Maniscalco Ignazio, Bartochowski Piotr, Priori Vittoria, Iancau Sidonia Paula, De Francesco Michele, Innamorati Marco, Jagodzinska Natalia, Giupponi Giancarlo, Masucci Luca, Conca Andreas, Mroczek Magdalena
Department of Psychiatry, Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of Paracelsus Medical, 39100 Bolzano, Italy.
BC2M, Faculty of Pharmacy, University of Montpellier, 34090 Montpellier, France.
Microorganisms. 2025 May 31;13(6):1290. doi: 10.3390/microorganisms13061290.
The bilateral interaction between the brain and the gut has recently been on the spectrum of researchers' interests, including complex neural, endocrinological, and immunological signaling pathways. The first case reports and clinical studies have already reported that delivering microbes through fecal microbial transplantation (FMT) may alleviate symptoms of psychiatric disorders. Therefore, modifying the gut microbiota through FMT holds promise as a potential treatment for psychiatric diseases. This scoping review assessed studies from PubMed related to FMT in autism spectrum disorder and attention deficit hyperactivity disorder. The evaluation included nine clinical studies and case reports. The beneficial and persistent effect on the autism spectrum disorder (ASD) symptoms has been reported. Also, an increased microflora diversity and altered levels of neurometabolites in serum were identified, albeit with a tendency to return to baseline over time. The microbiome-gut-brain axis could provide new targets for preventing and treating psychiatric disorders. However, a recent large randomized clinical trial has shed light on the previously collected data and suggested a possible contribution of the placebo effect. This highlights the necessity of large randomized double-blind studies to reliably assess the effect of FMT in ASD.
大脑与肠道之间的双向相互作用最近一直处于研究人员的兴趣范围内,包括复杂的神经、内分泌和免疫信号通路。首批病例报告和临床研究已经报道,通过粪便微生物移植(FMT)输送微生物可能会缓解精神疾病的症状。因此,通过FMT改变肠道微生物群有望成为治疗精神疾病的一种潜在方法。这篇综述评估了来自PubMed的与自闭症谱系障碍和注意力缺陷多动障碍中FMT相关的研究。评估包括9项临床研究和病例报告。已有报道称其对自闭症谱系障碍(ASD)症状具有有益且持久的效果。此外,还发现血清中微生物群多样性增加且神经代谢物水平发生改变,尽管随着时间推移有恢复到基线的趋势。微生物-肠道-脑轴可能为预防和治疗精神疾病提供新的靶点。然而,最近一项大型随机临床试验对之前收集的数据进行了阐释,并提示可能存在安慰剂效应。这凸显了进行大型随机双盲研究以可靠评估FMT对ASD疗效的必要性。
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