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粪便微生物群移植(FMT)作为一种现代辅助疗法在各种疾病和障碍中的安全性和有效性:综合文献综述。

Safety and efficacy of fecal microbiota transplantation (FMT) as a modern adjuvant therapy in various diseases and disorders: a comprehensive literature review.

机构信息

Bogomolets National Medical University (NMU), Kyiv, Ukraine.

Faculty of Medicine, Hamadan University of Medical Science (UMSHA), Hamadan, Iran.

出版信息

Front Immunol. 2024 Sep 26;15:1439176. doi: 10.3389/fimmu.2024.1439176. eCollection 2024.

DOI:10.3389/fimmu.2024.1439176
PMID:39391303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11464302/
Abstract

The human gastrointestinal (GI) tract microbiome is a complex and all-encompassing ecological system of trillions of microorganisms. It plays a vital role in digestion, disease prevention, and overall health. When this delicate balance is disrupted, it can lead to various health issues. Fecal microbiota transplantation (FMT) is an emerging therapeutic intervention used as an adjuvant therapy for many diseases, particularly those with dysbiosis as their underlying cause. Its goal is to restore this balance by transferring fecal material from healthy donors to the recipients. FMT has an impressive reported cure rate between 80% and 90% and has become a favored treatment for many diseases. While FMT may have generally mild to moderate transient adverse effects, rare severe complications underscore the importance of rigorous donor screening and standardized administration. FMT has enormous potential as a practical therapeutic approach; however, additional research is required to further determine its potential for clinical utilization, as well as its safety and efficiency in different patient populations. This comprehensive literature review offers increased confidence in the safety and effectiveness of FMT for several diseases affecting the intestines and other systems, including diabetes, obesity, inflammatory and autoimmune illness, and other conditions.

摘要

人类胃肠道(GI)微生物群是一个由数万亿微生物组成的复杂而全面的生态系统。它在消化、疾病预防和整体健康方面发挥着至关重要的作用。当这种微妙的平衡被打破时,可能会导致各种健康问题。粪便微生物群移植(FMT)是一种新兴的治疗干预措施,可用作许多疾病的辅助治疗方法,尤其是那些以菌群失调为潜在病因的疾病。其目的是通过将健康供体的粪便物质转移给受者来恢复这种平衡。FMT 的报告治愈率高达 80%至 90%,已成为许多疾病的首选治疗方法。虽然 FMT 可能具有轻度到中度的短暂不良反应,但罕见的严重并发症强调了严格的供体筛选和标准化管理的重要性。FMT 作为一种实用的治疗方法具有巨大的潜力;然而,需要进一步的研究来进一步确定其在临床应用中的潜力,以及在不同患者群体中的安全性和有效性。本综述文献增加了对 FMT 治疗影响肠道和其他系统的几种疾病(包括糖尿病、肥胖症、炎症和自身免疫性疾病以及其他疾病)的安全性和有效性的信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d60/11464302/4de030396bff/fimmu-15-1439176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d60/11464302/2fc7a89b38d5/fimmu-15-1439176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d60/11464302/4de030396bff/fimmu-15-1439176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d60/11464302/2fc7a89b38d5/fimmu-15-1439176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d60/11464302/4de030396bff/fimmu-15-1439176-g002.jpg

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Recipient microbiome-related features predicting metabolic improvement following fecal microbiota transplantation in adults with severe obesity and metabolic syndrome: a secondary analysis of a phase 2 clinical trial.接受者微生物组相关特征预测肥胖合并代谢综合征成人接受粪便微生物群移植后代谢改善:一项 2 期临床试验的二次分析。
Gut Microbes. 2024 Jan-Dec;16(1):2345134. doi: 10.1080/19490976.2024.2345134. Epub 2024 Apr 29.
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