肠道微生物组,托衍生代谢物和骨关节炎相关疼痛之间的关系:系统性综述与元分析
Erika Meléndez-Oliva1,2,3,4, Oliver Martínez-Pozas3,4,5, Pierluigi Sinatti4,6
1Grupo de Investigación en Dietética Aplicada, Nutrición y Composición Corporal (DANuC), Department of Optics, Pharmacology and Anatomy, University of Alicante, 03690 Alicante, Spain.
Nutrients
|January 25, 2025
概括
肠道微生物组的改变可能会影响骨关节炎的疼痛. 虽然一些研究表明与特定细菌和代谢物的联系,但分析发现没有显著的关联,突出显示需要更多的研究.
科学领域:
- 风湿病学和微生物学
- 在骨关节炎的发病过程中研究肠关节轴.
背景情况:
- 骨关节炎 (OA) 影响全球超过5.28亿人,其特点是关节退化,炎症和疼痛.
- 新兴研究强调了肠道微生物组在通过肠-关节轴调节与OA相关的炎症和疼痛方面的作用.
研究的目的:
- 系统地审查检查肠道微生物组与症状性骨关节炎成年人疼痛之间的关系的观察性研究.
- 综合当前关于潜在的肠道微生物群衍生生物标志物与骨关节炎疼痛相关的证据.
主要方法:
- 按照PRISMA指南进行的系统审查和元分析,在PROSPERO注册 (CRD42024556265).
- 在PubMed,Cochrane图书馆和Web of Science进行的关于肠道微生物组和OA疼痛的观察性研究的搜索.
- 数据提取和偏差风险评估由两个独立研究人员进行.
主要成果:
- 包括5项观察性研究,其中3项为分析做出了贡献.
- 个别研究表明,某些托芬代谢产物,脂多糖水平和*Streptococcus*丰富度与OA疼痛之间存在关联.
- 分析显示, *Streptococcus* 属或托芬路径标记物与OA 疼痛之间没有显著的关联.
结论:
- 肠道微生物组失调和骨关节炎疼痛之间存在潜在的联系,但目前的证据受到方法学约束的限制.
- 用先进的方法和更大的队列进行进一步的高质量研究对于证实这些发现和了解机制至关重要.
- 准肠道微生物组为管理骨关节炎疼痛提供了潜在的未来策略.
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