Infection and Immunity Research Strength, Jeffrey Cheah School of Medicine & Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, 47500 Bandar Sunway, Malaysia.
Postgrad Med J. 2024 Jul 18;100(1186):539-554. doi: 10.1093/postmj/qgae030.
The microbes in the gut are crucial for maintaining the body's immune system and overall gut health. However, it is not fully understood how an unstable gut environment can lead to more severe cases of SARS-CoV-2 infection. The gut microbiota also plays a role in the gut-brain axis and interacts with the central nervous system through metabolic and neuroendocrine pathways. The interaction between the microbiota and the host's body involves hormonal, immune, and neural pathways, and any disruption in the balance of gut bacteria can lead to dysbiosis, which contributes to pathogen growth. In this context, we discuss how dysbiosis could contribute to comorbidities that increase susceptibility to SARS-CoV-2. Probiotics and fecal microbiota transplantation have successfully treated infectious and non-infectious inflammatory-related diseases, the most common comorbidities. These treatments could be adjuvant therapies for COVID-19 infection by restoring gut homeostasis and balancing the gut microbiota.
肠道中的微生物对于维持人体的免疫系统和整体肠道健康至关重要。然而,目前尚不完全清楚肠道环境的不稳定如何导致更严重的 SARS-CoV-2 感染病例。肠道微生物群在肠道-大脑轴中也发挥作用,并通过代谢和神经内分泌途径与中枢神经系统相互作用。微生物群与宿主身体的相互作用涉及激素、免疫和神经途径,任何肠道细菌平衡的破坏都可能导致菌群失调,从而促进病原体的生长。在这种情况下,我们讨论了菌群失调如何导致增加对 SARS-CoV-2 易感性的合并症。益生菌和粪便微生物群移植已成功治疗感染和非感染性炎症相关疾病,这些是最常见的合并症。通过恢复肠道内稳态和平衡肠道微生物群,这些治疗方法可能成为 COVID-19 感染的辅助疗法。
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