Trinh Stefanie, Keller Lara, Herpertz-Dahlmann Beate, Seitz Jochen
Institut für Neuroanatomie, Uniklinik RWTH Aachen, Deutschland.
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Uniklinik RWTH Aachen, Deutschland.
Z Kinder Jugendpsychiatr Psychother. 2023 Nov;51(6):431-440. doi: 10.1024/1422-4917/a000928. Epub 2023 Mar 9.
Fecal Microbiota Transplants in the Context of (Child and Adolescent) Psychiatric Disorders There has recently been a significant increase in interest in gut microbiota and its interaction with the brain (gut-brain axis). Not only are the findings of microbiome research interesting for basic scientists, they also offer relevant insights for clinical practice. A causal relationship between gut microbiome and various somatic diseases such as diabetes mellitus, inflammatory bowel diseases, and obesity as well as psychiatric diseases such as major depression, anxiety disorders, and eating disorders seems plausible. To study the causal relationship of intestinal bacteria with individual phenotypes, researchers apply so-called stool transplantations (fecal microbiota transplantations) in the preclinical context. For this purpose, they transfer microbiota samples from patients into laboratory animals to observe possible changes in phenotype. In the clinical context, fecal microbiota transplantation is already being used with therapeutic intentions for selected diseases, for example, recurrent infections with or inflammatory bowel diseases; they have already become part of the official clinical guidelines for . For many other diseases, however, including mental illnesses, the potential of using fecal transplantations for therapeutic purposes is still being explored. Previous findings suggest that the intestinal microbiome, particularly fecal microbiota transplantations, represent a promising starting point for new therapeutic approaches.
(儿童和青少年)精神疾病背景下的粪便微生物群移植 近年来,人们对肠道微生物群及其与大脑的相互作用(肠-脑轴)的兴趣显著增加。微生物组研究的结果不仅对基础科学家很有吸引力,也为临床实践提供了相关见解。肠道微生物群与各种躯体疾病(如糖尿病、炎症性肠病和肥胖症)以及精神疾病(如重度抑郁症、焦虑症和饮食失调症)之间的因果关系似乎是合理的。为了研究肠道细菌与个体表型之间的因果关系,研究人员在临床前环境中应用所谓的粪便移植(粪便微生物群移植)。为此,他们将患者的微生物群样本转移到实验动物体内,以观察表型的可能变化。在临床环境中,粪便微生物群移植已被用于某些疾病的治疗目的,例如复发性感染或炎症性肠病;它们已经成为官方临床指南的一部分。然而,对于包括精神疾病在内的许多其他疾病,粪便移植用于治疗目的的潜力仍在探索中。先前的研究结果表明,肠道微生物组,特别是粪便微生物群移植,是新治疗方法的一个有前景的起点。