gut microbiota modulation

  • 文章类型: Journal Article
    衰老的特征在于全身性炎症尤其是神经炎症的进行性增加。神经炎症与影响行为的大脑状态改变有关,例如焦虑水平的增加伴随着认知能力的下降。尽管多种因素在神经炎症的发展中起作用,小胶质细胞已经成为一个关键的目标。小胶质细胞是中枢神经系统实质中唯一的巨噬细胞群体,在维持稳态和免疫反应中起着至关重要的作用。这取决于小胶质细胞的激活和随后的失活。因此,小胶质细胞功能障碍对神经炎症有重要影响。肠道菌群已被证明在发育方面显着影响从出生到成年的小胶质细胞,扩散,和功能。饮食是影响肠道微生物群组成的关键调节因素,以及支持有益肠道细菌生长的益生元。尽管饮食在神经炎症和行为中的作用已经得到了很好的确立,它与小胶质细胞功能的关系研究较少。这篇文章建立了饮食之间的联系,动物行为和小胶质细胞的功能。这项研究的结果来自小鼠行为的实验,即,记忆,焦虑,以及对小胶质细胞功能的研究,即,细胞化学(吞噬作用,细胞衰老,和ROS测定),基因表达和蛋白质定量。此外,进行鸟枪测序以鉴定可能在脑功能中起关键作用的特定细菌家族。结果显示,长期食用高脂肪饮食对衰老小鼠有负面影响,以体重增加为代表,葡萄糖不耐受,焦虑,与对照饮食的衰老小鼠相比,认知障碍和小胶质细胞功能障碍。这些影响是由饮食调节的肠道微生物群变化的结果。然而,通过添加益生元果糖和低聚半乳糖,我们能够减轻长期高脂肪饮食的有害影响。
    Ageing is characterised by a progressive increase in systemic inflammation and especially neuroinflammation. Neuroinflammation is associated with altered brain states that affect behaviour, such as an increased level of anxiety with a concomitant decline in cognitive abilities. Although multiple factors play a role in the development of neuroinflammation, microglia have emerged as a crucial target. Microglia are the only macrophage population in the CNS parenchyma that plays a crucial role in maintaining homeostasis and in the immune response, which depends on the activation and subsequent deactivation of microglia. Therefore, microglial dysfunction has a major impact on neuroinflammation. The gut microbiota has been shown to significantly influence microglia from birth to adulthood in terms of development, proliferation, and function. Diet is a key modulating factor that influences the composition of the gut microbiota, along with prebiotics that support the growth of beneficial gut bacteria. Although the role of diet in neuroinflammation and behaviour has been well established, its relationship with microglia functionality is less explored. This article establishes a link between diet, animal behaviour and the functionality of microglia. The results of this research stem from experiments on mouse behaviour, i.e., memory, anxiety, and studies on microglia functionality, i.e., cytochemistry (phagocytosis, cellular senescence, and ROS assays), gene expression and protein quantification. In addition, shotgun sequencing was performed to identify specific bacterial families that may play a crucial role in the brain function. The results showed negative effects of long-term consumption of a high fat diet on ageing mice, epitomised by increased body weight, glucose intolerance, anxiety, cognitive impairment and microglia dysfunction compared to ageing mice on a control diet. These effects were a consequence of the changes in gut microbiota modulated by the diet. However, by adding the prebiotics fructo- and galacto-oligosaccharides, we were able to mitigate the deleterious effects of a long-term high-fat diet.
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  • 文章类型: Journal Article
    益生菌对改善代谢紊乱的有益作用已被深入研究;然而,这些效应在益生菌菌株特异性和疾病特异性方式中是明显的。因此,评估每种菌株对目标疾病的功效仍然至关重要。这里,我们提出了一种抗肥胖和抗糖尿病的益生菌菌株,植物乳杆菌APsulloc331261(GTB1™),它是从绿茶中分离出来的,之前进行了安全性测试。在高脂饮食诱导的肥胖小鼠中,GTB1™发挥了多种有益效果,包括肥胖的显著减少,葡萄糖不耐受,和血脂异常,循环激素和脂肪因子水平的改善进一步支持了这一点。通过GTB1™治疗,通过激活PPAR/PGC1α信号恢复脂肪组织中的脂质代谢,肠道微生物组成变化和短链脂肪酸产生促进了这一点。我们的发现提供了证据,表明GTB1™是益生菌补充剂的潜在候选者,可全面改善代谢紊乱。
    The beneficial effects of probiotics for the improvement of metabolic disorders have been studied intensively; however, these effects are evident in a probiotic strain-specific and disease-specific manner. Thus, it is still essential to evaluate the efficacy of each strain against a target disease. Here, we present an anti-obese and anti-diabetic probiotic strain, Lactiplantibacillus plantarum APsulloc331261 (GTB1™), which was isolated from green tea and tested for safety previously. In high-fat-diet-induced obese mice, GTB1™ exerted multiple beneficial effects, including significant reductions in adiposity, glucose intolerance, and dyslipidemia, which were further supported by improvements in levels of circulating hormones and adipokines. Lipid metabolism in adipose tissues was restored through the activation of PPAR/PGC1α signaling by GTB1™ treatment, which was facilitated by intestinal microbiota composition changes and short-chain fatty acid production. Our findings provide evidence to suggest that GTB1™ is a potential candidate for probiotic supplementation for comprehensive improvement in metabolic disorders.
