Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(23), С. 7151 - 7151
Опубликована: Ноя. 26, 2024
Background
and
Objectives:
Patients
undergoing
open
necrosectomy
(ON)
for
acute
pancreatitis
(AP)
often
face
high
morbidity
mortality
rates.
This
study
aims
to
identify
risk
factors
associated
with
adverse
outcomes
by
comparing
survivors
non-survivors
of
ON.
Materials
Methods:
A
retrospective
analysis
was
conducted
on
74
patients
who
underwent
ON
AP.
were
divided
into
two
groups:
(n
=
52)
22).
Preoperative
postoperative
variables
compared,
p-values
calculated
significant
differences.
Results:
The
rate
29.73%.
Significant
included
age
over
60
(p
0.008),
multiple
organ
failure
0.001),
early
before
28
days
higher
neutrophil-to-lymphocyte
ratio
(NLR)
0.045),
complications
such
as
bleeding
0.005)
intestinal
fistula
0.038).
Delayed
after
showed
a
significantly
lower
(12.5%)
compared
(50%).
Conclusions:
Age,
severity
AP,
timing
ON,
influence
rates
in
Delaying
surgery
beyond
optimizing
surgical
techniques
may
improve
patient
outcomes.
Nutrients,
Год журнала:
2025,
Номер
17(3), С. 410 - 410
Опубликована: Янв. 23, 2025
Background/Objectives:
Infertility
affects
couples
at
reproductive
age,
with
in
vitro
fertilization
(IVF)
being
the
most
effective
treatment.
Success
rates
of
IVF
are
influenced
by
several
factors,
including
a
healthy
female
system
microbiome,
which
can
improve
implantation
and
pregnancy
outcomes.
This
study
evaluated
impact
Ligilactobacillus
salivarius
PS11610
on
strain
showed
antimicrobial
activity
against
pathogens
related
to
dysbiosis,
commonly
observed
women
undergoing
assisted
Results:
The
administration
L.
dose
1
×
109
CFU
every
12
h
for
least
one
month
before
procedures,
particularly
frozen
embryo
transfer
(FET)
group,
appears
enhance
success
rate
IVF.
procedures
without
no
significant
differences
between
groups.
However,
there
were
statistically
quality
embryos,
specifically
category
2,
higher
group
supplementation
(p
=
0.042).
Similar
results
seen
where
embryos
categories
2
3
was
0.019
p
0.05,
respectively).
FET
notable
improvements,
intake
associated
increase
live
birth
infants
(26.4%
vs.
17.9%
without,
0.034)
biochemical
(42.6%
34%,
0.071).
Conclusions:
Despite
some
quality,
overall
positive
outcomes
highlights
as
promising
supplement
treatments.
Nutrients,
Год журнала:
2024,
Номер
16(22), С. 3955 - 3955
Опубликована: Ноя. 19, 2024
The
trillions
of
microbes
that
constitute
the
human
gut
microbiome
play
a
crucial
role
in
digestive
health,
immune
response
regulation,
and
psychological
wellness.
Maintaining
microbiota
is
essential
as
metabolic
diseases
are
associated
with
it.
Functional
food
ingredients
potentially
improving
health
include
prebiotics,
probiotics,
synbiotics,
postbiotics
(PPSPs).
While
probiotics
living
bacteria
provide
advantages
when
ingested
sufficiently,
prebiotics
non-digestible
carbohydrates
support
good
bacteria.
Synbiotics
work
together
to
improve
immunity
intestinal
by
combining
prebiotics.
Postbiotics
have
also
demonstrated
numerous
advantages,
such
bioactive
molecules
created
during
probiotic
fermentation.
According
recent
study,
PPSPs
can
regulate
synthesis
metabolites,
integrity
barrier,
change
composition
control
illnesses.
Additionally,
use
fecal
transplantation
(FMT)
highlights
potential
for
restoring
through
modulation,
reinforcing
benefits
enhancing
overall
well-being.
Research
has
shown
several
benefits,
improved
immunological
function,
alleviation
symptoms
irritable
bowel
disease
(IBD),
decreased
severity
allergies,
antibacterial
anti-inflammatory
effects.
Despite
encouraging
results,
many
unanswered
questions
remain
about
scope
PPSPs'
advantages.
Extensive
research
required
fully
realize
these
functional
components
Effective
therapeutic
prophylactic
measures
require
further
investigation
into
roles
PPSPs,
specifically
their
immune-system-modulating,
cholesterol-lowering,
antioxidant,
characteristics.
Microorganisms,
Год журнала:
2025,
Номер
13(2), С. 241 - 241
Опубликована: Янв. 23, 2025
The
gut
microbiota
has
emerged
as
a
critical
player
in
metabolic
and
liver
health,
with
its
influence
extending
to
the
pathogenesis
progression
of
steatotic
diseases.
