慢性重症患者肠道微生物组功能障碍的评估和调节:一项前性试点研究
Ekaterina Chernevskaya1, Ekaterina Sorokina1, Petr Polyakov1
1Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Petrovka Str., Moscow 107031, Russia.
International journal of molecular sciences
|October 16, 2025
概括
一个以微生物群为导向的新策略显示出治疗慢性重症患者的前景. 这种方法安全地改善了患者的病情,并显著减少了肺炎的发生率,提供了新的治疗途径.
科学领域:
- 关键护理医学 关键护理医学
- 微生物学 微生物学
- 胃肠病学 胃肠病学
背景情况:
- 肠道微生物群的干扰在慢性严重疾病 (CCI) 中很常见,但难以管理.
- 评估和调节CCI患者的肠道微生物群需要有效的策略.
研究的目的:
- 评估以微生物群为导向的治疗CCI患者的安全性和有效性.
- 评估该策略对患者生物标志物,神经疾病,炎症和感染率的影响.
主要方法:
- 一个单一中心前性研究包括43名CCI患者,按微生物群功能障碍严重程度分层.
- 应用了三种调节方案 (代谢生物,肠道,无氧安全抗生素).
- 评估了超过14天的生物标志物监测和超过28天的临床结果.
主要成果:
- 该策略对于轻度至中度微生物群功能障碍是安全的,减少了药理负载.
- 在神经状态,炎症标志物和血液学/生物化学参数中观察到改善.
- 报告指出,医院肺炎的发病率显著减少.
结论:
- 以微生物群为导向的策略对于管理CCI患者来说是安全有效的.
- 这种方法显示出在这个脆弱人群中预防医院肺炎的潜力.
相关概念视频
Development of Human Microbiota
61
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
61
Functions of the Gut Microbiota
233
The gut microbiota includes trillions of microorganisms that colonize the human gastrointestinal tract, including bacteria, archaea, viruses, and fungi. This complex ecosystem plays a critical role in maintaining intestinal and systemic health. Most of these microbes inhabit the large intestine, establishing a relatively stable and diverse community that contributes to gut homeostasis through various metabolic, immunological, and protective mechanisms.Dominant bacterial phyla, such as...
233
Gut-Brain Axis
222
The gut–brain axis is a bidirectional communication system that connects the gastrointestinal tract and the brain. This interaction is mediated through multiple pathways, including the vagus nerve, hormonal signals, immune responses, and chemical messengers produced by gut microbes.Microbial Contributions to Brain FunctionGut microbiota contributes significantly to brain function by producing neuroactive compounds. These include neuroactive compounds that influence neurotransmitters such...
222


