肠道微生物群和椎炎:当前的见解和未来的挑战
Andrei Lobiuc1, Liliana Groppa2, Lia Chislari2
1Department of Biological and Morphofunctional Sciences, College of Medicine and Biological Science, Stefan cel Mare University of Suceava, 720229 Suceava, Romania.
Microbial cell (Graz, Austria)
|September 4, 2025
概括
肠道细菌不平衡,称为失生症,显著影响结性脊柱炎 (AS) 的发展和进展. 准肠道微生物群为这种慢性炎症关节疾病提供了有前途的治疗策略.
科学领域:
- 免疫学
- 微生物学
- 关节病学
背景情况:
- 脊髓炎是一种具有复杂起源的慢性炎症.
- 越来越多的证据表明肠道微生物群与AS的发病有关.
- 通过免疫失调和肠道屏障功能障碍,肠道失调可能引发或恶化AS.
研究的目的:
- 审查肠道微生物群在椎炎中的重要作用.
- 探索肠道微生物群的变化如何影响AS的发病和进展.
- 讨论针对肠道微生物群的潜力.
主要方法:
- 对肠道微生物群和AS的最新研究的文献综述.
- 对肠道失调,免疫反应 (IL-23/17轴) 和AS之间的相互作用进行分析.
- 检查微生物机制,包括HLA-B27相互作用和分子模拟.
主要成果:
- 肠道失调是AS的一个关键因素,通过IL-23/17途径影响免疫调节.
- 改变的肠道微生物群及其代谢物有助于全身炎症和肠关节炎症循环.
- 微生物因素可能通过HLA-B27错误折叠,内质网膜压力和分子模拟来促进AS.
结论:
- 针对肠道微生物失衡是一个有前途的治疗途径.
- 在AS中,持续的自身免疫性炎症周期涉及肠道和关节.
- 需要进行进一步的纵向研究,以充分阐明AS治疗中的肠关节轴.
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