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肠道微生物群作为治疗阿尔茨海默病的助力因素

The intestinal microbiota as an ally in the treatment of Alzheimer's disease.

作者信息

Sehn Hilgert Sabrina, Dias Daniel Penteado Martins

机构信息

Centro Universitário Barão de Mauá, Ribeirão Preto, Brazil.

出版信息

Gut Microbiome (Camb). 2023 Jun 19;4:e9. doi: 10.1017/gmb.2023.8. eCollection 2023.

Abstract

The evolution of the understanding of the intestinal microbiota and its influence on our organism leverages it as a potential protagonist in therapies aimed at diseases that affect not only the intestine but also neural pathways and the central nervous system itself. This study, developed from a thorough systematic review, sought to demonstrate the influence of the intervention on the intestinal microbiota in subjects with Alzheimer's disease. Clinical trials using different classes of probiotics have depicted noteworthy remission of symptoms, whose measurement was performed based on screenings and scores applied before, during, and after the period of probiotics use, allowing the observation of changes in functionality and symptomatology of patients. On the other hand, faecal microbiota transplantation requires further validation through clinical trials, even though it has already been reported in case studies as promising from the symptomatology point of view. The current compilation of studies made it possible to demonstrate the potential influence of the intestinal microbiota on Alzheimer's pathology. However, new clinical studies with a larger number of participants are needed to obtain further clarification on pathophysiological correlations.

摘要

对肠道微生物群的认识及其对我们机体的影响的演变,使其成为治疗不仅影响肠道,还影响神经通路和中枢神经系统本身的疾病的潜在主角。这项基于全面系统综述开展的研究,旨在证明干预措施对阿尔茨海默病患者肠道微生物群的影响。使用不同种类益生菌的临床试验已显示出症状的显著缓解,症状的测量是基于在使用益生菌之前、期间和之后进行的筛查和评分,从而能够观察患者功能和症状的变化。另一方面,尽管粪便微生物群移植在病例研究中已从症状学角度被报道具有前景,但仍需要通过临床试验进行进一步验证。目前的研究汇编能够证明肠道微生物群对阿尔茨海默病病理的潜在影响。然而,需要更多参与者的新临床研究来进一步阐明病理生理相关性。

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The Microbiota-Gut-Brain Axis: From Motility to Mood.肠道微生物群-肠-脑轴:从运动到情绪。
Gastroenterology. 2021 Apr;160(5):1486-1501. doi: 10.1053/j.gastro.2020.10.066. Epub 2021 Jan 22.

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