中国中西医结合消化杂志2024,Vol.32Issue(9) :834-838.DOI:10.3969/j.issn.1671-038X.2024.09.18

粪菌移植治疗肝性脑病的研究进展

Research progress of fecal microbiota transplantation for hepatic encephalopathy

张迎雪 王冉 张一凡 钟延美
中国中西医结合消化杂志2024,Vol.32Issue(9) :834-838.DOI:10.3969/j.issn.1671-038X.2024.09.18

粪菌移植治疗肝性脑病的研究进展

Research progress of fecal microbiota transplantation for hepatic encephalopathy

张迎雪 1王冉 1张一凡 1钟延美2
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作者信息

  • 1. 山东第二医科大学临床医学院(山东潍坊,261000)
  • 2. 山东第二医科大学第一附属医院(潍坊市人民医院)消化内科
  • 折叠

摘要

肝性脑病是一种以代谢紊乱为基础的综合征,能够引起中枢神经系统功能失调.在肠-肝-脑轴功能异常的基础下,肝性脑病能够导致肠道菌群及其代谢产物发生变化、肠道通透性改变及细菌易位,引起全身和局部炎症,进一步影响肝脏及神经系统的功能.粪菌移植是一种新兴的特殊器官移植,是将粪便中正常功能菌群移植于患者肠道内,通过重建肠道菌群结构、调整体内的代谢过程和信号通路来帮助恢复重建肠道菌群的平衡.本文就粪菌移植在肝性脑病治疗中的作用机制以及研究进展进行综述.

Abstract

Hepatic encephalopathy is a syndrome based on metabolic disorders,causing central nervous sys-tem dysfunction.Due to the abnormal function of the gut-liver-brain axis,hepatic encephalopathy can cause chan-ges in the intestinal flora and its metabolites,intestinal permeability and microbiotal translocation leading to sys-temic and local inflammation,further affecting the function of the liver and nervous system.Fecal microbiota transplantation is an emerging special type of organ transplantation in which involves transplanting normal func-tional microbiota in feces into the intestinal tract of patients aimed at helping restore the balance of intestinal flora by reconstructing intestinal flora structure and adjusting metabolic processes and signaling pathways in vivo.This article reviews the mechanism and research progress of fecal microbiota transplantation in the treatment of hepatic encephalopathy.

关键词

粪菌移植/肝性脑病/肠道菌群/肠-肝-脑轴

Key words

fecal microbiota transplantation/hepatic encephalopathy/intestinal flora/gut-liver-brain axis

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出版年

2024
中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
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