微生物群和抑郁症的最新进展

Lester Raymundo Dominguez Huarcaya, María Fernanda Dominguez Ríos
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摘要

与胃肠道困难相关的发病率和损害率最高的是抑郁症,而抑郁症在所有精神障碍中发病率最高。已经证明,一个人的肠道微生物群的组成在决定一个人患抑郁症的风险方面起着重要作用。根据肠脑轴假说,肠道微生物系统和大脑之间可能存在联系。近年来,通过集中在消化道中发现的细菌(例如,通过利用益生菌)和结合肠-脑轴机制来治疗疾病已成为一种常见的做法。我们的研究揭示了胃里细菌的组成和抑郁症的发病率之间的显著联系。肠道微生物群系统结构的改变可能对抑郁症患病率的上升有直接和特殊的影响。本研究探讨了肠-脑轴双向交流的机制,包括当前与肠道微生物群相关的缓解症状技术和抗抑郁药物。在过去的几十年里,对益生菌医学潜力的研究数量的增加导致了益生菌领域的迅速扩张。许多临床前和临床研究已经证实,益生菌介导的微生物群重塑在微生物群-肠-脑轴(MGBA)附近存在治疗作用。这些研究是挨个进行的。然而,益生菌对许多精神疾病的潜在影响,已经在体内和体外研究中得到证实,为临床前模型转化为人类奠定了基础,这仍处于起步阶段。
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Microbiota and depression an update
The highest rates of morbidity and impairment related to gastrointestinal difficulties are associated with depression, which is associated with the highest rates of all mental disorders. It has been demonstrated that the composition of an individual's gut microbiome plays a significant part in determining that person's risk of developing depression. According to the hypothesis known as the gut-brain axis, there may be a connection between the intestinal microbial system and the brain. In recent years, it has been common practice to treat disorders by concentrating on the bacteria that are found in the digestive tract (for instance, by making use of probiotics) and incorporating the gut-brain axis mechanism. Our research revealed a remarkable association between the composition of the bacteria in the stomach and the incidence of depression. Alterations in the structure of the microbiota system in the gut could possibly have direct and special impacts on the rise in the prevalence of depression. This study investigated the mechanisms underlying the two-way communication in the gut-brain axis, including the current techniques of relieving symptoms and antidepressant medicines that are related to gut microbiota. An increase in the amount of research into the medical potential of probiotics has led to a rapid expansion of the field of probiotics over the past few decades. Numerous preclinical and clinical studies have established that the therapeutic effects of probiotics-mediated microbiota remodeling near the microbiota-gut-brain axis (MGBA) are present. These studies were conducted near one another. However, the potential effects of probiotics on numerous mental illnesses, which have been proved in vivo and in vitro research, have set the ground for the translation of preclinical models to humans, which is still in its infancy.
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