Roy Souvik, Nag Sagnik, Saini Ankita, Choudhury Lopamudra
Department of Biotechnology, St. Xavier's College (Autonomous), Kolkata, India.
Department of Biotechnology, School of Biosciences & Technology, Vellore Institute of Technology (VIT), Tamil Nadu, India.
Intractable Rare Dis Res. 2022 May;11(2):52-62. doi: 10.5582/irdr.2022.01025.
The human body harbors approximately 10 cells belonging to a diverse group of microorganisms. Bacteria outnumbers protozoa, fungi and viruses inhabiting our gastrointestinal tract (GIT), commonly referred to as the "human gut microbiome". Dysbiosis occurs when the balanced relationship between the host and the gut microbiota is disrupted, altering the usual microbial population there. This increases the susceptibility of the host to pathogens, and chances of its morbidity. It is due to the fact that the gut microbiome plays an important role in human health; it influences the progression of conditions varying from colorectal cancer to GIT disorders linked with the nervous system, autoimmunity, metabolism and inheritance. A rare disease is a lethal and persistent condition affecting 2-3 people per 5,000 populaces. This review article intends to discuss such rare neurological, autoimmune, cardio-metabolic and genetic disorders of man, focusing on the fundamental mechanism that links them with their gut microbiome. Ten rare diseases, including Pediatric Crohn's disease (PCD), Lichen planus (LP), Hypophosphatasia (HPP), Discitis, Cogan's syndrome, Chancroid disease, Sennetsu fever, Acute cholecystitis (AC), Grave's disease (GD) and Tropical sprue (TS) stands to highlight as key examples, along with personalized therapeutics meant for them. This medicinal approach addresses the individual's genetic and genomic pathography, and tackles the illness with specific and effective treatments.
人体中寄居着大约10种属于不同微生物群的细胞。在栖息于我们胃肠道(GIT)的微生物中,细菌的数量超过原生动物、真菌和病毒,胃肠道微生物群通常被称为“人类肠道微生物组”。当宿主与肠道微生物群之间的平衡关系被破坏,改变了那里正常的微生物种群时,就会发生生态失调。这增加了宿主对病原体的易感性及其发病几率。这是因为肠道微生物组在人类健康中起着重要作用;它影响从结直肠癌到与神经系统、自身免疫、代谢和遗传相关的胃肠道疾病等各种病症的发展。罕见病是一种致命且持续存在的疾病,每5000人中就有2至3人受其影响。这篇综述文章旨在讨论人类的此类罕见神经、自身免疫、心脏代谢和遗传疾病,重点关注将它们与肠道微生物组联系起来的基本机制。包括小儿克罗恩病(PCD)、扁平苔藓(LP)、低磷酸酯酶症(HPP)、椎间盘炎、科根综合征、软下疳、血清病、急性胆囊炎(AC)、格雷夫斯病(GD)和热带口炎性腹泻(TS)在内的10种罕见病将作为关键例子被重点提及,同时还会介绍针对这些疾病的个性化疗法。这种医学方法考虑了个体的遗传和基因组特征,并采用特定且有效的治疗方法来应对疾病。