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肠道屏障损伤及细菌移位在焦虑抑郁症诱导退行性神经症中的机制
Mechanism of gut barrier injury and bacterial translocation in anxiety-depression induced degenerative neurosis

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杨路 1,2   董婷婷 3   凌燕 3   吕艳霞 3   禤宇明 1,2 *  
文摘 肠道屏障是脑-肠道交互作用的晴雨表。健全的肠道屏障对于维系肠道内微生态,抵御外源性病原体的侵入至关重要。焦虑抑郁症能够损害肠道屏障,破坏肠道菌群平衡。肠道屏障损伤引起肠道渗透性升高,肠腔细菌移位,促使外源性病原体进入血液循环和神经系统,启动系统性炎症反应。炎症反应对脑神经的损伤是诱导阿尔茨海默病和帕金森症发生、发展的主要原因。肠道屏障损伤还会破坏原有的肠道菌群结构,造成肠道菌群失调,不仅进一步损伤肠道屏障,还影响神经组织的结构和功能,是阿尔茨海默病和帕金森症形成的另一因素。此综述依据近年来的相关研究,从肠道屏障损伤的角度阐述了焦虑抑郁症触发退行性神经症的机制,强调维护肠道屏障功能在预防退行性神经疾病中具有重要的临床意义。
其他语种文摘 The intestinal barrier is a barometer for brain-gut interactions.A healthy intestinal barrier is crucial to maintain the intestinal microecology and resist the invasion of exogenous pathogens.Anxiety and depression can damage the intestinal barrier and destroy the balance of gut flora.The destruction of intestinal barrier increases intestinal permeability, promotes bacterial translocation and invasion of exogenous pathogens that initiate systemic inflammatory response.The damage of the cerebral nerve caused by the inflammatory reaction is an important reason for the onset and development of Alzheimer's disease (AD) and Parkinson's disease (PD).In addition, the injured intestinal barrier changes original intestinal flora species and results in an imbalance of gut microbiome, which not only increasingly damages the intestinal barrier but also affects the structure and function of nerve tissue.It may contribute to the formation of degenerative neurosis such as AD and PD.Based upon recent researches on intestinal barrier and microbiome-gut-brain MGB communication, the review tries to explain the mechanism of anxiety and depression triggered degenerative neurosis and emphasizes the clinical significance of gut barrier function in prevention of degenerative neurological diseases.
来源 中国微生态学杂志 ,2020,32(3):352-357,363 【扩展库】
DOI 10.13381/j.cnki.cjm.202003024
关键词 肠道屏障 ; 菌群失调 ; 细菌移位 ; 焦虑抑郁症 ; 退行性神经症
地址

1. 中国科学院心理研究所, 脑与认知科学国家重点实验室, 北京, 100101  

2. 中国科学院大学心理学系, 北京, 100049  

3. 北京中生金域诊断技术股份有限公司研发部, 北京, 102200

语种 中文
文献类型 研究性论文
ISSN 1005-376X
学科 基础医学
基金 国家重点研发计划项目
文献收藏号 CSCD:6704941

参考文献 共 54 共3页

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引证文献 4

1 洪于兴 中医药干预肠道菌群防治高血压合并认知障碍的探讨 南京中医药大学学报,2021,37(1):140-144
CSCD被引 1

2 胡科 首发抑郁症患者肠道菌群特征及其与健康人群肠道菌群结构的差异 中国微生态学杂志,2022,34(12):1417-1422
CSCD被引 0 次

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