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系统性硬化症患者的益生菌干预:系统评价与未来展望

Probiotic Interventions in Systemic Sclerosis Patients: A Systematic Review and Future Prospects.

作者信息

Mirfeizi Zahra, Mahmoudi Mahmoud, Monemi Marzieh, Tajerian Amin, Faridzadeh Arezoo

机构信息

Rheumatology Department, Rheumatic Diseases Research Center Mashhad University of Medical Sciences Mashhad Iran.

Immunology Research Center Mashhad University of Medical Sciences Mashhad Iran.

出版信息

Health Sci Rep. 2025 Apr 16;8(4):e70657. doi: 10.1002/hsr2.70657. eCollection 2025 Apr.

Abstract

BACKGROUND AND AIMS

Systemic sclerosis (SSc) is an uncommon autoimmune connective tissue disease distinguished by fibrosis and vascular abnormalities, often leading to gastrointestinal problems. This review explores the potential of probiotics in managing SSc-related gastrointestinal issues and modulating immune responses, highlighting the need for innovative treatments to improve patient well-being.

METHODS

We performed an extensive literature search up to October 2023 in databases, including Web of Science, PubMed/MEDLINE, and Scopus.

RESULT

This review detected four articles that investigated the impact of probiotics on SSc. These studies, comprising non-randomized observational studies and randomized clinical trials, provide preliminary insights suggesting that probiotics may be efficacious in modulating the immune response and, consequently, in improving gastrointestinal symptoms in SSc patients.

CONCLUSION

The comprehensive review suggests that probiotics may aid in managing gastrointestinal symptoms and modulating immune responses in SSc. However, it is essential to acknowledge the limited existing evidence, underscoring the need for more rigorous randomized controlled trials to thoroughly assess their effectiveness.

摘要

背景与目的

系统性硬化症(SSc)是一种罕见的自身免疫性结缔组织疾病,其特征为纤维化和血管异常,常导致胃肠道问题。本综述探讨了益生菌在管理与SSc相关的胃肠道问题及调节免疫反应方面的潜力,强调了创新治疗方法对改善患者健康状况的必要性。

方法

我们在截至2023年10月的数据库中进行了广泛的文献检索,包括科学网、PubMed/ MEDLINE和Scopus。

结果

本综述检索到四篇研究益生菌对SSc影响的文章。这些研究包括非随机观察性研究和随机临床试验,提供了初步见解,表明益生菌可能有效调节免疫反应,从而改善SSc患者的胃肠道症状。

结论

综合综述表明,益生菌可能有助于管理SSc患者的胃肠道症状并调节免疫反应。然而,必须认识到现有证据有限,这突出表明需要进行更严格的随机对照试验,以全面评估其有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cd/12000923/0e4ba78eb282/HSR2-8-e70657-g001.jpg

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