肠道-大脑轴在超重和肥胖症发展过程中的意义

Martyna Kuśmierska, Jakub Kuśmierski, Izabela Janik, Anna Martyka, Przemysław Ujma
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摘要

引言不活跃的生活方式和不良的饮食习惯导致全球肥胖危机,增加了代谢紊乱的风险。新的研究将肥胖与受年龄、遗传和饮食等因素影响的肠道微生物组变化联系起来。肠道与大脑之间通过神经、内分泌和炎症途径进行的交流受到微生物化合物的影响,从而影响神经系统的功能:使用 PubMed 和 Google Scholar 进行了全面的文献综述,并使用了与肠道-大脑轴和肥胖相关的关键词:肥胖会改变肠道微生物群的组成,这是由分娩方式、饮食、抗生素和环境等因素造成的。这种失衡会影响新陈代谢、食欲和胰岛素敏感性。肠道微生物影响大脑,调节能量平衡和炎症。色氨酸代谢失调会导致胰岛素抵抗。肠道通过迷走神经与大脑沟通,影响营养代谢。胰岛素和瘦素等激素以及微生物代谢产物会影响脂质代谢和食欲。肠道微生物群的丰度与瘦素信号相关,胃泌素水平的变化与微生物群的组成有关。微生物的存在会影响对食物的渴望。肥胖症的炎症与肠道微生物群的变化有关,由胆汁酸和微生物代谢产物介导。益生菌和粪便微生物群移植等干预措施为控制肥胖提供了可能。多肽 D3 等新兴疗法前景广阔,但还需要进一步研究:微生物组-肠-脑轴对肥胖至关重要,会影响新陈代谢、炎症和食欲。利用饮食调整和益生菌等针对肠脑信号转导的干预措施有望控制肥胖。由于微生物组的复杂性,个性化方法至关重要。要开发出治疗肥胖症的有效疗法,还需要进一步的研究。
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Significance of the Gut-Brain Axis in the Development of Overweight and Obesity
Introduction: The global obesity crisis results from inactive lifestyles and poor diets, increasing the risk of metabolic disorders. Emerging research links obesity with gut microbiome changes influenced by factors like age, genetics, and diet. Gut-brain communication via neural, endocrine, and inflammatory pathways, influenced by microbial compounds, affects nervous system function. Materials and Methods of Research: A thorough literature review was performed using PubMed and Google Scholar, employing keywords related to the gut-brain axis and obesity. Results: Obesity shifts gut microbiota composition due to factors like childbirth method, diet, antibiotics, and environment. This imbalance impacts metabolism, appetite, and insulin sensitivity. Gut microbes influence the brain, regulating energy balance and inflammation. Dysregulated tryptophan metabolism leads to insulin resistance. Gut-brain communication via the vagal nerve affects nutrient metabolism. Hormones like insulin and leptin, along with microbial metabolites, affect lipid metabolism and appetite. Gut microbiota abundance correlates with leptin signaling, and changes in ghrelin levels relate to microbiota composition. Microbial presence affects food cravings. Inflammation in obesity is linked to gut microbiota changes, mediated by bile acids and microbial metabolites. Interventions like probiotics and fecal microbiota transplantation offer potential for managing obesity. Emerging therapies like peptide D3 hold promise but require further study. Conclusion: The microbiome-gut-brain axis is vital in obesity, affecting metabolism, inflammation, and appetite. Utilizing interventions such as dietary adjustments and probiotics targeting gut-brain signaling shows promise in managing obesity. Personalized approaches are crucial due to microbiome complexity. Further research is needed to develop effective therapies for the obesity epidemic.
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