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儿童肠道微生物群失调相关的神经发育障碍

Neurodevelopmental Disorders Associated with Gut Microbiome Dysbiosis in Children.

作者信息

Borrego-Ruiz Alejandro, Borrego Juan J

机构信息

Departamento de Psicología Social y de las Organizaciones, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain.

Departamento de Microbiología, Universidad de Málaga, 29071 Málaga, Spain.

出版信息

Children (Basel). 2024 Jun 28;11(7):796. doi: 10.3390/children11070796.

Abstract

The formation of the human gut microbiome initiates in utero, and its maturation is established during the first 2-3 years of life. Numerous factors alter the composition of the gut microbiome and its functions, including mode of delivery, early onset of breastfeeding, exposure to antibiotics and chemicals, and maternal stress, among others. The gut microbiome-brain axis refers to the interconnection of biological networks that allow bidirectional communication between the gut microbiome and the brain, involving the nervous, endocrine, and immune systems. Evidence suggests that the gut microbiome and its metabolic byproducts are actively implicated in the regulation of the early brain development. Any disturbance during this stage may adversely affect brain functions, resulting in a variety of neurodevelopmental disorders (NDDs). In the present study, we reviewed recent evidence regarding the impact of the gut microbiome on early brain development, alongside its correlation with significant NDDs, such as autism spectrum disorder, attention-deficit/hyperactivity disorder, Tourette syndrome, cerebral palsy, fetal alcohol spectrum disorders, and genetic NDDs (Rett, Down, Angelman, and Turner syndromes). Understanding changes in the gut microbiome in NDDs may provide new chances for their treatment in the future.

摘要

人类肠道微生物群的形成始于子宫内,其成熟在生命的最初2至3年确立。许多因素会改变肠道微生物群的组成及其功能,包括分娩方式、早期开始母乳喂养、接触抗生素和化学物质以及母亲压力等。肠道微生物群-脑轴是指生物网络的相互连接,使肠道微生物群与大脑之间能够进行双向通信,涉及神经、内分泌和免疫系统。有证据表明,肠道微生物群及其代谢副产物积极参与早期大脑发育的调节。这一阶段的任何干扰都可能对大脑功能产生不利影响,导致各种神经发育障碍(NDDs)。在本研究中,我们回顾了关于肠道微生物群对早期大脑发育影响的最新证据,以及它与重要的神经发育障碍(如自闭症谱系障碍、注意力缺陷多动障碍、抽动秽语综合征、脑瘫、胎儿酒精谱系障碍和遗传性神经发育障碍(雷特、唐氏、天使综合征和特纳综合征))的相关性。了解神经发育障碍中肠道微生物群的变化可能为未来的治疗提供新的机会。

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