肠道微生物群在神经退行性疾病中的作用

Arshilin Philip Mani, B. Balasubramanian, Linsha A. Mali, K. S. Joseph, A. Meyyazhagan, Manikantan Pappuswamy, Biljo V. Joseph
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摘要

人体肠道中的微生物群丰富而活跃,在许多生理活动中发挥着重要作用。这篇综述探讨了肠道微生物群与人类健康之间复杂的相互作用,重点是其对神经退行性疾病的影响。重点介绍肠道微生物群的构成及其通过肠脑轴对大脑功能的影响。以肠道微生物群组成变化为特征的菌群失调与阿尔茨海默氏症、帕金森氏症、亨廷顿氏症和肌萎缩侧索硬化症等神经退行性疾病的发生有关。胃与大脑之间的双向交流是通过多种渠道进行的,包括神经递质和肠道细菌产生的代谢物。我们研究了菌群失调导致神经炎症、氧化应激和神经元损伤的过程,这些过程推动了疾病的发展。我们回顾了以肠道微生物群为重点的潜在治疗方法,如抗生素、益生菌、益生元和粪便微生物群移植,以及前景看好的临床前和临床研究结果。总之,这项研究强调了肠道微生物群与神经退行性疾病的相关性,以及了解并针对肠道-大脑轴进行未来治疗选择的必要性。
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The Role of the Gut Microbiota in Neurodegenerative Diseases
The human gut has a rich and dynamic microbial population that plays an important role in many physiological activities. This review explores the complex interaction between the gut microbiota and human health, with an emphasis on its effect on neurodegenerative illnesses. The makeup of the gut microbiome and its impact on brain function through the gut–brain axis is highlighted. Dysbiosis, characterized by changes in the gut microbiota’s composition, has been linked to the development of neurodegenerative diseases such as Alzheimer’s, Parkinson’s, Huntington’s, and amyotrophic lateral sclerosis. A Bidirectional communication between the stomach and the brain takes place via a variety of channels, including neurotransmitters and metabolites generated by gut bacteria. We investigate the processes through which dysbiosis causes neuroinflammation, oxidative stress, and neuronal damage, which drive disease development. Potential therapeutic approaches that focus on the gut microbiota, such as antibiotics, probiotics, prebiotics, and fecal microbiota transplantation, are reviewed, with promising preclinical and clinical findings. Overall, this study emphasizes the relevance of gut microbiota to neurodegenerative illnesses, as well as the need to understand and target the gut-brain axis for future treatment options.
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