小儿代谢功能障碍相关的脂肪性肝病和肠道微生物组:从研究景观到向调制
Lu Jiang1,2,3, Lan-Duoduo Du1, Jing Zeng4
1Division of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Clinical and molecular hepatology
|August 18, 2025
概括
儿童的代谢功能障碍相关的脂肪性肝病 (MASLD) 与肠道细菌的变化有关. 了解肠 - 肝轴为诊断和治疗这种常见的肝脏疾病提供了新的途径.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 微生物学 微生物学
- 儿科 儿科 儿科
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是儿童慢性肝病的主要原因.
- 儿科MASLD包括从简单的肥胖症到肝硬化和肝细胞癌的范围.
- 病原发生涉及遗传,表观遗传,环境因素和肠道微生物群的改变.
研究的目的:
- 审查关于小儿MASLD肠道微生物群和微生物产品变化的临床研究.
- 探索针对肠肝轴进行诊断和治疗的潜力.
- 讨论治疗策略,包括饮食,药物和益生菌.
主要方法:
- 对专注于小儿MASLD肠道微生物群和微生物产品的临床研究的综述.
- 对短链脂肪酸,胆汁酸和乙醇与疾病病原性相关的分析.
- 关于饮食,药物和益生菌干预的当前研究的总结.
主要成果:
- 肠道微生物群和微生物产品的变化与儿科MASLD的发病有关.
- 现有研究受到小样本规模和方法不一致的限制.
- 饮食修改,药物治疗和益生菌显示出治疗潜力.
结论:
- 肠肝轴在儿科MASLD中起着至关重要的作用.
- 需要进一步的研究来克服目前的局限性,并开发有效的诊断和治疗工具.
- 准肠道微生物群可能为治疗儿科MASLD提供新的策略.
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