在精神活性物质使用中探索肠道和口腔微生物组:临床研究的范围审查
Artūras Barkus1, Vaida Baltrūnienė1, Lina Barkienė1
1Department of Pathology and Forensic Medicine, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Journal of neurochemistry
|July 25, 2025
概括
药物使用障碍与肠道和口腔微生物组的变化有关. 虽然在使用者身上发现了不同的微生物群落,但针对性治疗需要更多的研究.
科学领域:
- 微生物组研究的研究.
- 药物成科学 药物成科学
- 临床微生物学 临床微生物学
背景情况:
- 药物使用障碍 (SUDs) 是全球主要的健康负担.
- 越来越多的证据表明,肠道和口腔微生物组与成有关.
- 现有的关于SUDs微生物组变化的人类临床数据是分散的.
研究的目的:
- 系统地审查和综合有关SUD患者肠道和口腔微生物组变化的临床研究.
- 调查酒精,兴奋剂,大麻和阿片类药物使用以及微生物组改变之间的关联.
- 为了确定微生物组在不同类型的物质使用中转移的共同模式和变化.
主要方法:
- 75项临床研究的范围审查.
- 对实物使用者与对照者的肠道和口腔微生物组研究的研究分析.
- 检查β多样性,α多样性和特定的分类学转移.
主要成果:
- 与对照组相比,β-多样性分析始终显示物质使用者的微生物社区结构不同.
- 阿尔法多样性和特定微生物种群的转移因使用的物质而异.
- 共同发现包括有利的短链脂肪酸生产者的减少和机会性或促炎性微生物的增加.
结论:
- 研究中的方法异质性阻碍了最终的结论.
- 有限的纵向数据表明,在戒断的情况下,微生物组的部分恢复,但完全恢复是不确定的.
- 标准化的纵向研究对于澄清发现和开发针对微生物组的SUD疗法至关重要.
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