关于微生物群和败血症的叙事评论:宿主的背叛?
Matteo Guarino1,2, Agostino Di Ciaula3, Piero Portincasa3
1Department of Translational Medicine, St. Anna University Hospital of Ferrara, University of Ferrara, Via A. Moro 8, 44124, Ferrara, Italy.
Internal and emergency medicine
|December 2, 2025
概括
败血症的进展是由肠道微生物组的破坏驱动的,而不仅仅是疾病. 针对这种宿主微生物失衡,为败血症提供了新的诊断和治疗策略.
科学领域:
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
- 关键护理医学 关键护理医学
背景情况:
- 败血症是一个主要的全球卫生挑战,死亡率高.
- 人们越来越认识到肠道微生物在败血症病理生理学中的作用.
- 失生症和肠道屏障功能受损有助于败血症的进展.
研究的目的:
- 审查败血症和肠道微生物组之间的复杂关系.
- 探索肠道屏障,肠道微生物群和败血症中的免疫系统之间的相互作用.
- 讨论新兴的诊断生物标志物和针对肠道微生物群的治疗策略.
主要方法:
- 一个叙事审查的研究索引在PubMed,Scopus和EMBASE.
- 分析最近关于毒症宿主微生物相互作用的研究.
- 对实验性疗法和诊断标记物的检查.
主要成果:
- 改变肠道微生物组成和增加肠道透性会加剧系统性炎症和免疫功能障碍.
- 像二胺氧化酶这样的生物标志物表明肠道受伤.
- 实验性疗法,如便微生物群移植和益生菌,显示出有希望的结果.
结论:
- 调节肠道微生物群为败血症提供了一个新的治疗前沿.
- 将败血症视为宿主-微生物共生的破坏,可能会导致新的策略.
- 需要进一步进行高质量的试验,以实施针对微生物群的治疗方法,以改善败血症的结果.
相关概念视频
Factors Affecting the Risk of Infection
13.2K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.2K
Defense Against Bacterial Pathogens
2.6K
The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
2.6K
Defense Mechanism Against Infection
9.1K
Natural flora, body system defenses, and inflammation are natural barriers of the body against infectious agents regardless of previous exposure. Normal floras of the human body refer to the microbial population that colonizes the skin and mucous membranes.
In addition, many body organ systems have unique defenses against infection. The skin is an intact, multilayered surface preventing invasion by microorganisms unless impaired. Mucous membranes lining the mouth, nose, and eyelids are barriers...
In addition, many body organ systems have unique defenses against infection. The skin is an intact, multilayered surface preventing invasion by microorganisms unless impaired. Mucous membranes lining the mouth, nose, and eyelids are barriers...
9.1K
Gene Regulation in Microbial Communities: Quorum Sensing
473
Quorum sensing is a mechanism of bacterial communication that enables coordinated gene expression in response to changes in population density. This facilitates collective behaviors that enhance survival, resource acquisition, and ecological adaptation. This process relies on small signaling molecules called autoinducers that accumulate as bacterial populations grow. When a critical threshold concentration of autoinducers is reached, bacterial cells collectively modify gene expression,...
473
Surface Membrane Barriers
2.5K
The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
2.5K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
5.3K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
5.3K


