Gastrointestinal Tract

胃肠道
  • 文章类型: Journal Article
    使用体外和/或计算机模拟的制剂性能的体内研究通常受到我们对施用的剂型与人胃肠道之间的相互作用的知识的显著差距的限制。这项工作提出了一种新的方法来研究胃动力对剂型性能的影响,通过将创新的PhysioCell设备中的生物诊断溶出测试与基于机械生理学的药代动力学模型相结合。该方法基于大量(n=118)健康志愿者的药代动力学数据,这些志愿者在禁食条件下摄入了含有高度可溶性和快速吸收药物的胶囊。开发的溶出测试包括生物相关介质,不同的流体流动,和生理时间和强度的机械应力事件。溶解结果用作药代动力学模型的输入,该模型导致了胃运动的五种模式及其在研究人群中的患病率。由于这些模式显著影响了观察到的药代动力学特征,所提出的方法学可能对涉及速释口服剂型的其他体内外预测有用.
    In vivo studies of formulation performance with in vitro and/or in silico simulations are often limited by significant gaps in our knowledge of the interaction between administered dosage forms and the human gastrointestinal tract. This work presents a novel approach for the investigation of gastric motility influence on dosage form performance, by combining biopredictive dissolution tests in an innovative PhysioCell apparatus with mechanistic physiology-based pharmacokinetic modeling. The methodology was based on the pharmacokinetic data from a large (n = 118) cohort of healthy volunteers who ingested a capsule containing a highly soluble and rapidly absorbed drug under fasted conditions. The developed dissolution tests included biorelevant media, varied fluid flows, and mechanical stress events of physiological timing and intensity. The dissolution results were used as inputs for pharmacokinetic modeling that led to the deduction of five patterns of gastric motility and their prevalence in the studied population. As these patterns significantly influenced the observed pharmacokinetic profiles, the proposed methodology is potentially useful to other in vitro-in vivo predictions involving immediate-release oral dosage forms.
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  • 文章类型: Journal Article
    β-酪蛋白,牛奶中的一种主要蛋白质,分为A1和A2型变体。A1β-酪蛋白的消化产生肽β-casomorphin-7,其可引起胃肠(GI)不适,但是仅含有A2β-酪蛋白的A2奶可能比A1/A2(普通)奶更有益。这项研究的目的是评估摄入A2牛奶和A1/A2牛奶后胃肠道不适的差异。一个随机的,双盲,交叉人体试验对40名在食用牛奶后出现胃肠道不适的受试者进行.对于每个干预期,在2周的冲洗期后,首先食用A2牛奶(A2→A1/A2)或首先食用A1/A2牛奶2周(A1/A2→A2)。胃肠道症状评定量表(GSRS)评分,消化症状问卷,和实验室测试,包括粪便钙卫蛋白进行了评估。对于症状分析,采用广义估计方程伽马模型。与GSRS中的A1/A2牛奶相比,A2牛奶增加了腹胀(P=0.041)和稀便(P=0.026)。然而,A2牛奶引起的腹痛较少(P=0.050),与消化症状问卷中的A1/A2牛奶相比,粪便紧迫性(P<0.001)和borbygmus(P=0.007)。此外,与A1/A2牛奶相比,食用A2牛奶后粪便钙卫蛋白也减少或减少(P=0.030),这种变化在男性中(P=0.005)比女性更为明显。试验期间无明显不良反应。A2牛奶缓解了A2牛奶消费后韩国人的消化不适(ClinicalTrials.govNCT06252636和CRISKCT0009301)。
    β-Casein, a major protein in cow\'s milk, is divided into the A1 and A2 type variants. Digestion of A1 β-casein yields the peptide β-casomorphin-7 which could cause gastrointestinal (GI) discomfort but A2 milk containing only A2 β-casein might be more beneficial than A1/A2 (regular) milk. The aim of this study was to evaluate the differences in GI discomfort after ingestion of A2 milk and A1/A2 milk. A randomized, double-blind, cross-over human trial was performed with 40 subjects who experienced GI discomfort following milk consumption. For each intervention period, either A2 milk first (A2→A1/A2) or A1/A2 milk was first consumed for 2 weeks (A1/A2→A2) following a 2-week washout period. GI symptom rating scale (GSRS) scores, questionnaire for digestive symptoms, and laboratory tests including fecal calprotectin were evaluated. For symptom analysis, generalized estimating equations gamma model was used. A2 milk increased bloating (P = 0.041) and loose stools (P = 0.026) compared to A1/A2 milk in GSRS. However, A2 milk caused less abdominal pain (P = 0.050), fecal urgency (P < 0.001) and borborygmus (P = 0.007) compared to A1/A2 milk in questionnaire for digestive symptoms. In addition, fecal calprotectin also decreased or less increased after consumption of A2 milk compared to A1/A2 milk (P = 0.030), and this change was more pronounced in males (P = 0.005) than in females. There were no significant adverse reactions during the trial. A2 milk alleviated digestive discomfort in Koreans following A2 milk consumption (ClinicalTrials.gov NCT06252636 and CRIS KCT0009301).
