中医药信息2024,Vol.41Issue(12) :60-66.DOI:10.19656/j.cnki.1002-2406.20241212

肠道菌群失调与抑郁症的相关性及中医药防治研究进展

Correlation between Intestinal Flora Disorder and Depression and the Research Progress of TCM Prevention and Treatment

谢明君 孙鹏 熊鹰 王海军
中医药信息2024,Vol.41Issue(12) :60-66.DOI:10.19656/j.cnki.1002-2406.20241212

肠道菌群失调与抑郁症的相关性及中医药防治研究进展

Correlation between Intestinal Flora Disorder and Depression and the Research Progress of TCM Prevention and Treatment

谢明君 1孙鹏 1熊鹰 1王海军1
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作者信息

  • 1. 山东中医药大学,山东 济南 250355
  • 折叠

摘要

抑郁症是致残和寿命缩短的主要原因之一,严重影响患者生活质量和社会功能.近期研究揭示,肠道菌群失调通过代谢产物和炎症介质,影响宿主免疫反应和神经递质水平,进而调节情绪和行为,参与抑郁症的发生和发展.本文综述了微生物-肠-脑轴影响情绪行为的机制,探讨肠道微生物群与抑郁症的关联,并总结中医药调控"肠-脑轴"防治抑郁症的研究进展,发现中药复方、中药单体及其中药衍生物细胞外囊泡和针刺疗法等可通过调节肠道菌群,影响神经递质产生和神经炎症反应,发挥抗抑郁作用.

Abstract

Depression is one of the leading causes of disability and reduced life expectancy,severely affecting patients' quality of life and social functioning.Recent studies have revealed that gut microbiota dysbiosis,through metabolites and inflammatory mediators,influences host immune responses and neurotransmitter levels,thereby regulating mood and behavior and contributing to the onset and progression of depression.This review summarizes the mechanisms by which the microbiota-gut-brain axis influences emotional behavior,explores the association between gut microbiota and depression,and highlights research advances in traditional Chinese medicine(TCM)for modulating the"gut-brain axis"to prevent and treat depression.It is found that TCM formulae,single herbs,their derived extracellular vesicles,and acupuncture therapy can regulate gut microbiota,influence neurotransmitter production,and modulate neuroinflammatory responses to exert antidepressant effects.

关键词

抑郁症/肠道微生物/微生物-肠-脑轴/中医药

Key words

Depression/Gut microbiota/Microbiota-gut-brain axis/Traditional Chinese medicine

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出版年

2024
中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
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