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  • 文章类型: Journal Article
    背景:靶向肠道菌群失调治疗慢性疾病或缓解症状是医学辅助治疗的新方向。最近,postbiotics已受到相当多的关注,因为它们是无活性的益生菌制剂,可为宿主提供各种健康益处,而没有与使用活微生物细胞相关的安全问题.
    目的:本研究的目的是获得富含硒(Se)和锌(Zn)的布拉氏酵母菌后生物生物量,并分析其调节作用,因为这些矿物质在减少与心血管(CV)疾病相关的肠道生态失调中起着重要作用。
    方法:使用胃肠道系统(GIS1)在体外研究了布拉氏酵母菌和富硒/锌酵母后生物对CV微生物指纹的影响,并通过微生物进行了分析,化学,和qPCR方法。
    结果:SeZn后生物处理后的总细菌负荷和两种处理的Firmicutesphyla的qPCR计数均增加了2.2logCFU/mL。有益分类单元,双歧杆菌属。和乳杆菌属。,以及拟杆菌。在富含矿物质的后生物应用后,最高可达1.5log,而乙酸水平上升。
    结论:这些初步研究强调了使用富硒/锌酵母益生菌作为临床治疗CV疾病的佐剂的治疗潜力。
    BACKGROUND: Targeting gut dysbiosis to treat chronic diseases or to alleviate the symptoms is a new direction for medical adjuvant therapies. Recently, postbiotics have received considerable attention as they are non-viable probiotic preparations that confer various health benefits to the host without the safety problems associated with using live microbial cells.
    OBJECTIVE: The aim of the study is to obtain selenium (Se) and zinc (Zn) enriched Saccharomyces boulardii postbiotic biomass and to analyze its modulation effect because these minerals play an important role in reducing gut dysbiosis linked to cardiovascular (CV) diseases.
    METHODS: The effect of the S. boulardii and Se/Zn enriched yeast postbiotics on CV microbial fingerprint was studied in vitro using the gastrointestinal system (GIS 1) and analyzed by microbiological, chemical, and qPCR methods.
    RESULTS: There was a 2.2 log CFU/mL increase in the total bacterial load after SeZn postbiotic treatment and in the qPCR counts of Firmicutes phyla for both treatments. Beneficial taxa, Bifidobacterium spp. and Lactobacillus spp., as well as Bacteroides spp. were up to 1.5 log higher after mineral- enriched postbiotic application, while the acetic acid level increased.
    CONCLUSIONS: These preliminary studies highlight the therapeutic potential of using Se/Zn enriched yeast postbiotics as adjuvants for clinical treatments of CV diseases.
