Paper intensive reading (四):Establishing What Constitutes a Healthy Human Gut Microbiome

本文探讨了健康人类肠道菌群的定义,指出菌群结构与功能对人体健康的关系尚未明确,菌群失调与疾病间的因果关系不确定。强调了菌群的高度个体化及环境因素对其稳定性的影响。

摘要生成于 C知道 ,由 DeepSeek-R1 满血版支持, 前往体验 >

论文题目:Establishing What Constitutes a Healthy Human Gut Microbiome: State of the Science, Regulatory Considerations, and Future Directions

Published: 02 August 2019

McBurney, ..., Jens Latulippe, Marie E.

Published in Journal of Nutrition

Google citation:3

提出的重要问题:Can We Begin to Define a Healthy Gut Microbiome Through Quantifiable Characteristics?

Abstract:

On December 17, 2018, the North American branch of the  International Life Sciences Institute (ILSI North America) convened a workshop “Can We Begin to Define a Healthy Gut Microbiome  Through Quantifiable Characteristics?” with >40 invited academic,  government, and industry experts inWashington, DC. The workshop objectives were to 

(1) develop a collective expert assessment of the state of the evidence on the human gut microbiome and associated human health benefits;人类肠道微生物组和相关人类健康益处

(2) see if there was sufficient evidience to establish measureable gut microbiome characteristics that could serve as indicators of "health";  可测量的肠道微生物特征,作为“健康”的指标

(3) identify short- and long-term research need to fully characterize healthy gut microbiome host relationships; 充分表征健康的肠道微生物组宿主关系的短期和长期研究的需要

(4) publish the findings

Conclusions were as follows: 

(1) mechanistic links of specific changes in gut microbiome structure with function or markers of human health are not yet established;  回答第一项工作目标,目前可靠的联系并未建立

(2) It is not established if dysbiosis is a cause, consequence, or both of changes in human gut epithelial function and disease; 肠道菌群失调与上皮功能、疾病之间的因果关系不明确。回答第二项目标

(3) microbiome communities are highly individualized, show a high degree of interindividual variation to perturbation, and tend to be stable over years; 微生物群落高度个体化,对微扰表现出高度的个体间变异,多年趋于稳定; 第二项目标,可测量的肠道微生物特征因为个体化差异,所以很难指定。

(4) the complexity of microbiome-host interactions requires a comprehensive, multidisciplinary research agenda to elucidate relationships between gut microbiome and host health; 第三项目标,肠道菌群和宿主之间的关系非常复杂

(5) biomarkers and/or surrogate(替代) indicators of host function and pathogenic processes based on the microbiome need to be determined and validated, along with normal ranges, using approaches similar to those used to establish biomarkers and/or surrogate indicators based on host metabolic phenotypes; future direction

(6) future studies measuring responses to an exposure or intervention need to combine;  future direction

(7) Because static genetic sampling misses important short- and long-term microbiome-related dynamic changes to host health, future studies must be powered to account for inter- and intraindividual variation and should use repeated measures within individuals. 静态遗传取样遗漏了重要的短期和长期微生物群落相关的动态变化对宿主健康的影响

Keywords: microbiome, microbiota, prebiotic, probiotic, dietary fiber, biomarker, surrogate indicator, dysbiosis, human health

Outline:

1. Introduction

2. State of the Evidence

3. Biological Considerations in Defining a Healthy Gut Microbiome

4. Infant Microbiome Insights

5. Adult Microbiome Insights

6. Dietary Modulation

7. Probiotic Administration

8. Technical Challenges in Studying Gut Microbiome and Host Interactions

9. Regulatory Considerations with Respect to the Gut Microbiome

9.1 Regulatory considerations in the United States, Canada, and Europe

9.2 Nutrient declarations

9.3 Labeling regulations specific to some dietary fibers and prebiotics

9.4 Structure-function and function claims

9.5 Disease risk reduction claims

9.6 Regulatory considerations in Asia and other regions

10. What Type of Information Is Needed to Define a Healthy Gut Microbiome?

11. What Are Current Limitations to Establishing a Healthy Gut Microbiome-Host Relationship?

12. What Types of Studies Can Address These Gaps?

13. Future Considerations

Content:

1. Introduction

there have been few consistent changes in microbiota stability, resilience, or diversity associated with a given disease across multiple cohorts. 在多个群组中,与某一特定疾病相关的微生物群稳定性、弹性或多样性几乎没有一致的变化。

This article summarizes the state of the science pertaining to the human gut microbiome and associated health benefits and identifies research gaps and opportunities.

2. State of the Evidence

In 2012, the International Life Sciences Institute (ILSI) North American Microbiome Committee commissioned a review on the question “what constitutes a healthy human gut microbiome” that came to the following conclusions: 
1) a healthy microbiome cannot be defined by a single idealized community composition,  一个健康的微生物组无法通过单一的社区单元来定义
2) a healthy microbiome is more resistant and resilient to disruption, 一个健康的微生物组抵抗力和可恢复性更强
3) certain microbial distributions may increase susceptibility to infection and disease,  某些微生物分布可能会增加对感染和疾病的敏感性
4) it is unknown if dysbiosis, an imbalance in the types of microorganisms present in a given microbiota, is a cause or consequence of disease.  给定微生物群落的失衡与疾病之间的因果关系不明确
 For this article, we revisited the central question and evaluated whether the state of the evidence has changed substantially in the past six years. 对比这个结论和本篇review的结论,我怎么感觉好像没什么进展呢?不明确的还是不明确呢?

