粪便微生物群移植治疗肠道和肠道外疾病:机制基础、临床应用和潜在前景

IF 6.1 2区 医学 Q1 ENGINEERING, BIOMEDICAL Bioengineering & Translational Medicine Pub Date : 2024-11-08 DOI:10.1002/btm2.10728
Dongxin Yi, Tao Li, Yuji Xiao, Xue Zhang, Qiangqiang Hao, Feng Zhang, Tianming Qiu, Guang Yang, Xiance Sun, Ying Dong, Ningning Wang
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引用次数: 0

摘要

综述粪便微生物群移植(FMT)在动物实验和临床研究中对各种疾病的理论基础和治疗效果,以及 FMT 应用的局限性和现行标准。研究人员在 PubMed 和 Web of Science 数据库中检索了 1975 年至 2023 年间仅以英文发表的有关 FMT 动物实验和临床治疗可靠结果的文章。肠道微生物群的特性及其与宿主新陈代谢的相互作用对人类健康至关重要,而微生物群紊乱与人类肠道和肠道外疾病密切相关。因此,以调控肠道微生物群为目标的治疗手段越来越受到关注,其中FMT是研究最为广泛的干预策略。这篇综述收集并总结了 FMT 在肠道疾病、代谢性疾病、高血压、癌症、神经系统疾病和关节炎中的应用,并阐述了通过 FMT 改变微生物群所能达到的有益效果及其作用机制。此外,还讨论了 FMT 方法的潜在风险和副作用,以及目前为规范 FMT 发展所做的努力。通过系统回顾FMT治疗肠道疾病和肠道外疾病的结果和机制,旨在为构建优化的FMT框架提供理论依据,从而更好地发挥其应用前景。
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Fecal microbiota transplantation for the treatment of intestinal and extra‐intestinal diseases: Mechanism basis, clinical application, and potential prospect
To review the theoretical basis and therapeutic effects of fecal microbiota transplantation (FMT) in various diseases in animal experiments and clinical studies, as well as the limitations and current standards of FMT application. PubMed and Web of Science databases were searched for articles published only in English between 1975 and 2023 on reliable results of animal experiments and clinical treatment of FMT. The properties of the gut microbiota and its interactions with the host metabolism are critical to human health, and microbiome disturbance is closely associated with human intestinal and extra‐intestinal diseases. Therefore, therapeutic tools targeting on the modulation of gut microbiota have attracted increasing attention, among which FMT represents the most widely studied intervention strategy. This review gathered and summarized application of FMT in intestinal diseases, metabolic diseases, hypertension, cancer, nervous system diseases and arthritis, and elaborated the beneficial effects that can be achieved by altering the microbiota with FMT and the mechanisms of action. In addition, the potential risks and side effects of FMT approach are discussed, as well as current efforts to standardize the development of FMT. Through a systemic review of the outcome and mechanism of FMT in the treatment of intestinal diseases and extra‐intestinal diseases, we aimed to provide a theoretical basis for the construction of an optimized FMT framework, so as to better exert its application prospects.
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来源期刊
Bioengineering & Translational Medicine
Bioengineering & Translational Medicine Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
8.40
自引率
4.10%
发文量
150
审稿时长
12 weeks
期刊介绍: Bioengineering & Translational Medicine, an official, peer-reviewed online open-access journal of the American Institute of Chemical Engineers (AIChE) and the Society for Biological Engineering (SBE), focuses on how chemical and biological engineering approaches drive innovative technologies and solutions that impact clinical practice and commercial healthcare products.
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