微生物假说:腺病毒感染和代谢性内毒素血症对肥胖发病机制的贡献

Amos Tambo, Mohsin H. K. Roshan, N. Pace
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引用次数: 12

摘要

被世界卫生组织称为“全球肥胖”的全球肥胖流行病是一个紧迫的公共卫生问题。肥胖的病因是多因素的,包括遗传因素和环境因素。最近,流行病学研究发现了微生物和肥胖之间的联系。促进肥胖的微生物群和由此产生的肠道屏障解体被认为是促进代谢性内毒素血症的关键因素。这是细菌内毒素进入体循环,被认为是肥胖发病机制的基础。脂肪细胞功能障碍和随后的脂肪因子分泌以低度炎症为特征,通常归因于持续的高脂血症。它们被认为是导致肥胖的关键因素。感染和内毒素血症是否也与低度炎症的启动和持续有关,目前还存在争议。肥胖的患病率超过6亿,是心血管疾病和2型糖尿病等慢性疾病的危险因素,这一事实证明了探索微生物在肥胖病理生物学中的作用的重要性。正是在此基础上,马萨诸塞州总医院发起了粪便微生物群移植治疗肥胖和代谢临床试验,研究微生物组组成对体重的影响。微生物与肥胖的关系,即腺病毒感染和代谢性内毒素血症,综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Microbial Hypothesis: Contributions of Adenovirus Infection and Metabolic Endotoxaemia to the Pathogenesis of Obesity
The global obesity epidemic, dubbed “globesity” by the World Health Organisation, is a pressing public health issue. The aetiology of obesity is multifactorial incorporating both genetic and environmental factors. Recently, epidemiological studies have observed an association between microbes and obesity. Obesity-promoting microbiome and resultant gut barrier disintegration have been implicated as key factors facilitating metabolic endotoxaemia. This is an influx of bacterial endotoxins into the systemic circulation, believed to underpin obesity pathogenesis. Adipocyte dysfunction and subsequent adipokine secretion characterised by low grade inflammation, were conventionally attributed to persistent hyperlipidaemia. They were thought of as pivotal in perpetuating obesity. It is now debated whether infection and endotoxaemia are also implicated in initiating and perpetuating low grade inflammation. The fact that obesity has a prevalence of over 600 million and serves as a risk factor for chronic diseases including cardiovascular disease and type 2 diabetes mellitus is testament to the importance of exploring the role of microbes in obesity pathobiology. It is on this basis that Massachusetts General Hospital is sponsoring the Faecal Microbiota Transplant for Obesity and Metabolism clinical trial, to study the impact of microbiome composition on weight. The association of microbes with obesity, namely, adenovirus infection and metabolic endotoxaemia, is reviewed.
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