Nagamine Takahiko
Psychiatric Internal Medicine, Sunlight Brain Research Center, Hofu 7470066, Yamaguchi, Japan.
World J Psychiatry. 2025 Jul 19;15(7):106062. doi: 10.5498/wjp.v15.i7.106062.
Sepsis, a life-threatening condition, can lead to acute skin failure characterized by extensive skin damage. This is often due to decreased blood flow, inflammation, and increased susceptibility to infection. Acute skin failure in people with sepsis is often associated with sleep disturbances, anxiety, and poor mood. Inflammatory markers and lactate levels correlate with these psychiatric symptoms, suggesting a link between skin and brain function. The skin and the central nervous system (CNS) have bidirectional communication. The CNS is also in close contact with the digestive tract. The gut, skin, and brain influence each other's functions through nervous, hormonal, and immune pathways, forming a gut-skin-brain axis. Understanding the interaction among the gut, skin, and CNS is critical to the diagnosis and treatment of various skin and neurological disorders. By recognizing individual variations in gut microbiota, immune responses, and neural pathways, treatments can be tailored to specific patient needs, enhancing efficacy and minimizing side effects. The gut plays a large role in mental health. Understanding the gut skin brain axis, will lead to improved mental health outcomes.
脓毒症是一种危及生命的病症,可导致以广泛皮肤损伤为特征的急性皮肤衰竭。这通常是由于血流量减少、炎症以及感染易感性增加所致。脓毒症患者的急性皮肤衰竭常与睡眠障碍、焦虑和情绪不佳有关。炎症标志物和乳酸水平与这些精神症状相关,提示皮肤与脑功能之间存在联系。皮肤与中枢神经系统(CNS)存在双向通信。中枢神经系统也与消化道密切接触。肠道、皮肤和大脑通过神经、激素和免疫途径相互影响彼此的功能,形成了肠-皮肤-脑轴。了解肠道、皮肤和中枢神经系统之间的相互作用对于各种皮肤和神经疾病的诊断和治疗至关重要。通过识别肠道微生物群、免疫反应和神经通路中的个体差异,可以根据特定患者的需求定制治疗方案,提高疗效并将副作用降至最低。肠道在心理健康中起着重要作用。了解肠-皮肤-脑轴将改善心理健康状况。