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抗生素对肠道菌群及代谢影响的研究进展

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抗生素的应用是作为治疗肠道和全身感染性疾病的支柱,而肠道菌群参与人体的多种生理功能。抗生素的使用可能会改变菌群的组成,影响菌群的代谢产物,如短链脂肪酸和脂多糖等,从而改变神经传导和肝脏生理功能。抗生素作用下肠道菌群的变化对血糖、血脂及机体免疫功能等产生影响,参与机体内环境的稳态。在脑-肠轴系统中,抗生素引起的菌群代谢产物的改变影响神经递质的表达,从而对宿主的神经精神状态产生影响。本文综述了抗生素作用下菌群组成的变化及其作用机制,以期为通过调控肠道菌群来治疗相关疾病提供新思路。
Effects of antibiotics on gut microbiota and metabolism:research progress
The application of antibiotics is the pillar of the treatment of intestinal and systemic infectious diseases,and gut microbiota of human body is involved in the maintenance of various physiological functions.The use of antibiotics may change the composition of microorganisms and affect the metabolites of microbiota,such as short-chain fatty acids,lipo-polysaccharides,etc.,thus changing nerve conduction and liver physiological functions.The changes of gut microbiota un-der the action of antibiotics also play an important role in blood sugar,blood fat and immune function,and participate in the homeostasis of the body's internal environment.In the brain-gut axis system,changes in bacterial metabolites induced by antibiotic action affect the expression of these neurotransmitters and thus affect the neuropsychiatric state of the host.This paper reviews the changes in microbial composition and mechanism under the action of antibiotics,providing new ideas for the treatment of related diseases from the perspective of regulating gut microbiota.

AntibioticsMetabolitesNutrient metabolismGut microbiota

苏继烽、石斌

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上海市杨浦区中心医院(同济大学附属杨浦医院)急诊科,上海 200090

抗生素 代谢产物 营养代谢 肠道菌群

中华国际医学交流基金会黎介寿肠道屏障研究专项基金项目

Z-2017-24-2026

2024

中国微生态学杂志
中华预防医学会 大连医科大学

中国微生态学杂志

CSTPCD北大核心
影响因子:1.115
ISSN:1005-376X
年,卷(期):2024.36(7)