Mind-body techniques on stress-induced gut microbiota dysbiosis in Asthmatics: A narrative review

Monalisa Das , Nooruddin Thajuddin , Sanjib Patra , Megha Pundir
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Abstract

Asthma is more common when a particular type of pathogenic gut microbiota is present, whereas the presence of some beneficial bacteria lowers the frequency of asthma attacks. Cortisol levels rise when the HPA axis is activated by stress. The diversity of the gut microbiota and the permeability of the digestive system may be interfered with by an activated HPA axis. Additionally, stress affects peripheral mononuclear cell activity, lymphocyte proliferation, natural killer cell activity, and IgA antibody levels. Intestinal microbial dysbiosis and leaky gut can be caused by low IgA concentration, low polymorphonuclear cell count, and active NK cells, and lymphocytes. Asthma is brought on by intestinal microbiota dysbiosis and bacterial translocation, which are associated with low-grade inflammation. Mind-body medicine is an alternative form of therapy, including yoga, and mindfulness practices. For instance, Qigong meditation has also been shown to reduce HPA axis activity, improve immune function, and reduce asthma symptoms. Pro-inflammatory cytokines including IL-6, IL-7, and TNF-alpha have been shown to decrease with the use of mind-body medicine techniques. In order to prevent microbial translocation, yoga can boost IgA, CD4 + cells, and NK cell concentrations. Mind-body medicine can reduce CRH and cortisol levels as well as stop microbial dysbiosis. In this review, we want to emphasize how these practices reduce stress, inhibit the activation of the HPA axis, prevent gut microbial dysbiosis, encourage the proliferation of antiasthmatic bacteria, and decrease the diversity of pathogenic, and opportunistic asthmatic bacteria.

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身心疗法对哮喘患者因压力引起的肠道微生物群失调的影响:叙述性综述
当肠道微生物群中存在特定类型的致病菌时,哮喘的发病率更高,而一些有益菌的存在则会降低哮喘发作的频率。当 HPA 轴被压力激活时,皮质醇水平会升高。肠道微生物群的多样性和消化系统的渗透性可能会受到激活的 HPA 轴的干扰。此外,压力还会影响外周单核细胞活性、淋巴细胞增殖、自然杀伤细胞活性和 IgA 抗体水平。肠道微生物菌群失调和肠漏可导致 IgA 浓度低、多形核细胞数量少、NK 细胞和淋巴细胞活跃。哮喘是由肠道微生物群失调和细菌易位引起的,而肠道微生物群失调和细菌易位与低度炎症有关。心身医学是一种替代疗法,包括瑜伽和正念练习。例如,气功冥想也被证明可以减少 HPA 轴活动,改善免疫功能,减轻哮喘症状。使用心身医学技术后,包括 IL-6、IL-7 和 TNF-α 在内的促炎细胞因子均有所减少。为了防止微生物转移,瑜伽可以提高 IgA、CD4 + 细胞和 NK 细胞的浓度。身心医学可以降低 CRH 和皮质醇水平,并阻止微生物菌群失调。在这篇综述中,我们想强调这些做法如何减轻压力、抑制 HPA 轴的激活、预防肠道微生物菌群失调、促进抗哮喘细菌的增殖,以及减少致病性和机会性哮喘细菌的多样性。
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