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肠道微生物群与肠易激综合征:现状与展望

Gut microbiota and irritable bowel syndrome: status and prospect.

作者信息

Cheng Xinyu, Ren Cheng, Mei Xiaofei, Jiang Yufeng, Zhou Yafeng

机构信息

Department of Cardiology, The Fourth Affiliated Hospital of Soochow University, Medical Center of Soochow University, Suzhou Dushu Lake Hospital, Suzhou, China.

Department of Cardiology, The First people's Hospital of Zhangjiagang, Affiliated Hospital of Soochow University, Medical Center of Soochow University, Zhangjiagang, Jiangsu, China.

出版信息

Front Med (Lausanne). 2024 Oct 17;11:1429133. doi: 10.3389/fmed.2024.1429133. eCollection 2024.

Abstract

Irritable bowel syndrome (IBS) is a very common gastrointestinal disease that, although not as aggressive as tumors, affects patients' quality of life in different ways. The cause of IBS is still unclear, but more and more studies have shown that the characteristics of the gut microbiota, such as diversity, abundance, and composition, are altered in patients with IBS, compared to the healthy population, which confirms that the gut microbiota plays a crucial role in the development of IBS. This paper aims to identify the commonalities by reviewing a large body of literature. Changes in the characteristics of gut microbiota in patients with different types of IBS are discussed, relevant mechanisms are described, and the treatment modalities of gut microbiota in IBS are summarized. Although there are more clinical trials that have made good progress, more standardized, more generalized, larger-scale, multi-omics clinical studies are what is missing. Overall, gut microbiota plays a crucial role in the development of IBS, and there is even more potential for treating IBS by modulating gut microbiota.

摘要

肠易激综合征(IBS)是一种非常常见的胃肠道疾病,虽然不像肿瘤那样具有侵袭性,但它以不同方式影响患者的生活质量。IBS的病因尚不清楚,但越来越多的研究表明,与健康人群相比,IBS患者的肠道微生物群特征,如多样性、丰度和组成,会发生改变,这证实了肠道微生物群在IBS的发生发展中起着关键作用。本文旨在通过回顾大量文献来找出共同点。讨论了不同类型IBS患者肠道微生物群特征的变化,描述了相关机制,并总结了IBS中肠道微生物群的治疗方式。尽管有更多临床试验取得了良好进展,但仍缺乏更标准化、更具普遍性、更大规模的多组学临床研究。总体而言,肠道微生物群在IBS的发生发展中起着关键作用,通过调节肠道微生物群治疗IBS甚至更具潜力。

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