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人体循环中的细菌与非传染性疾病中的菌群失调。

Human circulating bacteria and dysbiosis in non-infectious diseases.

机构信息

Guangdong Provincial Key Laboratory of Infectious Diseases and Molecular Immunopathology, Shantou University Medical College, Shantou, China.

School of Biomedical Sciences and Pharmacy, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia.

出版信息

Front Cell Infect Microbiol. 2022 Aug 24;12:932702. doi: 10.3389/fcimb.2022.932702. eCollection 2022.

Abstract

Blood microorganisms were once thought to indicate infection. Blood in healthy people appears to be devoid of growing bacteria; nonetheless, intracellular dormant forms of bacteria have been reported previously. With breakthroughs in sequencing and bioinformatics, the presence of bacterial DNA in healthy human blood initiated the controversy of human blood microbiota (HBM). Recently, bacteria-specific DNA and culturable bacteria were found in healthy human blood. Researchers wanted to study the phenomena of a "healthy blood microbiota" by providing a thorough description of bacterially produced nucleic acids using many complementing molecular and traditional microbiological approaches. Because blood is a relatively limited and particular environment, culturability and plate count issues can be overcome using enhanced cultured procedures. However, more evidence is required to confirm that healthy human blood contains normal microbiota. Cavities, mouth and intestinal microbiota, trauma, surgery, and animal/insect bites can introduce bacteria into human blood. All these factors strengthen the concept of transient blood bacteria too. The presence of blood bacteria may be caused by temporary immunological clearance and absorption by dendritic or M cells. This review provides an extensive and comprehensive analysis that suggests that healthy blood bacteria may not be typical microbiota but transient circulatory microorganisms. In this study, we look at how contaminants (, , , etc.) from the skin, laboratory environments, and reagents can affect the interpretation of blood-derived microbial information and the relationship between the circulating bacteria and non-communicable diseases. Circulating transient bacteria may play a role in the pathogenesis of non-infectious diseases such as diabetes and CVD. Contamination-free hematological studies can aid in understanding the disease mechanisms, therapy, and biomarkers.

摘要

血液中的微生物曾被认为是感染的标志。健康人的血液似乎不含生长中的细菌;尽管如此,以前曾报道过细菌的细胞内休眠形式。随着测序和生物信息学的突破,健康人血液中存在细菌 DNA 引发了人类血液微生物组(HBM)的争议。最近,在健康人的血液中发现了细菌特异性 DNA 和可培养细菌。研究人员希望通过使用许多互补的分子和传统微生物学方法来彻底描述细菌产生的核酸,从而研究“健康血液微生物组”的现象。由于血液是一个相对有限和特殊的环境,因此可以通过增强培养程序来克服可培养性和平板计数问题。但是,还需要更多的证据来确认健康人的血液中含有正常的微生物组。腔隙、口腔和肠道微生物组、创伤、手术和动物/昆虫咬伤会将细菌引入人体血液。所有这些因素都加强了血液中细菌暂时存在的概念。血液中细菌的存在可能是由于暂时性免疫清除和树突状或 M 细胞的吸收所致。本综述提供了广泛而全面的分析,表明健康血液细菌可能不是典型的微生物组,而是短暂的循环微生物。在这项研究中,我们研究了皮肤、实验室环境和试剂中的污染物(、、、等)如何影响对血液衍生微生物信息的解释以及循环细菌与非传染性疾病之间的关系。循环的短暂细菌可能在糖尿病和 CVD 等非传染性疾病的发病机制中发挥作用。无污染物的血液学研究有助于了解疾病机制、治疗和生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/9448904/4df8bebf4210/fcimb-12-932702-g001.jpg

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