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肠道-脑-免疫轴对心理健康和疾病的影响。

Gut-brain-immune axis implications for mental health and disease.

作者信息

Nasiri Hadi, Valedkarimi Zahra, Akbari Morteza

机构信息

Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Medical Biotechnology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Mol Cell Biochem. 2025 Jun 12. doi: 10.1007/s11010-025-05325-9.

DOI:10.1007/s11010-025-05325-9
PMID:40504470
Abstract

Significantly affecting mental health, the gut-brain-immune axis shows a complicated interaction between the gastrointestinal tract, immune system, and central nervous system. Maintaining immunological homeostasis and brain function depends on gut bacteria, which are crucial due to their varied microbial populations. Along this axis, communication takes place via immunological responses, microbial metabolites, and brain pathways. Mental health issues like stress, sadness, autism spectrum disorders (ASD), and schizophrenia are linked to dysbiosis and inflammation. Restoring microbial balance and enhancing mental health outcomes show promise from therapeutic approaches, including probiotics, prebiotics, dietary changes, and pharmaceutical and non-pharmacological therapies. Future studies should concentrate on clarifying the gut-brain-immune axis mechanics, creating individualized treatments, and applying results into clinical use. By tackling their underlying causes and encouraging general well-being, this combined approach presents fresh paths for treating mental health problems.

摘要

肠道-脑-免疫轴对心理健康有显著影响,它显示了胃肠道、免疫系统和中枢神经系统之间复杂的相互作用。维持免疫稳态和脑功能依赖于肠道细菌,由于其多样的微生物群落,肠道细菌至关重要。沿着这条轴,通过免疫反应、微生物代谢产物和脑通路进行沟通。压力、悲伤、自闭症谱系障碍(ASD)和精神分裂症等心理健康问题与生态失调和炎症有关。恢复微生物平衡并改善心理健康结果在包括益生菌、益生元、饮食改变以及药物和非药物疗法在内的治疗方法中显示出前景。未来的研究应集中于阐明肠道-脑-免疫轴的机制,制定个性化治疗方案,并将研究结果应用于临床。通过解决其根本原因并促进整体健康,这种综合方法为治疗心理健康问题提供了新途径。

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本文引用的文献

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Gamma-aminobutyric acid as a potential postbiotic mediator in the gut-brain axis.γ-氨基丁酸作为肠-脑轴中一种潜在的后生元介质。
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The Role of Gut Dysbiosis in the Loss of Intestinal Immune Cell Functions and Viral Pathogenesis.肠道菌群失调在肠道免疫细胞功能丧失及病毒致病机制中的作用
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Antigen recognition detains CD8 T cells at the blood-brain barrier and contributes to its breakdown.
抗原识别将 CD8 T 细胞滞留在血脑屏障处,并导致其破坏。
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Early-life interactions between the microbiota and immune system: impact on immune system development and atopic disease.生命早期微生物群与免疫系统的相互作用:对免疫系统发育和特应性疾病的影响。
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Kynurenine pathway of tryptophan metabolism in pathophysiology and therapy of major depressive disorder.色氨酸代谢的犬尿氨酸途径在重度抑郁症的病理生理学和治疗中的作用
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Complex regulatory effects of gut microbial short-chain fatty acids on immune tolerance and autoimmunity.肠道微生物短链脂肪酸对免疫耐受和自身免疫的复杂调节作用。
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Mechanisms of Blood-Brain Barrier Protection by Microbiota-Derived Short-Chain Fatty Acids.菌群衍生短链脂肪酸对血脑屏障的保护机制。
Cells. 2023 Feb 18;12(4):657. doi: 10.3390/cells12040657.
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Microbiota of the gastrointestinal tract: Friend or foe?胃肠道微生物群:朋友还是敌人?
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Impact of mindfulness tendency and physical activity on brain-gut interactions.正念倾向和身体活动对脑-肠相互作用的影响。
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