Zhang Sheng, Lu Baili, Wang Gang
Wuhan Mental Health Center, Wuhan, China.
Ann Gen Psychiatry. 2023 Sep 27;22(1):36. doi: 10.1186/s12991-023-00469-8.
Postpartum depression (PPD) is a common complication of pregnancy in women, and its pathogenesis mainly involves disturbances of the neuroendocrine regulation, immune system, neurotransmitters, hormone secretion, and the gut microbiome. Gut microbes play essential physiological and pathological roles in the gut-brain axis' pathways which are involved in various central nervous system (CNS) and psychiatric disorders, including PPD. Numerous studies have identified the fundamental role of the gut-brain axis in the pathogenesis and treatment of PPD patients and also correlates with other pathogenic mechanisms of PPD. Disturbances in gut microbes are associated with the disruption of multiple signaling pathways and systems that ultimately lead to PPD development. This review aimed to elucidate the potential connections between gut microbes and the established PPD network, and this might serve as a guide for the development of new efficient diagnostic, therapeutic, and prognostic strategies in the management of PPD.
产后抑郁症(PPD)是女性孕期常见的并发症,其发病机制主要涉及神经内分泌调节、免疫系统、神经递质、激素分泌以及肠道微生物群的紊乱。肠道微生物在肠道-脑轴通路中发挥着重要的生理和病理作用,这些通路参与了包括PPD在内的各种中枢神经系统(CNS)和精神疾病。大量研究已经确定了肠道-脑轴在PPD患者发病机制和治疗中的重要作用,并且还与PPD的其他致病机制相关。肠道微生物的紊乱与多种信号通路和系统的破坏有关,最终导致PPD的发生。本综述旨在阐明肠道微生物与已确立的PPD网络之间的潜在联系,这可能为PPD管理中新型高效诊断、治疗和预后策略的开发提供指导。