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The microbiota-gut-brain axis(MGBA)plays an important role in the pathogenesis and treatment of post-stroke depression(PSD).The gut microbiota,as a key regulatory factor of this pathway,participates in the onset of PSD through neural,endocrine,metabolic,and immune systems,and maintains bidirectional communication between the brain and the gut.Research indicates that traditional Chinese medicine(TCM)can act on the MGBA through multiple pathways.Single herbs such as Chaihu(Bupleurum),Roucongrong(Cistanches Herba)and Ciwujia(Acanthopanax root)can regulate the gut microbiota,inhibit inflammation,and modulate the HPA axis. Compound formulas,such as Xiaoyao Powder and Chaigui Granule,can increase short-chain fatty acids,regulate amino acid metabolism,and collaboratively restore neurotransmitter and neurotrophic factor levels.Animal experiments have confirmed that TCM monomers and compound preparations can regulate the overall function of the gut microbiota. Combined with dietary interventions and gut microbiota transplantation,they can regulate the proportion of beneficial and harmful bacteria,restoring microbial structure and metabolic balance.In the future,it is necessary to explore how traditional Chinese medicine can target the gut microbiota and transform its active components to exert biological effects,promote multidisciplinary and multi-target research,clarify the pathogenesis of PSD,enhance fecal microbiota transplantation and Chinese medicine-microbiota co-culture techniques,and systematically validate the value of the MGBA in individualized and precise treatment of PSD by integrating animal experiments with clinical practice.
, authors=Jun YIN
1, Yifan YANG
2, Yedong YUN
1, Zhouyuan HU
1, Yongmei YAN
2, authorsList=Jun YIN, Yifan YANG, Yedong YUN, Zhouyuan HU, Yongmei YAN, authorCompany=null, correspAuthors=Yongmei YAN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1315688500670874603, articleId=1315688500033340393, tenantId=1146029695717560320, journalId=1315121837170065538, language=CN, title=中医药调控微生物-肠-脑轴干预卒中后抑郁研究进展, columnId=1315688445511578555, journalTitle=中医学报, columnName=述评, runingTitle=null, highlight=null, articleAbstract=
微生物-肠-脑轴(microbiota-gut-brain Axis,MGBA)在卒中后抑郁的发病与治疗中具有重要作用。肠道菌群作为该通路的关键调控因子,通过神经、内分泌、代谢及免疫系统参与卒中后抑郁(post-stroke depression,PSD)发病,并维持大脑与肠道间的双向交流。中药可多途径作用于MGBA,如柴胡、肉苁蓉、刺五加等单味药可调节肠道菌群、抑制炎症并调节HPA轴;逍遥散、柴归颗粒等复方则能增加短链脂肪酸、调节氨基酸代谢,协同恢复神经递质与神经营养因子水平。动物实验证实,中药单体及复方制剂可调节肠道菌群整体功能,结合饮食干预与肠道菌群移植,调节有益菌与有害菌比例,恢复微生物结构及代谢平衡。未来需探索中药如何靶向肠道微生物,并转化其活性成分以发挥生物学效应,推动多学科、多靶点研究,明确PSD发病机制,提高粪菌移植与中药-菌群共培养技术,将动物实验与临床实践相结合,系统验证MGBA在PSD个体化、精准化治疗中的价值。
, authors=阴俊
1, 杨一帆
2, 云烨栋
1, 胡周圆
1, 闫咏梅
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阴俊(1996 -),男,陕西商洛人,硕士研究生,研究方向:脑血管病的基础与临床研究。
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