首页|小儿便秘肠道菌群与肠神经免疫网络调控机制研究进展

小儿便秘肠道菌群与肠神经免疫网络调控机制研究进展

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小儿便秘主要包括器质性便秘与功能性便秘两大类.肠道菌群异常改变引起的信号变化有可能通过肠神经免疫网络(包括黏膜屏障、免疫应答和肠神经系统)的调控机制在多方面影响肠道活动,导致便秘的发生.在肠神经免疫网络中,固有淋巴细胞(innate lymphoid cell,ILC)处于重要地位,其中3型ILC(ILC3)受肠道菌群信号影响释放白细胞介素-22,可能作为影响肠神经系统发育的新靶点,其相关通路机制可为研究肠道菌群与宿主之间信号交流、改善肠道功能、缓解便秘症状提供新思路.本文对小儿便秘肠道菌群异常改变、肠神经免疫网络以及其调控机制研究进展进行综述.
Research advances on regulatory mechanisms of intestinal microflora and intestinal neuroimmune network in constipated children
Constipation in children is composed of two types of organic and functional.The signal changes of abnormal intestinal flora may affect intestinal activities through the regulatory mechanisms of intestinal neuroimmune network,including mucosal barrier,immune response and enteric nervous system.Innate lymphoid cell(ILC)plays an important role in intestinal neuroimmune network.And ILC3 releases interleukin-22(IL-22)under the influence of intestinal flora signals,serving as a new target affecting the development of intestinal nervous system.The mechanism and signaling pathway related to ILC3 can provide new rationales for examining the signal communication between intestinal flora and host,improving intestinal function and relieving constipation symptoms.Here abnormal changes of intestinal microflora and intestinal neuroimmune network in constipated children and their regulatory mechanisms were reviewed.

Enteric nervous systemIntestinal floraEnteric neuroimmune communicationInfantile constipation

齐晓杨、徐伟立

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河北医科大学第二医院小儿外科,石家庄 050000

肠神经系统 肠道菌群 肠神经免疫通信 小儿便秘

河北省政府资助临床医学优秀人才培养项目

303-2021-58-20

2024

中华小儿外科杂志
中华医学会

中华小儿外科杂志

CSTPCD北大核心
影响因子:0.853
ISSN:0253-3006
年,卷(期):2024.45(1)
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