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微生物群落失调对自身免疫相关炎症的影响。

Effect of microbial dysbiosis on autoimmune associated inflammation.

作者信息

Singh Kamini, Bhadauriya Amarpal Singh

机构信息

Department of Lymphoma/Myloma, MD Anderson Cancer Centre, Houston, TX, United States.

Department of Zoology, Shankarlal Agrawal Science College, Salekasa, Gondia, Maharashtra, India.

出版信息

Int Rev Cell Mol Biol. 2025;395:1-22. doi: 10.1016/bs.ircmb.2024.12.016. Epub 2025 Jan 26.

Abstract

Trillions of microorganisms inhabit the human body, playing crucial roles in the development of the immune system, maintaining balance within the gut's immune system, and overall well-being. When these microbial communities experience imbalance, known as dysbiosis, it can lead to localized inflammatory conditions such as colitis and inflammatory bowel diseases, as well as systemic autoimmune disorders like type 1 diabetes, rheumatoid arthritis, and multiple sclerosis. Gut microbes engage with the immune system through various means, including influencing host microRNAs to regulate gene expression and generating metabolites that interact with cellular receptors such as TLRs and GPCRs. These interactions impact critical immune processes like the differentiation of lymphocytes, the production of interleukins, and the maintenance of gut barrier function. Looking into, how gut microbes contribute to or defend against systemic autoimmune diseases is crucial for developing strategies to manage or prevent these conditions. These approaches may include dietary or lifestyle modifications, microbiome-targeted therapies such as prebiotics or probiotics, the identification of diagnostic biomarkers for predicting disease risk, and monitoring and intervening in shifts in microbial populations during autoimmune flare-ups. Recognizing the microbiome's significance in systemic autoimmune diseases offers promise for transforming these presently challenging-to-treat conditions into more controllable or preventable ones.

摘要

数万亿微生物栖息在人体中,在免疫系统发育、维持肠道免疫系统平衡以及整体健康方面发挥着关键作用。当这些微生物群落出现失衡,即所谓的生态失调时,可能会导致局部炎症性疾病,如结肠炎和炎症性肠病,以及全身性自身免疫性疾病,如1型糖尿病、类风湿性关节炎和多发性硬化症。肠道微生物通过多种方式与免疫系统相互作用,包括影响宿主微小RNA来调节基因表达,以及产生与细胞受体(如Toll样受体和G蛋白偶联受体)相互作用的代谢产物。这些相互作用影响关键的免疫过程,如淋巴细胞的分化、白细胞介素的产生以及肠道屏障功能的维持。深入研究肠道微生物如何促成或抵御全身性自身免疫性疾病,对于制定管理或预防这些疾病的策略至关重要。这些方法可能包括饮食或生活方式的改变、针对微生物群的疗法,如益生元或益生菌、识别用于预测疾病风险的诊断生物标志物,以及在自身免疫发作期间监测和干预微生物种群的变化。认识到微生物群在全身性自身免疫性疾病中的重要性,有望将这些目前难以治疗的疾病转变为更可控或可预防的疾病。

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