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健康的微生物组——仅仅是一个想法还是一个合理的概念?

Healthy microbiome - a mere idea or a sound concept?

机构信息

Institute for Clinical and Experimental Medicine, Prague, Czech Republic.

出版信息

Physiol Res. 2022 Dec 16;71(6):719-738. doi: 10.33549/physiolres.934967. Epub 2022 Nov 25.

Abstract

Hundreds of studies in last decades have aimed to compare the microbiome of patients suffering from diverse diseases with that of healthy controls. The microbiome-related component was additionally identified in pathophysiology of many diseases formerly considered to depend only on the host physiology. This, however, opens important questions like: "What is the healthy microbiome?" or "Is it possible to define it unequivocally?". In this review, we describe the main hindrances complicating the definition of "healthy microbiome" in terms of microbiota composition. We discuss the human microbiome from the perspective of classical ecology and we advocate for the shift from the stress on microbiota composition to the functions that microbiome ensures for the host. Finally, we propose to leave the concept of ideal healthy microbiome and replace it by focus on microbiome advantageous for the host, which always depends on the specific context like the age, genetics, dietary habits, body site or physiological state.

摘要

几十年来,已有数百项研究旨在比较患有各种疾病的患者的微生物组与健康对照者的微生物组。在以前被认为仅取决于宿主生理学的许多疾病的病理生理学中,还另外确定了与微生物组相关的成分。但是,这提出了一些重要的问题,例如:“健康的微生物组是什么?”或“是否可以明确地定义它?”。在这篇综述中,我们描述了在微生物群落组成方面使“健康微生物组”的定义变得复杂的主要障碍。我们从经典生态学的角度讨论人类微生物组,并主张从强调微生物群落组成转变为强调微生物组为宿主提供的功能。最后,我们建议放弃理想健康微生物组的概念,而将重点转移到对宿主有利的微生物组上,这始终取决于特定的背景,例如年龄,遗传学,饮食习惯,身体部位或生理状态。

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