Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, 00128 Roma, Italy.
Climate Amplified Diseases and Epidemics (CLIMADE), Brasilia 70070-130, Brazil.
Viruses. 2024 Feb 27;16(3):370. doi: 10.3390/v16030370.
The COVID-19 pandemic has profoundly impacted global health, leading to extensive research focused on developing strategies to enhance outbreak response and mitigate the disease's severity. In the aftermath of the pandemic, attention has shifted towards understanding and addressing long-term health implications, particularly in individuals experiencing persistent symptoms, known as long COVID. Research into potential interventions to alleviate long COVID symptoms has intensified, with a focus on strategies to support immune function and mitigate inflammation. One area of interest is the gut microbiota, which plays a crucial role in regulating immune responses and maintaining overall health. Prebiotics and probiotics, known for their ability to modulate the gut microbiota, have emerged as potential therapeutic agents in bolstering immune function and reducing inflammation. This review delves into the intricate relationship between long COVID, the gut microbiota, and immune function, with a specific focus on the role of prebiotics and probiotics. We examine the immune response to long COVID, emphasizing the importance of inflammation and immune regulation in the persistence of symptoms. The potential of probiotics in modulating immune responses, including their mechanisms in combating viral infections such as COVID-19, is discussed in detail. Clinical evidence supporting the use of probiotics in managing long COVID symptoms is summarized, highlighting their role as adjunctive therapy in addressing various aspects of SARS-CoV-2 infection and its aftermath.
COVID-19 大流行对全球健康产生了深远影响,促使人们开展了广泛的研究,旨在制定策略以增强疫情应对能力并减轻疾病的严重程度。大流行过后,人们的注意力转向了理解和应对长期健康影响,特别是在经历持续症状的个体中,这些症状被称为长新冠。为缓解长新冠症状的潜在干预措施的研究已经加强,重点是支持免疫功能和减轻炎症的策略。一个感兴趣的领域是肠道微生物群,它在调节免疫反应和维持整体健康方面起着至关重要的作用。众所周知,益生元和益生菌能够调节肠道微生物群,它们已成为增强免疫功能和减轻炎症的潜在治疗剂。这篇综述深入探讨了长新冠、肠道微生物群和免疫功能之间的复杂关系,特别关注了益生元和益生菌的作用。我们研究了长新冠的免疫反应,强调了炎症和免疫调节在症状持续存在中的重要性。详细讨论了益生菌在调节免疫反应中的作用,包括它们在对抗 COVID-19 等病毒感染方面的机制。总结了支持益生菌用于管理长新冠症状的临床证据,强调了它们作为辅助治疗在解决 SARS-CoV-2 感染及其后果的各个方面的作用。