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从肠道到大脑:揭示连接炎症性肠病和神经退行性疾病的潜在血清生物标志物。

From Gut to Brain: Uncovering Potential Serum Biomarkers Connecting Inflammatory Bowel Diseases to Neurodegenerative Diseases.

机构信息

Department of Neuroscience, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Department of Internal Medicine, 4th Medical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

出版信息

Int J Mol Sci. 2024 May 23;25(11):5676. doi: 10.3390/ijms25115676.

Abstract

Inflammatory bowel diseases (IBDs) are characterized by chronic gastrointestinal inflammation due to abnormal immune responses to gut microflora. The gut-brain axis is disrupted in IBDs, leading to neurobiological imbalances and affective symptoms. Systemic inflammation in IBDs affects the brain's inflammatory response system, hormonal axis, and blood-brain barrier integrity, influencing the gut microbiota. This review aims to explore the association between dysregulations in the gut-brain axis, serum biomarkers, and the development of cognitive disorders. Studies suggest a potential association between IBDs and the development of neurodegeneration. The mechanisms include systemic inflammation, nutritional deficiency, GBA dysfunction, and the effect of genetics and comorbidities. The objective is to identify potential correlations and propose future research directions to understand the impact of altered microbiomes and intestinal barrier functions on neurodegeneration. Serum levels of vitamins, inflammatory and neuronal damage biomarkers, and neuronal growth factors have been investigated for their potential to predict the development of neurodegenerative diseases, but current results are inconclusive and require more studies.

摘要

炎症性肠病(IBD)的特征是由于对肠道微生物群的异常免疫反应导致的慢性胃肠道炎症。IBD 中存在肠道-大脑轴紊乱,导致神经生物学失衡和情感症状。IBD 中的全身炎症会影响大脑的炎症反应系统、激素轴和血脑屏障完整性,从而影响肠道微生物群。本综述旨在探讨肠道-大脑轴失调、血清生物标志物与认知障碍发展之间的关联。研究表明 IBD 与神经退行性变的发展之间存在潜在关联。这些机制包括全身炎症、营养缺乏、GBA 功能障碍以及遗传和合并症的影响。目的是确定潜在的相关性,并提出未来的研究方向,以了解改变的微生物组和肠道屏障功能对神经退行性变的影响。已经研究了血清中维生素、炎症和神经元损伤生物标志物以及神经元生长因子的水平,以预测神经退行性疾病的发展,但目前的结果尚无定论,需要更多的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/648c/11171869/d4b7eda2b1d2/ijms-25-05676-g001.jpg

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