针对肠道微生物组治疗心脏代谢疾病。

IF 5.7 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Current Atherosclerosis Reports Pub Date : 2024-02-01 Epub Date: 2024-01-05 DOI:10.1007/s11883-023-01183-2
Panagiotis Theofilis, Panayotis K Vlachakis, Evangelos Oikonomou, Konstantinos Tsioufis, Dimitris Tousoulis
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摘要

综述的目的:包括肥胖症、2 型糖尿病和心血管疾病在内的心脏代谢疾病构成了空前严重的全球健康危机。在寻找新型治疗技术的过程中,人类肠道微生物群已成为一个突出的研究课题。本综述总结了目前有关利用肠道微生物群治疗心血管代谢疾病潜力的研究:最近的研究强调了肠道微生物群与宿主生理之间的复杂联系,阐明了肠道微生物影响代谢健康、炎症和心血管功能的几个过程。此外,有关基于微生物群的疗法(如饮食干预、益生菌、益生元、合成益生菌和粪便微生物群移植)的研究成果也在不断增加。这些疗法有望重塑肠道微生物群,从而改善心脏代谢结果。然而,障碍依然存在,从微生物组研究的复杂性到考虑个体微生物变异的定制治疗的必要性,都强调了进一步研究以弥合微生物组科学与临床实践之间差距的重要性。在精准医疗时代,肠道微生物组是改善心脏代谢疾病治疗的希望灯塔,因为它与这些疾病的病理生理学之间的联系正在不断被揭示和加强。现有研究表明,基于肠道微生物组的疗法具有潜力,但仍有待于在适当设计的临床试验中进行测试。然而,进一步的临床前研究对解决现有障碍至关重要,其最终目标是加强对患者的护理。
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Targeting the Gut Microbiome to Treat Cardiometabolic Disease.

Purpose of review: Cardiometabolic diseases, which include obesity, type 2 diabetes, and cardiovascular diseases, constitute a worldwide health crisis of unparalleled proportions. The human gut microbiota has emerged as a prominent topic of inquiry in the search for novel treatment techniques. This review summarizes current research on the potential of addressing the gut microbiota to treat cardiometabolic disease.

Recent findings: Recent studies have highlighted a complex link between the gut microbiota and host physiology, shedding light on the several processes through which gut microorganisms impact metabolic health, inflammation, and cardiovascular function. Furthermore, a growing corpus of research is available on microbiome-based therapies such as dietary interventions, probiotics, prebiotics, synbiotics, and fecal microbiota transplantation. These therapies show promise as methods for reshaping the gut microbiota and, as a result, improving cardiometabolic outcomes. However, hurdles remain, ranging from the intricacies of microbiome research to the necessity for tailored treatments that take individual microbial variations into consideration, emphasizing the significance of furthering research to bridge the gap between microbiome science and clinical practice. The gut microbiome is a beacon of hope for improving the management of cardiometabolic disease in the age of precision medicine, since its association with their pathophysiology is constantly being unraveled and strengthened. Available studies point to the potential of gut microbiome-based therapeutics, which remains to be tested in appropriately designed clinical trials. Further preclinical research is, however, essential to provide answers to the existing obstacles, with the ultimate goal of enhancing patient care.

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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
期刊最新文献
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