Gut microbiota in treating inflammatory digestive diseases: Current challenges and therapeutic opportunities

IF 23.7 Q1 MICROBIOLOGY
iMeta Pub Date : 2024-12-31 DOI:10.1002/imt2.265
Yongpeng Shi, Zeran Chen, Tingyu Fang, Xingyao Chen, Youpeng Deng, Hao Qin, Min Lian, Juntao Shen, Yuru Zong, Huikuan Chu, Constanze Hoebinger, Hao Guo, Zhongshang Yuan, Jie Zheng, Yongjian Zhou, Yue Pan, Beatriz G. Mendes, Sonja Lang, Tim Hendrikx, Suling Zeng, Hailong Cao, Ling Yang, Lianmin Chen, Peng Chen, Lei Dai, Hua Wang, Shi Yin, Shu Zhu, Xiong Ma, Bernd Schnabl, Hanqing Chen, Yi Duan
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Abstract

Accumulating evidence indicates that the gut microbiota is intricately involved in the initiation and progression of human diseases, forming a multidirectional regulatory axis centered on intestinal microbiota. This article illustrates the challenges in exploring the role of the gut microbiota in inflammatory digestive diseases, such as metabolic dysfunction-associated steatotic liver disease (MASLD) and inflammatory bowel disease (IBD), and summarizes the existing microbiome-focused treatment strategies (probiotics, prebiotics, symbiotics, fecal microbiota transplantation, and bacteriophages therapy), emerging technologies (gut microbiome-on-a-chip and artificial intelligence), as well as possible future research directions. Taken together, these therapeutic strategies and technologies present both opportunities and challenges, which require researchers and clinicians to test the rationality and feasibility of various therapeutic modalities in continuous practice.

Abstract Image

越来越多的证据表明,肠道微生物群错综复杂地参与了人类疾病的发生和发展,形成了以肠道微生物群为中心的多向调节轴。本文阐述了探索肠道微生物群在代谢功能障碍相关性脂肪肝(MASLD)和炎症性肠病(IBD)等炎症性消化系统疾病中的作用所面临的挑战,并总结了现有的以微生物群为中心的治疗策略(益生菌、益生元、共生菌、粪便微生物群移植和噬菌体疗法)、新兴技术(肠道微生物群芯片和人工智能)以及未来可能的研究方向。总之,这些治疗策略和技术既带来了机遇,也提出了挑战,需要研究人员和临床医生在不断实践中检验各种治疗方法的合理性和可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
10.80
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