弥合差距:通过益生菌干预揭示肠道对帕金森病的影响

A.Y. Nápoles-Medina , B.R. Aguilar-Uscanga , B.G. Nápoles-Medina , P.A. Brand-Rubalcava , A.R. Tejeda-Martínez , M.E. Flores-Soto
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引用次数: 0

摘要

帕金森病(PD)是一种以运动功能障碍为特征的常见神经退行性疾病,由于缺乏改善疾病的治疗方法,其治疗面临重大挑战。新出现的证据表明,肠道微生物群在PD发病机制中起着至关重要的作用,特别是通过其对肠-脑轴的影响。肠脑轴是一个双向通信网络,涉及神经、激素和免疫途径,似乎受到肠道微生物群的显著调节。生态失调,肠道微生物组成的不平衡,与PD的进展有关。肠道细菌产生的代谢物,如短链脂肪酸,是肠-脑信号传导的关键介质,可能参与PD的发病机制。利用PD动物模型的临床前研究已经证明了益生菌的神经保护潜力,益生菌是一种对宿主健康有益的活微生物。这些研究报告了服用益生菌后运动症状的改善,神经炎症的减轻,氧化应激的降低,肠道和血脑屏障完整性的恢复。虽然益生菌对帕金森病有益作用的确切机制有待进一步研究,但这些干预措施有望用于疾病管理。需要进一步的研究来阐明益生菌在PD中的治疗潜力,并开发有针对性的干预措施来调节肠道微生物群以改善临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bridging the gap: Unveiling the gut's influence on Parkinson's disease through probiotic interventions

Introduction

Parkinson's disease (PD), a prevalent neurodegenerative disorder characterized by motor dysfunction, presents a significant therapeutic challenge due to the lack of disease-modifying treatments. Emerging evidence suggests a crucial role of the gut microbiota in PD pathogenesis, particularly through its influence on the gut-brain axis.

Development

The gut-brain axis, a bidirectional communication network involving neural, hormonal, and immune pathways, appears to be significantly modulated by the gut microbiota. Dysbiosis, an imbalance in gut microbial composition, has been implicated in PD progression. Metabolites produced by gut bacteria, such as short-chain fatty acids, are key mediators of gut-brain signaling and may contribute to PD pathogenesis. Preclinical studies utilizing animal models of PD have demonstrated the neuroprotective potential of probiotics, live microorganisms that confer health benefits to the host. These studies report improvements in motor symptoms, reduced neuroinflammation, decreased oxidative stress, and restoration of gut and blood–brain barrier integrity following probiotic administration.

Conclusions

While the precise mechanisms underlying the beneficial effects of probiotics in PD require further investigation, these interventions hold promise for disease management. Further research is warranted to elucidate the therapeutic potential of probiotics in PD and to develop targeted interventions for modulating the gut microbiota to improve clinical outcomes.
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