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肠-眼轴:视网膜/眼部退行性疾病与新兴治疗策略

The gut-eye axis: the retinal/ocular degenerative diseases and the emergent therapeutic strategies.

作者信息

Kammoun Sonda, Rekik Mona, Dlensi Aryj, Aloulou Samir, Smaoui Walid, Sellami Sahla, Trigui Khaled, Gargouri Rahma, Chaari Imen, Sellami Hayet, Elatoui Dhawia, Khemakhem Nahed, Hadrich Ines, Neji Sourour, Abdelmoula Balkiss, Bouayed Abdelmoula Nouha

机构信息

Genomics of Signalopathies at the Service of Precision Medicine LR23ES07 FMS, University of Sfax, Sfax, Tunisia.

Ophthalmology Department, Faculty of Medicine, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia.

出版信息

Front Cell Neurosci. 2024 Sep 26;18:1468187. doi: 10.3389/fncel.2024.1468187. eCollection 2024.

Abstract

The interplay between human microbiota and various physiological systems has garnered significant attention in recent years. The gut microbiota plays a critical role in maintaining physiological homeostasis and influences various aspects of human health, particularly via the gut brain axis. Since 2017, the challenging concept of the gut-retina axis has emerged thanks to a network analysis emphasizing the potential role of the gut microbiota disruption in the development of the age-related macular degeneration and further retinal damages. Many other ocular disorders have been linked to the dysbiosis of the gut microbiota, including uveitis and glaucoma. It has been shown that age related macular degeneration can be prevented or reversed using a diet that induces changes in the gut microbiota. The potential link between the gut microbiota as well as others types of microbiota such as the ocular surface microbiota and the development/progression of age related as well as inherited retinal degenerations and other degenerative eye diseases, has recently been broadened. Therefore, the pathogenesis of several eye diseases has recently been associated with a larger perception called the gut eye axis. This mini-review examines the potential mechanisms underlying the gut eye axis and suggests implications for the management of eye diseases. By understanding the modulation of the gut microbiota and its impact on eye disease, this mini-review provides insight into potential therapeutic interventions and avenues for future research.

摘要

近年来,人类微生物群与各种生理系统之间的相互作用备受关注。肠道微生物群在维持生理稳态中起着关键作用,并影响人类健康的各个方面,特别是通过肠脑轴。自2017年以来,由于一项网络分析强调了肠道微生物群紊乱在年龄相关性黄斑变性及进一步视网膜损伤发展中的潜在作用,肠道-视网膜轴这一具有挑战性的概念应运而生。许多其他眼部疾病也与肠道微生物群失调有关,包括葡萄膜炎和青光眼。研究表明,通过改变肠道微生物群的饮食可以预防或逆转年龄相关性黄斑变性。肠道微生物群以及其他类型的微生物群(如眼表微生物群)与年龄相关性和遗传性视网膜变性及其他退行性眼病的发生/发展之间的潜在联系,最近得到了进一步拓展。因此,几种眼病的发病机制最近与一个更广泛的概念——肠眼轴联系在了一起。这篇综述探讨了肠眼轴潜在的机制,并提出了对眼病管理的启示。通过了解肠道微生物群的调节及其对眼病的影响,本综述为潜在的治疗干预措施和未来研究方向提供了见解。

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本文引用的文献

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The gut microbiota-brain axis in neurological disorder.神经系统疾病中的肠道微生物群-脑轴
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Microbiome and Inherited Retinal Degenerations.微生物组与遗传性视网膜变性
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