肠道微生物群在神经、精神和神经发育障碍中的作用。

The Gut Microbiota's Role in Neurological, Psychiatric, and Neurodevelopmental Disorders.

作者信息

Charitos Ioannis Alexandros, Inchingolo Angelo Michele, Ferrante Laura, Inchingolo Francesco, Inchingolo Alessio Danilo, Castellaneta Francesca, Cotoia Antonella, Palermo Andrea, Scacco Salvatore, Dipalma Gianna

机构信息

Istituti Clinici Scientifici Maugeri IRCCS, Pneumology and Respiratory Rehabilitation Unit, "Institute" of Bari, 70124 Bari, Italy.

Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.

出版信息

Nutrients. 2024 Dec 22;16(24):4404. doi: 10.3390/nu16244404.

Abstract

AIM

This article aims to explore the role of the human gut microbiota (GM) in the pathogenesis of neurological, psychiatric, and neurodevelopmental disorders, highlighting its influence on health and disease, and investigating potential therapeutic strategies targeting GM modulation.

MATERIALS AND METHODS

A comprehensive analysis of the gut microbiota's composition and its interaction with the human body, particularly, its role in neurological and psychiatric conditions, is provided. The review discusses factors influencing GM composition, including birth mode, breastfeeding, diet, medications, and geography. Additionally, it examines the GM's functions, such as nutrient absorption, immune regulation, and pathogen defense, alongside its interactions with the nervous system through the gut-brain axis, neurotransmitters, and short-chain fatty acids (SCFAs).

RESULTS

Alterations in the GM are linked to various disorders, including Parkinson's disease, multiple sclerosis, depression, schizophrenia, ADHD, and autism. The GM influences cognitive functions, stress responses, and mood regulation. Antibiotic use disrupts GM diversity, increasing the risk of metabolic disorders, obesity, and allergic diseases. Emerging therapies such as probiotics, prebiotics, and microbiota transplantation show promise in modulating the GM and alleviating symptoms of neurological and psychiatric conditions.

CONCLUSIONS

The modulation of the GM represents a promising approach for personalized treatment strategies. Further research is needed to better understand the underlying mechanisms and to develop targeted therapies aimed at restoring GM balance for improved clinical outcomes.

摘要

目的

本文旨在探讨人类肠道微生物群(GM)在神经、精神和神经发育障碍发病机制中的作用,强调其对健康和疾病的影响,并研究针对GM调节的潜在治疗策略。

材料与方法

对肠道微生物群的组成及其与人体的相互作用进行了全面分析,特别是其在神经和精神疾病中的作用。综述讨论了影响GM组成的因素,包括出生方式、母乳喂养、饮食、药物和地理位置。此外,还研究了GM的功能,如营养吸收、免疫调节和病原体防御,以及其通过肠-脑轴、神经递质和短链脂肪酸(SCFAs)与神经系统的相互作用。

结果

GM的改变与多种疾病有关,包括帕金森病、多发性硬化症、抑郁症、精神分裂症、注意力缺陷多动障碍(ADHD)和自闭症。GM影响认知功能、应激反应和情绪调节。使用抗生素会破坏GM的多样性,增加代谢紊乱、肥胖和过敏性疾病的风险。益生菌、益生元及微生物群移植等新兴疗法在调节GM和缓解神经及精神疾病症状方面显示出前景。

结论

GM调节是个性化治疗策略的一个有前景的方法。需要进一步研究以更好地理解其潜在机制,并开发旨在恢复GM平衡以改善临床结果的靶向治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f9a/11677138/6277409ceba1/nutrients-16-04404-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索