摘要
背景:肠道微生物群在人类疾病中的作用吸引了全球数百名研究人员的研究。许多研究强调,肠道微生物群调节免疫系统,其破坏可触发自身免疫性和炎症性免疫介导的疾病。益生菌能够积极地改变微生物群的组成。 目的:本文综述了关于益生菌在最常见的自身免疫性疾病和炎症性免疫介导疾病中的作用的最重要的发现。 方法:在 PubMed, Google Scholar和 Medline以及特定的期刊网站上,使用关键词“自身免疫”、“微生物群”和“益生菌”进行文献研究。文章的选择由三位作者独立进行,争议由第四位研究者解决。只纳入了英文文章,并优先考虑临床试验、荟萃分析和病例系列。经过审查过程后,已经考虑了68篇文章。 结果:基于这一证据,许多研究探讨了益生菌在恢复肠道生态化方面的潜力,从而影响这些病理的发病机制、临床表现和过程。即使鉴于很少且有时相互矛盾的研究,医生在接触自身免疫性疾病患者时也应该开始考虑这些初步发现。在对潜在的候选药物进行准确的个案评估后,除了标准的治疗计划外,还可以引入益生菌作为支持措施。
关键词: 益生菌、微生物群、生态失调、生态失调、自身免疫、免疫介导的疾病。
[http://dx.doi.org/10.1016/j.cell.2014.03.011] [PMID: 24679531]
[http://dx.doi.org/10.3389/fimmu.2017.00598] [PMID: 28588585]
[http://dx.doi.org/10.1136/gut.53.1.7] [PMID: 14684567]
[http://dx.doi.org/10.1038/nrmicro2245] [PMID: 19898491]
[http://dx.doi.org/10.1128/mBio.03335-20] [PMID: 33531385]
[http://dx.doi.org/10.1126/science.1091334] [PMID: 15016999]
[http://dx.doi.org/10.1016/j.chom.2008.09.009] [PMID: 18854238]
[http://dx.doi.org/10.1016/j.immuni.2009.08.020] [PMID: 19833089]
[http://dx.doi.org/10.1146/annurev-immunol-030409-101314] [PMID: 20192805]
[http://dx.doi.org/10.1016/j.immuni.2011.03.021] [PMID: 21596591]
[http://dx.doi.org/10.1084/jem.20111703] [PMID: 22291094]
[http://dx.doi.org/10.4161/gmic.19320] [PMID: 22356853]
[http://dx.doi.org/10.1016/j.jaut.2016.06.009] [PMID: 27481556]
[http://dx.doi.org/10.3389/fmicb.2016.00084] [PMID: 26903965]
[http://dx.doi.org/10.1038/nrgastro.2010.117] [PMID: 20664519]
[http://dx.doi.org/10.1111/imm.12765] [PMID: 28556916]
[http://dx.doi.org/10.1017/S0007114516004037] [PMID: 28102115]
[http://dx.doi.org/10.1155/2015/505878] [PMID: 25793197]
[http://dx.doi.org/10.3389/fimmu.2014.00060] [PMID: 24600450]
[http://dx.doi.org/10.1016/j.clim.2006.11.005] [PMID: 17218154]
[http://dx.doi.org/10.1111/j.1365-2567.2007.02800.x] [PMID: 18217947]
[http://dx.doi.org/10.1080/07315724.2003.10719276] [PMID: 12569115]
[http://dx.doi.org/10.1111/j.1365-2036.2004.02268.x] [PMID: 15569116]
[http://dx.doi.org/10.1038/ajg.2010.218] [PMID: 20517305]
[http://dx.doi.org/10.1073/pnas.1712901115] [PMID: 29255057]
[http://dx.doi.org/10.3389/fimmu.2019.01235] [PMID: 31214189]
[http://dx.doi.org/10.1136/gutjnl-2014-306931] [PMID: 24939571]
[PMID: 23822699]
[http://dx.doi.org/10.1093/aje/kwu101] [PMID: 24853109]
[http://dx.doi.org/10.1371/journal.pone.0016169] [PMID: 21249146]
[PMID: 20052669]
[http://dx.doi.org/10.1371/journal.pone.0030744] [PMID: 22348021]
[http://dx.doi.org/10.1016/j.jprot.2012.09.005] [PMID: 23023000]
[http://dx.doi.org/10.1017/S0007114514000609] [PMID: 24774670]
[http://dx.doi.org/10.1007/s10620-015-3769-7] [PMID: 26134988]
[http://dx.doi.org/10.1097/MCG.0b013e31827759ac] [PMID: 23314670]
[http://dx.doi.org/10.1016/j.imlet.2008.04.006] [PMID: 18547649]
