胃肠道微生物群在炎症性肠病发病机制中的作用

A. V. Zhestkov, Yu.A. Khalitova, Yu.V. Myakisheva
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摘要

近年来,随着分子生物学、基因组学、高性能测序技术和生物信息分析技术的快速发展,人们开始积极研究一个以前被忽视的 "器官"--肠道微生物群(GM)。众所周知,人类胃肠道微生物群在代谢、生理、免疫和消化过程中发挥着关键作用。而微生物的组成和定植又取决于新生儿的分娩方式、母乳喂养、营养、抗生素治疗和幼年时期的环境接触等因素。此外,影响平衡维持的因素之一是微生物组内外细菌物种或物种群落之间的关系。菌群失调是了解各种疾病病因的关键。虽然对肠道疾病的发病机理尚未进行全面研究,但在这种病症的患者中,胃肠道炎症是肠道菌群失调的常见表现。目前,有大量证据表明,肠道菌群失调会导致免疫耐受的破坏,从而引发 IBD 或使其病程复杂化。因此,需要开展研究以明确微生物群在疾病发病机制中的作用。根据肠道微生物群的变化,可以开发出新的诊断工具和可能的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of the microbiota of the gastrointestinal tract in the pathogenesis of inflammatory bowel diseases
In recent years, with the rapid development of molecular biology, genomics, high-performance sequencing technology and bioinformatic analysis technology, there has been an active study of a previously overlooked “organ” – the intestinal microbiota (GM). It is known that the microbiota of the human gastrointestinal tract plays a key role in metabolic, physiological, immunological and digestive processes. Microbial composition and colonization, in turn, depend on factors such as the neonatal delivery method, breastfeeding, nutrition, antibiotic treatment and environmental exposure at an early age. Also, one of the factors influencing the maintenance of homeostasis is the relationship between bacterial species or communities of species inside and outside the microbiome. Dysbiosis is the key to understanding the etiology of various diseases. Although the pathogenesis of IBD has not been fully studied, in patients with this pathology, inflammation of the gastrointestinal tract is a common sign of intestinal dysbiosis. Currently, there is a lot of evidence that intestinal dysbiosis leads to a violation of immune tolerance, which can cause or complicate the course of IBD. Thus, research is needed to clarify the role of microbiota in the pathogenesis of diseases. Based on changes in the intestinal microbiota, new diagnostic tools and possible treatment methods can be developed.
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