慢性胰腺炎的新见解:与益生菌相关的潜在机制

New Insights into Chronic Pancreatitis: Potential Mechanisms Related to Probiotics.

作者信息

Pan Yingyu, Li Jianing, Fan Zhengyang, Chen Yonghao, Huang Xiaoxuan, Wu Dong

机构信息

Department of Gastroenterology, State Key Laborotary of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

出版信息

Microorganisms. 2024 Aug 24;12(9):1760. doi: 10.3390/microorganisms12091760.

Abstract

Chronic pancreatitis is a progressive fibroinflammatory disorder with no currently satisfactory treatment. Emerging evidence suggests an association between gut microbial dysbiosis and chronic pancreatitis. Although direct causative evidence is lacking, it is hypothesized that the gut microbiota may play a pivotal role in modulating pancreatic function via the gut-pancreas axis. Thus, modulating the gut microbiota through the administration of probiotics or prebiotics may alleviate pancreatic disorders. In this review, we first propose the potential mechanisms by which specific probiotics or prebiotics may ameliorate chronic pancreatitis, including the alleviation of small intestinal bacterial overgrowth (SIBO), the facilitation of short-chain fatty acids' (SCFAs) production, and the activation of glucagon-like peptide-1 receptors (GLP-1Rs) in the pancreas. Since there are currently no probiotics or prebiotics used for the treatment of chronic pancreatitis, we discuss research in other disease models that have used probiotics or prebiotics to modulate pancreatic endocrine and exocrine functions and prevent pancreatic fibrosis. This provides indirect evidence for their potential application in the treatment of chronic pancreatitis. We anticipate that this research will stimulate further investigation into the gut-pancreas axis and the potential therapeutic value of probiotics and prebiotics in chronic pancreatitis.

摘要

慢性胰腺炎是一种进行性纤维炎症性疾病,目前尚无令人满意的治疗方法。新出现的证据表明肠道微生物群失调与慢性胰腺炎之间存在关联。尽管缺乏直接的因果证据,但据推测,肠道微生物群可能通过肠-胰腺轴在调节胰腺功能中起关键作用。因此,通过施用益生菌或益生元来调节肠道微生物群可能会缓解胰腺疾病。在这篇综述中,我们首先提出特定益生菌或益生元可能改善慢性胰腺炎的潜在机制,包括减轻小肠细菌过度生长(SIBO)、促进短链脂肪酸(SCFAs)的产生以及激活胰腺中的胰高血糖素样肽-1受体(GLP-1Rs)。由于目前尚无用于治疗慢性胰腺炎的益生菌或益生元,我们讨论了在其他疾病模型中使用益生菌或益生元调节胰腺内分泌和外分泌功能以及预防胰腺纤维化的研究。这为它们在慢性胰腺炎治疗中的潜在应用提供了间接证据。我们预计这项研究将激发对肠-胰腺轴以及益生菌和益生元在慢性胰腺炎中的潜在治疗价值的进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1841/11434092/beee64709094/microorganisms-12-01760-g001.jpg

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