对肠道细菌的向减轻了酒精性肝病
Yi Duan1,2, Cristina Llorente1,2, Sonja Lang1
1Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Nature
|November 15, 2019
概括
在酒精性肝炎中,Cytolytic Enterococcus faecalis会导致肝损伤. 向这种细菌的菌体减少了小鼠的肝损伤,这表明这种严重的肝病的潜在治疗策略.
科学领域:
- 微生物学
- 肝病学
- 胃肠病学
背景情况:
- 酒精使用障碍导致全球严重的疾病负担和死亡率.
- 酒精性肝炎是一种严重的,危及生命的酒精相关肝病.
- 肠道微生物群在乙醇引起的肝病中的作用尚未完全理解.
研究的目的:
- 确定导致酒精性肝炎的微生物因素.
- 研究Enterococcus faecalis细胞素在肝损伤中的作用.
- 在小鼠模型中对细胞分解性E. faecalis进行菌体治疗.
主要方法:
- 在酒精性肝炎患者和对照患者中量化E. faecalis.
- 细胞分解性E. faecalis存在与疾病严重程度和死亡率相关.
- 使用与患者微生物群结合的人性化小鼠来测试菌体的有效性.
主要成果:
- 酒精性肝炎患者表现出便中的E. faecalis增加.
- 细胞分解性E. faecalis存在与肝脏疾病的严重程度和死亡率相关.
- 向细胞分解性E. faecalis的菌体降低了小鼠的肝细胞素和乙醇诱导的肝病.
结论:
- 细胞分解性肠球菌与酒精性肝炎的严重程度和死亡率有关.
- 菌体提供了一个有针对性的方法来编辑肠道微生物群.
- 需要进一步的临床试验来验证酒精性肝炎的细菌治疗.
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