Beyond weight loss: exploring the neurological ramifications of altered gut microbiota post-bariatric surgery.

IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Journal of Translational Medicine Pub Date : 2025-02-24 DOI:10.1186/s12967-025-06201-2
Rashed T Almheiri, Baraa Hajjar, Saif M I Alkhaaldi, Nadia Rabeh, Sara Aljoudi, Khaled S Abd-Elrahman, Hamdan Hamdan
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Abstract

This review discusses findings related to neurological disorders, gut microbiota, and bariatric surgery, focusing on neurotransmitters, neuroendocrine, the pathophysiology of bacteria contributing to disorders, and possible therapeutic interventions. Research on neurotransmitters suggests that their levels are heavily influenced by gut microbiota, which may link them to neurological disorders such as Alzheimer's disease, Parkinson's disease, Multiple sclerosis, Depression, and Autism spectrum disorder. The pathophysiology of bacteria that reach and influence the central nervous system has been documented. Trends in microbiota are often observed in specific neurological disorders, with a prominence of pro-inflammatory bacteria and a reduction in anti-inflammatory types. Furthermore, bariatric surgery has been shown to alter microbiota profiles similar to those observed in neurological disorders. Therapeutic interventions, including fecal microbiota transplants and probiotics, have shown potential to alleviate neurological symptoms. We suggest a framework for future studies that integrates knowledge from diverse research areas, employs rigorous methodologies, and includes long-trial clinical control groups.

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减肥之外:探索减肥手术后肠道微生物群改变的神经学影响。
这篇综述讨论了与神经系统疾病、肠道微生物群和减肥手术相关的发现,重点是神经递质、神经内分泌、导致疾病的细菌的病理生理学,以及可能的治疗干预措施。对神经递质的研究表明,它们的水平受到肠道微生物群的严重影响,这可能与阿尔茨海默病、帕金森病、多发性硬化症、抑郁症和自闭症谱系障碍等神经系统疾病有关。细菌到达并影响中枢神经系统的病理生理学已有文献记载。在特定的神经系统疾病中经常观察到微生物群的趋势,促炎细菌的突出和抗炎类型的减少。此外,减肥手术已被证明可以改变微生物群,这与在神经系统疾病中观察到的相似。包括粪便微生物群移植和益生菌在内的治疗干预已显示出缓解神经系统症状的潜力。我们建议未来的研究框架整合不同研究领域的知识,采用严格的方法,并包括长期试验的临床对照组。
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来源期刊
Journal of Translational Medicine
Journal of Translational Medicine 医学-医学:研究与实验
CiteScore
10.00
自引率
1.40%
发文量
537
审稿时长
1 months
期刊介绍: The Journal of Translational Medicine is an open-access journal that publishes articles focusing on information derived from human experimentation to enhance communication between basic and clinical science. It covers all areas of translational medicine.
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