[http://dx.doi.org/10.1111/j.1365-3083.2011.02582.x] [PMID: 21615450]
[http://dx.doi.org/10.1038/labinvest.2012.13] [PMID: 22330344]
[http://dx.doi.org/10.1212/WNL.0b013e3181c97c8f] [PMID: 20038759]
[http://dx.doi.org/10.1038/nri2550] [PMID: 19444307]
[http://dx.doi.org/10.1136/ard.2008.098020] [PMID: 19022815]
[http://dx.doi.org/10.4049/jimmunol.1001443] [PMID: 20817872]
[http://dx.doi.org/10.2353/ajpath.2008.070690] [PMID: 18156204]
[http://dx.doi.org/10.1371/journal.pone.0009009] [PMID: 20126401]
[http://dx.doi.org/10.1038/mi.2010.29] [PMID: 20531465]
[http://dx.doi.org/10.1371/journal.pone.0027644] [PMID: 22110705]
[http://dx.doi.org/10.1016/j.clnu.2016.08.015] [PMID: 27669638]
[http://dx.doi.org/10.1016/j.autrev.2011.05.011] [PMID: 21621007]
[http://dx.doi.org/10.1136/bmj.288.6434.1867] [PMID: 6428580]
[http://dx.doi.org/10.1086/513783] [PMID: 9396695]
[http://dx.doi.org/10.1002/ana.410070203] [PMID: 7369715]
[http://dx.doi.org/10.1212/WNL.51.4.1110] [PMID: 9781538]
[http://dx.doi.org/10.1155/2011/972096] [PMID: 22567484]
[http://dx.doi.org/10.1086/594124] [PMID: 19025491]
[http://dx.doi.org/10.3389/fmicb.2015.01497] [PMID: 26779152]
[http://dx.doi.org/10.1016/S1357-4310(99)01639-1] [PMID: 10652482]
[http://dx.doi.org/10.1016/j.jneuroim.2019.577048] [PMID: 31678855]
[http://dx.doi.org/10.1111/j.1574-6968.2009.01781.x] [PMID: 19765084]
[http://dx.doi.org/10.1111/1756-185X.12728] [PMID: 26385261]
[http://dx.doi.org/10.3402/fnr.v60.30876] [PMID: 27427194]
[http://dx.doi.org/10.3390/jcm9041044] [PMID: 32272752]
[http://dx.doi.org/10.1016/j.atherosclerosis.2012.04.008] [PMID: 22703866]
[http://dx.doi.org/10.1002/acr.20414] [PMID: 21452264]
[http://dx.doi.org/10.1136/ard.62.9.842] [PMID: 12922956]
[http://dx.doi.org/10.1002/art.38986] [PMID: 25504899]
[http://dx.doi.org/10.1016/j.nut.2013.09.007] [PMID: 24355439]
[http://dx.doi.org/10.1111/1756-185X.12888] [PMID: 27135916]
[PMID: 21629190]
[http://dx.doi.org/10.1016/j.molimm.2007.12.010] [PMID: 18243320]
[http://dx.doi.org/10.1128/mBio.01548-14] [PMID: 25271284]
[http://dx.doi.org/10.3390/nu11112676] [PMID: 31694260]
[http://dx.doi.org/10.1128/AEM.02288-17] [PMID: 29196292]
[http://dx.doi.org/10.1042/CS20180841] [PMID: 30872359]
[http://dx.doi.org/10.1186/s40168-017-0300-8] [PMID: 28697806]
[http://dx.doi.org/10.1186/1475-2891-13-60] [PMID: 24939063]
[http://dx.doi.org/10.1007/s00125-005-1831-2] [PMID: 15986236]
[http://dx.doi.org/10.1155/2016/7569431] [PMID: 26779542]
[http://dx.doi.org/10.1001/jamapediatrics.2015.2757] [PMID: 26552054]
[http://dx.doi.org/10.3390/nu9111166]
[http://dx.doi.org/10.12998/wjcc.v7.i19.3074] [PMID: 31624757]
[http://dx.doi.org/10.1016/S0140-6736(00)04259-8] [PMID: 11297958]
[http://dx.doi.org/10.1016/S0140-6736(03)13490-3] [PMID: 12788576]