ディスビオシスから苦悩へ:トラウマ関連疾患における腸-脳接続
Giuseppe Marano1,2, Luca Lo Giudice1,2, Elettra Specogna1,2
1Department of Neuroscience, Head-Neck and Chest, Section of Psychiatry, Fondazione Policlinico Universi-Tario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Rome, Italy.
Nutrients
|February 13, 2026
まとめ
腸内微生物群の変化は,心的外傷後ストレス障害 (PTSD) の症状と関連しており,腸-脳軸に影響を及ぼします. 腸を標的とした介入は,PTSDに対する新しい治療の機会を提供することができる.
科学分野:
- 神経科学は神経科学である.
- 微生物学 微生物学とは
- 精神科医は精神病を患っている.
背景:
- トラウマ後ストレス障害 (PTSD) は,複雑な心理的,神経生物学的,および全身的生理学的要因を含む.
- 腸-脳軸は,ストレス反応,感情の調節,トラウマ関連疾患における神経炎症において重要な役割を果たします.
研究 の 目的:
- PTSDにおける腸内微生物群と中枢神経系の相互作用に関する現在の文献をレビューする.
- 潜在的メカニズムと,PTSDの腸-脳軸を標的とした治療戦略を強調する.
主な方法:
- PubMed,Scopus,およびWeb of Scienceの包括的な文献検索. 科学のウェブについて.
- 過去20年間の臨床,前臨床,翻訳研究に焦点を当てた.
- 神経内分泌/免疫経路に対する微生物群の影響と腸-脳軸の介入を強調する.
主要な成果:
- 腸の機能不全と,過透性の増加は,PTSDの症状と相関しています.
- そのメカニズムには,下垂体・下垂体・腎上腺 (HPA) 軸の調節不全,神経炎症,神経伝達物質の生産の変化などが含まれる.
- 臨床前データは,早期のストレス,トラウマ,腸内微生物群との双方向的な関連性を示しています. 臨床前データは,プロバイオティクス,ダイエット,精神生物学的薬の利点を示唆しています.
結論:
- 腸-脳軸は,PTSDの病理生理学を理解するための有望な枠組みを提供します.
- 腸内微生物群をターゲットにすることは,PTSDの新たな予防および治療の可能性を提示します.
- 発見を検証し,臨床応用を導くためにさらなる研究が必要である.
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