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Changes of intestinal microbiota and microbiota-based treatments in IBD

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Abstract

Inflammatory bowel disease (IBD) has gained increasing attention from researchers in terms of its pathophysiology as a global disease with a growing incidence. Although the exact etiology of IBD is still unknown currently, various studies have made us realize that it is related to the dysbiosis of intestinal microbiota and the link between the two may not just be a simple causal relationship, but also a dynamic and complicated one. The intestinal microbiota has been confirmed to be closely related to the occurrence, development, and treatment of IBD. Therefore, this review focuses on the changes in the structure, function, and metabolites of intestinal bacteria, fungi, and viruses in influencing IBD, as well as various approaches to IBD treatment by changing disordered intestinal microbiota. Ultimately, more clinical studies will be needed to focus on the efficacy of intestinal microbiota-based treatments in IBD, because of the existence of both advantages and disadvantages.

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Abbreviations

IBD:

Inflammatory bowel disease

CD:

Crohn’s disease

UC:

Ulcerative colitis

HS:

Healthy subjects

E. coli :

Escherichia coli

AIEC:

Adherent-invasive E. coli

IEC:

Intestinal epithelial cells

Treg:

Regulatory T cells

IELs:

Intraepithelial lymphocytes

TGF-β:

Transforming growth factor-β

IL-10:

Interleukin-10

SCFAs:

Short-chain fatty acids

Trp:

Tryptophan

SBAs:

Secondary bile acids

GPRs:

G protein-coupled receptors

PBAs:

Primary bile acids

BA:

Bile acids

LCA:

Lithocholic acid

EEN:

Exclusive enteral nutrition

CDED+PEN:

CD Exclusion Diet with Partial Enteral Nutrition

NGP:

Next generation of probiotics

XOS:

Xylo-oligosaccharide

LA-GOS:

Lupinus Albus GOS

OF-IN:

Oligofructose-enriched inulin

CTM:

Cranberry concentrate Type M

FMT:

Fecal microbiota transplantation

CDI:

Clostridium difficile infection

h-FMT:

Heterologous fecal microbiological transplantation

a-FMT:

Autologous fecal transplantation

References

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Funding

This study was supported by CNS-ZD Tizhi and Health Fund (CNS-ZD2020-21) and Key Research and Development Project of Hubei Province (2020BCA081-03).

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Authors

Contributions

All the authors contributed to this review. The first draft of the manuscript was written by Qianyu Li and all the authors reviewed and edited on previous versions of the manuscript. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Jing Cong.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Additional information

Communicated by Erko Stackebrandt.

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Li, Q., Zhou, S., Wang, Y. et al. Changes of intestinal microbiota and microbiota-based treatments in IBD. Arch Microbiol 204, 442 (2022). https://doi.org/10.1007/s00203-022-03069-4

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  • DOI: https://doi.org/10.1007/s00203-022-03069-4

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