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  • 文章类型: Journal Article
    Allergic diseases are affected by both genetic background and environmental factors.In recent years, many studies have shown that allergic diseases are closely related to the gut microbiome.This article will elaborate on the composition of gut microbiome in early life and its relationship with allergies, the mechanism of action, and the influence of gut microbiome colonization on the atopic march, in order to improve the understanding of the relationship between allergy prevention or treatment and gut microbiome in children, and provide new ideas for the early prevention of allergic diseases and the early intervention of allergic processes.
    过敏性疾病又称变态反应性疾病,受遗传背景和环境因素的双重影响,各个年龄段均可发生。近年来,许多研究表明过敏性疾病与肠道菌群存在密切关系。本文将从生命早期肠道微生物的构成及其与过敏的关系、对过敏进程的作用机制以及肠道菌群定植对过敏进程的影响等方面进行阐述,以期提高对儿童过敏防治与肠道菌群关系的认知,为过敏性疾病的早期预防和早期干预提供新思路。.
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  • 文章类型: Journal Article
    弓形虫蚊子在成年时具有完全的植物吞噬习惯,这导致它们的形态生理学与吸血蚊子相比存在显著差异。然而,这种蚊子消化的分子机制还不清楚。在这项研究中,对蚊子弓形虫的后中肠(PMG)进行了RNA测序,强调其在蚊子消化中的重要性。随后,比较了PMG和前肠的差异基因表达。发现PMG中最丰富的蛋白酶是胰蛋白酶和胰凝乳蛋白酶,以及消化所必需的酶的基因表达水平(如丝氨酸蛋白酶,α-淀粉酶和胰三酰甘油脂肪酶)和先天免疫反应(包括过氧化氢酶,cecropin-A2和超氧化物歧化酶)就像食血蚊子一样。在整个中肠中检测到Peritrophin-1,在PMG中表达水平升高。根据我们的发现,据推测,Tx的祖先可能表现出非嗜血习性.Theobaldi,这个特征可能被保留了。这项研究代表了非食血蚊子中肠内容物分子水平的开创性研究。这些发现为文化人的摄食习惯的进化方面提供了有价值的见解。
    Toxorhynchites mosquitoes have an exclusively phytophagous feeding habit as adults, which leads to significant differences in their morphophysiology compared with haematophagous mosquitoes. However, the molecular mechanisms of digestion in this mosquito are not well understood. In this study, RNA sequencing of the posterior midgut (PMG) of the mosquito Toxorhynchites theobaldi was undertaken, highlighting its significance in mosquito digestion. Subsequently, a comparison was made between the differential gene expression of the PMG and that of the anterior midgut. It was found that the most abundant proteases in the PMG were trypsin and chymotrypsin, and the level of gene expression for enzymes essential for digestion (such as serine protease, α-amylase and pancreatic triacylglycerol lipase) and innate immune response (including catalase, cecropin-A2 and superoxide dismutase) was like that of haematophagous mosquitoes. Peritrophin-1 was detected in the entire midgut, with an elevated expression level in the PMG. Based on our findings, it is hypothesized that a non-haematophagic habit might have been exhibited by the ancestor of Tx. theobaldi, and this trait may have been retained. This study represents a pioneering investigation at the molecular level of midgut contents in a non-haematophagous mosquito. The findings offer valuable insights into the evolutionary aspects of feeding habits in culicids.
