改变自闭症患者的肠道微生物群:一个有前途的策略?

J. Demarquoy, Haifa Othman, Caroline Demarquoy
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摘要

肠道菌群和生态失调与各种代谢疾病和胃肠道疾病有关。最近,越来越多的证据表明,肠道微生物群对包括自闭症在内的神经系统疾病有影响。虽然被诊断患有自闭症的儿童数量正在增加,但导致这种疾病的确切原因仍不清楚。许多因素,如遗传、环境和饮食,似乎都有助于其发病。然而,对于这种疾病的进展可能需要多种因素的参与这一概念,存在一定程度的普遍共识。在潜在的原因中,微生物群的作用尤其引人注目。肠道和大脑有着广泛的联系,肠道中有大量的神经元细胞,自闭症通常与胃肠道问题有关。在这篇综述中,对自闭症和微生物群的最新信息进行了分析。本研究结果表明:(1)自闭症谱系障碍(ASD)患者的微生物群明显改变;(2)微生物群移植似乎可以有效减轻自闭症症状的严重程度;(3)虽然微生物群不是自闭症发病的唯一原因,但它可能起着重要作用。考虑到所有可用的信息,这表明改变肠道微生物群可能对自闭症患者有积极的影响。这为使用预益生菌或益生菌治疗ASD儿童以及粪便微生物群转移的潜在用途开辟了可能性。
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Modify gut microbiome in autism: a promising strategy?
The gut microbiota and dysbiosis have been implicated in various metabolic diseases and gastrointestinal disorders. Recently, there has been growing evidence suggesting the influence of gut microbiota on neurological disorders, including autism. Although the number of children diagnosed with autism is increasing, the exact cause of the disease remains unknown. Numerous factors, such as genetics, environment, and diet, appear to contribute to its onset. Nevertheless, a degree of general consensus exists regarding the notion that the disease’s progression likely demands the participation of multiple factors. Among the potential causes, the role of the microbiota is particularly intriguing. The gut and brain have extensive connections, with a significant number of neuronal cells in the gut, and autism is often associated with gastrointestinal issues. In this review, the most recent information available on autism and microbiota has been analyzed. Findings of this study indicate that: (1) the microbiota is clearly altered in individuals with autism spectrum disorder (ASD); (2) microbiota transplantation appears to be effective in reducing the severity of autism symptoms; (3) while the microbiota is not solely responsible for the onset of autism, it likely plays a significant role. Considering all the available information, it is suggested that modifying the gut microbiota may have a positive impact on individuals with autism. This opens up possibilities for the use of pre- or probiotics in the treatment of children with ASD, as well as the potential use of fecal microbiota transfer.
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