This
review
delves
into
gut-liver
axis,
dynamic
communication
network
linking
microbiome
through
metabolic,
immunological,
inflammatory
pathways.
Dysbiosis,
characterized
by
altered
microbial
composition,
contributes
significantly
development
hepatic
steatosis,
inflammation,
fibrosis
via
mechanisms
such
barrier
dysfunction,
metabolite
production,
systemic
inflammation.
Dietary
patterns,
including
Mediterranean
diet,
are
highlighted
for
their
role
modulating
microbiota,
improving
axis
integrity,
attenuating
injury.
Additionally,
emerging
microbiota-based
interventions,
fecal
transplantation
bacteriophage
therapy,
show
promise
therapeutic
strategies
disease.
However,
challenges
population
heterogeneity,
methodological
variability,
knowledge
gaps
hinder
translational
application
current
findings.
Addressing
these
barriers
standardized
approaches
integrative
research
will
pave
way
microbiota-targeted
therapies
mitigate
global
burden
Biomedicines,
Год журнала:
2024,
Номер
12(7), С. 1398 - 1398
Опубликована: Июнь 24, 2024
The
functions
of
the
gut
are
closely
related
to
those
many
other
organs
in
human
body.
Indeed,
microbiota
(GM)
metabolize
several
nutrients
and
compounds
that,
once
released
bloodstream,
can
reach
distant
organs,
thus
influencing
metabolic
inflammatory
tone
host.
main
microbiota-derived
metabolites
responsible
for
modulation
endocrine
responses
short-chain
fatty
acids
(SCFAs),
bile
glucagon-like
peptide
1
(GLP-1).
These
molecules
(i)
regulate
pancreatic
hormones
(insulin
glucagon),
(ii)
increase
glycogen
synthesis
liver,
(iii)
boost
energy
expenditure,
especially
skeletal
muscles
brown
adipose
tissue.
In
words,
they
critical
maintaining
glucose
lipid
homeostasis.
GM
dysbiosis,
imbalance
microbiota-related
products
affect
proper
functions,
including
gut–liver–pancreas
axis
(GLPA).
addition,
dysbiosis
contribute
onset
some
diseases
such
as
non-alcoholic
steatohepatitis
(NASH)/non-alcoholic
liver
disease
(NAFLD),
hepatocellular
carcinoma
(HCC),
type
2
diabetes
(T2D).
this
review,
we
explored
roles
their
involvement
progression
these
diseases.
detailed
microbiota-modulating
strategies
that
could
improve
diseases’
development
by
restoring
healthy
balance
GLPA.
Gastrointestinal Disorders,
Год журнала:
2024,
Номер
6(4), С. 801 - 815
Опубликована: Сен. 27, 2024
The
gut
microbiome
plays
a
crucial
role
in
human
health
by
influencing
various
physiological
functions
through
complex
interactions
with
the
endocrine
system.
These
involve
production
of
metabolites,
signaling
molecules,
and
direct
communication
cells,
which
modulate
hormone
secretion
activity.
As
result,
can
exert
neuroendocrine
effects
contribute
to
metabolic
regulation,
adiposity,
appetite
control.
Additionally,
influences
reproductive
altering
levels
sex
hormones
such
as
estrogen
testosterone,
potentially
contributing
conditions
like
polycystic
ovary
syndrome
(PCOS)
hypogonadism.
Given
these
roles,
targeting
offers
researchers
clinicians
novel
opportunities
improve
overall
well-being.
Probiotics,
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(11), С. 5765 - 5765
Опубликована: Май 25, 2024
The
pancreas
is
an
organ
with
both
exocrine
and
endocrine
functions,
comprising
a
highly
organized
complex
tissue
microenvironment
composed
of
diverse
cellular
non-cellular
components.
impairment
microenvironmental
homeostasis,
mediated
by
the
dysregulation
cell-to-cell
crosstalk,
can
lead
to
pancreatic
diseases
such
as
pancreatitis,
diabetes,
cancer.
Macrophages,
key
immune
effector
cells,
dynamically
modulate
their
polarization
status
between
pro-inflammatory
(M1)
anti-inflammatory
(M2)
modes,
critically
influencing
homeostasis
thus
playing
pivotal
role
in
pathogenesis
disease.
This
review
aims
summarize
current
findings
provide
detailed
mechanistic
insights
into
how
alterations
macrophage
contribute
disorders.
By
analyzing
research
comprehensively,
this
article
endeavors
deepen
our
understanding
regulatory
molecules
that
affect
polarity
intricate
crosstalk
regulates
function
within
microenvironment,
thereby
facilitating
development
innovative
therapeutic
strategies
target
perturbations
microenvironment.
Biomedicines,
Год журнала:
2025,
Номер
13(1), С. 104 - 104
Опубликована: Янв. 5, 2025
(1)
Background:
The
modified
Whipple
procedure,
or
pylorus-preserving
pancreaticoduodenectomy,
is
a
complex
surgical
intervention
used
to
treat
pancreatic
head
tumors.
