Gastrointestinal Disorders,
Journal Year:
2025,
Volume and Issue:
7(1), P. 5 - 5
Published: Jan. 8, 2025
Nociplastic
pain,
commonly
observed
in
conditions
such
as
Fibromyalgia,
chronic
fatigue
syndrome,
and
irritable
bowel
arises
from
altered
central
pain
processing
involves
complex
mechanisms,
including
interactions
between
the
gut–brain
axis
immune
dysregulation.
Conventional
therapies
often
fail
to
address
this
type
of
effectively,
leading
interest
alternative
approaches
fecal
microbiota
transplantation.
This
technique
has
been
proposed
restore
gut
microbial
balance
modulate
systemic
inflammation,
neuroinflammation,
neurotransmitter
signaling.
systematic
review,
conducted
according
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-analyses
guidelines
registered
International
Prospective
Register
(CRD42024611939),
evaluated
13
studies
with
n
=
409
participants,
clinical
trials,
case
reports,
retrospective
analyses.
A
quality
assessment
was
performed
using
appraisal
tools
Cochrane
RoB
2,
ROBINS-I,
NOS,
CARE.
The
results
suggest
that
transplantation
may
reduce
intensity
improve
life,
particularly
patients
Fibromyalgia
syndrome.
However,
outcomes
Chronic
Fatigue
Syndrome
psoriatic
arthritis
were
inconsistent
limited
by
methodological
flaws,
small
sample
sizes,
variability
protocols
donor
selection.
Although
adverse
events
minimal,
current
evidence
is
insufficient
support
widespread
use.
High-quality,
standardized
are
needed
confirm
efficacy
Until
then,
its
application
should
remain
experimental
interpreted
caution.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(11), P. 9577 - 9577
Published: May 31, 2023
The
human
gut
microbiome
contains
the
largest
number
of
bacteria
in
body
and
has
potential
to
greatly
influence
metabolism,
not
only
locally
but
also
systemically.
There
is
an
established
link
between
a
healthy,
balanced,
diverse
overall
health.
When
becomes
unbalanced
(dysbiosis)
through
dietary
changes,
medication
use,
lifestyle
choices,
environmental
factors,
ageing,
this
profound
effect
on
our
health
linked
many
diseases,
including
metabolic
inflammatory
neurological
diseases.
While
humans
largely
association
dysbiosis
with
disease,
animal
models,
causative
can
be
demonstrated.
brain
particularly
important
maintaining
health,
strong
neurodegenerative
neurodevelopmental
This
suggests
that
microbiota
composition
used
make
early
diagnosis
diseases
modifying
microbiome-gut-brain
axis
might
present
therapeutic
target
for
have
proved
intractable,
aim
altering
trajectory
such
as
Alzheimer's
Parkinson's
multiple
sclerosis,
autism
spectrum
disorder,
attention-deficit
hyperactivity
among
others.
other
potentially
reversible
migraine,
post-operative
cognitive
dysfunction,
long
COVID,
which
considered
models
therapy
disease.
role
traditional
methods
microbiome,
well
newer,
more
novel
treatments
faecal
transplants
photobiomodulation,
are
discussed.
Molecular Psychiatry,
Journal Year:
2023,
Volume and Issue:
28(9), P. 3625 - 3637
Published: Sept. 1, 2023
Abstract
The
human
body
harbors
a
diverse
ecosystem
of
microorganisms,
including
bacteria,
viruses,
and
fungi,
collectively
known
as
the
microbiota.
Current
research
is
increasingly
focusing
on
potential
association
between
microbiota
various
neuropsychiatric
disorders.
resides
in
parts
body,
such
oral
cavity,
nasal
passages,
lungs,
gut,
skin,
bladder,
vagina.
gut
gastrointestinal
tract
has
received
particular
attention
due
to
its
high
abundance
role
psychiatric
neurodegenerative
However,
presents
other
tissues,
though
less
abundant,
also
plays
crucial
immune
system
homeostasis,
thus
influencing
development
progression
For
example,
imbalance
associated
periodontitis
might
increase
risk
for
Additionally,
studies
using
postmortem
brain
samples
have
detected
widespread
presence
bacteria
brains
patients
with
Alzheimer’s
disease.
This
article
provides
an
overview
emerging
host
disorders
discusses
future
directions,
underlying
biological
mechanisms,
reliable
biomarkers
microbiota,
microbiota-targeted
interventions,
this
field.
Behavioral and Brain Functions,
Journal Year:
2025,
Volume and Issue:
21(1)
Published: Jan. 8, 2025
Alzheimer's
disease
(AD)
is
a
prevalent
and
progressive
neurodegenerative
disorder
that
the
leading
cause
of
dementia.
The
underlying
mechanisms
AD
have
not
yet
been
completely
explored.
Neuroinflammation,
an
inflammatory
response
mediated
by
certain
mediators,
has
exhibited
to
play
crucial
role
in
pathogenesis
AD.
Additionally,
disruption
gut
microbiota
found
be
associated
with
AD,
fecal
transplantation
(FMT)
emerged
as
potential
therapeutic
approach.
However,
precise
mechanism
FMT
treatment
remains
elusive.
