多发性硬化症的菌群失调:免疫球蛋白 Y 补充剂有帮助吗?

Andreea Cristina Paraschiv, Vitalie Vacaras, Cristina Nistor, Cristiana Vacaras, Dorian Traian Nistor, Stefan Cristian Vesa, Silvina Ilut, Dafin F Muresanu
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摘要

肠道微生物群在多发性硬化症等自身免疫性疾病中的作用正受到越来越多的关注。多发性硬化症的特征是中枢神经系统炎症、脱髓鞘和神经变性。肠道微生物群的改变与多发性硬化症的发病有关,有益菌减少,有害菌增加。肠道-大脑轴是一个复杂的界面,影响着肠道和大脑之间的双向互动。肠道微生物菌群失调与自身免疫性疾病有关。肠道微生物群对多发性硬化症的影响是可逆的,因此成为潜在的治疗目标。益生菌、益生元和粪便微生物群移植已在多发性硬化症治疗中显示出前景,并对炎症和免疫调节产生了积极影响。从鸡蛋黄中提取的免疫球蛋白 Y(IgY)补充剂具有作为营养保健品或膳食补充剂的潜力。IgY 技术可有效抵抗各种感染,研究还强调了它在调节肠道微生物群和免疫反应方面的作用。使用 IgY 补充剂治疗多发性硬化症的临床试验有限,但已显示出积极的成果,包括症状减轻和免疫反应改变。未来的研究方向包括了解 IgY 与肠道微生物群相互作用的机制、最佳剂量的确定以及长期安全性评估。将 IgY 治疗与其他干预措施相结合,并研究微生物群变化与临床结果之间的相关性,是推进 IgY 补充剂治疗多发性硬化症的潜在途径。
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Dysbiosis in Multiple Sclerosis: Can Immunoglobulin Y Supplements Help?

The role of gut microbiota in autoimmune disorders like multiple sclerosis is gaining attention. Multiple sclerosis is characterized by inflammation, demyelination, and neurodegeneration in the central nervous system. Alterations in gut microbiota have been linked to multiple sclerosis development, with decreased beneficial bacteria and increased harmful species. The gut-brain axis is a complex interface influencing bidirectional interactions between the gut and the brain. Dysbiosis, an imbalance in gut microbiota, has been associated with autoimmune diseases. The influence of gut microbiota in multiple sclerosis is reversible, making it a potential therapeutic target. Probiotics, prebiotics, and fecal microbiota transplantation have shown promise in multiple sclerosis treatment, with positive effects on inflammation and immune regulation. Immunoglobulin Y (IgY) supplements derived from chicken egg yolk have potential as nutraceuticals or dietary supplements. IgY technology has been effective against various infections, and studies have highlighted its role in modulating gut microbiota and immune responses. Clinical trials using IgY supplements in multiple sclerosis are limited but have shown positive outcomes, including reduced symptoms, and altered immune responses. Future research directions involve understanding the mechanisms of IgY's interaction with gut microbiota, optimal dosage determination, and long-term safety assessments. Combining IgY therapy with other interventions and investigating correlations between microbiota changes and clinical outcomes are potential avenues for advancing multiple sclerosis treatment with IgY supplements.

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