从失调症到痛苦:创伤相关疾病中的肠脑连接
Giuseppe Marano1,2, Luca Lo Giudice1,2, Elettra Specogna1,2
1Department of Neuroscience, Head-Neck and Chest, Section of Psychiatry, Fondazione Policlinico Universi-Tario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Rome, Italy.
Nutrients
|February 13, 2026
概括
肠道微生物群的变化与创伤后应激障碍 (PTSD) 症状有关,影响肠-大脑轴. 针对肠道的干预措施可能为PTSD提供新的治疗途径.
科学领域:
- 神经科学是一个神经科学.
- 微生物学 微生物学
- 精神病学是一个精神病学.
背景情况:
- 创伤后应激障碍 (PTSD) 涉及复杂的心理,神经生物学和系统生理因素.
- 肠-大脑轴在应激反应,情绪调节和创伤相关疾病中的神经炎症中发挥着关键作用.
研究的目的:
- 审查有关肠道微生物群和中枢神经系统在PTSD中的相互作用的当前文献.
- 突出潜在的机制和治疗策略,针对PTSD的肠-大脑轴.
主要方法:
- 在PubMed,Scopus和Web of Science的综合文献搜索.
- 专注于过去二十年的临床,临床前和翻译研究.
- 强调微生物群对神经内分泌/免疫通路和肠-大脑轴干预的影响.
主要成果:
- 肠道功能失调和透性增加与PTSD症状相关.
- 机制包括下丘脑-垂体-上腺 (HPA) 轴失调,神经炎症和改变的神经递质生产.
- 临床前数据显示,早期的压力,创伤和肠道微生物群之间存在双向联系;初步的临床数据表明益生菌,饮食和精神病菌的益处.
结论:
- 肠-大脑轴为了解PTSD病理生理学提供了一个有希望的框架.
- 准肠道微生物群为PTSD提供了新的预防和治疗可能性.
- 需要进一步的研究来验证发现并指导临床应用.
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