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  • 文章类型: Journal Article
    背景:候鸟在越冬期间在觅食策略方面表现出异质性,以应对环境和迁徙压力,和肠道细菌响应宿主饮食的变化。然而,关于黑颈鹤(Grusnigricollis)越冬期间饮食和肠道真菌的动态知之甚少。
    结果:在这项工作中,我们对trnL-P6环和ITS1区域进行了扩增子测序,以表征越冬期间黑颈鹤的饮食组成和肠道真菌组成。结果表明,在越冬期间,黑颈鹤的植物性饮食主要由禾本科,茄科,和Polysho科。其中,茄科的丰富,虎杖科,豆科,石竹科在越冬后期明显较高,这也导致在此期间黑颈鹤更均匀地消耗各种食物。越冬期肠道真菌群落多样性和核心真菌丰度较为保守,主要以子囊菌和担子菌为主。LEfSe分析(P<0.05,LDA>2)发现,Pseudopeziza,孢子虫,Geotrichum,乳头状瘤在初冬明显丰富,在冬季中期,ramularia和Dendryphion明显富集,Barnettozyma在冬末明显丰富,在冬末,胸曲明显丰富。最后,mantel测试表明冬季饮食与肠道真菌之间存在显着相关性。
    结论:本研究揭示了黑颈鹤在大山堡越冬期间食物成分和肠道真菌群落的动态变化。在越冬后期,他们对环境和迁徙压力的反应是扩大饮食,增加非首选食物的摄入量,促进各种食物的消费比例更加平衡。平衡的食物组成在稳定肠道真菌群落结构方面发挥了重要作用。而肠道真菌有效提高了宿主的食物利用率,他们还可能面临引入病原真菌的潜在风险。此外,我们认识到粪便试验在研究动物肠道真菌组成方面的局限性,因为它不能有效区分来自食物或土壤的真菌类群和肠道。未来对培养和宏基因组学等功能的研究可能会进一步阐明真菌在肠道生态系统中的作用。
    BACKGROUND: Migratory birds exhibit heterogeneity in foraging strategies during wintering to cope with environmental and migratory pressures, and gut bacteria respond to changes in host diet. However, less is known about the dynamics of diet and gut fungi during the wintering period in black-necked cranes (Grus nigricollis).
    RESULTS: In this work, we performed amplicon sequencing of the trnL-P6 loop and ITS1 regions to characterize the dietary composition and gut fungal composition of black-necked cranes during wintering. Results indicated that during the wintering period, the plant-based diet of black-necked cranes mainly consisted of families Poaceae, Solanaceae, and Polygonaceae. Among them, the abundance of Solanaceae, Polygonaceae, Fabaceae, and Caryophyllaceae was significantly higher in the late wintering period, which also led to a more even consumption of various food types by black-necked cranes during this period. The diversity of gut fungal communities and the abundance of core fungi were more conserved during the wintering period, primarily dominated by Ascomycota and Basidiomycota. LEfSe analysis (P < 0.05, LDA > 2) found that Pyxidiophora, Pseudopeziza, Sporormiella, Geotrichum, and Papiliotrema were significantly enriched in early winter, Ramularia and Dendryphion were significantly enriched in mid-winter, Barnettozyma was significantly abundant in late winter, and Pleuroascus was significantly abundant in late winter. Finally, mantel test revealed a significant correlation between winter diet and gut fungal.
    CONCLUSIONS: This study revealed the dynamic changes in the food composition and gut fungal community of black-necked cranes during wintering in Dashanbao. In the late wintering period, their response to environmental and migratory pressures was to broaden their diet, increase the intake of non-preferred foods, and promote a more balanced consumption ratio of various foods. Balanced food composition played an important role in stabilizing the structure of the gut fungal community. While gut fungal effectively enhanced the host\'s food utilization rate, they may also faced potential risks of introducing pathogenic fungi. Additionally, we recongnized the limitations of fecal testing in studying the composition of animal gut fungal, as it cannot effectively distinguished between fungal taxa from food or soil inadvertently ingested and intestines. Future research on functions such as cultivation and metagenomics may further elucidate the role of fungi in the gut ecosystem.
