Pathogenesis from the microbial-gut-brain axis in white matter injury in preterm infants: A review.

IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES
Yuqian Wang, Jing Zhu, Ning Zou, Li Zhang, Yingjie Wang, Mengmeng Zhang, Chan Wang, Liu Yang
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Abstract

White matter injury (WMI) in premature infants is a unique form of brain injury and a common cause of chronic nervous system conditions such as cerebral palsy and neurobehavioral disorders. Very preterm infants who survive are at high risk of WMI. With developing research regarding the pathogenesis of premature WMI, the role of gut microbiota has attracted increasing attention in this field. As premature infants are a special group, early microbial colonization of the microbiome can affect brain development, and microbiome optimization can improve outcomes regarding nervous system development. As an important communication medium between the gut and the nervous system, intestinal microbes form a microbial-gut-brain axis. This axis affects the occurrence of WMI in premature infants via the metabolites produced by intestinal microorganisms, while also regulating cytokines and mediating oxidative stress. At the same time, deficiencies in the microbiota and their metabolites may exacerbate WMI in premature infants. This confers promise for probiotics and prebiotics as treatments for improving neurodevelopmental outcomes. Therefore, this review attempted to elucidate the potential mechanisms behind the communication of gut bacteria and the immature brain through the gut-brain axis, so as to provide a reference for further prevention and treatment of premature WMI.

Abstract Image

早产儿白质损伤的微生物-肠-脑轴发病机制综述。
早产儿白质损伤(WMI)是一种独特的脑损伤形式,也是慢性神经系统疾病(如脑瘫和神经行为障碍)的常见原因。存活下来的极早产儿患WMI的风险很高。随着对早发性WMI发病机制的研究不断深入,肠道菌群的作用越来越受到关注。由于早产儿是一个特殊的群体,微生物组的早期定植可以影响大脑发育,微生物组的优化可以改善神经系统发育的结果。肠道微生物作为肠道与神经系统之间重要的沟通媒介,形成了微生物-肠-脑轴。该轴通过肠道微生物产生的代谢物影响早产儿WMI的发生,同时也调节细胞因子和介导氧化应激。同时,微生物群及其代谢物的缺乏可能加剧早产儿WMI。这为益生菌和益生元作为改善神经发育结果的治疗提供了希望。因此,本文试图阐明肠道细菌与未成熟大脑通过肠-脑轴交流的潜在机制,为进一步预防和治疗早发性WMI提供参考。
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来源期刊
Frontiers in Integrative Neuroscience
Frontiers in Integrative Neuroscience Neuroscience-Cellular and Molecular Neuroscience
CiteScore
4.60
自引率
2.90%
发文量
148
审稿时长
14 weeks
期刊介绍: Frontiers in Integrative Neuroscience publishes rigorously peer-reviewed research that synthesizes multiple facets of brain structure and function, to better understand how multiple diverse functions are integrated to produce complex behaviors. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Our goal is to publish research related to furthering the understanding of the integrative mechanisms underlying brain functioning across one or more interacting levels of neural organization. In most real life experiences, sensory inputs from several modalities converge and interact in a manner that influences perception and actions generating purposeful and social behaviors. The journal is therefore focused on the primary questions of how multiple sensory, cognitive and emotional processes merge to produce coordinated complex behavior. It is questions such as this that cannot be answered at a single level – an ion channel, a neuron or a synapse – that we wish to focus on. In Frontiers in Integrative Neuroscience we welcome in vitro or in vivo investigations across the molecular, cellular, and systems and behavioral level. Research in any species and at any stage of development and aging that are focused at understanding integration mechanisms underlying emergent properties of the brain and behavior are welcome.
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