使用益生菌调节肠道微生物群作为对抗内源性和外源性神经毒性的一种策略。

Modulation of gut microbiota with probiotics as a strategy to counteract endogenous and exogenous neurotoxicity.

作者信息

Skalny Anatoly V, Aschner Michael, Gritsenko Viktor A, Martins Airton C, Tizabi Yousef, Korobeinikova Tatiana V, Paoliello Monica M B, Tinkov Alexey A

机构信息

Center of Bioelementology and Human Ecology, IM Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

Department of Medical Elementology, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia.

出版信息

Adv Neurotoxicol. 2024;11:133-176. doi: 10.1016/bs.ant.2024.02.002. Epub 2024 Mar 21.

Abstract

The existing data demonstrate that probiotic supplementation affords protective effects against neurotoxicity of exogenous (e.g., metals, ethanol, propionic acid, aflatoxin B1, organic pollutants) and endogenous (e.g., LPS, glucose, Aβ, phospho-tau, α-synuclein) agents. Although the protective mechanisms of probiotic treatments differ between various neurotoxic agents, several key mechanisms at both the intestinal and brain levels seem inherent to all of them. Specifically, probiotic-induced improvement in gut microbiota diversity and taxonomic characteristics results in modulation of gut-derived metabolite production with increased secretion of SFCA. Moreover, modulation of gut microbiota results in inhibition of intestinal absorption of neurotoxic agents and their deposition in brain. Probiotics also maintain gut wall integrity and inhibit intestinal inflammation, thus reducing systemic levels of LPS. Centrally, probiotics ameliorate neurotoxin-induced neuroinflammation by decreasing LPS-induced TLR4/MyD88/NF-κB signaling and prevention of microglia activation. Neuroprotective mechanisms of probiotics also include inhibition of apoptosis and oxidative stress, at least partially by up-regulation of SIRT1 signaling. Moreover, probiotics reduce inhibitory effect of neurotoxic agents on BDNF expression, on neurogenesis, and on synaptic function. They can also reverse altered neurotransmitter metabolism and exert an antiamyloidogenic effect. The latter may be due to up-regulation of ADAM10 activity and down-regulation of presenilin 1 expression. Therefore, in view of the multiple mechanisms invoked for the neuroprotective effect of probiotics, as well as their high tolerance and safety, the use of probiotics should be considered as a therapeutic strategy for ameliorating adverse brain effects of various endogenous and exogenous agents.

摘要

现有数据表明,补充益生菌对外源性(如金属、乙醇、丙酸、黄曲霉毒素B1、有机污染物)和内源性(如脂多糖、葡萄糖、淀粉样蛋白β、磷酸化tau蛋白、α-突触核蛋白)神经毒性物质具有保护作用。尽管益生菌治疗对不同神经毒性物质的保护机制有所不同,但肠道和大脑水平上的几个关键机制似乎对所有这些物质都具有普遍性。具体而言,益生菌诱导的肠道微生物群多样性和分类特征改善,导致肠道衍生代谢产物产生的调节,短链脂肪酸分泌增加。此外,肠道微生物群的调节导致神经毒性物质的肠道吸收及其在大脑中的沉积受到抑制。益生菌还能维持肠壁完整性并抑制肠道炎症,从而降低全身脂多糖水平。在中枢神经系统层面,益生菌通过降低脂多糖诱导的Toll样受体4/髓样分化因子88/核因子κB信号传导并防止小胶质细胞活化,改善神经毒素诱导的神经炎症。益生菌的神经保护机制还包括抑制细胞凋亡和氧化应激,至少部分是通过上调沉默信息调节因子1信号传导实现的。此外,益生菌降低神经毒性物质对脑源性神经营养因子表达、神经发生和突触功能的抑制作用。它们还可以逆转神经递质代谢的改变并发挥抗淀粉样蛋白生成作用。后者可能是由于解整合素金属蛋白酶10活性上调和早老素1表达下调所致。因此,鉴于益生菌神经保护作用所涉及的多种机制,以及它们的高耐受性和安全性,应考虑将益生菌的使用作为一种治疗策略,以改善各种内源性和外源性物质对大脑的不良影响。

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