[关于肠道微生态与败血症之间的相关性研究进展]
Zhiyi Liu1,2, Guanghui Xiu1,2
1Department of Intensive Care Unit, Affiliated Hospital of Yunnan University (the Second People's Hospital of Yunnan Province), Kunming 650021, Yunnan, China.
Zhonghua wei zhong bing ji jiu yi xue
|September 6, 2024
概括
败血症是一种危及生命的疾病,涉及由于感染引起的器官功能障碍. 重建肠道微生物群为改善败血症患者的治疗结果提供了有希望的治疗策略.
科学领域:
- 关键护理医学 关键护理医学
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 败血症是导致死亡的首要原因,其特点是由于宿主对感染的反应失调而引起的器官功能障碍.
- 病理生理机制包括血管内皮功能障碍,微循环障碍和免疫抑制.
- 肠道微生物群失生症越来越被认为是败血症发展和进展的重要因素.
研究的目的:
- 审查关于肠道微生物群和败血症之间的关联的当前研究.
- 探索肠道微生物群调节作为败血症治疗策略的潜力.
- 为临床医生提供有关改善败血症患者预后的见解.
主要方法:
- 对研究肠道微生物组在败血症中的研究进行文献综述.
- 分析将肠道失调与败血症引起的器官功能障碍联系在一起的机制.
- 综合关于治疗干预措施的研究结果,以肠道微生物群为点.
主要成果:
- 肠道微生物群的不平衡与败血症的发展和严重程度密切相关.
- 特定的微生物变化与败血症患者的器官功能障碍和死亡率相关.
- 调节肠道微生物群显示出改善败血症结果的潜力.
结论:
- 肠道微生物组在败血症的发病过程中起着至关重要的作用.
- 针对肠道微生物群重建,为新的败血症疗法提供了一个有希望的途径.
- 需要进一步的研究来将这些发现转化为有效的临床实践.
相关概念视频
Introduction to the Human Microbiota
209
Microorganisms colonize various regions of the human body, including the mouth, nasal passages, throat, stomach, intestines, urogenital tract, and skin. The total number of microbial cells is estimated to range from 10¹³ to 10¹⁴—comparable to, or exceeding, the number of human somatic cells. This host–microbiome relationship has led to the conceptualization of humans as supraorganisms, wherein microbial communities perform vital roles in development, immunity,...
209
Development of Human Microbiota
61
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
61
Microbiota of the Stomach and Small Intestine
77
The human gastrointestinal (GI) tract is characterized by distinct physicochemical conditions that shape its microbial communities. Among these, the stomach presents a particularly challenging environment for microbial colonization due to its highly acidic pH, ranging from 1 to 3. This extreme acidity effectively limits microbial density. However, certain acid-tolerant microorganisms are capable of surviving in this niche. Notably, Helicobacter pylori can colonize the gastric mucosa,...
77
Microbiota of the Large Intestine
98
The large intestine hosts the most densely populated microbial ecosystem in the human body. This complex community primarily consists of anaerobic bacteria, with Bacillota (formerly Firmicutes) and Bacteroidota (formerly Bacteroidetes) as the predominant groups. The distribution of these microbes varies along different sections of the large intestine, influenced by local environmental factors such as oxygen availability and nutrient composition.The cecum, located at the beginning of the large...
98
Functions of the Gut Microbiota
233
The gut microbiota includes trillions of microorganisms that colonize the human gastrointestinal tract, including bacteria, archaea, viruses, and fungi. This complex ecosystem plays a critical role in maintaining intestinal and systemic health. Most of these microbes inhabit the large intestine, establishing a relatively stable and diverse community that contributes to gut homeostasis through various metabolic, immunological, and protective mechanisms.Dominant bacterial phyla, such as...
233
Bacterial Gastroenteritis
88
Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid...
88


