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关于母婴营养对微生物群-肠-脑轴发育影响的当前知识

Current Knowledge About the Impact of Maternal and Infant Nutrition on the Development of the Microbiota-Gut-Brain Axis.

作者信息

Cerdó Tomás, Nieto-Ruíz Ana, García-Santos José Antonio, Rodríguez-Pöhnlein Anna, García-Ricobaraza María, Suárez Antonio, Bermúdez Mercedes G, Campoy Cristina

机构信息

Maimonides Institute for Research in Biomedicine of Córdoba, Reina Sofia University Hospital, University of Córdoba, Córdoba, Spain.

Centre for Rheumatology Research, Division of Medicine, University College London, London, United Kingdom.

出版信息

Annu Rev Nutr. 2023 Aug 21;43:251-278. doi: 10.1146/annurev-nutr-061021-025355.

Abstract

The prenatal and early postnatal periods are stages during which dynamic changes and the development of the brain and gut microbiota occur, and nutrition is one of the most important modifiable factors that influences this process. Given the bidirectional cross talk between the gut microbiota and the brain through the microbiota-gut-brain axis (MGBA), there is growing interest in evaluating the potential effects of nutritional interventions administered during these critical developmental windows on gut microbiota composition and function and their association with neurodevelopmental outcomes. We review recent preclinical and clinical evidence from animal studies and infant/child populations. Although further research is needed, growing evidence suggests that different functional nutrients affect the establishment and development of the microbiota-gut-brain axis and could have preventive and therapeutic use in the treatment of neuropsychiatric disorders. Therefore, more in-depth knowledge regarding the effect of nutrition on the MGBA during critical developmental windows may enable the prevention of later neurocognitive and behavioral disorders and allow the establishment of individualized nutrition-based programs that can be used from the prenatal to the early and middle stages of life.

摘要

产前和产后早期是大脑和肠道微生物群发生动态变化及发育的阶段,而营养是影响这一过程的最重要的可调节因素之一。鉴于肠道微生物群与大脑之间通过微生物群-肠道-大脑轴(MGBA)存在双向交流,人们越来越关注评估在这些关键发育窗口期进行营养干预对肠道微生物群组成和功能的潜在影响,以及它们与神经发育结局的关联。我们回顾了来自动物研究以及婴儿/儿童群体的近期临床前和临床证据。尽管还需要进一步研究,但越来越多的证据表明,不同的功能性营养素会影响微生物群-肠道-大脑轴的建立和发育,并且在神经精神疾病的治疗中可能具有预防和治疗作用。因此,深入了解关键发育窗口期营养对MGBA的影响,可能有助于预防后期的神经认知和行为障碍,并有助于制定从产前到生命早期和中期都可采用的个性化营养方案。

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