治疗微生物组调制:艾滋病毒治疗的新前沿
1Department of Internal Medicine, Division of Infectious Diseases and Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Current opinion in HIV and AIDS
|June 14, 2024
概括
通过FMT或益生菌进行微生物组调节可能会减少艾滋病毒感染者 (PLWH) 的炎症. 然而,目前的干预措施显示不一致的结果,需要进一步的研究,以持续影响炎症和健康结果.
科学领域:
- 微生物组研究的研究.
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 肠道失调与全身炎症有关,增加了艾滋病毒感染者 (PLWH) 的非艾滋病相关风险.
- 调节肠道微生物组为减少炎症和改善PLWH健康结果提供了一个潜在的策略.
研究的目的:
- 审查微生物组调制的潜力,以逆转失生症和减少PLWH中的全身炎症.
- 评估当前干预措施在改变微生物组和相关生物标志物的有效性.
主要方法:
- 对干预措施的审查,包括便微生物种移植 (FMT),益生菌,益生菌,共生菌,后生菌和饮食修改.
- 关于耐受性,微生物组变化以及对炎症和免疫激活生物标志物的影响的临床试验数据的分析.
主要成果:
- 干预措施通常耐受良好,但没有持续或持久地改变微生物群或关键生物标志物.
- 评估的生物标志物包括肠道透性,微生物转位,炎症,免疫激活和CD4+T细胞计数.
- 持续的微生物植入可能需要将益生菌和/或饮食变化与益生菌或FMT结合起来.
结论:
- 目前的微生物组调制策略有希望,但在PLWH中缺乏一致的有效性.
- 需要进行更大的,充足的随机对照试验,以确认微生物组调节能够影响PLWH系统性炎症的能力.
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