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功能性胃肠疾病与精神障碍共病机制的研究进展:综述

Research progress on the mechanisms of comorbidity between functional gastrointestinal disorders and mental disorders: A review.

作者信息

Tan Ruirui, Han Chao, Sun Dongwei, Zhang Xiaomei, Liu Tong, Sun Hongdong, Wang Zhaohui

机构信息

Department of Acupuncture and Moxibustion, Shenzhen Bao'an Authentic TCM Therapy Hospital, Shenzhen, Guangdong, China.

Department of Traditional Chinese Medicine, Affiliated Hospital of Binzhou Medical College, Binzhou, Shandong, China.

出版信息

Medicine (Baltimore). 2025 Jul 18;104(29):e42925. doi: 10.1097/MD.0000000000042925.

Abstract

A growing body of evidence suggests a high prevalence of comorbidity between functional gastrointestinal disorders (FGIDs) and mental health conditions, with clinical studies consistently highlighting strong associations between FGIDs and psychosocial factors. Despite the well-established connection, the exploration of the underlying mechanisms in animal models remains relatively limited. This review synthesizes key findings from academic research published over the past decade, systematically investigating the potential mechanisms linking FGIDs with psychiatric disorders. Core mechanisms include the gut-brain axis, gut microbiota interactions, neuroimmune processes, dysregulation of the endocrine system, and inflammatory signaling pathways. By integrating current interdisciplinary evidence, this review seeks to advance foundational research on FGID-psychiatric comorbidity and provide insights into the development of more targeted therapeutic strategies. Ultimately, deepening our understanding of the mechanisms driving this comorbidity holds the potential to alleviate patient burdens and improve healthcare outcomes through mechanism-driven interventions.

摘要

越来越多的证据表明,功能性胃肠疾病(FGIDs)与心理健康状况之间的共病率很高,临床研究一直强调FGIDs与社会心理因素之间的密切关联。尽管这种联系已得到充分证实,但在动物模型中对潜在机制的探索仍然相对有限。本综述综合了过去十年发表的学术研究的关键发现,系统地研究了将FGIDs与精神疾病联系起来的潜在机制。核心机制包括肠-脑轴、肠道微生物群相互作用、神经免疫过程、内分泌系统失调和炎症信号通路。通过整合当前的跨学科证据,本综述旨在推进关于FGID-精神共病的基础研究,并为制定更有针对性的治疗策略提供见解。最终,加深我们对驱动这种共病的机制的理解,有可能通过机制驱动的干预措施减轻患者负担并改善医疗保健结果。

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