Karpe Avinash V, Beale David J, Tran Cuong D
Agriculture and Food, Commonwealth Scientific and Industrial Research Organisation, Black Mountain Science and Innovation Park, Acton, ACT 2601, Australia.
Socio-Eternal Thinking for Unity (SETU), Melbourne, VIC 3805, Australia.
Microorganisms. 2023 Jul 13;11(7):1800. doi: 10.3390/microorganisms11071800.
Enteric protozoan pathogenic infections significantly contribute to the global burden of gastrointestinal illnesses. Their occurrence is considerable within remote and indigenous communities and regions due to reduced access to clean water and adequate sanitation. The robustness of these pathogens leads to a requirement of harsh treatment methods, such as medicinal drugs or antibiotics. However, in addition to protozoal infection itself, these treatments impact the gut microbiome and create dysbiosis. This often leads to opportunistic pathogen invasion, anti-microbial resistance, or functional gastrointestinal disorders, such as irritable bowel syndrome. Moreover, these impacts do not remain confined to the gut and are reflected across the gut-brain, gut-liver, and gut-lung axes, among others. Therefore, apart from medicinal treatment, nutritional supplementation is also a key aspect of providing recovery from this dysbiosis. Future proteins, prebiotics, probiotics, synbiotics, and food formulations offer a good solution to remedy this dysbiosis. Furthermore, nutritional supplementation also helps to build resilience against opportunistic pathogens and potential future infections and disorders that may arise due to the dysbiosis. Systems biology techniques have shown to be highly effective tools to understand the biochemistry of these processes. Systems biology techniques characterize the fundamental host-pathogen interaction biochemical pathways at various infection and recovery stages. This same mechanism also allows the impact of the abovementioned treatment methods of gut microbiome remediation to be tracked. This manuscript discusses system biology approaches, analytical techniques, and interaction and association networks, to understand (1) infection mechanisms and current global status; (2) cross-organ impacts of dysbiosis, particularly within the gut-liver and gut-lung axes; and (3) nutritional interventions. This study highlights the impact of anti-microbial resistance and multi-drug resistance from the perspective of protozoal infections. It also highlights the role of nutritional interventions to add resilience against the chronic problems caused by these phenomena.
肠道原生动物致病性感染对全球胃肠道疾病负担有重大影响。由于难以获得清洁水和适当的卫生设施,这些感染在偏远和原住民社区及地区相当普遍。这些病原体的顽强性导致需要采用诸如药物或抗生素等严厉的治疗方法。然而,除了原生动物感染本身外,这些治疗还会影响肠道微生物群并导致生态失调。这通常会导致机会性病原体入侵、抗微生物耐药性或功能性胃肠道疾病,如肠易激综合征。此外,这些影响并不局限于肠道,还反映在肠-脑、肠-肝和肠-肺轴等多个方面。因此,除了药物治疗外,营养补充也是从这种生态失调中恢复的关键方面。未来的蛋白质、益生元、益生菌、合生元和食品配方为纠正这种生态失调提供了一个很好的解决方案。此外,营养补充还有助于增强对机会性病原体以及可能因生态失调而出现的潜在未来感染和疾病的抵抗力。系统生物学技术已被证明是理解这些过程生物化学的高效工具。系统生物学技术在不同的感染和恢复阶段表征宿主-病原体相互作用的基本生化途径。同样的机制也可以追踪上述肠道微生物群修复治疗方法的影响。本文讨论了系统生物学方法、分析技术以及相互作用和关联网络,以了解(1)感染机制和当前全球状况;(2)生态失调的跨器官影响,特别是在肠-肝和肠-肺轴内;以及(3)营养干预措施。本研究从原生动物感染的角度突出了抗微生物耐药性和多重耐药性的影响。它还强调了营养干预措施在增强对这些现象所导致的慢性问题的抵抗力方面的作用。