微生物组和长期COVID-19:当前证据和见解
Olga A Caliman-Sturdza1,2, Sevag Hamamah3, Oana C Iatcu1
1College of Medicine and Biological Science, Stefan cel Mare University of Suceava, 720229 Suceava, Romania.
长期COVID,或SARS-CoV-2感染的后急性后续,与肠道和口腔微生物组的变化有关. 恢复微生物平衡为管理长期COVID症状提供了一个有希望的治疗策略.
科学领域:
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 长期COVID (SARS-CoV-2感染的急性后续) 呈现了持续的多系统性症状.
- 肠道和口腔微生物群的改变越来越多地与长期COVID病原发生有关.
- 失生症可能会导致炎症并影响肠-大脑/肠-肺轴.
研究的目的:
- 审查肠道和口腔微生物群在长期COVID中的作用.
- 为了突出长期COVID的微生物生物标志物.
- 讨论针对微生物的治疗策略.
主要方法:
- 关于长期COVID中的肠道和口腔微生物群的文献综合.
- 分析与症状集群相关的微生物特征.
- 对拟议的致病遗传机制和治疗干预措施的审查.
主要成果:
- 长期COVID患者显示微生物多样性减少和有益的SCFA生产物种枯竭.
- 促炎性类型被丰富,可能破坏屏障完整性并维持炎症.
- 微生物特征与特定的症状集群相关 (神经精神病,呼吸系统,胃肠道).
结论:
- 微生物群失生症是长期COVID的重要因素.
- 机制包括受损的SCFA代谢,微生物转移和免疫相互作用.
- 针对微生物组的疗法显示出潜力,但需要进一步研究疗效和因果关系.
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