Gut dysbiosis in stroke and its implications on Alzheimer's disease-like cognitive dysfunction.

Gut dysbiosis in stroke and its implications on Alzheimer's disease-like cognitive dysfunction.
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DOI:
10.1111/cns.13613
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发表时间:
2021-05
影响因子:
5.5
通讯作者:
Borlongan CV
Borlongan CV
中科院分区:
医学1区
文献类型:
--
作者:
Cho J;Park YJ;Gonzales-Portillo B;Saft M;Cozene B;Sadanandan N;Borlongan CV

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Various neurological disorders, such as stroke and Alzheimer's disease (AD), involve neuroinflammatory responses. The advent of the gut‐brain axis enhances our understanding of neurological disease progression and secondary cell death. Gut microbiomes, especially those associated with inflammation, may reflect the dysbiosis of both the brain and the gut, opening the possibility to utilize inflammatory microbiomes as biomarkers and therapeutic targets. The gut‐brain axis may serve as a contributing factor to disease pathology and offer innovative approaches in cell‐based regenerative medicine for the treatment of neurological diseases. In reviewing the pathogenesis of stroke and AD, we also discuss the effects of gut microbiota on cognitive decline and brain pathology. Although the underlying mechanism of primary cell death from either disease is clearly distinct, both may be linked to gut‐microbial dysfunction as a consequential aberration that is unique to each disease. Targeting peripheral cell death pathways that exacerbate disease symptoms, such as those arising from the gut, coupled with conventional central therapeutic approach, may improve stroke and AD outcomes. Gut microbiota and stroke. A potential stroke therapy involves modification of the gut microbiota via prebiotics and probiotics, triggering the production of therapeutic metabolites (i.e., anti‐inflammatory factors) that may sequester the secondary cell death associated with stroke.
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