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  • 文章类型: Journal Article
    葡萄种植是世界上最古老和最重要的农业活动之一。但是酿酒过程会导致大量的浪费。葡萄栽培和酿酒副产品具有许多生物活性分子,包括多酚,益生元纤维,有机酸,和矿物。虽然研究葡萄残留物对人体健康的具体影响(果渣,种子,吠叫,茎,手杖,和树叶)仍在进行中,现有数据表明,使用从酒厂副产品中获得的富含多酚的提取物,有可能积极调节正常和微生态肠道微生物群(GM).这篇综述提供了动物模型和人类体内体外和体内证据的最新摘要,这些证据涉及富含多酚的酒厂残留物可用作GM调节剂的能力,以支持其作为功能成分的营养应用。此外,这篇综述旨在提高人们对葡萄种植废物(葡萄茎和叶)的兴趣,因为多酚的含量与红葡萄或种子中的相似。然而,仍然需要更多的研究来获得创新产品。酒庄残渣的增值不仅是环保的;它还可以是经济上有益的,创造附加值的营养食品,调节微生物群,并为葡萄酒生产商提供新的收入来源。
    Vine-growing for the production of wine is one of the oldest and most important agricultural activities worldwide, but the winemaking process leads to vast amounts of waste. Viticulture and vinification by-products have many bioactive molecules, including polyphenols, prebiotic fibers, organic acids, and minerals. While research on the specific human health effects of grapevine residues (pomace, seeds, barks, stalks, canes, and leaves) is still ongoing, the available data suggest the potential to positively modulate the normal and dysbiotic gut microbiota (GM) using polyphenol-rich extracts obtained from winery by-products. This review provides an updated summary of the in vitro and in vivo evidence in animal models and humans concerning the ability of polyphenol-rich winery residue to be used as a GM modulator that supports their nutraceutical applications as a functional ingredient. Additionally, this review aims to enhance interest in viticulture waste (grapevine stems and leaves), as the levels of polyphenols are similar to those found in red grapes or seeds. However, more research is still needed to obtain innovative products. The valorization of winery residues is not only environmentally friendly; it can also be economically beneficial, creating added-value nutraceuticals that modulate microbiota and a new revenue stream for wine producers.
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  • 文章类型: Journal Article
    蘑菇多糖被认为是“生物反应调节剂”。除了几种生物活性,由于肠道微生物群的调节潜力,人们对其益生元潜力越来越感兴趣。这篇综述全面总结了蘑菇多糖的生物学特性,结构-功能关系,和潜在的机制。它提供了该领域关键发现的最新概述(2018-2024年)。讨论了结构-功能相关性的主要发现和局限性。虽然大多数研究集中在β-葡聚糖或提取物,α-葡聚糖和几丁质已经引起了人们的兴趣。益生元能力与α-葡聚糖和几丁质有关,而抗菌和伤口愈合的潜力归因于几丁质。然而,进一步的研究至关重要。人类粪便发酵是评估益生元潜力的最多报道的方法,表明对肠道生物的影响,机械,化学和免疫屏障。肠道菌群失调与肠道直接相关,心血管,新陈代谢,和神经系统疾病。关于肠道微生物群的调节,动物实验表明,促炎细胞因子减少和氧化还原平衡重建。大多数文献集中在抗癌和免疫调节潜力上。然而,抗炎,抗菌,抗病毒,抗糖尿病药,低胆固醇血症,抗血脂,抗氧化剂,并讨论了神经保护特性。重要概述了协同效应的差距和研究方向,潜在机制,结构-功能相关性,还提供了临床试验和科学数据。
    Mushroom polysaccharides are recognized as \"biological response modifiers\". Besides several bioactivities, a growing interest in their prebiotic potential has been raised due to the gut microbiota modulation potential. This review comprehensively summarizes mushroom polysaccharides\' biological properties, structure-function relationship, and underlying mechanisms. It provides a recent overview of the key findings in the field (2018-2024). Key findings and limitations on structure-function correlation are discussed. Although most studies focus on β-glucans or extracts, α-glucans and chitin have gained interest. Prebiotic capacity has been associated with α-glucans and chitin, while antimicrobial and wound healing potential is attributed to chitin. However, further research is of utmost importance. Human fecal fermentation is the most reported approach to assess prebiotic potential, indicating impacts on intestinal biological, mechanical, chemical and immunological barriers. Gut microbiota dysbiosis has been directly connected with intestinal, cardiovascular, metabolic, and neurological diseases. Concerning gut microbiota modulation, animal experiments have suggested proinflammatory cytokines reduction and redox balance re-establishment. Most literature focused on the anticancer and immunomodulatory potential. However, anti-inflammatory, antimicrobial, antiviral, antidiabetic, hypocholesterolemic, antilipidemic, antioxidant, and neuroprotective properties are discussed. A significant overview of the gaps and research directions in synergistic effects, underlying mechanisms, structure-function correlation, clinical trials and scientific data is also given.
