Moura Ines B, Buckley Anthony M
Leeds Institute of Medical Research, Faculty of Medicine and Health, University of Leeds.
Microbiome and Nutritional Sciences Group, School of Food Science and Nutrition, University of Leeds, Woodhouse Lane, Leeds, UK.
Curr Opin Gastroenterol. 2025 Jan 1;41(1):54-58. doi: 10.1097/MOG.0000000000001068. Epub 2024 Nov 20.
Antibiotics are a cornerstone of modern medicine, but antibiotic consumption can have depleting effects on the gut microbiota, potentially leading to gastrointestinal symptoms and other diseases, namely Clostridioides difficile infection. Because nutrition is a major driver of gut microbiota diversity and function, here we explore the current evidence on the potential of diets in alleviate the deleterious effects of antibiotics consumed during infections.
Beneficial nutrients can enhance the symbiotic effect of the gut microbiota with the host, supporting anti-inflammatory responses and maintaining tight junction integrity. Short-chain fatty acids have been shown to positively affect the immune response, reducing the severity of C. difficile infection, whereas high-fibre diets have been shown to promote faster recovery of the gut microbiota after antibiotic therapy.
The role of nutrition during infection is gaining momentum, with key findings exploring the effect of some nutrients in limiting the severity of infections and helping the microbiota recover from antibiotic-induced dysbiosis. Although this field is in its infancy, these findings open the possibility of personalised nutrition as a way of restoring microbiome diversity. But more work is needed to identify the most effective types and combinations of nutrients to achieve this.
抗生素是现代医学的基石,但抗生素的使用会对肠道微生物群产生消耗作用,可能导致胃肠道症状和其他疾病,即艰难梭菌感染。由于营养是肠道微生物群多样性和功能的主要驱动因素,在此我们探讨目前关于饮食在减轻感染期间使用抗生素的有害影响方面潜力的证据。
有益营养素可增强肠道微生物群与宿主的共生效应,支持抗炎反应并维持紧密连接的完整性。已表明短链脂肪酸对免疫反应有积极影响,可降低艰难梭菌感染的严重程度,而高纤维饮食已被证明可促进抗生素治疗后肠道微生物群更快恢复。
感染期间营养的作用正日益受到关注,关键研究结果探索了某些营养素在限制感染严重程度以及帮助微生物群从抗生素引起的生态失调中恢复方面的作用。尽管该领域尚处于起步阶段,但这些发现开启了个性化营养作为恢复微生物群多样性方法的可能性。但需要开展更多工作来确定实现这一目标最有效的营养素类型和组合。