在肠-大脑相互作用障碍的肠道透性:从长椅到床边
Madhusudan Grover1, Tim Vanuytsel2, Lin Chang3
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
肠道屏障功能障碍与肠-大脑相互作用 (DGBI) 有关. 本综述探讨了评估技术,证据和治疗方法,以恢复DGBI患者的肠道屏障功能.
科学领域:
- 胃肠道学和神经科学
- 肠-大脑轴研究研究
- 微生物组研究 微生物组研究
背景情况:
- 肠道屏障功能对于肠-大脑相互作用 (DGBI) 是至关重要的.
- 屏障功能障碍在DGBI临床表现中的确切作用需要进一步澄清.
- 压力和并发症显著影响屏障功能和DGBI.
研究的目的:
- 审查评估肠道屏障功能的技术.
- 评估将障碍器功能障碍与DGBI联系在一起的证据.
- 概述治疗策略,以恢复DGBI的肠道屏障功能.
主要方法:
- 在体外,体内和体外实验策略.
- 对光线介质 (宿主,细菌,饮食) 的分析.
- 检查屏障功能与神经,激素和免疫反应之间的交叉声.
主要成果:
- 屏障功能障碍受光因子的影响,可以改变肠道环境.
- 微生物组在肠-大脑轴中发挥着关键作用.
- 证据支持DGBI的屏障功能障碍,并从人类研究中获得了机理性见解.
结论:
- 肠道屏障的完整性是DGBI的一个关键因素.
- 了解屏障功能,微生物组和大脑之间的相互作用至关重要.
- 针对肠道屏障的治疗干预措施对DGBI管理有希望.
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