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人乳寡糖在肠易激综合征中的潜在作用

The Potential Role of Human Milk Oligosaccharides in Irritable Bowel Syndrome.

作者信息

Sanz Morales Patricia, Wijeyesekera Anisha, Robertson Margaret Denise, Jackson Peter P J, Gibson Glenn R

机构信息

Department of Food and Nutritional Sciences, University of Reading, Whiteknights, Reading RG6 6AH, UK.

Department of Nutritional Sciences, Faculty of Health & Medical Sciences, University of Surrey, Guildford GU2 7XH, UK.

出版信息

Microorganisms. 2022 Nov 25;10(12):2338. doi: 10.3390/microorganisms10122338.


DOI:10.3390/microorganisms10122338
PMID:36557589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9781515/
Abstract

Irritable Bowel Syndrome (IBS) is the most common gastrointestinal (GI) disorder in Western populations and therefore a major public health/economic concern. However, despite extensive research, psychological and physiological factors that contribute to the aetiology of IBS remain poorly understood. Consequently, clinical management of IBS is reduced to symptom management through various suboptimal options. Recent evidence has suggested human milk oligosaccharides (HMOs) as a potential therapeutic option for IBS. Here, we review literature concerning the role of HMOs in IBS, including data from intervention and in vitro trials. HMO supplementation shows promising results in altering the gut microbiota and improving IBS symptoms, for instance by stimulating bifidobacteria. Further research in adults is required into HMO mechanisms, to confirm the preliminary results available to date and recommendations of HMO use in IBS.

摘要

肠易激综合征(IBS)是西方人群中最常见的胃肠道疾病,因此是一个重大的公共卫生/经济问题。然而,尽管进行了广泛研究,但导致IBS病因的心理和生理因素仍知之甚少。因此,IBS的临床管理只能通过各种不太理想的方法进行症状管理。最近有证据表明,人乳寡糖(HMOs)可能是IBS的一种治疗选择。在此,我们综述了有关HMOs在IBS中作用的文献,包括干预试验和体外试验的数据。补充HMOs在改变肠道微生物群和改善IBS症状方面显示出有前景的结果,例如通过刺激双歧杆菌。需要对成人进行进一步研究以了解HMOs的作用机制,以证实目前可得的初步结果以及HMOs在IBS中的使用建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/6a005f536eef/microorganisms-10-02338-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/57f4f1f6dfe1/microorganisms-10-02338-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/98f096132670/microorganisms-10-02338-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/d052b06716a9/microorganisms-10-02338-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/6a005f536eef/microorganisms-10-02338-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/57f4f1f6dfe1/microorganisms-10-02338-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/98f096132670/microorganisms-10-02338-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/d052b06716a9/microorganisms-10-02338-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8935/9781515/6a005f536eef/microorganisms-10-02338-g004.jpg

相似文献

[1]
The Potential Role of Human Milk Oligosaccharides in Irritable Bowel Syndrome.

Microorganisms. 2022-11-25

[2]
The Effects of Human Milk Oligosaccharides on Gut Microbiota, Metabolite Profiles and Host Mucosal Response in Patients with Irritable Bowel Syndrome.

Nutrients. 2021-10-27

[3]
Altered gastrointestinal microbiota in irritable bowel syndrome and its modification by diet: probiotics, prebiotics and the low FODMAP diet.

Proc Nutr Soc. 2016-2-24

[4]
Human milk oligosaccharide supplementation in irritable bowel syndrome patients: A parallel, randomized, double-blind, placebo-controlled study.

Neurogastroenterol Motil. 2020-10

[5]
Varied Pathways of Infant Gut-Associated to Assimilate Human Milk Oligosaccharides: Prevalence of the Gene Set and Its Correlation with Bifidobacteria-Rich Microbiota Formation.

Nutrients. 2019-12-26

[6]
Probiotics and irritable bowel syndrome.

