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口腔微生物群在帕金森病中的作用机制。

Mechanisms of oral microflora in Parkinson's disease.

机构信息

Medical School of Yan'an University, Yan'an, Shaanxi, China.

Yan'an University Affiliated Hospital, Yan'an, Shaanxi, China.

出版信息

Behav Brain Res. 2024 Oct 2;474:115200. doi: 10.1016/j.bbr.2024.115200. Epub 2024 Aug 10.

Abstract

Parkinson's disease (PD) is a common neurodegenerative disease with complex pathogenesis and no effective treatment. Recent studies have shown that dysbiosis of the oral microflora is closely related to the development of PD. The abnormally distributed oral microflora of PD patients cause degenerative damage and necrosis of dopamine neurons by releasing their own components and metabolites, intervening in the oral-gut-brain axis, crossing the biofilm, inducing iron dysregulation, activating inter-microflora interactions, and through the mediation of saliva,ultimately influencing the development of the disease. This article reviews the structure of oral microflora in patients with PD, the mechanism of development of PD caused by oral microflora, and the potential value of targeting oral microflora in developing a new strategy for PD prevention, diagnosis and treatment.

摘要

帕金森病(PD)是一种常见的神经退行性疾病,其发病机制复杂,目前尚无有效的治疗方法。最近的研究表明,口腔微生物菌群失调与 PD 的发生发展密切相关。PD 患者口腔微生物菌群分布异常,通过释放自身成分和代谢物,干扰口腔-肠道-脑轴,穿过生物膜,导致多巴胺神经元退行性损伤和坏死,铁代谢紊乱,激活微生物间相互作用,通过唾液介导,最终影响疾病的发展。本文就 PD 患者口腔微生物菌群结构、口腔微生物菌群导致 PD 发生发展的机制以及靶向口腔微生物菌群为 PD 预防、诊断和治疗开辟新策略的潜在价值进行综述。

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