Clinical Biobank Center, Microbiome Medicine Center, Department of Laboratory Medicine, Guangdong Provincial Clinical Research Center for Laboratory Medicine, Zhujiang Hospital, Southern Medical University, 510280, Guangzhou, China.
Neurosurgery Center, The National Key Clinical Specialty, The Engineering Technology Research Center of Education Ministry of China On Diagnosis and Treatment of Cerebrovascular Disease, Guangdong Provincial Key Laboratory On Brain Function Repair and Regeneration, The Neurosurgery Institute of Guangdong Province, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, China.
Mol Neurobiol. 2024 Dec;61(12):9735-9755. doi: 10.1007/s12035-023-03512-7. Epub 2023 Jul 27.
Growing evidence has proved that alterations in the gut microbiota have been linked to neurological disorders including stroke. Structural and functional disruption of the blood-brain barrier (BBB) is observed after stroke. In this context, there is pioneering evidence supporting that gut microbiota may be involved in the pathogenesis of stroke by regulating the BBB function. However, only a few experimental studies have been performed on stroke models to observe the BBB by altering the structure of gut microbiota, which warrant further exploration. Therefore, in order to provide a novel mechanism for stroke and highlight new insights into BBB modification as a stroke intervention, this review summarizes existing evidence of the relationship between gut microbiota and BBB integrity and discusses the mechanisms of gut microbiota on BBB dysfunction and its role in stroke.
越来越多的证据证明,肠道微生物群的改变与包括中风在内的神经紊乱有关。中风后会观察到血脑屏障(BBB)的结构和功能障碍。在这种情况下,有开创性的证据支持肠道微生物群可能通过调节 BBB 功能参与中风的发病机制。然而,只有少数实验研究在中风模型中观察到通过改变肠道微生物群的结构来改变 BBB,这需要进一步探索。因此,为了为中风提供新的机制,并强调 BBB 修饰作为中风干预的新见解,本综述总结了肠道微生物群与 BBB 完整性之间关系的现有证据,并讨论了肠道微生物群对 BBB 功能障碍的作用及其在中风中的作用。