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  • 文章类型: Journal Article
    活性氧(ROS),免疫失调引起的炎症爆发和微生物失衡在炎症性肠病(IBD)的发展中起着关键作用。在这里,开发了一种新型的类酶仿生口服剂ZnPBA@YCW,使用酵母细胞壁(YCW)作为外壳,并在内部掺杂锌的普鲁士蓝类似物(ZnPBA)纳米酶。口服时,ZnPBA@YCW能够粘附在占据IBD生态位的大肠杆菌上,随后释放ZnPBA纳米酶以去除大肠杆菌,同时表现出肠上皮屏障修复的改善。此外,发现ZnPBA纳米酶通过清除ROS和抑制NF-κB信号通路在恢复氧化还原稳态方面具有显著的能力。更重要的是,16S核糖体RNA基因测序结果表明,经口后ZnPBA@YCW可通过增强细菌的丰富度和多样性,显着增加具有抗炎表型的益生菌的丰度,同时将致病性大肠杆菌降级至与正常小鼠相同的水平。这种新型纳米药物为有效治疗那些伴有菌群紊乱的ROS介导的疾病提供了新思路。
    Reactive oxygen species (ROS), immune dysregulation-induced inflammatory outbreaks and microbial imbalance play critical roles in the development of inflammatory bowel disease (IBD). Herein, a novel enzyme-like biomimetic oral-agent ZnPBA@YCW has been developed, using yeast cell wall (YCW) as the outer shell and zinc-doped Prussian blue analogue (ZnPBA) nanozyme inside. When orally administered, the ZnPBA@YCW is able to adhere to Escherichia coli occupying the ecological niche in IBD and subsequently release the ZnPBA nanozyme for removal of E. coli, meanwhile exhibiting improved intestinal epithelial barrier repair. Moreover, it is found that the ZnPBA nanozyme exhibits remarkable capability in restoring redox homeostasis by scavenging ROS and inhibiting NF-κB signaling pathway. More importantly, the 16S ribosomal RNA gene sequencing results indicate that post-oral of ZnPBA@YCW can effectively regulate gut microbiota by enhancing the bacterial richness and diversity, significantly increasing the abundance of probiotics with anti-inflammatory phenotype while downgrading pathogenic E. coli to the same level as normal mice. Such a novel nanomedicine provides a new idea for efficient treating those ROS-mediated diseases accompanying with flora disorders.
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  • 文章类型: Journal Article
    我们的研究旨在通过调节蛋白质精氨酸N-甲基转移酶1-不对称二甲基精氨酸-二甲基精氨酸-二甲基精氨酸二甲基氨基水解酶(PRMT1-DDAH-ADMA)与雷帕霉素-Sirtuin1-5\'AMP活化蛋白激酶(mTOR-SIRT1)和AMPRT1途径的哺乳动物靶标,分析来自外消旋茎的硫酸多糖(SPCr)在减轻肥胖诱导的心脏代谢综合征中的这是一项后续研究,使用了以前体外研究的SP,由2,3-二-O-甲基-1,4,5-三-O-乙酰阿拉伯糖醇组成,2,3,4,6-四-O-甲基-D-吡喃甘露糖,和B型ulvanobionicacid3-硫酸盐。将40只大鼠随机分为四个治疗组:A组接受标准饮食;B组提供富含胆固醇和脂肪的饮食(CFED);C组和D组给予CFED以及随意饮水,和每日口服补充65或130毫克/千克体重(BW)的SPCr,分别。D组低密度脂蛋白最低,甘油三酯,总胆固醇,和血糖水平,与本研究中的其他组相比,HDL水平最高。与饲喂低剂量SPCr的组相比,饲喂高剂量SPCr的组的这些结果证明了显着的效果(p<0.0001),以及总胆固醇和血糖(p<0.05)。还观察到补充SPCr对过氧化物酶体增殖物激活受体γ辅激活因子(PGC)-1α有上调作用,白介素10,Sirtuin1,DDAH-II,超氧化物歧化酶(SOD)心脏,和AMPK,随后还下调了PRMT-1,TNF-α,3-羟基-3-甲基戊二酰辅酶A还原酶抑制剂,还有MTOR.有趣的是,还观察到肠道微生物群调节;用富含胆固醇的饮食喂养大鼠,使肠道微生物群组成向Firmicutes水平转移,降低了拟杆菌的水平,并提高了Firmicutes水平。推荐剂量为130mg/kgBW的SPCr,和研究仍需继续在临床试验与人类看到其疗效在先进水平。
    Our investigation intended to analyze the effects of sulfated polysaccharides from Caulerpa racemosa (SPCr) in attenuating obesity-induced cardiometabolic syndrome via regulating the protein arginine N-methyltransferase 1-asymmetric dimethylarginine-dimethylarginine dimethylamino-hydrolase (PRMT1-DDAH-ADMA) with the mammalian target of rapamycin-Sirtuin 1-5\' AMP-activated protein kinase (mTOR-SIRT1-AMPK) pathways and gut microbiota modulation. This is a follow-up study that used SPs from previous in vitro studies, consisting of 2,3-di-O-methyl-1,4,5-tri-O-acetylarabinitol, 2,3,4,6-tetra-O-methyl-D-mannopyranose, and type B ulvanobiuronicacid 3-sulfate. A total of forty rats were randomly divided into four treatment groups: Group