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揭示肠道微生物群-脑轴的治疗潜力:神经疾病的新见解与临床应用

Unveiling the therapeutic potential of the gut microbiota-brain axis: Novel insights and clinical applications in neurological disorders.

作者信息

Ugwu Okechukwu Paul-Chima, Okon Michael Ben, Alum Esther Ugo, Ugwu Chinyere Nneoma, Anyanwu Emeka Godson, Mariam Basajja, Ogenyi Fabian Chukwudi, Eze Val Hyginus Udoka, Anyanwu Chinyere Nkemjika, Ezeonwumelu Joseph Obiezu Chukwujekwu, Egba Simeon Ikechukwu, Uti Daniel Ejim, Onohuean Hope, Aja Patrick Maduabuchi, Ugwu Melvin Nnaemeka

机构信息

Department of Publication and Extension, Kampala International University, Kansanga, Kampala, Uganda.

Department of Anatomy, Faculty of Biomedical Sciences, Kampala International University, Kansanga, Kampala, Uganda.

出版信息

Medicine (Baltimore). 2025 Jul 25;104(30):e43542. doi: 10.1097/MD.0000000000043542.

Abstract

Over the last several years, the gut microbiota-brain axis has been the focus of medical study, demonstrating the bidirectional nature of gut and brain communication and the resulting influence on neurological and mental health. Trillions of microorganisms, particularly those found in the gastrointestinal tract, contribute the most to the pathophysiology recovery of organs that are critical to human health, such as digestive processes and metabolism, immune responses, and even cognitive function. Dysbiosis (a disturbance in the microbiome balance) has been identified as one of the risk factors for neuropsychiatric illnesses such as depression, anxiety, autism spectrum disorder, Parkinson's disease, and Alzheimer's disease. Therapeutic strategies aimed at the gut microbiota, such as probiotics, dietary modifications, prebiotics, and fecal microbiota transplantation, will eventually offer ways to alleviate symptoms associated with these disorders by restoring microbial balance, modulating the immune response, and influencing the production of major neurotransmitters. Innovative drug carriers, such as microbially-derived nanoparticles and probiotics that target particular parts of the gut or microbial communities, may improve pharmaceutical treatment efficacy and specificity. The resolution of difficulties such as ethical concerns, unexpected repercussions, and peak performance optimization in a clinical setting is critical for the advancement of this subject.

摘要

在过去几年中,肠道微生物群-脑轴一直是医学研究的重点,它展示了肠道与大脑沟通的双向性以及由此对神经和心理健康产生的影响。数万亿微生物,尤其是胃肠道中的微生物,对人体健康至关重要的器官的病理生理恢复贡献最大,比如消化过程和新陈代谢、免疫反应,甚至认知功能。微生物群失调(微生物组平衡的紊乱)已被确定为抑郁症、焦虑症、自闭症谱系障碍、帕金森病和阿尔茨海默病等神经精神疾病的风险因素之一。针对肠道微生物群的治疗策略,如益生菌、饮食调整、益生元以及粪便微生物群移植,最终将通过恢复微生物平衡、调节免疫反应和影响主要神经递质的产生,为缓解这些疾病相关症状提供方法。创新的药物载体,如源自微生物的纳米颗粒和靶向肠道特定部位或微生物群落的益生菌,可能会提高药物治疗的疗效和特异性。解决伦理问题、意外后果以及临床环境中的最佳性能优化等难题,对该领域的发展至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8c/12303509/6280c6b7a60a/medi-104-e43542-g001.jpg

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