其遗传特性。因此,微生物群参与并影响机体的正常功能。每个人的微生物群都是独特的;其所含微生物种类、每种微生物的数量以及它们之间的比例各不相同,但主要会随时间以及诸多因素的影响而变化。所以,人体的正常功能不仅取决于自身基因的表达,还取决于与其共存的微生物基因的表达。这一事实凸显了群体科学在研究人类微生物群与人类健康及疾病发生率之间关系方面的巨大兴趣。微生物群就像是每个人独特的个性化“模具”;其所含微生物在数量和质量上以及它们之间的关系都有所不同,并且会随时间以及诸多因素的影响而变化。我们正试图随着时间推移调节人类肠道微生物群中的微生物成分,以便从肠道疾病到癌症等方面为宿主健康提供积极反馈。这些调节肠道微生物群以及识别相关微生物组(基因分析)的干预措施范围从饮食(添加益生元或益生菌)到粪便移植。本文通过探讨这些策略的优势和局限性来研究其最新进展。此外,我们旨在通过对常驻微生物群的研究来理解肠道生态失调与疾病之间的关系,从而实现治疗性抗生素策略的个性化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/9024566/2c8c80891db0/jpm-12-00523-g001.jpg

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