前列腺和肠道:有任何关系吗? 对现有证据和假定的机制进行叙述性审查
Lorenzo Romano1,2, Luigi Napolitano1, Felice Crocetto1
1Department of Neurosciences, Reproductive Sciences and Odontostomatology and Urology Unit, Federico II University, Naples, Italy.
The Prostate
|February 14, 2024
概括
改变肠道微生物组 (GM) 和其代谢物对诊断和治疗前列腺疾病,包括前列腺癌 (PCa) 具有前景. 这种肠-前列腺轴连接影响宿主雌激素和治疗反应.
科学领域:
- 微生物组研究的研究.
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 肠道微生物群影响宿主新陈代谢,免疫力和细胞增殖.
- 肠道微生物群的变化与糖尿病,肥胖和心血管疾病等疾病有关.
- 肠-前列腺轴描述了肠道微生物组变化,肠道透性增加和前列腺疾病之间的联系,尽管机制尚不清楚.
研究的目的:
- 审查关于肠-前列腺轴的当前文献.
- 探索肠道微生物群在前列腺疾病,包括前列腺癌中的作用.
- 评估针对肠道微生物组进行前列腺疾病诊断和治疗的潜力.
主要方法:
- 从Medline,Scopus和Web of Science数据库中对文章进行叙事审查.
- 包括在2023年12月之前发表的相关论文,没有时间限制.
主要成果:
- 肠道微生物群及其代谢物可以改变宿主雌激素水平,并影响前列腺癌 (PCa) 治疗结果.
- 患有炎症性肠病的患者表现出前列腺炎症状的增加和患PCa的风险更高.
- 有证据表明,肠道微生物组合和前列腺健康之间存在重要联系.
结论:
- 针对肠道微生物组及其代谢物的干预措施具有诊断和治疗前列腺疾病的巨大潜力,包括PCa.
- 需要进一步的研究,以充分阐明肠-前列腺轴的病理生理机制和临床影响.
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