评估膨润土保护肠道菌群和缓解使用抗生素后假膜性结肠炎的潜力

IF 2.1 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Medical hypotheses Pub Date : 2024-07-24 DOI:10.1016/j.mehy.2024.111443
Ruhollah Heydari , Ramin Abiri , Hanieh Rezaee-Shafe
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引用次数: 0

摘要

作为最常用的药物,抗生素有多种不良影响。当静脉注射广谱抗生素治疗肠道外感染时,抗生素也会释放到肠道内,破坏菌群的自然平衡,并可能在肠道内引起机会性感染。使用抗生素后,艰难梭菌过度生长并破坏肠道正常菌群,从而诱发假膜性结肠炎,这是抗生素治疗的主要后果。遗憾的是,减轻抗生素对微生物区系造成的损害的有效策略仍然难以捉摸,这方面的信息也很有限。有几项研究探讨了特定抗生素酶灭活的效果,但对抗生素非酶灭活的探讨较少,因此只推出了有限的几种产品。我们认为,膨润土是一种未得到充分利用的物质,在抵消抗生素的不利影响方面表现出良好的特性,具有规避抗生素副作用的巨大潜力。膨润土成本低、安全性高,在医学史上备受关注,主要是因为它具有卓越的吸附特性。鉴于膨润土的各种特性、保护天然菌群的能力、抗菌和消炎特性及其对伤口愈合的贡献,我们有理由认为,膨润土在减轻抗生素对天然肠道微生物群和假膜性结肠炎的有害影响方面具有巨大潜力。要全面了解膨润土在治疗假膜性结肠炎方面的作用,还需要进一步的研究。
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Evaluating bentonite clay’s potential in protecting intestinal flora and alleviating pseudomembranous colitis following antibiotic usage

As the most commonly used drugs, antibiotics have several adverse effects. When intravenous broad-spectrum antibiotics are administered for infections outside the gut, they are also released into the gut, upsetting the natural balance of flora and potentially causing opportunistic infections there. Pseudomembranous colitis induced by the excessive growth of Clostridioides difficile following antibiotic administration and disruption of the normal gut flora is a main consequence of antibiotic therapy. Unfortunately, effective strategies to mitigate the damage caused by antibiotics to the microbiota remain elusive, with limited information available on the subject. Several studies have examined the effects of enzymatic inactivation of specific antibiotics, but non-enzymatic inactivation of antibiotics has been explored to a lesser extent, resulting in the introduction of only a restricted number of products. We believe that bentonite clay, an underutilized substance that exhibits promising features for counteracting the unfavorable effects of antibiotics has a high potential to circumvent the side effects of antibiotics. It is a cost-effective and safe and has garnered significant attention in the medical history, predominantly for its superior adsorption properties. Given the diverse characteristics of bentonite clay, capacity to protect the natural flora, antibacterial and anti-inflammatory traits, and its contribution to wound healing, it is plausible to assume that bentonite clay exhibits significant potential in mitigating the detrimental consequences of antibiotic on the natural gut microbiota and following pseudomembranous colitis. Further research is necessary to unravel the full extent of its therapeutic effects in combating this condition.

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来源期刊
Medical hypotheses
Medical hypotheses 医学-医学:研究与实验
CiteScore
10.60
自引率
2.10%
发文量
167
审稿时长
60 days
期刊介绍: Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.
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