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合生元:传染病控制的新兴前沿领域。

Synbiotics: An Emerging Frontier in Infectious Diseases Control.

作者信息

Jangra Nikita, Chahar Nikita, Parmar Aparna, Gulati Pooja

机构信息

Medical Microbiology and Bioprocess Technology Laboratory, Department of Microbiology, Maharshi Dayanand University, Rohtak, Haryana, 124001, India.

Department of Microbiology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, 124001, India.

出版信息

Probiotics Antimicrob Proteins. 2025 Aug 13. doi: 10.1007/s12602-025-10690-4.

Abstract

The human gut microbiome is critical in promoting human health in many aspects, like facilitating nutrient absorption, digestion, immune system regulation, and protecting against pathogens. Gut microbiota dysbiosis is associated with the pathogenesis of several infectious diseases. In this context, a combination of prebiotics and probiotics as synbiotics is emerging as a popular approach for managing immune and gastrointestinal health. Synbiotics have exhibited considerable potency in restoring eubiosis via modulating the gut microbiome. The dietary supplementation of synbiotics has shown promising results in treating infectious diseases like hepatitis, gastroenteritis, dental caries, and sepsis. Synbiotics antagonise pathogens by maintaining gut microbiota homeostasis, competing with pathogenic microorganisms for adhesion and nutrition, producing antimicrobial compounds, and stimulating immunomodulatory cells in vivo. The present article has been conceptualised to understand the potential of synbiotics as an alternative or adjunct to antibiotics in managing infectious diseases. Furthermore, it elaborates on the different formulations of synbiotics available for clinical use and their mode of action. Challenges associated and recent approaches to improve the efficacy of these therapeutics have also been addressed.

摘要

人类肠道微生物群在促进人类健康的许多方面起着关键作用,比如促进营养吸收、消化、调节免疫系统以及抵御病原体。肠道微生物群失调与多种传染病的发病机制有关。在此背景下,益生元与益生菌组合而成的合生元作为一种管理免疫和胃肠道健康的常用方法正在兴起。合生元通过调节肠道微生物群在恢复微生态平衡方面已展现出相当大的效力。饮食中补充合生元在治疗诸如肝炎、肠胃炎、龋齿和败血症等传染病方面已显示出有前景的结果。合生元通过维持肠道微生物群的稳态、与致病微生物竞争黏附和营养、产生抗菌化合物以及在体内刺激免疫调节细胞来对抗病原体。本文旨在了解合生元作为管理传染病的抗生素替代品或辅助手段的潜力。此外,还阐述了可用于临床的合生元的不同配方及其作用方式。同时也探讨了相关挑战以及提高这些疗法疗效的最新方法。

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