肠道微生物群失调及其对哮喘和其他肺部疾病的影响:潜在的治疗方法。

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Korean Journal of Internal Medicine Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI:10.3904/kjim.2023.451
Young-Chan Kim, Kyoung-Hee Sohn, Hye-Ryun Kang
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引用次数: 0

摘要

新兴的肠肺轴研究领域揭示了肠道微生物群与呼吸系统健康之间复杂的相互作用,尤其是在哮喘病中。本综述全面探讨了这两个系统之间错综复杂的关系,重点关注它们对免疫反应、炎症和呼吸系统疾病发病机制的影响。最近的研究表明,肠道微生物群失调可导致哮喘发病和加重,这促使人们研究纠正这种失衡的治疗策略。益生菌和益生元以其调节肠道微生物组成的能力而闻名,被认为是恢复免疫平衡的潜在干预措施。研究还探讨了抗生素和代谢物(包括肠道微生物群产生的短链脂肪酸)对免疫调节的影响。粪便微生物群移植已在多种疾病中显示出前景,但其在呼吸系统疾病中的作用尚未确定。创新方法,包括粘液移植、吸入益生菌和微胶囊策略,已被提出作为新的治疗途径。尽管微生物群落具有复杂的适应性,而且需要从机理上加以明确,但基于微生物群的干预措施潜力巨大。研究人员、临床医生和其他专家之间的合作对于揭示肠肺轴的复杂性至关重要,这将为改变呼吸系统疾病管理的创新策略铺平道路。
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Gut microbiota dysbiosis and its impact on asthma and other lung diseases: potential therapeutic approaches.

The emerging field of gut-lung axis research has revealed a complex interplay between the gut microbiota and respiratory health, particularly in asthma. This review comprehensively explored the intricate relationship between these two systems, focusing on their influence on immune responses, inflammation, and the pathogenesis of respiratory diseases. Recent studies have demonstrated that gut microbiota dysbiosis can contribute to asthma onset and exacerbation, prompting investigations into therapeutic strategies to correct this imbalance. Probiotics and prebiotics, known for their ability to modulate gut microbial compositions, were discussed as potential interventions to restore immune homeostasis. The impact of antibiotics and metabolites, including short-chain fatty acids produced by the gut microbiota, on immune regulation was examined. Fecal microbiota transplantation has shown promise in various diseases, but its role in respiratory disorders is not established. Innovative approaches, including mucus transplants, inhaled probiotics, and microencapsulation strategies, have been proposed as novel therapeutic avenues. Despite challenges, including the sophisticated adaptability of microbial communities and the need for mechanistic clarity, the potential for microbiota-based interventions is considerable. Collaboration between researchers, clinicians, and other experts is essential to unravel the complexities of the gut-lung axis, paving a way for innovative strategies that could transform the management of respiratory diseases.

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来源期刊
Korean Journal of Internal Medicine
Korean Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.10
自引率
4.20%
发文量
129
审稿时长
20 weeks
期刊介绍: The Korean Journal of Internal Medicine is an international medical journal published in English by the Korean Association of Internal Medicine. The Journal publishes peer-reviewed original articles, reviews, and editorials on all aspects of medicine, including clinical investigations and basic research. Both human and experimental animal studies are welcome, as are new findings on the epidemiology, pathogenesis, diagnosis, and treatment of diseases. Case reports will be published only in exceptional circumstances, when they illustrate a rare occurrence of clinical importance. Letters to the editor are encouraged for specific comments on published articles and general viewpoints.
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