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  • 文章类型: Journal Article
    革兰氏染色阴性,有氧,杆状和活动应变HL-JVS1T,是从幼年太平洋白虾的胃道中分离出来的。基于HL-JVS1T菌株16SrRNA基因序列的分子系统发育分析揭示了其与Pleionea属的隶属关系,近亲包括地中海PleioneaMOLA115T(97.5%)和地中海PleioneaS1-5-21T(96.2%)。菌株HL-JVS1T的完整基因组由环状4.4Mb染色体和两个环状质粒(6.6和35.0kb)组成,GC含量为43.1%。HL-JVS1T菌株与所述Pleionea物种的类型菌株之间的平均核苷酸同一性和数字DNA-DNA杂交值分别为69.7-70.4%和18.3-18.6%,分别。菌株HL-JVS1T在10-40°C生长(最佳,30°C)在0.5-9.0%(w/v)海盐存在下(最佳,2.0-2.5%),在5.5-10.0的pH范围内(最佳,pH6.5)。主要脂肪酸(>10%)的总和特征为9(异C17:1ω9c和/或C16:010-甲基)(23.3%),iso-C16:0(14.5%),iso-C11:03-OH(13.8%)和iso-C15:0(11.0%)。极性脂质是磷脂酰乙醇胺,磷脂酰甘油,二磷脂酰甘油,一种身份不明的氨基磷脂,两种身份不明的氨基脂类,和两种身份不明的脂质.呼吸醌是泛醌-8。全面的系统发育,系统发育,表型和化学分类学结果表明,菌株HL-JVS1T与其他Pleionea物种不同。因此,我们提出菌株HL-JVS1T是属于Pleionea属的新物种,其名称为Pleionealitopenaeisp.11月。以HL-JVS1T(=KCCM90514T=JCM36490T)为类型应变。
    A Gram-stain-negative, aerobic, rod-shaped and motile strain HL-JVS1T, was isolated from the gastric tract of a juvenile Pacific white shrimp. Molecular phylogenetic analysis based on 16S rRNA gene sequences of strain HL-JVS1T revealed its affiliation with the genus Pleionea, with close relatives including Pleionea mediterranea MOLA115T (97.5%) and Pleionea sediminis S1-5-21T (96.2%). The complete genome of strain HL-JVS1T consisted of a circular 4.4 Mb chromosome and two circular plasmids (6.6 and 35.0 kb) with a G + C content of 43.1%. The average nucleotide identity and digital DNA-DNA hybridization values between strain HL-JVS1T and the type strains of described Pleionea species were 69.7-70.4% and 18.3-18.6%, respectively. Strain HL-JVS1T grew at 10-40 °C (optimum, 30 °C) in the presence of 0.5 - 9.0% (w/v) sea salts (optimum, 2.0 - 2.5%), and at pH range of 5.5 - 10.0 (optimum, pH 6.5). The major fatty acids (> 10%) were summed feature 9 (iso-C17:1 ω9c and/or C16:0 10-methyl) (23.3%), iso-C16:0 (14.5%), iso-C11:0 3-OH (13.8%) and iso-C15:0 (11.0%). The polar lipids were phosphatidylethanolamine, phosphatidylglycerol, diphosphatidylglycerol, an unidentified aminophospholipid, two unidentified aminolipids, and two unidentified lipids. The respiratory quinone was ubiquinone-8. The comprehensive phylogenetic, phylogenomic, phenotypic and chemotaxonomic results showed that strain HL-JVS1T is distinct from other Pleionea species. Hence, we propose strain HL-JVS1T as a novel species belonging to the genus Pleionea, for which the name Pleionea litopenaei sp. nov. is proposed with HL-JVS1T (= KCCM 90514T = JCM 36490T) as the type strain.
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  • 文章类型: Journal Article
    消化道的适当结构对于个体适应生态条件至关重要。在鸟类中,小肠的长度,负责食物的吸收,通常被认为与体型呈正相关。在这项研究中,我们调查了WhiteStork(Ciconiaciconia)小肠长度的变化,没有可见性二态性的单态物种,但其特点是父母的努力不同,这可以通过两性之间的小肠长度来反映。我们检查了性别中小肠长度与体型之间的关系。我们的发现表明,雄性白鹭的小肠明显比雌性短,尽管体型比后者大。此外,我们发现体型和小肠长度之间有显著的关系,但它在两性中的性质不同。男性表现出以前未报告的现象,因此,体型的增加与小肠的缩短有关,而女性表现出相反的模式。这些新发现揭示了鸟类消化道的解剖学适应。
    The appropriate structure of the digestive tract is crucial for individual adaptation to ecological conditions. In birds, the length of the small intestine, responsible for food absorption, is generally believed to be positively correlated with body size. In this study, we investigated the variation in small intestine length in the White Stork (Ciconia ciconia), a monomorphic species without visible sexual dimorphism, but characterized by differing parental efforts, which can be reflected by the small intestine lengths between the sexes. We examined the relationship between small intestine length and body size within the sexes. Our findings show that male White Storks have significantly shorter small intestines than females, despite having larger body sizes than the latter. Furthermore, we found a significant relationship between body size and small intestine length, but it was of a different nature in the two sexes. Males exhibited a previously unreported phenomenon, whereby increasing body size was associated with shortening small intestines, whereas females exhibited the opposite pattern. These novel findings shed light on the anatomical adaptations of the digestive tract in birds.
