The gut microbiota in development and treatment of depression

N. Wilczek, Julia Bogucka, Anna Brzyska, Wiktoria Sielwanowska, Bartłomiej Syzdoł, Halina Piecewicz-Szczęsna
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Abstract

Introduction and aim. Nowadays, almost 4% of people in the world suffer from depressive disorders, and the forecasts of further increase in incidence are alarming. The disease is debilitating and can lead to suicide, and available treatments are still imperfect. The aim of the study was to review the literature and present the potential role of the gut microbiota in the development of depression and to consider the use of prebiotics and probiotics as one of the therapeutic options in this disease. Material and methods. Review of articles published on PubMed since 2015. Analysis of the literature. The available reports point to a relationship between disturbances in the composition of the intestinal flora and the development of depressive disorders. In addition, more and more studies indicate the benefits of the influence on mood and clinical improvement, observed when using psychobiotics as an adjuvant treatment of depression, as well as monotherapy. Conclusion. Further research is needed in this area, especially in humans, to gain a deeper understanding of the role of the gut microbiota in depression and the promising use of psychobiotics for its treatment.
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肠道微生物群在抑郁症的发展和治疗中的作用
导言和目的。目前,全世界有近 4% 的人患有抑郁症,而且据预测,抑郁症的发病率还会进一步上升,这令人担忧。这种疾病使人衰弱,并可能导致自杀,而现有的治疗方法仍不完善。本研究旨在回顾文献,介绍肠道微生物群在抑郁症发病过程中的潜在作用,并考虑将益生元和益生菌作为该疾病的治疗方案之一。材料与方法回顾2015年以来发表在PubMed上的文章。文献分析。现有报告指出,肠道菌群组成紊乱与抑郁障碍的发生之间存在关系。此外,越来越多的研究表明,使用精神生物制剂作为抑郁症的辅助治疗和单一疗法时,可观察到对情绪的影响和临床改善的益处。结论要想更深入地了解肠道微生物群在抑郁症中的作用,以及精神生物制剂在抑郁症治疗中的应用前景,还需要在这一领域开展进一步的研究,特别是在人体中的研究。
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