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肠道微生物菌群对变应性鼻炎的影响

Effect of intestinal microbiota on allergic rhinitis

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变应性鼻炎(AR)主要是由免疫球蛋白E(IgE)介导的多种免疫细胞及细胞因子参与的Ⅰ型变态反应.目前AR的患病率呈逐年上升的趋势,临床治疗中存在诸多问题,其发病机制有待进一步的研究.近年来,随着对肠道菌群研究的深入,人们发现肠道菌群及其代谢物可通过神经、免疫及内分泌通路与多个器官发生交互作用,如通过调节免疫系统进而影响哮喘、AR等变应性疾病,因此肠道菌群紊乱或许是AR发病的机制之一.故本文将从肠道菌群、肠道菌群对免疫系统的影响、肠道菌群与AR的关系以及应用益生菌、益生元、细菌裂解产物改善菌群失调治疗AR的相关研究进行综述,为治疗AR提供新的参考依据.
Allergic rhinitis(AR)is a type Ⅰ allergic reaction mainly mediated by immunoglobulin E(IgE),which is involved in various immune cells and cytokines.At present,the prevalence of AR is increasing year by year.There are many problems in clinical treatment,and its pathogenesis needs further study.Recently,the in-depth study of intestinal microbiota found that intestinal microbiota and its metabolites could interact with multiple organs through neural,immune and endocrine pathways.For example,the regulation of the immune system affected asthma,AR and other allergic diseases.Therefore,intestinal microbiota disorders may be one of the mechanisms of the pathogenesis of AR.In this paper,we reviewed intestinal microbiota,the impact of intestinal microbiota on immune system,the relationship between intestinal microbiota and AR,as well as the application of probiotics,prebiotics and bacterial lysates.It will provide a new reference for the treatment of AR.

Allergic rhinitisIntestinal microbiotaImmune systemProbioticsPrebioticsBacterial lysates

马永利、安云芳、韩兰、赵长青

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山西医科大学,山西太原 030001

山西医科大学第二医院耳鼻咽喉头颈外科,山西太原 030001

变应性鼻炎 肠道菌群 免疫系统 益生菌 益生元 细菌裂解产物

国家自然科学基金国家自然科学基金山西省自然科学基金项目山西省卫生健康委员会应用研究项目

8217111982171120201901D11138620200076

2024

中国耳鼻咽喉颅底外科杂志
中南大学

中国耳鼻咽喉颅底外科杂志

CSTPCD
影响因子:0.643
ISSN:1007-1520
年,卷(期):2024.30(3)