Inflammatory bowel disease therapeutic strategies by modulation of the microbiota: how and when to introduce pre-, pro-, syn-, or postbiotics?
2022
Lê, Amelie | Mantel, Marine | Marchix, Justine | Bodinier, Marie | Jan, Gwénaël | Rolli-Derkinderen, Malvyne | The Enteric Nervous System in gut and brain disorders [U1235] (TENS) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE) ; Nantes Université - pôle Santé ; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Santé ; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ) | Science et Technologie du Lait et de l'Oeuf (STLO) ; Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro Rennes Angers ; Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro) | Unité de recherche sur les Biopolymères, Interactions Assemblages (BIA) ; Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE) | the Institut National de la Santé et de la Recherche Médicale (INSERM), the Nantes Universitéand the interregional project PROLIFIC (Bretagne biotechnologies alimentaires Bba Milk Valley grant no. 19008213 from the Regional Councils of Bretagne and grant no. 2019-013227 from the Regional Councils of Pays de la Loire). A. Lê benefits of a doctoral fellowship from the MiBioGate consortium and M. Mantel benefits a doctoral fellowship managed by Bba Milk Valley, dairy industrial association. M. Rolli-Derkinderen is supported by the Centre National pour la Recherche Scientifique (CNRS).
International audience
显示更多 [+] 显示较少 [-]英语. Inflammatory bowel diseases (IBD), a heterogeneous group of inflammatory conditions that encompass both ulcerative colitis and Crohn’s disease, represent a major public health concern. The etiology of IBD is not yet fully understood and no cure is available, with current treatments only showing long-term effectiveness in a minority of patients. A need to increase our knowledge on IBD pathophysiology is growing, to define preventive measures, to improve disease outcome, and to develop new effective and lasting treatments. IBD pathogenesis is sustained by aberrant immune responses, associated with alterations of the intestinal epithelial barrier (IEB), modifications of the enteric nervous system, and changes in microbiota composition. Currently, most of the treatments target the inflammation and the immune system, but holistic approaches targeting lifestyle and diet improvements are emerging. As dysbiosis is involved in IBD pathogenesis, pre-, pro-, syn-, and postbiotics are used/tested to reduce the inflammation or strengthen the IEB. The present review will resume these works, pointing out the stage of life, the duration, and the environmental conditions that should go along with microbiota or microbiota-derived treatments.
显示更多 [+] 显示较少 [-]