Department of Pharmacology, ISF College of Pharmacy, Moga, Punjab 142001, India.
Neuroscience Division, Department of Pharmacology, ISF College of Pharmacy, Moga, Punjab 142001, India.
Curr Pharm Des. 2022;28(37):3049-3067. doi: 10.2174/1381612828666221003112300.
Parkinson's disease (PD) is the second most common type of neurogenerative disease among middleaged and older people, characterized by aggregation of alpha-synuclein and dopaminergic neuron loss. The microbiota- gut-brain axis is a dynamic bidirectional communication network and is involved in the pathogenesis of PD. The aggregation of misfolded protein alpha-synuclein is a neuropathological characteristic of PD, originates in the gut and migrates to the central nervous system (CNS) through the vagus nerve and olfactory bulb. The change in the architecture of gut microbiota increases the level short-chain fatty acids (SCFAs) and other metabolites, acting on the neuroendocrine system and modulating the concentrations of gamma-Aminobutyric acid (GABA), serotonin, and other neurotransmitters. It also alters the vagus and intestinal signalling, influencing the brain and behaviour by activating microglia and systemic cytokines. Both experimental and clinical reports indicate the role of intestinal dysbiosis and microbiota host interaction in neurodegeneration. Probiotics are live microorganisms that modify the gut microbiota in the small intestine to avoid neurological diseases. Probiotics have been shown in clinical and preclinical studies to be effective in the treatment of PD by balancing the gut microbiota. In this article, we described the role of gut-microbiota in the pathogenesis of PD. The article aims to explore the mechanistic strategy of the gut-brain axis and its relation with motor impairment and the use of probiotics to maintain gut microbial flora and prevent PD-like symptoms.
帕金森病(PD)是中老年人中第二常见的神经退行性疾病,其特征是α-突触核蛋白聚集和多巴胺能神经元丧失。微生物群-肠-脑轴是一个动态的双向通讯网络,参与 PD 的发病机制。错误折叠的蛋白α-突触核蛋白的聚集是 PD 的神经病理学特征,起源于肠道,并通过迷走神经和嗅球迁移到中枢神经系统(CNS)。肠道微生物群结构的改变会增加短链脂肪酸(SCFAs)和其他代谢物的水平,作用于神经内分泌系统,并调节γ-氨基丁酸(GABA)、血清素和其他神经递质的浓度。它还改变了迷走神经和肠道信号,通过激活小胶质细胞和全身细胞因子来影响大脑和行为。实验和临床报告都表明肠道菌群失调和微生物群宿主相互作用在神经退行性变中的作用。益生菌是活的微生物,可以改变小肠中的肠道微生物群,以避免神经疾病。临床和临床前研究表明,益生菌通过平衡肠道微生物群在治疗 PD 方面是有效的。在本文中,我们描述了肠道微生物群在 PD 发病机制中的作用。本文旨在探讨肠道-大脑轴的机制策略及其与运动障碍的关系,以及使用益生菌来维持肠道微生物菌群和预防 PD 样症状。
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