代谢综合征益生菌干预的最新见解:机制与证据

Updated Insights into Probiotic Interventions for Metabolic Syndrome: Mechanisms and Evidence.

作者信息

Chen Lili, Tian Lvbo, Zhang Yuqi, Shi Ying, Yuan Wenyi, Zou Yue, Zhang Qin, Chen Moutong, Zeng Peibin

机构信息

West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610000, People's Republic of China.

Sichuan International Travel Health Care Center (Chengdu Customs Port Clinic), Chengdu, 610000, People's Republic of China.

出版信息

Probiotics Antimicrob Proteins. 2025 May 7. doi: 10.1007/s12602-025-10554-x.

Abstract

Metabolic syndrome (MetS) is a disease with complex and diverse etiologies. Extrinsic factors such as diet and lifestyle can induce dysbiosis of gut microbes, compromising intestinal barrier integrity and leading to inflammation and insulin resistance, thereby advancing MetS. Probiotic interventions have shown potential in ameliorating gut microbiota dysbiosis and regulating host metabolism by assimilating lipids, metabolizing carbohydrates, and producing short-chain fatty acids (SCFA), indole compounds, secondary bile acids, conjugated linoleic acid (CLA), and other active ingredients. An increasing number of new strains are being isolated and validated for their effective roles intervening on MetS in animal and population studies. This review aims to provide updated insights into the pathogenic mechanisms of MetS, highlight the newly identified probiotic strains that have demonstrated improvements in MetS, and elucidate their mechanisms of action, with the aim of offering contemporary perspectives for the future use of probiotics in mitigating MetS.

摘要

代谢综合征(MetS)是一种病因复杂多样的疾病。饮食和生活方式等外在因素可诱发肠道微生物群失调,损害肠道屏障完整性,导致炎症和胰岛素抵抗,从而促使代谢综合征的发展。益生菌干预已显示出通过同化脂质、代谢碳水化合物以及产生短链脂肪酸(SCFA)、吲哚化合物、次级胆汁酸、共轭亚油酸(CLA)和其他活性成分来改善肠道微生物群失调和调节宿主代谢的潜力。在动物和人群研究中,越来越多的新菌株被分离并验证其在干预代谢综合征方面的有效作用。本综述旨在提供关于代谢综合征致病机制的最新见解,突出已证明对代谢综合征有改善作用的新鉴定益生菌菌株,并阐明其作用机制,以期为益生菌未来用于减轻代谢综合征提供当代观点。

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