真菌组与炎症性肠病:在疾病发病机制、现有方法和新型营养为基础的治疗中的作用。
Mycobiome and Inflammatory Bowel Disease: Role in Disease Pathogenesis, Current Approaches and Novel Nutritional-based Therapies.
机构信息
Case Digestive Health Research Institute, Case Western University School of Medicine, Cleveland, Ohio, 44106, USA.
Center for Medical Mycology and Integrated Microbiome Core, Department of Dermatology, Case Western Reserve University, and University Hospitals Cleveland Medical Center, Cleveland, Ohio, 44106, USA.
出版信息
Inflamm Bowel Dis. 2023 Mar 1;29(3):470-479. doi: 10.1093/ibd/izac156.
Inflammatory bowel disease (IBD), a disorder characterized by chronic inflammation of the gastrointestinal (GI) tract and a range of adverse health effects including diarrhea, abdominal pain, vomiting, and bloody stools, affects nearly 3.1 million genetically susceptible adults in the United States today. Although the etiology of IBD remains unclear, genetics, stress, diet, and gut microbiota dysbiosis- especially in immunocompromised individuals- have been identified as possible causes of disease. Although previous research has largely focused on the role of bacteria in IBD pathogenesis, recently observed alterations of fungal load and biodiversity in the GI tract of afflicted individuals suggest interkingdom interactions amongst different gut microbial communities, particularly between bacteria and fungi. These discoveries point to the potential utilization of treatment approaches such as antibiotics, antifungals, probiotics, and postbiotics that target both bacteria and fungi in managing IBD. In this review, we discuss the impact of specific fungi on disease pathogenesis, with a focus on the highly virulent genus Candida and how the presence of certain co-enzymes impacts its virulence. In addition, we evaluate current gut microbiome-based therapeutic approaches with the intention of better understanding the mechanisms behind novel therapies.
炎症性肠病(IBD)是一种以胃肠道(GI)慢性炎症为特征的疾病,伴有一系列不良健康影响,包括腹泻、腹痛、呕吐和血便,目前影响着美国近 310 万具有遗传易感性的成年人。尽管 IBD 的病因仍不清楚,但遗传学、压力、饮食和肠道微生物失调——特别是在免疫功能低下的个体中——已被确定为疾病的可能原因。尽管先前的研究主要集中在细菌在 IBD 发病机制中的作用,但最近观察到受累个体胃肠道中真菌负荷和生物多样性的改变表明不同肠道微生物群落之间存在种间相互作用,特别是细菌和真菌之间。这些发现表明,在管理 IBD 方面,可能利用抗生素、抗真菌药、益生菌和后生元等针对细菌和真菌的治疗方法。在这篇综述中,我们讨论了特定真菌对疾病发病机制的影响,重点关注高度毒力的念珠菌属,以及某些辅酶的存在如何影响其毒力。此外,我们评估了基于肠道微生物组的当前治疗方法,旨在更好地理解新型治疗方法背后的机制。