益生菌和益生元在肠道健康和疾病中的作用

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Metaboliceffects代谢的影响

Asdiscussedearlier,prebioticinterventionresultsintheelaborationofSCFAsthatcanacttoimprovebarrierfunctioninthegut,andprebioticinterventionwithGOShasbeenshowntoimprovebarrierfunctioninvivo.Impairedbarrierfunctioncanallowtranslocationofinflammatorymediatorssuchasbacteriallipopolysaccharide(LPS)fromthegutintothesystemiccirculation,whichhasbeentermedmetabolicendotoxaemiaandhasbeensuggestedtobeacausativefactorindiabetesandobesity,althoughtheevidenceforthisisfromstudiesinmice.

如前所述,益生元干预会导致可改善肠道屏障功能的短链脂肪酸的形成,而低聚半乳糖益生元干预已被证明可改善体内屏障功能。屏障功能受损可以允许易位等炎症介质的细菌脂多糖(LPS)肠道进入体循环,被称为代谢内毒素血症并被暗示在糖尿病和肥胖中是一个诱发因素,尽管这种证据仅来自对老鼠的研究。

Themetaboliceffectsofprebioticshavebeenthesubjectofseveralmeta-analysesandalthoughtheresultsamongstudiesvary,thegeneralconsensusisthatprebioticinterventionhasapositiveeffectonglucosehomeostasis,inflammationandbloodlipidprofileinhumans.AlthoughinterventionswithGOSandinulinhavebeenshowntoimproveinflammatorymarkersinindividualswithobesity,thesewererelativelyshort-termstudiesoverafewmonths,andtheeffectonmetabolichealthoveralongperiodofconsumptionisyettobeestablished.

益生元的代谢作用已成为多项荟萃分析的课题,尽管研究结果各不相同,但普遍的共识是益生元干预对人体葡萄糖稳态、炎症和血脂有积极的影响。虽然低聚半乳糖和菊粉干预已被证明可改善肥胖患者的炎症标志物,但这些研究时间相对较短,仅持续几个月,而且长期服用对代谢健康的影响还有待证实。

ThehypothesisunderlyingmuchresearchonprebioticsandbarrierfunctionandinflammationisthatfermentationproductssuchasSCFAprobablymediatethebeneficialeffectsthroughmechanismsdiscussedearlier.However,ithasbeenshownthat,atleastinvitro,GOScandirectlystimulatetheexpressionoftightjunctionproteinsinintestinalepithelialcelllinesanddecreasetransepithelialflux.However,giventhatGOSisfermentedinthegut,theextenttowhichsuchmechanismsactinvivoisunclearatpresent.Itispossiblethattheeffectofinulininimprovingglycaemicresponsecouldbeduetodirectinhibitionoftheintestinalisomaltase–sucraseenzyme



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