A received a standard diet; Group B was provided with a diet enriched in cholesterol and fat (CFED); and Groups C and D were given the CFED along with ad libitum water, and daily oral supplementation of 65 or 130 mg/kg of body weight (BW) of SPCr, respectively. Group D showed the lowest low-density lipoprotein, triglyceride, total cholesterol, and blood glucose levels, and the highest HDL level compared to the other groups in this study. These results in the group fed high-dose SPCr demonstrated a significant effect compared to the group fed low-dose SPCr (p < 0.0001), as well as in total cholesterol and blood glucose (p < 0.05). Supplementation with SPCr was also observed to have an upregulation effect on peroxisome proliferator-activated receptor gamma coactivator (PGC)-1alpha, interleukin 10, Sirtuin 1, DDAH-II, superoxide dismutase (SOD) cardio, and AMPK, which was also followed by a downregulation of PRMT-1, TNF-α, 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor, and mTOR. Interestingly, gut microbiota modulation was also observed; feeding the rats with a cholesterol-enriched diet shifted the gut microbiota composition toward the Firmicutes level, lowered the Bacteroidetes level, and increased the Firmicutes level. A dose of 130 mg/kg BW of SPCr is the recommended dose, and investigation still needs to be continued in clinical trials with humans to see its efficacy at an advanced level.
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  • 文章类型: Journal Article
    骨关节炎(OA)是一种以软骨损伤和滑膜炎为特征的慢性退行性关节疾病,具有巨大的公共卫生和经济负担。揭示OA发病的潜在机制对于开发OA治疗的新靶点至关重要。近年来,肠道菌群在OA中的致病作用已得到广泛认可。肠道微生物菌群失调可以打破宿主-肠道微生物平衡,触发宿主免疫反应并激活“肠关节轴”,这加剧了OA。然而,尽管肠道菌群在OA中的作用是众所周知的,调节肠道菌群与宿主免疫之间相互作用的机制尚不清楚。本文综述了肠道菌群及其参与OA的免疫细胞的研究进展,并从肠道屏障、先天免疫,适应性免疫和肠道菌群调节。未来的研究应集中于特定的病原体或肠道菌群组成的特定变化,以确定参与OA发病的相关信号通路。此外,未来的研究应包括对免疫细胞修饰和与OA相关的特定肠道菌群的基因调控的更多新干预措施,以验证肠道菌群调节在OA发病中的应用.
    Osteoarthritis (OA) is a chronic degenerative joint disease characterized by cartilage damage and synovial inflammation and carries an enormous public health and economic burden. It is crucial to uncover the potential mechanisms of OA pathogenesis to develop new targets for OA treatment. In recent years, the pathogenic role of the gut microbiota in OA has been well recognized. Gut microbiota dysbiosis can break host-gut microbe equilibrium, trigger host immune responses and activate the \"gut-joint axis\", which aggravates OA. However, although the role of the gut microbiota in OA is well known, the mechanisms modulating the interactions between the gut microbiota and host immunity remain unclear. This review summarizes research on the gut microbiota and the involved immune cells in OA and interprets the potential mechanisms for the interactions between the gut microbiota and host immune responses from four aspects: gut barrier, innate immunity, adaptive immunity and gut microbiota modulation. Future research should focus on the specific pathogen or the specific changes in the gut microbiota composition to identify the related signaling pathways involved in the pathogenesis of OA. In addition, future studies should include more novel interventions on immune cell modifications and gene regulation of specific gut microbiota related to OA to validate the application of gut microbiota modulation in the onset of OA.
