多抗药性感染和代谢综合征:一个被忽视的双向关系
Carlo Acierno1, Riccardo Nevola2, Fannia Barletta3
1Department of Infectious Diseases, Azienda Ospedaliera Regionale San Carlo, 85100 Potenza, Italy.
Biomedicines
|June 26, 2025
概括
代谢综合征和多药耐药性感染是相互关联的,创造了一个综合症. 本综述探讨了它们的双向关系,由炎症和免疫变化驱动,影响宿主脆弱性和代谢健康.
科学领域:
- 免疫学 免疫学 免疫学
- 代谢障碍 代谢障碍 代谢障碍
- 传染性疾病 传染性疾病
背景情况:
- 代谢综合征 (MetS) 和多药耐药性 (MDR) 感染是全球越来越严重的健康问题.
- 证据表明,MetS和MDR感染之间存在双向关系,由炎症,免疫失调和肠道微生物群介导.
- 这种相互作用影响宿主易感性和代谢健康.
研究的目的:
- 审查MetS和MDR感染之间的免疫代谢相互作用.
- 检查分子机制,临床影响和未来的研究方向.
- 通过考虑具有代谢序列的病毒感染来扩大框架.
主要方法:
- 在PubMed和Scopus (过去15年) 的系统文献搜索.
- 专注于探索代谢功能障碍和抗菌素耐药性的研究.
- 分析关键的免疫代谢途径和宿主-病原体相互作用.
主要成果:
- MetS可能会增加对MDR病原体的脆弱性.
- 慢性MDR感染可能会诱导全身代谢重编程.
- 肠道失生症在增加感染易感性和代谢障碍方面都起作用.
结论:
- MetS-MDR综合症对翻译研究和个性化治疗提出了挑战.
- 认识到这种相互关系对于完善风险分层和治疗策略至关重要.
- 需要进一步的研究来澄清这种关联,并确定预测性生物标志物.
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