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揭示益生菌在骨关节炎管理中的潜力。

Unveiling the Potential of Probiotics in Osteoarthritis Management.

机构信息

Department of Basic Medical Sciences, College of Medicine, University of Sharjah, 27272, Sharjah, United Arab Emirates.

Iron Biology Research Group, Sharjah Institute of Medical and Health Sciences, University of Sharjah, 27272, Sharjah, United Arab Emirates.

出版信息

Curr Rheumatol Rep. 2024 Nov 23;27(1):2. doi: 10.1007/s11926-024-01166-5.

Abstract

PURPOSE OF REVIEW

Osteoarthritis (OA), a highly prevalent degenerative joint disease, is of increasing concern due to its debilitating nature and negative impact on quality of life. Recent investigations have explored the therapeutic potential of probiotics to alleviate OA. This review summarizes the emerging evidence for the potential role of probiotics in managing OA symptoms and disease progression. The link between gut dysbiosis and chronic inflammation, a key player in OA progression is discussed in this review.

RECENT FINDINGS

Probiotics may modulate gut microbiota composition, potentially reducing systemic inflammation and alleviating OA symptoms, including joint pain and function. Possible mechanisms through which probiotics may exert these effects, including dampening inflammatory pathways and enhancing intestinal barrier integrity have been highlighted. Promising results from preclinical and clinical studies investigating the specific beneficial effects of specific probiotic strain(s) for OA management have been highlighted. Finally, limitations in current research and future directions, emphasizing the need for well-designed, large-scale clinical trials to definitively establish the therapeutic potential of probiotics in OA treatment have been discussed.

摘要

目的综述

骨关节炎(OA)是一种高发的退行性关节疾病,因其致残性和对生活质量的负面影响而日益受到关注。最近的研究探讨了益生菌治疗 OA 的潜力。本综述总结了益生菌在缓解 OA 症状和疾病进展方面的潜在作用的新证据。本综述讨论了肠道菌群失调与慢性炎症之间的联系,慢性炎症是 OA 进展的关键因素。

最近的发现

益生菌可能调节肠道微生物群组成,潜在减轻全身炎症并缓解 OA 症状,包括关节疼痛和功能。强调了益生菌可能通过抑制炎症途径和增强肠道屏障完整性来发挥这些作用的可能机制。强调了研究特定益生菌菌株对 OA 管理的具体有益效果的临床前和临床研究的有希望的结果。最后,讨论了当前研究的局限性和未来方向,强调需要精心设计的大规模临床试验来明确确定益生菌在 OA 治疗中的治疗潜力。

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