While
preserving
digestive
function,
it
associated
with
significant
perioperative
risks.
This
study
explores
the
clinical,
immunological,
and
microbiome-related
factors
influencing
postoperative
complications,
focusing
on
interplay
between
patient
comorbidities,
systemic
inflammation,
gut
dysbiosis.
(2)
Methods:
A
retrospective
analysis
was
conducted
123
patients
undergoing
procedure
for
Patients
were
categorized
into
two
groups
based
occurrence
of
complications
(Group
A:
complications;
Group
B:
without
complications).
Data
demographics,
inflammatory
markers
(CRP,
IL-6,
procalcitonin),
microbiome
composition
collected.
Microbial
diversity
evaluated
using
Shannon
Index,
logistic
regression
performed
identify
independent
predictors
complications.
(3)
Results:
in
had
significantly
higher
prevalence
diabetes
mellitus
(43.1%
vs.
20.8%;
p
=
0.02)
cardiovascular
disease
(35.3%
13.9%;
0.01).
Elevated
(CRP
≥
40
mg/L,
IL-6
30
pg/mL,
procalcitonin
0.5
ng/mL)
strongly
complication
rates.
Microbiome
indicated
dysbiosis
A,
reduced
Lactobacillus
Bifidobacterium
levels,
increased
Enterobacteriaceae
abundance,
lower
Index
(<2).
exhibiting
both
elevated
inflammation
highest
rate
(60%).
Multivariate
identified
diabetes,
as
adverse
outcomes.
(4)
Conclusions:
Postoperative
after
are
influenced
by
systematic
preoperative
assessment
health
enables
accurate
risk
stratification
personalized
interventions,
potentially
reducing
incidence
improving
overall
Microorganisms,
Год журнала:
2025,
Номер
13(1), С. 119 - 119
Опубликована: Янв. 9, 2025
The
pancreas,
previously
considered
a
sterile
organ,
has
recently
been
shown
to
harbor
its
own
microbiota
that
may
influence
tumor
biology
and
patient
outcomes.
Despite
increasing
interest
in
the
impact
of
microbiome
on
cancer,
relationship
between
pancreatic
tissue
oral
microbiomes
ductal
adenocarcinoma
(PDAC)
remains
limited.
In
this
study,
pancreas
patients
with
PDAC
were
compared
other
periampullary
cancers
(DC/AC)
healthy
control
group
using
16S
rRNA
gene
sequence
analysis.
results
showed
significant
reduction
microbial
diversity
saliva
cancer
controls,
while
exhibited
distinct
profile
their
tissues,
consisting
predominantly
Firmicutes,
Proteobacteria,
Actinobacter,
after
filtering
indoor
environment.
Notably,
presence
bacteria
such
as
Anoxybacillus,
Clostridium,
Bacillus
tissues
suggests
potential
translocation
from
cavity.
This
study
emphasizes
importance
understanding
role
body
fluid
proposing
dysbiosis
contribute
disease
progression.
Moreover,
suggest
environment
which
samples
are
collected
analyzed
is
also
important
analysis
studies.
Journal of Clinical Medicine,
Год журнала:
2025,
Номер
14(2), С. 455 - 455
Опубликована: Янв. 12, 2025
Background/Objectives:
A
positive
intraoperative
bile
culture
(bacterobilia)
is
considered
to
be
a
risk
factor
for
increased
morbidity
after
pancreatoduodenectomy.
The
aim
of
our
study
was
describe
the
frequency
bacterobilia
with
special
emphasis
on
antibiotic
resistance
and
analyze
association
these
findings
postoperative
complications,
in
particular
pancreatic
fistula.
Methods:
From
prospective
database,
patients
available
cultures
(n
=
95)
were
selected
analyzed.
Microbiological
test
results
reported
type
bacteria
as
well
sensitivity
patterns.
Associations
between
results,
resistance,
outcomes
assessed.
Results:
Among
95
that
included
this
trial,
71
(74.7%)
had
culture.
total
29.6%
(21/71)
developed
POPF
grade
B/C
compared
8.3%
(2/24)
negative
(p
0.052).
difference
CR-POPF
became
statistically
significant
when
at
least
one
isolated
microorganisms
resistant
ampicillin/sulbactam,
perioperative
administered
prophylaxis.
diagnosed
38.5%
(15/39)
vs.
14.3%
(8/56)
without
0.007).
We
also
identified
isolation
Enterococcus
spp.
0.006),
Enterobacter
0.031),
or
Escherichia
coli
0.027)
factors
Conclusions:
antibiotic-resistant
strains
major
development
fistula
most
relevant
spp.,
cloacae,
coli.
Thus,
broad-spectrum
antimicrobial
prophylaxis
efficacy
against
low
rates
should
routinely
perioperatively.