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人类微生物组失调与传染病。

Dysbiosis of human microbiome and infectious diseases.

机构信息

School of Biology and Environmental Science, University College Dublin, Dublin, Ireland.

Department of Biosciences, School of Science, Indrashil University, Rajpur, Mehsana, Gujarat, India.

出版信息

Prog Mol Biol Transl Sci. 2022;192(1):33-51. doi: 10.1016/bs.pmbts.2022.06.016. Epub 2022 Jul 21.

DOI:10.1016/bs.pmbts.2022.06.016
PMID:36280324
Abstract

Since birth, the human body gets colonized by various communities of symbiotic or commensal microorganisms and they persist till the death of an individual. The human microbiome is comprised of the genomes of microorganisms such as viruses, archaea, eukaryotes, protozoa, and, most remarkably, bacteria. The development of "omics" technologies gave way to the Human Microbiome Project (HMP) which aimed at exploring the collection of microbial genes and genomes inhabiting the human body. Eubiosis, i.e., a healthy and balanced composition of such microbes contributes to the metabolic function, protection against pathogens and provides nutrients and energy to the host. Whereas, an imbalance in the diversity of microorganisms, termed dysbiosis, greatly influences the state of health and disease. This chapter summarizes the impact of gut bacteria on the well-being of humans and highlights the protective role played by the human microbiota during bacterial and viral infections. The condition of dysbiosis and how it plays a role in the establishment of various infections and metabolic disorders such as Clostridioides difficile infection (CFI), inflammatory bowel disease (IBD), cancer, periodontitis, and obesity are described in detail. Further, treatments such as fecal transplantation, probiotics, prebiotics, phage therapy, and CRISPR/Cas system, which target gut microbiota during digestive diseases are also discussed.

摘要

从出生起,人体就被各种共生或共栖微生物群落定植,并一直存在到个体死亡。人类微生物组由微生物的基因组组成,如病毒、古菌、真核生物、原生动物,最显著的是细菌。“组学”技术的发展促成了人类微生物组计划(HMP)的开展,该计划旨在探索栖息在人体中的微生物基因和基因组的集合。内稳态,即这些微生物的健康和平衡组成,有助于代谢功能,抵御病原体,并为宿主提供营养和能量。然而,微生物多样性的失衡,即失调,极大地影响着健康和疾病状态。本章总结了肠道细菌对人类健康的影响,并强调了人类微生物群在细菌和病毒感染期间发挥的保护作用。详细描述了失调的状况以及它在各种感染和代谢紊乱(如艰难梭菌感染(CFI)、炎症性肠病(IBD)、癌症、牙周炎和肥胖症)的建立中的作用。此外,还讨论了针对消化疾病中肠道微生物群的治疗方法,如粪便移植、益生菌、益生元、噬菌体治疗和 CRISPR/Cas 系统。

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