从肠道到大脑:肠道微生物群、免疫系统和激素在肠道生理学及肠-脑轴中的作用
From Gut to Brain: The roles of intestinal microbiota, immune system, and hormones in intestinal physiology and gut-brain-axis.
作者信息
Khan Muhammad Talha, Zohair Muhammad, Khan Areeba, Kashif Ahmed, Mumtaz Sadia, Muskan Fiza
机构信息
Dow Medical College, Dow University of Health Sciences, Baba-e-Urdu Road, Karachi, 74200, Sindh, Pakistan.
Dow Medical College, Dow University of Health Sciences, Baba-e-Urdu Road, Karachi, 74200, Sindh, Pakistan.
出版信息
Mol Cell Endocrinol. 2025 Sep 15;607:112599. doi: 10.1016/j.mce.2025.112599. Epub 2025 Jun 6.
The intestine plays numerous roles in the normal physiology of our body. Gut-brain axis (GBA) is a complex communication network linking the gastrointestinal (GI) tract and central nervous system (CNS). This bidirectional system integrates endocrine, neural, and immune signals, impacting host metabolism and cognition. The gut microbiota, a critical component of the GBA, significantly impacts gut hormones, neurotransmission, neural development, and other components of gut-brain-axis. The microbiota-gut-brain axis facilitates communication via metabolites such as short chain fatty acids (SCFAs), and neurotransmitters such as dopamine, γ-amino butyric acid (GABA) and serotonin. The microbiota influences gut peptide production, including ghrelin, glucagon like pepetide-1 (GLP-1), serotonin, and cholecystokinin (CCK), thereby modulating nutrient absorption and immune responses. Gut hormones such as ghrelin, CCK, GLP-1, gastric inhibitory peptide (GIP), serotonin (5-HT), neurotensin, peptide YY (PYY) and melatonin play key roles in the GBA. These hormones play several roles including modulation of appetite and satiety, metabolism of nutrients such as lipid and glucose, insulin and glucagon secretion, and influence on gut inflammation, mood, learning and cognition. The interaction between gut microbiota and these hormones underscores their role in maintaining gut-brain homeostasis. Dysbiosis, or microbial imbalance, is linked to altered stress responses, anxiety, and depressive behaviors, highlighting the therapeutic potential of microbiota modulation. Despite the significant roles of gut hormones and microbiota in the GBA, literature on their cellular and molecular mechanisms is limited, and often based on animal models. This review synthesizes current understanding of hormones secreted by the intestine, their physiological effects and the cellular and molecular mechanisms of action underlying these effects, with a focus on their roles in the GBA. By elucidating these complex relationships, the review aims to advance research and clinical applications, offering insights into gastrointestinal and systemic health.
肠道在我们身体的正常生理功能中发挥着多种作用。肠-脑轴(GBA)是一个连接胃肠道(GI)和中枢神经系统(CNS)的复杂通信网络。这个双向系统整合内分泌、神经和免疫信号,影响宿主代谢和认知。肠道微生物群是GBA的关键组成部分,对肠道激素、神经传递、神经发育以及肠-脑轴的其他组成部分有显著影响。微生物群-肠-脑轴通过短链脂肪酸(SCFAs)等代谢产物以及多巴胺、γ-氨基丁酸(GABA)和血清素等神经递质促进通信。微生物群影响肠道肽的产生,包括胃饥饿素、胰高血糖素样肽-1(GLP-1)、血清素和胆囊收缩素(CCK),从而调节营养吸收和免疫反应。胃饥饿素、CCK、GLP-1、胃抑制肽(GIP)、血清素(5-HT)、神经降压素、肽YY(PYY)和褪黑素等肠道激素在GBA中起关键作用。这些激素发挥多种作用,包括调节食欲和饱腹感、脂质和葡萄糖等营养物质的代谢、胰岛素和胰高血糖素的分泌,以及对肠道炎症、情绪、学习和认知的影响。肠道微生物群与这些激素之间的相互作用突出了它们在维持肠-脑稳态中的作用。生态失调或微生物失衡与应激反应改变、焦虑和抑郁行为有关,突出了微生物群调节的治疗潜力。尽管肠道激素和微生物群在GBA中发挥着重要作用,但关于它们的细胞和分子机制的文献有限,且往往基于动物模型。本综述综合了目前对肠道分泌的激素、它们的生理作用以及这些作用背后的细胞和分子作用机制的理解,重点关注它们在GBA中的作用。通过阐明这些复杂关系,本综述旨在推进研究和临床应用,为胃肠道和全身健康提供见解。