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  • 文章类型: Journal Article
    近十年来国内外学者在消化系炎症、肿瘤、代谢性疾病的机制研究及临床转化应用方面取得了显著进展。同时研究发现消化道微生态对胃肠外疾病如代谢、免疫、神经精神等系统疾病也发挥着重要的作用。该领域已成为人类健康和疾病防治的重要研究热点和方向。消化微生态与机体健康和多种疾病相关,对其研究的深度还远远未能揭示其内在的联系。未来的研究期待新的检测分析技术的进步,期待临床医生与基础研究人员的密切合作,将消化微生态领域的研究成果转化应用于临床,从治疗疾病的模式转换到疾病预防与机体健康的维护上。.
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  • 文章类型: Journal Article
    功能性胃肠病(FGIDs),以腹痛为特征的慢性疾病,改变肠道运动,或它们的组合,在全球范围内的患病率超过40%,并造成很高的社会经济负担,生活质量显着下降。最近,FGID已被重新分类为肠-脑相互作用障碍(DGBI),反映了肠-脑双向交流在这些疾病中的关键作用及其对心理合并症的影响。虽然,在过去的几十年里,DGBIs领域取得了显著进步,DGBIs发病机制和病理生理学的分子机制,而肠道微生物组在这些过程中的作用还没有被完全理解。本文旨在讨论有关复杂的微生物群-肠-脑相互作用及其在DGBIs发病机理中的最新文献。更好地了解肠道微生物组和大脑之间的现有交流途径有望为DGBI开发有效的治疗干预措施。
    Functional gastrointestinal disorders (FGIDs), chronic disorders characterized by either abdominal pain, altered intestinal motility, or their combination, have a worldwide prevalence of more than 40% and impose a high socioeconomic burden with a significant decline in quality of life. Recently, FGIDs have been reclassified as disorders of gut-brain interaction (DGBI), reflecting the key role of the gut-brain bidirectional communication in these disorders and their impact on psychological comorbidities. Although, during the past decades, the field of DGBIs has advanced significantly, the molecular mechanisms underlying DGBIs pathogenesis and pathophysiology, and the role of the gut microbiome in these processes are not fully understood. This review aims to discuss the latest body of literature on the complex microbiota-gut-brain interactions and their implications in the pathogenesis of DGBIs. A better understanding of the existing communication pathways between the gut microbiome and the brain holds promise in developing effective therapeutic interventions for DGBIs.
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  • 文章类型: Editorial
    糖尿病,以其代谢作用而闻名,也严重影响肠神经系统(ENS),这对调节胃肠(GI)运动至关重要,分泌,和吸收。糖尿病引起的肠神经病的发展可导致各种胃肠道功能障碍,如胃轻瘫和不规则的排便习惯,主要是由于ENS内神经元和神经胶质细胞功能的破坏,以及氧化应激和炎症。这篇社论探讨了糖尿病患者肠神经病变发展的病理生理机制。此外,它讨论了诊断方法的最新进展,强调需要早期发现和干预,以减轻糖尿病患者的胃肠道并发症。社论还回顾了当前和新兴的治疗策略,专注于药物治疗,饮食管理,和潜在的神经调节干预措施。最终,这篇社论强调了多学科方法在治疗糖尿病肠神经病中的必要性,旨在提高患者的生活质量,并解决这种广泛疾病经常被忽视的并发症。
    Diabetes, commonly known for its metabolic effects, also critically affects the enteric nervous system (ENS), which is essential in regulating gastrointestinal (GI) motility, secretion, and absorption. The development of diabetes-induced enteric neuropathy can lead to various GI dysfunctions, such as gastroparesis and irregular bowel habits, primarily due to disruptions in the function of neuronal and glial cells within the ENS, as well as oxidative stress and inflammation. This editorial explores the pathophysiological mechanisms underlying the development of enteric neuropathy in diabetic patients. Additionally, it discusses the latest advances in diagnostic approaches, emphasizing the need for early detection and intervention to mitigate GI complications in diabetic individuals. The editorial also reviews current and emerging therapeutic strategies, focusing on pharmacological treatments, dietary management, and potential neuromodulatory interventions. Ultimately, this editorial highlights the necessity of a multidisciplinary approach in managing enteric neuropathy in diabetes, aiming to enhance patient quality of life and address a frequently overlooked complication of this widespread disease.
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