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Microbiome and Gut Dysbiosis. 微生物组和肠道生态失调。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-74932-7_13
José E Belizário, Joel Faintuch

The gastrointestinal (GI) tract is the residence of trillions of microorganisms that include bacteria, archaea, fungi and viruses. The collective genomes of whole microbial communities (microbiota) integrate the gut microbiome. Up to 100 genera and 1000 distinct bacterial species were identified in digestive tube niches. Gut microbiomes exert permanent pivotal functions by promoting food digestion, xenobiotic metabolism and regulation of innate and adaptive immunological processes. Proteins, peptides and metabolites released locally and at distant sites trigger many cell signalling and pathways. This intense crosstalk maintains the host-microbial homeostasis. Diet, age, diet, stress and diseases cause increases or decreases in relative abundance and diversity bacterial specie of GI and other body sites. Studies in animal models and humans have shown that a persistent imbalance of gut's microbial community, named dysbiosis, relates to inflammatory bowel diseases (IBD), irritable bowel syndrome (IBS), diabetes, obesity, cancer, cardiovascular and central nervous system disorders. Notably specific bacterial communities are promising clinical target to treat inflammatory and infectious diseases. In this context, intestinal microbiota transplantation (IMT) is one optional treatment for IBD, in particular to patients with recurrent Clostridium difficile-induced pseudo-membrane colitis. Here we discuss on recent discoveries linking whole gut microbiome dysbiosis to metabolic and inflammatory diseases and potential prophylactic and therapeutic applications of faecal and phage therapy, probiotic and prebiotic diets.

胃肠道是数万亿微生物的栖息地,包括细菌、古细菌、真菌和病毒。整个微生物群落(微生物群)的集体基因组整合了肠道微生物群。在消化道壁龛中鉴定出多达100属和1000种不同的细菌。肠道微生物群通过促进食物消化、外源代谢和调节先天和适应性免疫过程发挥永久性的关键功能。局部和远处释放的蛋白质、多肽和代谢物触发了许多细胞信号传导和通路。这种强烈的相互作用维持了宿主-微生物的稳态。饮食、年龄、饮食、压力和疾病导致胃肠道和其他身体部位细菌种类的相对丰度和多样性的增加或减少。动物模型和人类研究表明,肠道微生物群落的持续失衡,称为生态失调,与炎症性肠病(IBD)、肠易激综合征(IBS)、糖尿病、肥胖、癌症、心血管和中枢神经系统疾病有关。值得注意的是,特定的细菌群落是治疗炎症和感染性疾病的有希望的临床靶点。在这种情况下,肠道菌群移植(IMT)是IBD的一种可选治疗方法,特别是对于复发性艰难梭菌诱导的假性膜性结肠炎患者。在这里,我们讨论了将全肠道微生物群失调与代谢和炎症性疾病联系起来的最新发现,以及粪便和噬菌体治疗、益生菌和益生元饮食的潜在预防和治疗应用。
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引用次数: 116
Aging and the Inflammasomes. 衰老和炎性小体。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-89390-7_13
Fabiola Marín-Aguilar, Jesús Ruiz-Cabello, Mario D Cordero

The inflammasomes are innate immune system sensors that control the activation of caspase-1 and induce inflammation in response to infectious microbes and molecules originating from host proteins, leading to the release of pro-inflammatory cytokines, Il1b and IL18, and a particular inflammatory type of cell death termed pyroptosis. It is broadly considered that chronic inflammation may be a common link in age-related diseases, aging being the greatest risk factor for the development of chronic diseases. In this sense, we discuss the role of inflammasomes in non-infectious inflammation and their interest in aging and age-related diseases.

