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从固有微生物群角度看肺肠轴及其对呼吸系统疾病免疫反应的影响

A new perspective on gut-lung axis affected through resident microbiome and their implications on immune response in respiratory diseases.

机构信息

A. P. College of Pharmacy, Anhui University of Chinese Medicine, Hefei, 230012, Anhui, China.

MOE-Anhui Joint Collaborative Innovation Center for Quality Improvement of Anhui Genuine Chinese Medicinal Materials, Hefei, 230012, Anhui, China.

出版信息

Arch Microbiol. 2024 Feb 18;206(3):107. doi: 10.1007/s00203-024-03843-6.

Abstract

The highly diverse microbial ecosystem of the human body colonizes the gastrointestinal tract has a profound impact on the host's immune, metabolic, endocrine, and other physiological processes, which are all interconnected. Specifically, gut microbiota has been found to play a crucial role in facilitating the adaptation and initiation of immune regulatory response through the gastrointestinal tract affecting the other distal mucosal sites such as lungs. A tightly regulated lung-gut axis during respiratory ailments may influence the various molecular patterns that instructs priming the disease severity to dysregulate the normal function. This review provides a comprehensive summary of current research on gut microbiota dysbiosis in respiratory diseases including asthma, pneumonia, bronchopneumonia, COPD during infections and cancer. A complex-interaction among gut microbiome, associated metabolites, cytokines, and chemokines regulates the protective immune response activating the mucosal humoral and cellular response. This potential mechanism bridges the regulation patterns through the gut-lung axis. This paper aims to advance the understanding of the crosstalk of gut-lung microbiome during infection, could lead to strategize to modulate the gut microbiome as a treatment plan to improve bad prognosis in various respiratory diseases.

摘要

人体胃肠道中高度多样化的微生物生态系统定植,对宿主的免疫、代谢、内分泌和其他生理过程产生深远影响,这些过程都是相互关联的。具体而言,肠道微生物群已被发现通过胃肠道影响其他远端黏膜部位(如肺部),在免疫调节反应的适应和启动中发挥关键作用。在呼吸疾病期间,严格调节的肺-肠轴可能会影响各种分子模式,从而指示启动疾病严重程度,使正常功能失调。本综述全面总结了目前关于呼吸道疾病(包括哮喘、肺炎、支气管肺炎、COPD 在感染和癌症期间)中肠道微生物失调的研究。肠道微生物组、相关代谢物、细胞因子和趋化因子之间的复杂相互作用调节保护性免疫反应,激活黏膜体液和细胞反应。这种潜在的机制通过肠-肺轴调节调节模式。本文旨在促进对感染期间肠-肺微生物组相互作用的理解,可能有助于制定策略来调节肠道微生物组作为治疗计划,以改善各种呼吸道疾病的不良预后。

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