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小儿胃肠疾病中血清素水平的多样性。

Variety of Serotonin Levels in Pediatric Gastrointestinal Disorders.

作者信息

Matiș Loredana, Daina Lucia Georgeta, Maris Lavinia, Ghitea Timea Claudia, Trifan Daniela Florina, Moga Ioana, Fodor Radu

机构信息

Faculty of Medicine and Pharmacy, Doctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, Romania.

Medicine Department, Faculty of Medicine and Pharmacy, University of Oradea, 410068 Oradea, Romania.

出版信息

Diagnostics (Basel). 2023 Dec 15;13(24):3675. doi: 10.3390/diagnostics13243675.

Abstract

(1) Serotonin primarily regulates our emotions. A complex process, which includes dysfunctions in gastrointestinal motility and deregulation of the gene responsible for serotonin reuptake (SERT), is implicated in the pathophysiology of irritable bowel syndrome (IBS). This also encompasses changes in intestinal microbiota, the response to stress, the intricate interplay between the brain and the digestive tract, heightened sensitivity to visceral stimuli, and low-grade inflammation. This paper aims to investigate the effectiveness of probiotic therapy in managing gastrointestinal and neuropsychiatric symptoms related to serotonin levels, with a focus on individuals with serotonin deficiency and those with normal serotonin levels experiencing gastrointestinal disorders. (2) The study involved 135 pediatric patients aged 5-18 years with gastrointestinal disturbances, including constipation, diarrhea, and other symptoms, such as nausea, flatulence, feeling full, or gastrointestinal pain. (3) Serotonin testing was performed, and administering probiotics appeared to be effective in addressing serotonin deficiency and other gastrointestinal disorders. (4) Serotonin's pivotal role in regulating neurotransmitter secretion and its impact on neuropsychiatric health, coupled with gender differences and age-related declines, underscore the complexity of their influence on gastrointestinal and neuropsychiatric conditions.

摘要

(1) 血清素主要调节我们的情绪。一个复杂的过程,包括胃肠动力功能障碍和负责血清素再摄取(SERT)的基因失调,与肠易激综合征(IBS)的病理生理学有关。这还包括肠道微生物群的变化、对压力的反应、大脑与消化道之间的复杂相互作用、对内脏刺激的敏感性增加以及低度炎症。本文旨在研究益生菌疗法在管理与血清素水平相关的胃肠道和神经精神症状方面的有效性,重点关注血清素缺乏的个体以及血清素水平正常但患有胃肠道疾病的个体。(2) 该研究涉及135名年龄在5至18岁之间患有胃肠道紊乱的儿科患者,包括便秘、腹泻以及其他症状,如恶心、肠胃胀气、饱腹感或胃肠道疼痛。(3) 进行了血清素检测,结果显示服用益生菌似乎对解决血清素缺乏和其他胃肠道疾病有效。(4) 血清素在调节神经递质分泌中的关键作用及其对神经精神健康的影响,再加上性别差异和与年龄相关的下降,凸显了它们对胃肠道和神经精神状况影响的复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e70/10742493/14222a8b7e4e/diagnostics-13-03675-g001a.jpg

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