炎性小体是先天免疫系统的传感器,控制caspase-1的激活,并诱导炎症反应,以应对感染性微生物和源自宿主蛋白的分子,导致促炎细胞因子Il1b和IL18的释放,以及一种称为焦亡的特殊炎症型细胞死亡。人们普遍认为慢性炎症可能是年龄相关疾病的共同环节,衰老是慢性疾病发展的最大危险因素。从这个意义上讲,我们讨论炎症小体在非感染性炎症中的作用及其在衰老和年龄相关疾病中的作用。
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引用次数: 11
Inflammasomes in Bone Diseases. 骨病中的炎性体。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-89390-7_11
Gabriel Mbalaviele, Deborah J Veis

Unresolved inflammation is harmful to any tissues in the organism. Bone in particular is vulnerable to inflammatory assaults because its integrity depends on the activity of osteoclasts, which arise from myeloid precursors. Osteoclasts are responsible for bone resorption in normal and disease conditions. Increased osteolysis is a common feature of inflammatory disorders and a risk factor for bone fractures. Thus, bone is impacted negatively not only by local and systemic inflammatory mediators, but also directly, by alterations affecting myelopoiesis and lineage allocations. Such perturbations are characteristics of dysregulated inflammasomes, which are key regulators of innate immunity. In this review, we discuss the role of inflammasomes in bone diseases caused by sterile or non-sterile inflammation.

未解决的炎症对机体的任何组织都是有害的。骨尤其容易受到炎症的攻击,因为它的完整性取决于破骨细胞的活性,而破骨细胞是由髓细胞前体产生的。在正常和疾病情况下,破骨细胞负责骨吸收。骨溶解增加是炎症性疾病的共同特征,也是骨折的危险因素。因此,骨不仅受到局部和全身炎症介质的负面影响,而且还直接受到影响骨髓生成和谱系分配的改变的负面影响。这种扰动是炎性小体失调的特征,炎性小体是先天免疫的关键调节因子。在这篇综述中,我们讨论炎症小体在无菌或非无菌炎症引起的骨病中的作用。
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引用次数: 1
Conclusions and Perspectives. 结论和观点。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-78259-1_5
Roderick Adrian Slavcev

The dawn of nanoparticle-encapsulated genes is a revolutionary move in gene therapy. It promises to specifically and safely transport genetic cargo through biological systems within a non-viral "Trojan horse" system.

纳米颗粒包膜基因的出现是基因治疗领域的革命性进展。它承诺在一个非病毒的“特洛伊木马”系统内通过生物系统专门和安全地运输遗传货物。
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引用次数: 0
Metabolomic-Based Methods in Diagnosis and Monitoring Infection Progression. 基于代谢组学的诊断和感染进展监测方法
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-74932-7_7
Miguel Fernández-García, David Rojo, Fernanda Rey-Stolle, Antonia García, Coral Barbas

A robust biomarker screening and validation is crucial for overcoming the current limits in the clinical management of infectious diseases. In this chapter, a general workflow for metabolomics is summarized. Subsequently, an overview of the major contributions of this omics science to the field of biomarkers of infectious diseases is discussed. Different approaches using a variety of analytical platforms can be distinguished to unveil the key metabolites for the diagnosis, prognosis, response to treatment and susceptibility for infectious diseases. To allow the implementation of such biomarkers into the clinics, the performance of large-scale studies employing solid validation criteria becomes essential. Focusing on the etiological agents and after an extensive review of the field, we present a comprehensive revision of the main metabolic biomarkers of viral, bacterial, fungal, and parasitic diseases. Finally, we discussed several articles which show the strongest validation criteria. Following these research avenues, precious clinical resources will be revealed, allowing for reduced misdiagnosis, more efficient therapies, and affordable costs, ultimately leading to a better patient management.

强有力的生物标志物筛选和验证对于克服目前传染病临床管理中的局限性至关重要。本章概述了代谢组学的一般工作流程。随后,概述了这种全息科学对传染病生物标志物领域的主要贡献。使用各种分析平台的不同方法可以揭示诊断、预后、治疗反应和传染病易感性的关键代谢物。要将这些生物标记物应用于临床,就必须采用可靠的验证标准进行大规模研究。我们以病原体为重点,在对该领域进行了广泛回顾后,对病毒、细菌、真菌和寄生虫疾病的主要代谢生物标志物进行了全面修订。最后,我们讨论了几篇显示出最强验证标准的文章。通过这些研究途径,宝贵的临床资源将被揭示出来,从而减少误诊,提高治疗效率,降低成本,最终实现更好的患者管理。
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引用次数: 0
Viral Manipulation of the Host Metabolic Network. 病毒操纵宿主代谢网络。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-74932-7_10
Inês Mesquita, Jérôme Estaquier

