Castro Melissa, Silver Heidi J, Hazleton Keith, Lozupone Catherine, Nicholson Maribeth R
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
J Infect Dis. 2025 Jul 11;231(6):e1010-e1018. doi: 10.1093/infdis/jiaf233.
Clostridioides difficile poses a significant public health challenge as it is the leading cause of antibiotic-associated diarrhea and is associated with significant morbidity and mortality. Clostridioides difficile's metabolism and pathogenesis are strongly influenced by nutrient availability from the host and gut commensals. This has caused increasing interest in dietary intake and diet-derived metabolites' role in C difficile infection (CDI). Although much of the data currently originates from animal models, there is growing evidence of the ability of diet to impact CDI-related outcomes. This review aims to enrich the understanding of dietary components that impact C difficile metabolism and pathogenesis, as well as provide limitations in the current science to support future inquiry. Without a better understanding of the influence of diet on CDI in the human host, we lack a nonpharmacologic approach to prevent and treat this important condition.
艰难梭菌对公共卫生构成了重大挑战,因为它是抗生素相关性腹泻的主要病因,且与显著的发病率和死亡率相关。艰难梭菌的代谢和发病机制受到来自宿主和肠道共生菌的营养物质可用性的强烈影响。这使得人们越来越关注饮食摄入以及饮食衍生代谢产物在艰难梭菌感染(CDI)中的作用。尽管目前的许多数据来自动物模型,但越来越多的证据表明饮食有能力影响与CDI相关的结果。本综述旨在加深对影响艰难梭菌代谢和发病机制的饮食成分的理解,并指出当前科学研究中的局限性,以支持未来的探究。如果不能更好地理解饮食对人类宿主中CDI的影响,我们就缺乏预防和治疗这种重要疾病的非药物方法。
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