Microb Ecol Health Dis. 2012-6-18

[7]
Fucosylated Human Milk Oligosaccharide Foraging within the Species Bifidobacterium pseudocatenulatum Is Driven by Glycosyl Hydrolase Content and Specificity.

Appl Environ Microbiol. 2022-1-25

[8]
Review article: evidence for the role of gut microbiota in irritable bowel syndrome and its potential influence on therapeutic targets.

Aliment Pharmacol Ther. 2014-3-25

[9]
Metabolizes 2'Fucosyllactose-Derived and Free Fucose Through a Common Catabolic Pathway Resulting in 1,2-Propanediol Secretion.

Front Nutr. 2020-11-24

[10]
Oral supplementation of healthy adults with 2'-O-fucosyllactose and lacto-N-neotetraose is well tolerated and shifts the intestinal microbiota.

Br J Nutr. 2016-10

引用本文的文献

[1]
A focus group study to assess perspectives of patients with irritable bowel syndrome on human milk oligosaccharides and lifestyle insights.

Eur J Nutr. 2025-5-30

[2]
An batch culture study to assess the fermentation of human milk oligosaccharides by faecal microbiota from healthy and irritable bowel syndrome stool donors.

Gut Microbiome (Camb). 2025-3-20

[3]
From bugs to brain: unravelling the GABA signalling networks in the brain-gut-microbiome axis.

Brain. 2025-5-13

[4]
Adjunct Therapies to Standard Care for IBS and IBD Patients: Digestive Symptoms Improvement and Quality of Life Optimization.

Nutrients. 2024-11-18

[5]
Human milk oligosaccharide 2'-fucosyllactose protects against high-fat diet-induced obesity by changing intestinal mucus production, composition and degradation linked to changes in gut microbiota and faecal proteome profiles in mice.

Gut. 2024-9-9

[6]
Oligofructose alone and in combination with 2'fucosyllactose induces physiologically relevant changes in γ-aminobutyric acid and organic acid production compared to sole 2'fucosyllactose supplementation: an in vitro study.

FEMS Microbiol Ecol. 2023-8-22

[7]
Clinical Studies on the Supplementation of Manufactured Human Milk Oligosaccharides: A Systematic Review.

Nutrients. 2023-8-17

本文引用的文献

[1]
High-Dimensional Clustering of 4000 Irritable Bowel Syndrome Patients Reveals Seven Distinct Disease Subsets.

Clin Gastroenterol Hepatol. 2024-1

[2]
The Effects of Human Milk Oligosaccharides on Gut Microbiota, Metabolite Profiles and Host Mucosal Response in Patients with Irritable Bowel Syndrome.

Nutrients. 2021-10-27

[3]
Human Milk Oligosaccharides: Their Effects on the Host and Their Potential as Therapeutic Agents.

Front Immunol. 2021

[4]
British Society of Gastroenterology guidelines on the management of irritable bowel syndrome.

Gut. 2021-7

[5]
Impact of 2'-Fucosyllactose on Gut Microbiota Composition in Adults with Chronic Gastrointestinal Conditions: Batch Culture Fermentation Model and Pilot Clinical Trial Findings.

Nutrients. 2021-3-14

[6]
Evidence-based clinical practice guidelines for irritable bowel syndrome 2020.

J Gastroenterol. 2021-3

[7]
Human Milk Oligosaccharides Support Normal Bowel Function and Improve Symptoms of Irritable Bowel Syndrome: A Multicenter, Open-Label Trial.

Clin Transl Gastroenterol. 2020-12

[8]
Targeted pharmacotherapy of irritable bowel syndrome.

Curr Opin Endocrinol Diabetes Obes. 2021-4-1

[9]
The overlap between irritable bowel syndrome and organic gastrointestinal diseases.

Lancet Gastroenterol Hepatol. 2021-2

[10]
Effects of Low and High FODMAP Diets on Human Gastrointestinal Microbiota Composition in Adults with Intestinal Diseases: A Systematic Review.

Microorganisms. 2020-10-23

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