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探索粪便微生物群移植作为结核病和炎症性肠病治疗方法的潜力。

Exploring the Potential of Fecal Microbiota Transplantation as a Therapy in Tuberculosis and Inflammatory Bowel Disease.

作者信息

Boicean Adrian, Bratu Dan, Fleaca Sorin Radu, Vasile Gligor, Shelly Leeb, Birsan Sabrina, Bacila Ciprian, Hasegan Adrian

机构信息

Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.

County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania.

出版信息

Pathogens. 2023 Sep 9;12(9):1149. doi: 10.3390/pathogens12091149.

Abstract

This review explores the potential benefits of fecal microbiota transplantation (FMT) as an adjunct treatment in tuberculosis (TB), drawing parallels from its efficacy in inflammatory bowel disease (IBD). FMT has shown promise in restoring the gut microbial balance and modulating immune responses in IBD patients. Considering the similarities in immunomodulation and dysbiosis between IBD and TB, this review hypothesizes that FMT may offer therapeutic benefits as an adjunct therapy in TB. Methods: We conducted a systematic review of the existing literature on FMT in IBD and TB, highlighting the mechanisms and potential implications of FMT in the therapeutic management of both conditions. The findings contribute to understanding FMT's potential role in TB treatment and underscore the necessity for future research in this direction to fully leverage its clinical applications. Conclusion: The integration of FMT into the comprehensive management of TB could potentially enhance treatment outcomes, reduce drug resistance, and mitigate the side effects of conventional therapies. Future research endeavors should focus on well-designed clinical trials to develop guidelines concerning the safety and short- and long-term benefits of FMT in TB patients, as well as to assess potential risks.

摘要

本综述探讨了粪便微生物群移植(FMT)作为结核病(TB)辅助治疗的潜在益处,并借鉴了其在炎症性肠病(IBD)中的疗效。FMT已显示出在恢复IBD患者肠道微生物平衡和调节免疫反应方面的前景。考虑到IBD和TB在免疫调节和生态失调方面的相似性,本综述假设FMT作为TB的辅助治疗可能具有治疗益处。方法:我们对关于FMT在IBD和TB中的现有文献进行了系统综述,强调了FMT在这两种疾病治疗管理中的机制和潜在影响。这些发现有助于理解FMT在TB治疗中的潜在作用,并强调未来在这一方向进行研究以充分利用其临床应用的必要性。结论:将FMT纳入TB的综合管理可能会提高治疗效果,降低耐药性,并减轻传统疗法的副作用。未来的研究应集中在精心设计的临床试验上,以制定关于FMT在TB患者中的安全性以及短期和长期益处的指南,并评估潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f3c/10535282/0afb2c68f4b1/pathogens-12-01149-g001.jpg

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