黄酮类天然产物调控肠道微生物改善炎症性肠病的研究进展

    Research progress on inflammatory bowel disease alleviation by flavonoids natural products through regulating intestinal microbiota

    • 摘要: 炎症性肠病(IBD)是一种肠道的慢性炎症病变,主要表现为肠道炎症性细胞的浸润和肠黏膜的受损,并且在亚洲国家的发病率逐渐升高。IBD的常规治疗包括抗生素和免疫抑制剂等,但是毒副作用大,会产生超级致病菌,甚至会对免疫系统造成一定的损伤。黄酮类化合物是一类具有可变酚结构的天然物质,具有抗氧化、抗炎等特性。黄酮类天然产物广泛存在于自然界中,已被证明可以预防和治疗肠道炎症,但具体的作用机制仍不清楚。综述了肠道菌群与炎症性肠病发病机制的相互关系,以及黄酮类天然产物如何通过调节肠道菌群减轻IBD患者中普遍的菌群失衡和促炎因子的增加进而改善IBD患者的严重程度。以期以调节肠道菌群为切入点,通过深入了解黄酮类天然产物的抑菌和免疫调节作用,探讨其改善炎症性肠病的机理,进一步为黄酮类化合物在改善炎症性肠病中的运用和探究其作用的机制提供一定的理论指导。

       

      Abstract: Inflammatory bowel disease(IBD) is a chronic inflammatory disease of the intestine, mainly manifested by the infiltration of inflammatory cells in the intestine and damage of the intestinal mucosa. This incidence is gradually increasing in Asian countries. Conventional treatments for IBD include antibiotics and immunosuppressants, which are highly toxic, could induce super pathogens, and even cause some damage to the immune system. Flavonoids, a class of natural substances with variable phenol structure, have anti-oxidation and anti-inflammatory properties. Moreover, natural products of flavonoids are widely found in nature and have been proven to prevent and treat intestinal inflammation, but the specific mechanism of action remains unclear. This review discussed the interrelationship between intestinal microbiota and the pathogenesis of inflammatory bowel disease, and how flavonoids reduced the general intestinal microbiota imbalance and the increase of pro-inflammatory factors in IBD patients by regulating intestinal microbiota so as to relieve symptoms. It was aimed to explore the mechanism of flavonoids in improving inflammatory bowel disease by studying the bacteriostatic and immunomodulatory effects of natural flavonoids. This review will provide some theoretical guidance for the application of flavonoids in the improvement of inflammatory bowel disease and the exploration of its mechanism.

       

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