肠道微生物群和疫苗接种:对文献的系统审查
Francesco Loddo1, Pasqualina Laganà1, Caterina Elisabetta Rizzo1
1Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University of Messina, 98122 Messina, Italy.
Vaccines
|April 23, 2025
概括
肠道微生物群影响疫苗的有效性,特别是在儿童中. 需要进一步的研究,以了解这种关键关系背后的确切机制,以改善公共卫生战略.
科学领域:
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 疫苗接种是公共卫生的一个关键工具,但它的有效性各不相同.
- 肠道微生物群是影响疫苗反应的关键因素.
- 了解这些变异对于优化疫苗策略至关重要.
研究的目的:
- 系统地审查有关肠道微生物群在疫苗免疫性中的作用的文献.
- 为了突出肠道微生物群对COVID-19的影响,沙门氏菌,霍乱病毒和轮状病毒疫苗.
主要方法:
- 科学文献的系统审查.
- 使用关键词"疫苗"和"微生物群"搜索主要数据库 (PubMed,Scopus,知识网络,Cochrane).
- 包括24个符合纳入标准的随机对照试验 (RCT).
主要成果:
- 对235个参考的分析确定了24个相关的RCT.
- 包括的研究涵盖了COVID-19,沙门氏菌,Vibrio cholerae和轮状病毒疫苗.
- 只有六项研究符合高质量标准 (Jadad分数为3-4).
结论:
- 肠道微生物群在增强疫苗免疫性方面发挥着重要作用.
- 这种效应在年轻人群中显得尤为明显.
- 需要进一步的研究来阐明潜在的机制.
相关概念视频
Anatomy of the Intestines
Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the small...
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the small...
Vaccinations
Overview
Microorganisms in Medicine and Therapeutics
Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
Introduction to the Human Microbiota
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, and disease...
Development of Human Microbiota
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 the skin...
Microbiota Modulation by Antibiotics
Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...


