肠道:通往大脑的大门和钥匙。

IF 7.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Chinese Medical Journal Pub Date : 2025-09-20 Epub Date: 2025-08-22 DOI:10.1097/CM9.0000000000003767
Xiaohan Zhang, Yunsheng Yang
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引用次数: 0

摘要

摘要:脑科学是现代科学的前沿,在模拟或开发脑功能的类脑设计和脑机接口方面取得了新的进展。然而,考虑到大脑被密封在头骨内,对大脑结构和功能的探索和破译是有限的。越来越多的证据表明,肠道不仅仅是一个消化器官。它不仅为脑神经发育和脑功能的维持提供必需的营养物质和电解质,而且还通过多种途径将外部环境和肠壁信号从肠腔传递到中枢神经系统,调节大脑的活动、功能和结构。多种肠-脑相互作用途径已被确定,包括神经途径、神经免疫信号、内分泌途径和肠道微生物产生的生化信使。肠道微生物与食物和肠道相互作用,调节肠道与大脑的交流。肠道在神经发育、正常功能维持和疾病发展中的重要作用和潜力使其成为脑科学和神经精神疾病研究的一个日益重要的领域。肠道在大脑功能中的独特作用及其研究的可及性(与直接研究大脑相比)使其成为理解脑科学奥秘的关键门户。至关重要的是,肠道营养物质和微生物为打开这扇门提供了两把独特的钥匙——启用神经调节和神经精神疾病的新治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gut: The gate and key to brain.

Abstract: Brain science is the frontier of modern science, and new advances have been made in brain-like designs and brain-computer interfaces to simulate or develop brain functions. However, given that the brain is hermetically sealed within the skull, exploration and deciphering of the brain structure and functions are limited. Growing evidence suggests that the gut is not just a digestive organ. It not only provides essential nutrients and electrolytes for brain neurodevelopment and the maintenance of brain function, but it also transmits external environmental and intestinal wall signals from the intestinal lumen to the central nervous system through multiple pathways to regulate brain activity, function, and structure. A variety of gut-brain interaction pathways have been identified, including neural pathways, neuroimmune signaling, endocrine pathways, and biochemical messengers produced by gut microbes. Gut microbes interact with food and the gut to modulate gut-brain communication. The gut's important role and potential in neurodevelopment, maintenance of normal function, and disease development make it an increasingly important area of research in brain science and neuropsychiatric disorders. The gut's unique role in brain functions and its accessibility for research (compared to direct brain studies) establish it as a critical gate to understanding the mysteries of brain science. Crucially, intestinal nutrients and microbes provide two unique keys to unlock this gate-enabling neural regulation and novel treatments for neuropsychiatric diseases.

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来源期刊
Chinese Medical Journal
Chinese Medical Journal 医学-医学:内科
CiteScore
9.80
自引率
4.90%
发文量
19245
审稿时长
6 months
期刊介绍: The Chinese Medical Journal (CMJ) is published semimonthly in English by the Chinese Medical Association, and is a peer reviewed general medical journal for all doctors, researchers, and health workers regardless of their medical specialty or type of employment. Established in 1887, it is the oldest medical periodical in China and is distributed worldwide. The journal functions as a window into China’s medical sciences and reflects the advances and progress in China’s medical sciences and technology. It serves the objective of international academic exchange. The journal includes Original Articles, Editorial, Review Articles, Medical Progress, Brief Reports, Case Reports, Viewpoint, Clinical Exchange, Letter,and News,etc. CMJ is abstracted or indexed in many databases including Biological Abstracts, Chemical Abstracts, Index Medicus/Medline, Science Citation Index (SCI), Current Contents, Cancerlit, Health Plan & Administration, Embase, Social Scisearch, Aidsline, Toxline, Biocommercial Abstracts, Arts and Humanities Search, Nuclear Science Abstracts, Water Resources Abstracts, Cab Abstracts, Occupation Safety & Health, etc. In 2007, the impact factor of the journal by SCI is 0.636, and the total citation is 2315.
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