Viruses are intracellular parasites that rely on host machinery to replicate and achieve a successful infection. Viruses have evolved to retain a broad range of strategies to manipulate host cell metabolism and metabolic resources, channeling them toward the production of virion components leading to viral production. Although several viruses share similar strategies for manipulating host cell metabolism, these processes depend on several factors, namely, the viral life cycle and the metabolic and energetic status of the infected cell. Based on this knowledge, the development of new therapeutic approaches that circumvent viral spread through the target of altered metabolic pathways is an opportunity to tackle the infection. However, finding effective broad-spectrum strategies that aim at restoring to homeostasis the metabolic alterations induced upon virus infection is still a Holy Grail quest for antiviral therapies. Here, we review the strategies by which viruses manipulate host metabolism for their own benefit, with a particular emphasis on carbohydrate, glutamine, and lipid metabolism.

病毒是细胞内的寄生虫,依靠宿主机制进行复制并成功感染。病毒已经进化到保留了广泛的策略来操纵宿主细胞代谢和代谢资源,引导它们产生导致病毒产生的病毒粒子成分。虽然几种病毒在操纵宿主细胞代谢方面有相似的策略,但这些过程取决于几个因素,即病毒的生命周期和受感染细胞的代谢和能量状态。基于这一认识,通过改变代谢途径的目标来规避病毒传播的新治疗方法的发展是解决感染的一个机会。然而,寻找有效的广谱策略,旨在将病毒感染引起的代谢改变恢复到体内平衡,仍然是抗病毒治疗的圣杯。在这里,我们回顾了病毒为自己的利益而操纵宿主代谢的策略,特别强调了碳水化合物、谷氨酰胺和脂质代谢。
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引用次数: 15
Metabolic Crosstalk Between Host and Parasitic Pathogens. 寄主与寄生病原体之间的代谢串扰。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-74932-7_12
Diana Moreira, Jérôme Estaquier, Anabela Cordeiro-da-Silva, Ricardo Silvestre

A complex network that embraces parasite-host intrinsic factors and the microenvironment regulated the interaction between a parasite and its host. Nutritional pressures exerted by both elements of this duet thus dictate this host-parasite niche. To survive and proliferate inside a host and a harsh nutritional environment, the parasites modulate different nutrient sensing pathways to subvert host metabolic pathways. Such mechanism is able to change the flux of distinct nutrients/metabolites diverting them to be used by the parasites. Apart from this nutritional strategy, the scavenging of nutrients, particularly host fatty acids, constitutes a critical mechanism to fulfil parasite nutritional requirements, ultimately defining the host metabolic landscape. The host metabolic alterations that result from host-parasite metabolic coupling can certainly be considered important targets to improve diagnosis and also for the development of future therapies. Metabolism is in fact considered a key element within this complex interaction, its modulation being crucial to dictate the final infection outcome.

一个包含寄主内在因素和微环境的复杂网络调节着寄主与寄主之间的相互作用。因此,这两种因素所施加的营养压力决定了宿主-寄生虫的生态位。为了在宿主和恶劣的营养环境中生存和繁殖,寄生虫调节不同的营养感知途径来破坏宿主的代谢途径。这种机制能够改变不同营养物质/代谢物的通量,使它们被寄生虫利用。除了这种营养策略外,清除营养物质,特别是宿主脂肪酸,是满足寄生虫营养需求的关键机制,最终决定了宿主的代谢景观。宿主-寄生虫代谢偶联导致的宿主代谢改变当然可以被认为是提高诊断和发展未来治疗的重要靶点。事实上,代谢被认为是这种复杂相互作用中的一个关键因素,其调节对最终的感染结果至关重要。
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引用次数: 5
Cellular Metabolism at a Glance. 细胞代谢一览。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-74932-7_1
Inês Mesquita, Fernando Rodrigues