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  • 文章类型: Journal Article
    胰腺癌(PC)预后不良,几乎没有有效的治疗选择。这导致研究人员研究微生物群和PC之间的可能联系。肠道微生物群的破坏会导致慢性炎症,这与PC的发病机制有关。此外,一些细菌菌株可以产生促进癌细胞生长的致癌物质。研究还集中在胰腺和口腔微生物群。这些微生物群的变化可以促进PC的发展和进展。此外,牙周病患者患PC的风险增加.微生物群作为预后标志物或预测患者对化疗或免疫治疗反应的潜在用途也在探索中。总的来说,包括肠道在内的微生物群的作用,胰腺,PC中的口腔微生物群是一个活跃的研究领域。了解这些关联可能会导致这种致命疾病的新诊断和治疗目标。
    Pancreatic cancer (PC) has an unfavorable prognosis with few effective therapeutic options. This has led researchers to investigate the possible links between microbiota and PC. A disrupted gut microbiome can lead to chronic inflammation, which is involved in the pathogenesis of PC. In addition, some bacterial strains can produce carcinogens that promote the growth of cancer cells. Research has also focused on pancreatic and oral microbiota. Changes in these microbiota can contribute to the development and progression of PC. Furthermore, patients with periodontal disease have an increased risk of developing PC. The potential use of microbiota as a prognostic marker or to predict patients\' responses to chemotherapy or immunotherapy is also being explored. Overall, the role of microbiota-including the gut, pancreatic, and oral microbiota-in PC is an active research area. Understanding these associations could lead to new diagnostic and therapeutic targets for this deadly disease.
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  • 文章类型: Systematic Review
    心力衰竭(HF)是一种全球性流行病,每年的患病率和死亡率都在增加。其主要原因是心肌梗死(MI),其次是快速的心脏重塑。一些临床研究表明,益生菌可以改善生活质量并减少心血管危险因素。本系统评价和荟萃分析旨在根据前瞻性注册方案(PROSPERO:CRD42023388870)研究益生菌在预防MI引起的HF中的有效性。四个独立的评估人员使用预定义的提取表格独立地提取数据,并评估了研究的合格性和准确性。共有6项由366名参与者组成的研究纳入了系统评价。与干预组和对照组相比,益生菌在干预左心室射血分数(LVEF)和高敏C反应蛋白(hs-CRP)方面没有显着差异,因为缺乏支持其疗效的研究。在肌肉减少指数中,手握力(HGS)与Wnt生物标志物(p<0.05)显示出稳健的相关性,改善的短体能电池(SPPB)评分也与Dickkopf相关蛋白(Dkk)-3密切相关,其次是Dkk-1和固醇调节元件结合蛋白1(SREBP-1)(p<0.05)。与基线相比,益生菌组显示出总胆固醇(p=0.01)和尿酸(p=0.014)的改善。最后,益生菌补充剂可能是一种抗炎,抗氧化剂,新陈代谢,和心脏重塑条件下的肠道微生物群调节剂。益生菌具有减轻HF或MI后患者的心脏重塑的巨大潜力,同时还增强了Wnt信号通路,在这种情况下可以改善肌肉减少症。
    Heart failure (HF) is a global pandemic with increasing prevalence and mortality rates annually. Its main cause is myocardial infarction (MI), followed by rapid cardiac remodeling. Several clinical studies have shown that probiotics can improve the quality of life and reduce cardiovascular risk factors. This systematic review and meta-analysis aimed to investigate the effectiveness of probiotics in preventing HF caused by a MI according to a prospectively registered protocol (PROSPERO: CRD42023388870). Four independent evaluators independently extracted the data using predefined extraction forms and evaluated the eligibility and accuracy of the studies. A total of six studies consisting of 366 participants were included in the systematic review. Probiotics are not significant in intervening left ventricular ejection fraction (LVEF) and high-sensitivity C-reactive protein (hs-CRP) when compared between the intervention group and the control group due to inadequate studies supporting its efficacy. Among sarcopenia indexes, hand grip strength (HGS) showed robust correlations with the Wnt biomarkers (p < 0.05), improved short physical performance battery (SPPB) scores were also strongly correlated with Dickkopf-related protein (Dkk)-3, followed by Dkk-1, and sterol regulatory element-binding protein 1 (SREBP-1) (p < 0.05). The probiotic group showed improvement in total cholesterol (p = 0.01) and uric acid (p = 0.014) compared to the baseline. Finally, probiotic supplements may be an anti-inflammatory, antioxidant, metabolic, and intestinal microbiota modulator in cardiac remodeling conditions. Probiotics have great potential to attenuate cardiac remodeling in HF or post-MI patients while also enhancing the Wnt signaling pathway which can improve sarcopenia under such conditions.
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