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肠道微生物组衍生代谢物在阿尔茨海默病中的作用:免疫调节及治疗潜力。

Gut microbiome-derived metabolites in Alzheimer's disease: Regulation of immunity and potential for therapeutics.

机构信息

Ken and Ruth Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Medical Scientist Training Program, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

Immunol Rev. 2024 Oct;327(1):33-42. doi: 10.1111/imr.13412. Epub 2024 Oct 23.

Abstract

Alzheimer's disease (AD) is the most common neurodegenerative disorder and cause of dementia. Despite the prevalence of AD, there is a lack of effective disease modifying therapies. Recent evidence indicates that the gut microbiome (GMB) may play a role in AD through its regulation of innate and adaptive immunity. Gut microbes regulate physiology through their production of metabolites and byproducts. Microbial metabolites may be beneficial or detrimental to the pathogenesis and progression of inflammatory diseases. A better understanding of the role GMB-derived metabolites play in AD may lead to the development of therapeutic strategies for AD. In this review, we summarize the function of bioactive GMB-derived metabolites and byproducts and their roles in AD models. We also call for more focus on this area in the gut-brain axis field in order to create effective therapies for AD.

摘要

阿尔茨海默病(AD)是最常见的神经退行性疾病和痴呆症的病因。尽管 AD 很普遍,但缺乏有效的疾病修正疗法。最近的证据表明,肠道微生物组(GMB)可能通过调节先天和适应性免疫在 AD 中发挥作用。肠道微生物通过其代谢产物和副产物的产生来调节生理机能。微生物代谢产物可能对炎症性疾病的发病机制和进展有益或有害。更好地了解 GMB 衍生代谢物在 AD 中所起的作用,可能会为 AD 的治疗策略的发展提供依据。在这篇综述中,我们总结了生物活性 GMB 衍生代谢物和副产物的功能及其在 AD 模型中的作用。我们还呼吁在肠道-大脑轴领域更加关注这一领域,以便为 AD 创造有效的治疗方法。

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