Visceral pain: gut microbiota, a new hope?

Visceral pain: gut microbiota, a new hope?
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DOI:
10.1186/s12929-018-0476-7
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发表时间:
2018-10-11
影响因子:
11
通讯作者:
Gareau MG
Gareau MG
中科院分区:
医学1区
文献类型:
--
作者:
Pusceddu MM;Gareau MG

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内脏疼痛是一种复杂的异质性疾病,其范围可以从消化不良的轻微不适到肾绞痛的痛苦。内脏疼痛的调节涉及脊髓以及更高级的大脑结构。最近的研究结果将微生物群与以腹痛为特征的胃肠道疾病联系起来,表明微生物具有调节内脏高敏感性和疼痛伤害感受的能力。在这篇综述中,我们描述了内脏疼痛信号的神经解剖学基础和肠道微生物群对其进行操纵的现有证据。我们纳入了饮食干预的潜在治疗效果的最新概述,特别是益生菌和益生元,在减轻内脏疼痛刺激的超敏反应。肠道微生物群显著影响正常内脏疼痛感觉并影响介导内脏伤害感受的机制。此外,使用益生元和益生菌操纵肠道微生物群在内脏疼痛疾病的调节中起着潜在的作用。
Visceral pain is a complex and heterogeneous disorder, which can range from the mild discomfort of indigestion to the agonizing pain of renal colic. Regulation of visceral pain involves the spinal cord as well as higher order brain structures. Recent findings have linked the microbiota to gastrointestinal disorders characterized by abdominal pain suggesting the ability of microbes to modulate visceral hypersensitivity and nociception to pain. In this review we describe the neuroanatomical basis of visceral pain signaling and the existing evidence of its manipulation exerted by the gut microbiota. We included an updated overview of the potential therapeutic effects of dietary intervention, specifically probiotics and prebiotics, in alleviating hypersensitivity to visceral pain stimuli. The gut microbiota dramatically impacts normal visceral pain sensation and affects the mechanisms mediating visceral nociception. Furthermore, manipulation of the gut microbiota using prebiotics and probiotics plays a potential role in the regulation of visceral pain disorders.
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