非甾体抗炎药和其他止痛药能抑制乳酸杆菌的生长吗?

Polish journal of microbiology Pub Date : 2023-12-16 eCollection Date: 2023-12-01 DOI:10.33073/pjm-2023-038
Hanna Kruszewska, Anna Zawistowska-Rojek, Stefan Tyski
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摘要

临床上常用的非甾体抗炎药(NSAIDs)可能会导致胃肠道损伤并影响肠道微生物群。本研究探讨了各种非甾体抗炎药和一些镇痛药对乳酸杆菌科菌株(包括益生菌菌株)体外生存能力的影响。研究发现,浓度为0.05-3.2mg/ml的双氯芬酸、布洛芬、酮洛芬、右酮洛芬,氟比洛芬和乙酰水杨酸可抑制乳酸杆菌的生长。非甾体抗炎药的这些MIC远高于在人类中达到的治疗性血浆浓度,这表明受试药物不应抑制人类消化道中乳酸杆菌的生长。
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Do NSAIDs and Other Pain Relief Drugs Can Inhibit the Growth of Lactobacillaceae?

Non-steroidal anti-inflammatory drugs (NSAIDs) commonly used in clinical practice may cause gastrointestinal injuries and influence the gut microbiota. This study investigated the effects of various NSAIDs and some analgesics on the viability of Lactobacillaceae strains (including probiotic strains) in vitro. It was found that diclofenac, ibuprofen, ketoprofen, dexketoprofen, flurbiprofen, and acetylsalicylic acid inhibited the growth of lactobacilli at a concentration of 0.05-3.2 mg/ml. These MICs of NSAIDs are well above therapeutic plasma concentrations achieved in humans, indicating that the tested drugs should not inhibit the growth of lactobacilli in the human digestive tract.

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