不平衡的肠道微生物群与系统性硬化症之间的联系

Gheorghe Giurgiu, M. Cojocaru
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引用次数: 0

摘要

最近的研究表明,肠道微生物群影响免疫系统的发育和功能,也可能在自身免疫性疾病的发病机制中发挥作用。系统性硬化症,又称硬皮病(SD),是一种罕见的疾病。硬皮病是一种免疫介导的系统性自身免疫性疾病,病因不明,发病率和死亡率高。该疾病与肠道菌群失衡之间的联系表明,它将有助于SD的发展,其特征是免疫紊乱、血管病变、器官纤维化。90%的SD患者存在胃肠道功能障碍,是这些患者发病和死亡的主要原因。越来越多的证据表明,SD患者的肠道菌群发生了变化,需要进一步的实验室和临床研究来确定这些变化使SD患者的炎症和纤维化持续存在的机制。尽管一些研究表明,与看似健康的人相比,SD患者的肠道微生物群异常,但肠道微生物群的变化是疾病的结果还是最初的原因尚不清楚。饮食干预或粪便移植是否能恢复肠道微生物平衡并改善健康状况,还需要进行治疗性研究。旨在解决/纠正这些疾病的介入性研究,无论是通过饮食调整、益生元补充或粪便移植,都可能改善SD患者的预后。有必要进一步研究肠道菌群失调在引发SD中的潜在病理生理作用,我们将讨论调节SD中微生物群的自然疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Link between Imbalanced Gut Microbiome and Systemic Sclerosis
Recent research suggests that the intestinal microbiota influences the development and function of the immune system, may also play a role in the pathogenesis of autoimmune diseases. Systemic sclerosis, also known as scleroderma (SD), is a rare disease. Scleroderma is an immune-mediated systemic autoimmune disease, of unknown etiology, with high morbidity and mortality. The link between the disease and the imbalance of the intestinal microbiota suggested that it would contribute to the development of SD, which is characterized by immune disorder, vasculopathy, organ fibrosis. Gastrointestinal dysfunction affects 90% of patients with SD and is a leading cause of morbidity and mortality in these patients. Emerging evidence suggests that there are changes in the intestinal microbiota in SD, further laboratory and clinical studies are needed to establish the mechanism by which these changes perpetuate inflammation and fibrosis in SD. Although several studies have shown that the intestinal microbiota of patients with SD is abnormal compared to that of seemingly healthy people, it remains unclear whether changes in the intestinal microbiota are the result of the disease or the initial causes. Therapeutic studies are needed to investigate whether dietary interventions or fecal transplantation can restore intestinal microbial balance and improve health outcomes. Interventional studies aimed at addressing / correcting these disorders, either by dietary modification, pro / prebiotic supplementation or fecal transplantation, may lead to improved outcomes for patients with SD. It is necessary to further investigate the potential pathophysiological role of dysbiosis of the intestinal microbiota in triggering SD, we will discuss natural remedies for modulating the microbiota in SD.
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