在败血症引起的心肌病中,肠心轴之间的相互作用
Zi-Kang Zhou1, Mu-Ming Yu1, Song-Tao Shou1
1Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China.
Pharmacological research
|May 31, 2025
概括
肠道微生物群在败血症诱导的心肌病 (SIC) 中影响心脏功能. 本综述探讨了双向肠心轴和针对这种相互作用的治疗策略.
科学领域:
- 微生物学 微生物学
- 心脏病学 心脏病学
- 病理生理学 病理生理学
背景情况:
- 肠道微生物群及其代谢物显著影响心脏功能.
- 败血症引起的心肌病 (SIC) 涉及到复杂的肠心相互作用.
- 对SIC的治疗干预可以相互影响肠道微生物生态.
研究的目的:
- 在SIC期间系统地审查肠道微生物群和心脏之间的双向关系.
- 定义和探索"前进肠心轴" (肠到心脏).
- 定义和探索"逆肠心轴" (心脏/药物到肠道).
主要方法:
- 文献综述侧重于SIC中的肠心轴.
- 对研究微生物代谢物和心脏功能的研究进行分析.
- 检查心脏病和治疗对肠道微生物群的相互影响.
主要成果:
- 肠道微生物群及其代谢产物在SIC病理生理学中发挥着关键作用.
- "前进肠心轴"描述了肠道对心血管健康的影响.
- "反向肠心轴"详细说明心脏因素和药物如何影响肠道微生物群.
结论:
- 了解双向肠心轴对于管理SIC至关重要.
- 准肠心相互作用为SIC提供了新的治疗途径.
- 调节肠道微生物群是SIC治疗的一个有希望的策略.
更多相关视频
10:21Scanning Electron Microscopy of Macerated Tissue to Visualize the Extracellular Matrix
Published on: June 14, 2016
10.2K
08:01Semi-Minimal Invasive Method to Induce Myocardial Infarction in Rats and the Assessment of Cardiac Function by an Isolated Working Heart System
Published on: June 11, 2020
8.3K
相关概念视频
Myocarditis I: Introduction
36
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
36
Rheumatic Heart Disease I: Introduction
53
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
53
Heart Failure II: Pathophysiology
59
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
59
Pathophysiology of Heart Failure
1.9K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.9K
Cardiomyopathy III: Hypertrophic Cardiomyopathy
67
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
67
Cardiomyopathy II: Dilated Cardiomyopathy
30
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
30