Metabolism is highly coordinated component of the cellular activity that involves sequential chemical transformations, within a so-called metabolic network. Through these coordinated actions, living organisms acquire energy and biosynthetic precursors to maintain cellular homeostasis and function. Metabolism relies on the breaking down of macromolecules to produce energy [catabolism] and/or intermediary metabolites that are then used to construct essential building blocks for macromolecule production [anabolism]. Overall, these metabolic processes are controlled by cellular energy status: when the energy released from catabolic processes exceeds the cellular demands the storage of metabolites in the form of lipids and glycogen takes place. These phenomena have been vastly associated with the genesis of metabolic disorders, such as obesity. In recent years, we have assisted to a rediscovery of metabolism through the identification of metabolic intermediaries that act as key players on differentiation, proliferation, and function of immune cells. This recent acknowledgement of the impact of metabolism in the overall immune response originated the ground-breaking field of immunometabolism. Here, we will provide a holistic view of metabolism highlighting the biochemical principles underlying its regulation.

代谢是细胞活动中高度协调的组成部分,在所谓的代谢网络中涉及连续的化学转化。通过这些协调的作用,生物体获得能量和生物合成前体来维持细胞的稳态和功能。代谢依赖于大分子的分解来产生能量(分解代谢)和/或中间代谢物,然后这些代谢物被用来构建大分子产生的基本构件(合成代谢)。总的来说,这些代谢过程受细胞能量状态控制:当分解代谢过程释放的能量超过细胞需求时,代谢物就会以脂质和糖原的形式储存起来。这些现象与代谢紊乱(如肥胖)的起源密切相关。近年来,我们通过鉴定在免疫细胞分化、增殖和功能中起关键作用的代谢介质,帮助人们重新发现了代谢。最近对代谢在整体免疫反应中的影响的认识,开创了免疫代谢的突破性领域。在这里,我们将提供新陈代谢的整体观点,强调其调节的生化原理。
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引用次数: 0
Introduction. 介绍。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-78259-1_1
Roderick Adrian Slavcev

Gene therapy is the delivery of nucleic acid for the expression of a therapeutic product in order to treat diseases on a genetic level. This is especially well suited for diseases that involve missing, defective, or overexpressing genes.

基因治疗是为了在遗传水平上治疗疾病而递送核酸以表达治疗产品。这尤其适用于涉及缺失、缺陷或过度表达基因的疾病。
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引用次数: 0
Interplay Between Metabolic Sensors and Immune Cell Signaling. 代谢传感器和免疫细胞信号之间的相互作用。
Q2 Medicine Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-74932-7_3
Prashant Chauhan, Arup Sarkar, Bhaskar Saha

The immune system, like all other systems, responds to perturbations of the baseline, homeostatic functioning of immune cells. These perturbations come in the form of infection, tumors, autoantigens, and can occur after mismatched transplantation. During response, immune cells alter their metabolic activities. However, the subsets of the same cell type differ to distinctively associate specific immune function to a particular metabolic profile. The response is mounted as a joint function of metabolic receptor and immune receptor signaling that target various metabolic pathways: glycolysis the pentose phosphate pathway; oxidative phosphorylation; beta-oxidation of fatty acids and transamination. The products from these cycles are integrated in the tricarboxylic acid cycle. However, many more pathways lead to many secondary metabolites that are not directly related to energy derivation or maintaining structure of the cells. These secondary metabolites can again work in an autocrine manner to re-tune the immune cells to optimize their restorative effector functions.

免疫系统,像所有其他系统一样,对基线的扰动做出反应,免疫细胞的稳态功能。这些干扰以感染、肿瘤、自身抗原的形式出现,并可能在错配移植后发生。在反应过程中,免疫细胞改变了它们的代谢活动。然而,相同细胞类型的亚群不同,将特定的免疫功能与特定的代谢特征显著地联系起来。这种反应被认为是代谢受体和免疫受体信号的联合作用,它们针对各种代谢途径:糖酵解戊糖磷酸途径;氧化磷酸化;脂肪酸氧化和转氨化。这些循环的产物被整合到三羧酸循环中。然而,更多的途径导致许多与能量来源或维持细胞结构没有直接关系的次级代谢物。这些次生代谢物可以再次以自分泌的方式重新调整免疫细胞,以优化其恢复效应功能。
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引用次数: 4
期刊
Experientia supplementum (2012)
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