首页|肠道菌群与创伤性中枢神经系统损伤免疫相关研究进展

肠道菌群与创伤性中枢神经系统损伤免疫相关研究进展

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创伤性中枢神经系统损伤后,肠道菌群变化扰乱了脑-肠轴的平衡,引发机体异常的免疫炎症级联反应,加重继发性损伤.最新研究发现,通过免疫治疗减少创伤性中枢神经系统损伤引起的神经炎症,从而促进神经功能恢复是一种有前景的治疗方案,而肠道菌群可能是治疗靶点之一.文章主要就肠道菌群及其代谢产物色氨酸、短链脂肪酸、脂多糖、肽聚糖通过调节淋巴细胞、神经胶质细胞调控创伤后的免疫应答,影响神经炎症的作用机制进行综述,并对该领域临床研究现状进行总结与展望,以期为该类疾病开发新的治疗靶点和康复策略.
Research progress on the relationship between intestinal flora and immunity in traumatic central nervous system injury
After traumatic central nervous system injury,intestinal flora changes disturb the balance of brain-gut axis,trigger-ing abnormal immune inflammatory cascade and aggravating secondary injury.Recent research has found that reducing neuroinflamma-tion caused by traumatic central nervous system injury through immunotherapy,thereby promoting neurological function recovery,is a promising treatment option,and gut flora may be one of the therapeutic targets.This article mainly reviews the mechanism by which in-testinal flora and its metabolites tryptophan,short-chain fatty acids,lipopolysaccharides and peptidoglycans regulate the immune re-sponse after trauma and affect neuroinflammation by regulating lymphocytes and glial cells,and summarizes and prospects the current clinical research status in this field,with a view to developing new therapeutic targets and rehabilitation strategies for these diseases.

traumatic brain injuryspinal cord injurygut microbiotaimmunityneuroinflammation

尚文雅、黄靖、任亚锋

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450000 郑州,河南中医药大学康复医学院

450000 郑州,河南中医药大学第一附属医院康复中心

创伤性脑损伤 脊髓损伤 肠道菌群 免疫 神经炎症

河南省中医药科学研究专项基金河南省中医药科学研究专项基金河南省"双一流"创建学科中医学科学研究专项基金

2022JDZX0152021JDZY022HSRP-DFCTCM-2023-1-25

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(4)
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