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自动酿酒综合征与糖尿病的关联:文献综述与临床视角

The Associations of Auto-Brewery Syndrome and Diabetes Mellitus: A Literature Review and Clinical Perspective.

作者信息

Patel Priyansh, Patel Diya, Gutlapalli Sai Dheeraj, Okorie Ikpechukwu J, Onana Arnold E, Ugwendum Derek, Arrey Agbor Divine Besong, Munoh Kenne Foma, Otterbeck Philip, Nfonoyim Jay

机构信息

Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Department of Internal Medicine, Baroda Medical College, Vadodara, IND.

出版信息

Cureus. 2023 Jul 15;15(7):e41924. doi: 10.7759/cureus.41924. eCollection 2023 Jul.

DOI:10.7759/cureus.41924
PMID:37588335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10425700/
Abstract

Endogenous production of alcohol without the external intake of alcohol is called auto-brewery syndrome (ABS), and to get its levels to rise to a level that it has physical symptoms of alcohol intake is rare. The most common cause of ABS is the metabolism of ingested carbohydrates by intestinal microflora. This occurrence does not happen in all normal individuals but only in some high-risk individuals. Patients with diabetes mellitus (DM) have been hypothesized to be at high risk for ABS. We searched databases, such as PubMed, Medline, and PubMed Central, to search for existing literature with relevant keywords. In the finalized review, we have included 30 relevant articles. Alcohol formed in the gut gets absorbed in the bloodstream and immediately gets metabolized, so usually it does not achieve a level in blood high enough to cause symptoms. In high-risk patients, there is an increase in the level of bloodstream alcohol above a certain level, so it shows symptoms. Because there is higher blood glucose in DM, the patients have been shown to be at increased risk for developing ABS. Similarly, obesity is also a risk factor for DM, making it a high-risk condition for ABS. The most involved pathogens are and .

摘要

在没有外部摄入酒精的情况下内源性产生酒精被称为自动酿酒综合征(ABS),而使其水平升高到出现酒精摄入身体症状的情况很少见。ABS最常见的原因是肠道微生物群对摄入碳水化合物的代谢。这种情况并非在所有正常个体中都会发生,而仅在一些高危个体中出现。糖尿病(DM)患者被认为是患ABS的高危人群。我们检索了诸如PubMed、Medline和PubMed Central等数据库,以搜索带有相关关键词的现有文献。在最终的综述中,我们纳入了30篇相关文章。在肠道中形成的酒精会被血液吸收并立即代谢,所以通常它在血液中不会达到足以引起症状的水平。在高危患者中,血液中酒精水平会升高到一定程度以上,从而出现症状。由于DM患者血糖较高,已表明他们患ABS的风险增加。同样,肥胖也是DM的一个风险因素,使其成为患ABS的高危情况。最常见的致病病原体是 和 。 (原文此处缺失具体病原体名称)

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本文引用的文献

1
Understanding Auto-Brewery Syndrome in 2023: A Clinical and Comprehensive Review of a Rare Medical Condition.2023年对自动酿酒综合征的认识:一种罕见病症的临床综合综述
Cureus. 2023 Apr 17;15(4):e37678. doi: 10.7759/cureus.37678. eCollection 2023 Apr.
2
Gut Microbiota and Complications of Type-2 Diabetes.肠道微生物群与 2 型糖尿病并发症。
Nutrients. 2021 Dec 30;14(1):166. doi: 10.3390/nu14010166.
3
Potential Pathogenicity of Species Isolated from Oral Cavity of Patients with Diabetes Mellitus.从糖尿病患者口腔中分离出的 种的潜在致病性。
Biomed Res Int. 2021 May 26;2021:9982744. doi: 10.1155/2021/9982744. eCollection 2021.
4
Auto-Brewery Syndrome: A Clinical Dilemma.自动酿酒综合征:一个临床难题。
Cureus. 2020 Oct 16;12(10):e10983. doi: 10.7759/cureus.10983.
5
Molecular mechanisms of ethanol biotransformation: enzymes of oxidative and nonoxidative metabolic pathways in human.乙醇生物转化的分子机制:人类氧化和非氧化代谢途径的酶
Xenobiotica. 2020 Oct;50(10):1180-1201. doi: 10.1080/00498254.2020.1761571. Epub 2020 May 13.
6
Oral manifestations of Diabetes Mellitus. A systematic review.糖尿病的口腔表现。一项系统评价。
Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22(5):e586-e594. doi: 10.4317/medoral.21655.
7
Auto-brewery syndrome: Ethanol pseudo-toxicity in diabetic and hepatic patients.自动酿酒综合征:糖尿病和肝病患者中的乙醇假性毒性。
Hum Exp Toxicol. 2017 May;36(5):445-450. doi: 10.1177/0960327116661400. Epub 2016 Aug 4.
8
Correlation of salivary glucose, blood glucose and oral candidal carriage in the saliva of type 2 diabetics: A case-control study.2型糖尿病患者唾液中唾液葡萄糖、血糖与口腔念珠菌携带情况的相关性:一项病例对照研究。
Contemp Clin Dent. 2014 Jul;5(3):312-7. doi: 10.4103/0976-237X.137925.
9
Infections in patients with diabetes mellitus: A review of pathogenesis.糖尿病患者的感染:发病机制综述
Indian J Endocrinol Metab. 2012 Mar;16 Suppl 1(Suppl1):S27-36. doi: 10.4103/2230-8210.94253.
10
Endogenous ethanol production in patients with diabetes mellitus as a medicolegal problem.糖尿病患者内生性乙醇产生作为一个医学法律问题。
Forensic Sci Int. 2012 Mar 10;216(1-3):97-100. doi: 10.1016/j.forsciint.2011.09.003. Epub 2011 Sep 25.