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阿片类物质使用障碍中的肠-脑轴:探索阿片类物质与肠道微生物群的双向影响——综述

The Gut-Brain Axis in Opioid Use Disorder: Exploring the Bidirectional Influence of Opioids and the Gut Microbiome-A Comprehensive Review.

作者信息

Barkus Artūras, Baltrūnienė Vaida, Baušienė Justė, Baltrūnas Tomas, Barkienė Lina, Kazlauskaitė Paulina, Baušys Augustinas

机构信息

Department of Pathology and Forensic Medicine, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania.

Laboratory of Experimental Surgery and Oncology, Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania.

出版信息

Life (Basel). 2024 Sep 25;14(10):1227. doi: 10.3390/life14101227.

DOI:10.3390/life14101227
PMID:39459527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11508959/
Abstract

Opioid Use Disorder is a chronic condition characterized by compulsive opioid use despite negative consequences, resulting in severe health risks such as overdose and contraction of infectious diseases. High dropout rates in opioid agonist therapy highlight the need for more effective relapse prevention strategies. Animal and clinical studies indicate that opioids influence gut microbiota, which in turn plays a critical role in addiction development and alters behavioral responses to opioids. This study provides a comprehensive review of the literature on the effects of opioids on the gut microbiome and explores the potential of microbiome manipulation as a therapeutic target in opioid addiction.

摘要

阿片类物质使用障碍是一种慢性疾病,其特征是尽管存在负面后果仍强迫性使用阿片类物质,导致诸如过量用药和感染传染病等严重健康风险。阿片类激动剂治疗中的高脱落率凸显了对更有效预防复发策略的需求。动物和临床研究表明,阿片类物质会影响肠道微生物群,而肠道微生物群反过来在成瘾发展中起关键作用,并改变对阿片类物质的行为反应。本研究全面综述了关于阿片类物质对肠道微生物组影响的文献,并探讨了将微生物组调控作为阿片类成瘾治疗靶点的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef40/11508959/81eacae0502d/life-14-01227-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef40/11508959/81eacae0502d/life-14-01227-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef40/11508959/81eacae0502d/life-14-01227-g001.jpg

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本文引用的文献

1
Long access heroin self-administration significantly alters gut microbiome composition and structure.长期获取海洛因自我给药会显著改变肠道微生物群的组成和结构。
Front Psychiatry. 2024 Feb 27;15:1369783. doi: 10.3389/fpsyt.2024.1369783. eCollection 2024.
2
The ketogenic diet mitigates opioid-induced hyperalgesia by restoring short-chain fatty acids-producing bacteria in the gut.生酮饮食通过恢复肠道中产短链脂肪酸的细菌来减轻阿片类药物引起的痛觉过敏。
Pain. 2024 Sep 1;165(9):e106-e114. doi: 10.1097/j.pain.0000000000003212. Epub 2024 Mar 6.
3
Prescription opioids induced microbial dysbiosis worsens severity of chronic pancreatitis and drives pain hypersensitivity.
处方阿片类药物诱导的微生物失调会加重慢性胰腺炎的严重程度,并导致疼痛过敏。
Gut Microbes. 2024 Jan-Dec;16(1):2310291. doi: 10.1080/19490976.2024.2310291. Epub 2024 Feb 8.
4
Blocking IL-17A prevents oxycodone-induced depression-like effects and elevation of IL-6 levels in the ventral tegmental area and reduces oxycodone-derived physical dependence in rats.阻断白细胞介素-17A 可预防羟考酮诱导的腹侧被盖区抑郁样效应和白细胞介素-6 水平升高,并减少大鼠羟考酮相关性躯体依赖。
Brain Behav Immun. 2024 Mar;117:100-111. doi: 10.1016/j.bbi.2024.01.001. Epub 2024 Jan 8.
5
Microbiome Depletion Increases Fentanyl Self-Administration and Alters the Striatal Proteome Through Short-Chain Fatty Acids.微生物组耗竭通过短链脂肪酸增加芬太尼自我给药并改变纹状体蛋白质组。
eNeuro. 2024 Feb 15;11(2). doi: 10.1523/ENEURO.0388-23.2023. Print 2024 Feb.
6
Opioid-induced dysbiosis of maternal gut microbiota during gestation alters offspring gut microbiota and pain sensitivity.孕期母体肠道微生物群受阿片类药物影响导致的失调会改变后代肠道微生物群和疼痛敏感性。
Gut Microbes. 2024 Jan-Dec;16(1):2292224. doi: 10.1080/19490976.2023.2292224. Epub 2023 Dec 18.
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Morphine and high-fat diet differentially alter the gut microbiota composition and metabolic function in lean versus obese mice.吗啡和高脂饮食对瘦小鼠和肥胖小鼠肠道微生物群组成及代谢功能的影响存在差异。
ISME Commun. 2022 Aug 5;2(1):66. doi: 10.1038/s43705-022-00131-6.
8
Multi-omics analysis revealing the interplay between gut microbiome and the host following opioid use.多组学分析揭示了阿片类药物使用后肠道微生物组与宿主之间的相互作用。
Gut Microbes. 2023 Dec;15(2):2246184. doi: 10.1080/19490976.2023.2246184.
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The gut microbiome contributes to somatic morphine withdrawal behavior and implicates a TLR2 mediated mechanism.肠道微生物组有助于躯体性吗啡戒断行为,并暗示了 TLR2 介导的机制。
Gut Microbes. 2023 Jan-Dec;15(1):2242610. doi: 10.1080/19490976.2023.2242610.
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Microbial short-chain fatty acids regulate drug seeking and transcriptional control in a model of cocaine seeking.微生物短链脂肪酸调节可卡因觅药模型中的药物寻求和转录控制。
Neuropsychopharmacology. 2024 Jan;49(2):386-395. doi: 10.1038/s41386-023-01661-w. Epub 2023 Aug 2.