人类口腔微生物失调与神经精神疾病的关系:最新综述。

Relationship between human oral microbiome dysbiosis and neuropsychiatric diseases: An updated overview.

机构信息

West China School of Medicine, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China.

Department of Pharmacy, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China.

出版信息

Behav Brain Res. 2024 Aug 5;471:115111. doi: 10.1016/j.bbr.2024.115111. Epub 2024 Jun 11.

Abstract

The role of the gut-brain axis in mental health disorders has been extensively studied. As the oral cavity is the starting point of the digestive tract, the role that the oral microbiota plays in mental health disorders has gained recent attention. Oral microbiota can enter the bloodstream and trigger inflammatory responses or translocate to the brain through the trigeminal nerve or olfactory system. Hence, the concept of the oral microbiota-brain axis has emerged. Several hypotheses have been suggested that the oral microbiota can enter the gastrointestinal tract and affect the gut-brain axis; however, literature describing oral-brain communication remains limited. This review summarizes the characteristics of oral microbiota and its mechanisms associated with mental health disorders. Through a comprehensive examination of the relationship between oral microbiota and various neuropsychiatric diseases, such as anxiety, depression, schizophrenia, autism spectrum disorder, epilepsy, Parkinson's disease, and dementia, this review seeks to identify promising avenues of future research.

摘要

肠道-脑轴在精神健康障碍中的作用已得到广泛研究。由于口腔是消化道的起点,口腔微生物群在精神健康障碍中的作用最近引起了关注。口腔微生物群可以进入血液并引发炎症反应,或者通过三叉神经或嗅觉系统转移到大脑。因此,出现了口腔微生物群-脑轴的概念。有几种假说认为,口腔微生物群可以进入胃肠道并影响肠道-脑轴;然而,描述口腔-脑通讯的文献仍然有限。本综述总结了口腔微生物群的特征及其与精神健康障碍相关的机制。通过全面检查口腔微生物群与各种神经精神疾病(如焦虑、抑郁、精神分裂症、自闭症谱系障碍、癫痫、帕金森病和痴呆症)之间的关系,本综述旨在确定未来有前途的研究方向。

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