In
this
study,
was
performed
transplanting
from
healthy
wild-type
mice
into
APP/PS1
(APPswe,
PSEN1dE9)
assess
effectiveness
mitigating
AD-associated
inflammation
reveal
its
action.
results
demonstrated
improved
cognitive
function
reduced
expression
levels
factors
regulating
TLR4/MyD88/NF-κB
signaling
pathway
mice,
which
accompanied
restoration
microbial
dysbiosis.
These
findings
suggest
ameliorate
symptoms
delay
progression
mice.
JAMA Neurology,
Journal Year:
2024,
Volume and Issue:
81(9), P. 925 - 925
Published: July 29, 2024
Importance
Dysbiosis
has
been
robustly
demonstrated
in
Parkinson
disease
(PD),
and
fecal
microbiota
transplantation
(FMT)
shown
promising
effects
preclinical
PD
models.
Objective
To
assess
the
safety
symptomatic
efficacy
of
colonic
single-dose
anaerobically
prepared
FMT.
Design,
Setting,
Participants
This
was
a
double-blind,
placebo-controlled,
randomized
clinical
trial
conducted
between
November
2020
June
2023
with
follow-up
period
12
months
at
4
hospitals
Finland.
Patients
aged
35
to
75
years
Hoehn
&
Yahr
stage
1-3
mild
moderate
symptom
burden
dysbiosis
were
included.
Of
229
patients
screened,
48
47
received
intervention.
One
patient
discontinued
due
worsening
symptoms.
Two
further
excluded
before
analysis
45
included
intention-to-treat
analysis.
Intervention
2:1
ratio
receive
FMT
or
placebo
via
colonoscopy.
Main
Outcomes
Measures
The
primary
end
point
change
Movement
Disorder
Society
Unified
Parkinson’s
Disease
Rating
Scale
parts
I-III
(part
III
off
medication)
6
months.
Safety
assessed
by
recording
adverse
events
(AEs).
Results
median
(IQR)
age
65
(52.5-70.0)
group
66
(59.25-69.75)
group;
9
(60.0%)
16
(53.3%)
male
group,
respectively.
outcome
did
not
differ
groups
(0.97
points,
95%
CI,
−5.10
7.03,
P
=
.75).
Gastrointestinal
AEs
more
frequent
(16
[53%]
vs
1
[7%];
.003).
Secondary
outcomes
post
hoc
analyses
showed
stronger
increase
dopaminergic
medication
improvement
certain
motor
nonmotor
group.
Microbiota
changes
pronounced
after
but
differed
donor.
Nevertheless,
status
reversed
frequently
Conclusions
Relevance
safe
offer
clinically
meaningful
improvements.
Further
studies—for
example,
through
modified
approaches
bowel
cleansing—are
warranted
regarding
specific
impact
donor
composition
conversion
on
as
well
needs
PD.
Trial
Registration
ClinicalTrials.gov
Identifier:
NCT04854291
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: May 16, 2024
Importance
Research
is
beginning
to
elucidate
the
sophisticated
mechanisms
underlying
microbiota-gut-brain-immune
interface,
moving
from
primarily
animal
models
human
studies.
Findings
support
dynamic
relationships
between
gut
microbiota
as
an
ecosystem
(microbiome)
within
(host)
and
its
intersection
with
host
immune
nervous
systems.
Adding
this
effects
on
epigenetic
regulation
of
gene
expression
further
complicates
strengthens
response.
At
heart
inflammation,
which
manifests
in
a
variety
pathologies
including
neurodegenerative
diseases
such
Alzheimer’s
disease,
Parkinson’s
Multiple
Sclerosis
(MS).
Observations
Generally,
research
date
limited
has
focused
bacteria,
likely
due
simplicity
cost-effectiveness
16s
rRNA
sequencing,
despite
lower
resolution
inability
determine
functional
ability/alterations.
However,
omits
all
other
fungi,
viruses,
phages,
are
emerging
key
members
microbiome.
Much
been
done
pre-clinical
and/or
small
studies
more
developed
parts
world.
The
observed
promising
but
cannot
be
considered
reliable
or
generalizable
at
time.
Specifically,
causal
determined
currently.
More
followed
by
then
little
MS.
data
for
MS
encouraging
this.
Conclusions
relevance
While
still
nascent,
interface
may
missing
link,
hampered
our
progress
understanding,
let
alone
preventing,
managing,
putting
into
remission
diseases.
Relationships
must
first
established
humans,
have
shown
poorly
translate
complex
physiology
environments,
especially
when
investigating
microbiome
where
often
overly
simplistic.
Only
can
robust
conducted
humans
using
mechanistic
model
Alzheimer's
disease
(AD)
is
characterized
by
progressive
cognitive
decline
and
neuronal
loss,
commonly
linked
to
amyloid-β
plaques,
neurofibrillary
tangles,
neuroinflammation.
Recent
research
highlights
the
gut
microbiota
as
a
key
player
in
modulating
neuroinflammation,
critical
pathological
feature
of
AD.
Understanding
role
this
process
essential
for
uncovering
new
therapeutic
avenues
gaining
deeper
insights
into
AD
pathogenesis.