3. Biological Considerations in Defining a Healthy Gut Microbiome

In humans, causality is much harder to establish, but environmental factors known to disrupt microbiome assembly [e.g., route of birth delivery, formula vs. breastfeeding, and early antibiotics] are linked with disease risk in epidemiological(流行病学) studies. 在人体中,因果关系很难建立,但是在流行病学中,已经建立了一些连接

In addition, human diseases are often associated with a “dysbiosis” of the gut microbiota, meaning an altered composition or functionality compared with healthy controls. 此外,人体疾病与肠道菌群失调有关联

it is extremely difficult to define what constitutes a healthy microbiome. (1. 因果关系很难确定;2. 有一些发现在不同的研究中不一致)

4. Infant Microbiome Insights

Although these deterministic factors have a clear, measurable impact on microbiome composition, community assembly is also driven by stochastic (nonpredictable) ecological processes. 虽然已知婴儿的肠道菌落跟很多因素有关,但是群落聚集也是受随机的(不可预测的)生态过程驱动。

The early gut microbiota of breastfed, vaginal-born infants is dominated by Bifidobacterium and Bacteroides species, which have evolved with humans and have specialized in the utilization of human milk oligosaccharides(寡糖). These genera could therefore be considered characteristic for a healthy infant microbiota, and they are greatly reduced through cesarean sections(剖宫产) and formula feeding. 双歧杆菌和拟杆菌属被认为是一个健康的婴儿肠道菌群特征

5. Adult Microbiome Insights

相对稳定,更多的受环境因素的影响

Deterministic factors: Nongenetic 10%, genetic factors 10%, specific environmental factors (diet, medication, specific genes, etc.) 20%

High microbiota diversity seems to be associated with health and temporal stability, and a dynamic loss of diversity may be prognostic of increased disease risk.

Remarkably stable microbial community in healthy adults
composed of highly adapted microbial species  and shaped more by environment than host genetics
Deterministic factors: Nongenetic 10%, genetic factors 10%, specific environmental factors (diet, medication, specific genes, etc.) 20%
the majority of interindividual variation in the human gut microbiota unexplained
High microbiota diversity seems to be associated with health and temporal stability, and a dynamic loss of diversity may be prognostic of increased disease risk.
The gut microbiome is altered in various diseases, a state often referred to as dysbiosis
it is unclear if dysbiosis are the cause of the disease or just a consequence
microbiome is affected by many characteristics of the host, including ethnicity, region of habitation, geography, and/or socioeconomic status
Regional variation limits the development and application of healthy microbiome reference ranges
 

6. Dietary Modulation

7. Probiotic Administration

8. Technical Challenges in Studying Gut Microbiome and Host Interactions

9. Regulatory Considerations with Respect to the Gut Microbiome

9.1 Regulatory considerations in the United States, Canada, and Europe

9.2 Nutrient declarations

9.3 Labeling regulations specific to some dietary fibers and prebiotics

9.4 Structure-function and function claims

9.5 Disease risk reduction claims

9.6 Regulatory considerations in Asia and other regions

10. What Type of Information Is Needed to Define a Healthy Gut Microbiome?

11. What Are Current Limitations to Establishing a Healthy Gut Microbiome-Host Relationship?

12. What Types of Studies Can Address These Gaps?

13. Future Considerations

又丢失了好多日志内容。。。这个CSDN怎么会没记录呢  我没有关浏览器 只是合上了电脑  然后所谓的自动保存

竟然还把添加的内容丢了。。。伤心

内容概要:本文详细介绍了QY20B型汽车起重机液压系统的设计过程,涵盖其背景、发展史、主要运动机构及其液压回路设计。文章首先概述了汽车起重机的分类和发展历程,强调了液压技术在现代起重机中的重要性。接着,文章深入分析了QY20B型汽车起重机的五大主要运动机构(支腿、回转、伸缩、变幅、起升)的工作原理及相应的液压回路设计。每个回路的设计均考虑了性能要求、功能实现及工作原理,确保系统稳定可靠。此外,文章还详细计算了支腿油缸的受力、液压元件的选择及液压系统的性能验算,确保设计的可行性和安全性。 适合人群:从事工程机械设计、液压系统设计及相关领域的工程师和技术人员,以及对起重机技术感兴趣的高等院校学生和研究人员。 使用场景及目标:①为从事汽车起重机液压系统设计的工程师提供详细的参考案例;②帮助技术人员理解和掌握液压系统设计的关键技术和计算方法;③为高等院校学生提供学习和研究起重机液压系统设计的实用资料。 其他说明:本文不仅提供了详细的液压系统设计过程,还结合了实际工程应用,确保设计的实用性和可靠性。文中引用了大量参考文献,确保设计依据的科学性和权威性。阅读本文有助于读者深入了解汽车起重机液压系统的设计原理和实现方法,为实际工程应用提供有力支持。
评论
添加红包

请填写红包祝福语或标题

红包个数最小为10个

红包金额最低5元

当前余额3.43前往充值 >
需支付:10.00
成就一亿技术人!
领取后你会自动成为博主和红包主的粉丝 规则
hope_wisdom
发出的红包
实付
使用余额支付
点击重新获取
扫码支付
钱包余额 0

抵扣说明:

1.余额是钱包充值的虚拟货币,按照1:1的比例进行支付金额的抵扣。
2.余额无法直接购买下载,可以购买VIP、付费专栏及课程。

余额充值