微生物组,分子机制和生育能力的相互作用 - - 一个综合性综述
Xiaoyu Zhang1, Chaofan Li1, Xiaoling Feng2
1Department of First Clinical Medical College, Heilongjiang University of Chinese medicine, Harbin, 150040, China.
Folia microbiologica
|December 26, 2025
概括
人类微生物组通过肠繁殖轴影响生育能力. 微生物失衡 (失生症) 与生殖问题有关,但益生菌和FMT显示出恢复健康的希望.
科学领域:
- 生殖免疫学 生殖免疫学
- 微生物组研究 微生物组研究
- 人类健康 人类健康 人类健康
背景情况:
- 人类微生物群,特别是肠道和生殖道微生物群,极大地影响生育能力.
- 沿着肠-生殖轴的双向通信涉及微生物代谢物调节炎症,免疫力,激素和新陈代谢.
研究的目的:
- 审查关于肠-生殖轴及其在生育中的作用的新兴证据.
- 突出微生物失衡 (失生症) 对生殖病理的影响.
- 讨论恢复微生物和生殖健康的干预措施.
主要方法:
- 文献综述综合了关于肠-生殖轴的当前研究.
- 微生物代谢物 (SCFA,胆酸,内醇) 的分析及其系统性影响.
- 检查特定地点的微生物组 (阴道,子宫) 和它们在生殖中的作用.
主要成果:
- 失生症与PCOS,子宫内膜异位症,POI,精子发生障碍和植入失败有关.
- 乳杆菌占主导地位的阴道和子宫微生物组对于植入和怀孕至关重要.
- 饮食,毒素和抗生素破坏微生物生态系统;益生菌,益生菌和FMT显示治疗潜力.
结论:
- 微生物组调制为不孕症提供了有前途的治疗策略.
- 需要进一步的研究来克服翻译的挑战,并建立因果关系.
- 未来的方向包括多主题,RCT和个性化微生物组疗法.
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