临床荟萃

• 专题 • 上一篇    下一篇

缺血性卒中与肠道菌群研究进展

  

  1. 南方医科大学南方医院 神经内科,广东 广州 510515
  • 出版日期:2018-03-05 发布日期:2018-03-19
  • 通讯作者: 通信作者:尹恝,Email:jiajiayin@139.com
  • 基金资助:
    国家自然科学基金资助项目(81671171)

Advances in the study of ischemic stroke and gut microbiome

  1. Department of Neurology, Nanfang Hospital,Southern Medical University, Guangzhou  510515,China
  • Online:2018-03-05 Published:2018-03-19
  • Contact: Corresponding author: Yin Jia,Email:jiajiayin@139.com

摘要: 缺血性卒中是最常见的脑血管病类型,是我国国民死亡的第一位原因。近年来的研究表明肠道菌群及其代谢产物在卒中相关危险因素如高血压、糖尿病、动脉粥样硬化等病理生理过程中有重要作用。肠道菌群可通过调节肠道白细胞介素(IL)17+γδT细胞向脑膜区的迁移影响卒中结局。还有研究发现卒中相关性肺炎的细菌来源于肠道等。总之,目前相关研究表明肠道菌群影响卒中的发生发展。本文对肠道菌群与卒中相关危险因素、卒中事件及卒中相关并发症做一综述。

关键词: 卒中, 脑缺血发作, 短暂性, 肠杆菌科, 微生物-肠-脑轴

Abstract: Ischemic stroke is the most common type of cerebrovascular disease and is the first cause of death in Chinese population. In recent years, gut microbiota and its metabolites were  found to be constant engaged in the pathophysiology process of strokerelated risk factors, such as hypertension, diabetes and atherosclerosis. Preclinical evidence illustrated that the gut microbiota affect stroke outcomes by modulating the migration of intestinal IL17 + γδT cells to the meninges. Further study demonstrated that strokeassociated pneumonia was caused by gutderived bacteria. In summary, current researches have reported the influence of gut microbiota on the occurrence and prognosis of stroke. In this review, we outline the association between gut microbiota and the risk factors of stroke, the occurrence of stroke events and strokerelated complications.

Key words: stroke;ischemic attack, transient;enterobacteriaceae;microbiotagutbrain axis