Sanz Morales Patricia, Wijeyesekera Anisha, Robertson Margaret Denise, Jackson Peter P J, Gibson Glenn R
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.
Microorganisms. 2022 Nov 25;10(12):2338. doi: 10.3390/microorganisms10122338.
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.
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。
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