Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States.
Institute for Immunology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, United States.
ACS Chem Neurosci. 2024 Aug 21;15(16):2957-2965. doi: 10.1021/acschemneuro.4c00307. Epub 2024 Aug 5.
The past decade has seen an explosion in our knowledge about the interactions between gut microbiota, the central nervous system, and the immune system. The gut-brain axis has recently gained much attention due to its role in regulating host physiology. This review explores recent findings concerning potential pathways linking the gut-brain axis to the initiation, pathophysiology, and development of neurological disorders. Our objective of this work is to uncover causative factors and pinpoint particular pathways and therapeutic targets that may facilitate the translation of experimental animal research into practical applications for human patients. We highlight three distinct yet interrelated mechanisms: (1) disruptions of both the intestinal and blood-brain barriers, (2) persistent neuroinflammation, and (3) the role of the vagus nerve.
在过去的十年中,我们对肠道微生物群、中枢神经系统和免疫系统之间的相互作用有了更多的了解。由于其在调节宿主生理方面的作用,肠道-大脑轴最近受到了广泛关注。本综述探讨了最近关于连接肠道-大脑轴与神经障碍的发生、病理生理学和发展的潜在途径的发现。我们这项工作的目的是揭示致病因素,并确定特定的途径和治疗靶点,以便将实验动物研究转化为人类患者的实际应用。我们强调了三个不同但又相互关联的机制:(1)肠道和血脑屏障的破坏,(2)持续的神经炎症,以及(3)迷走神经的作用。