国际麻醉学与复苏杂志   2024, Issue (8): 0-0
    
短链脂肪酸对认知功能障碍影响的研究进展
刘行, 王海云1()
1.天津医科大学三中心临床学院
Research advances on the impact of short‑chain fatty acid on cognitive dysfunction
 全文:
摘要:

认知功能障碍是由各种因素造成的记忆、计算、学习等能力不同程度的下降,其涵盖范围从各种因素引起的认知功能障碍到痴呆。短链脂肪酸(SCFA)在微生物‑脑‑肠轴(MGBA)的相互作用中扮演重要角色,其可通过炎症、免疫、内分泌等通路介导脑‑肠之间的相互联系。文章着重介绍SCFA在不同病理条件下与认知功能障碍相关性的临床研究,以及通过构建动物模型,直接(补充SCFA)或间接(改变饮食和肠道菌群组成)改变机体内SCFA的含量,探讨SCFA影响认知功能障碍相关机制的基础研究。文章通过对SCFA在认知功能障碍患者及动物模型中的相关研究进行综述,以期为未来益生菌及SCFA的临床转化相关研究提供参考。

关键词: 认知功能障碍; 短链脂肪酸; 肠道菌群; 脑‑肠轴
Abstract:

Cognitive dysfunction encompasses a spectrum of diminished abilities, including memory, computation, and learning, resulting from diverse factors, ranging from cognitive impairments to dementia. Short‑chain fatty acids (SCFA) play a pivotal role in the intricate interplay of the microbiota‑brain‑gut axis (MGBA), mediating the bidirectional communication between the brain and the gut through pathways of inflammation, immunity, and endocrine signaling. This manuscript mainly introduces the clinical researches that investigate the association between SCFA and cognitive dysfunction under various pathological conditions. Additionally, this review also introduces basic researches that investigate the mechanisms underlying the impact of SCFA on cognitive impairment by setting up animal models. The investigation alters the SCFA levels through direct supplementation of SCFA or indirect modulation of SCFA levels within the organism through interventions such as dietary modifications and alterations in gut microbiota composition. The aim of this review is to provide a comprehensive summary of researches on the correlation of SCFA with cognitive dysfunction in both patients and rodent models to contribute insights for future clinical translational studies in the realm of probiotics and SCFA.

Key words: Cognitive dysfunction; Short‑chain fatty acid; Intestinal flora; Brain‑gut axis