嗜黏蛋白阿克曼菌在肠道相关疾病中作用的研究进展

doi:10.3969/j.issn.1674-8115.2022.10.016

上海交通大学学报（医学版） ›› 2022, Vol. 42 ›› Issue (10): 1490-1497.doi: 10.3969/j.issn.1674-8115.2022.10.016

嗜黏蛋白阿克曼菌在肠道相关疾病中作用的研究进展

蒋怡¹(), 江平², 张明明¹, 房静远¹()

^1.上海交通大学医学院附属仁济医院消化科，上海市消化疾病研究所，上海 200001
^2.南京大学医学院附属鼓楼医院消化内科，南京 210093

收稿日期:2022-05-07 接受日期:2022-08-28 出版日期:2022-10-28 发布日期:2022-10-17
通讯作者: 房静远，电子信箱：jingyuanfang@sjtu.edu.cn。
作者简介:蒋怡（1996—），女，硕士生；电子信箱：jiangyi1501@163.com。
基金资助:
国家自然科学基金(81970487)

Research progress in the role of Akkermansia muciniphila in gut-related diseases

JIANG Yi¹(), JIANG Ping², ZHANG Mingming¹, FANG Jingyuan¹()

^1.Shanghai Institute of Digestive Disease, Department of Gastroenterology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China
^2.Department of Gastroenterology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210093, China

Received:2022-05-07 Accepted:2022-08-28 Online:2022-10-28 Published:2022-10-17
Contact: FANG Jingyuan, E-mail: jingyuanfang@sjtu.edu.cn.
Supported by:
National Natural Science Foundation of China(81970487)

摘要/Abstract

摘要：

嗜黏蛋白阿克曼菌（Akkermansia muciniphila，A. muciniphila）是人类肠道中的常见共生菌之一，可利用黏蛋白作为唯一的碳、氮来源，在肠道内定植和生长。肠道稳态对于维持人体正常生理功能至关重要，肠道功能发生紊乱与代谢疾病、免疫疾病、感染性疾病和肿瘤等的发生、发展密切相关。肠道微生物群是影响肠道健康的关键因素，作为肠道微生物的一员，A. muciniphila在肠道炎症、肠道肿瘤、受肠道紊乱影响的疾病（如肝病、代谢性疾病等）中的作用已被证实，且作用机制亦逐渐被阐明，被认为是一种很有前景的候选益生菌。该文针对A. muciniphila的特征、在肠道中的分布、与肠道相关疾病的关联及作用机制进行综述。

关键词: 嗜黏蛋白阿克曼菌, 炎症, 肿瘤, 益生菌, 肠道菌群

Abstract:

Akkermansia muciniphila (A. muciniphila) is one of the normal gut symbionts using mucin as the sole source of carbon and nitrogen elements to maintain colonization and growth. Intestinal homeostasis is crucial for maintaining physiological functions. Intestinal dysfunction is closely related to the occurrence and development of metabolic diseases, immune diseases, infectious diseases and tumors. Gut microbiota is a key factor that influences the intestinal health. As a member of the gut microbes, A. muciniphila plays a convincing role in intestinal inflammation, intestinal tumor and other intestinal disorders involving diseases such as liver diseases and metabolic diseases. The mechanism is under exploration and revealed gradually. Hence, A. muciniphila is considered to be a promising candidate of probiotics. The characteristics of A. muciniphila, its distribution in the gut, its relationship with gut-related diseases and the mechanism are reviewed.

Key words: Akkermansia muciniphila (A. muciniphila), inflammation, tumor, probiotics, gut microbiota

中图分类号:

R574.4

蒋怡, 江平, 张明明, 房静远. 嗜黏蛋白阿克曼菌在肠道相关疾病中作用的研究进展[J]. 上海交通大学学报（医学版）, 2022, 42(10): 1490-1497.

JIANG Yi, JIANG Ping, ZHANG Mingming, FANG Jingyuan. Research progress in the role of Akkermansia muciniphila in gut-related diseases[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022, 42(10): 1490-1497.

图/表 3

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Disease	Mouse model	Determinant	Effect （+/-）
Colitis	DSS induced colitis	Bacteria	-/+^{［17， 20］}
		AmEV	-^［18］
		Amuc_1100	-^［19］
Colitis	Salmonella typhimurium-infected colitis	Bacteria	+^［22］
Colitis	Il10^-/- mice spontaneous colitis	Bacteria	+^［23］
CAC	AOM/DSS induced CAC	Amuc_1100	-^［19］
CRC	Apc^Min/+ mice spontaneous CRC	Bacteria	-^［25］
CRC	HCT116/CT26 subcutaneously transplantation tumor	Bacteria	-^［25］
ALD	Alcohol induced ALD	Bacteria	-^［30］
Liver injury	ConA induced liver injury	Bacteria	-^［31］
Obesity/T2DM	High-fat diet induced obesity/T2DM	Bacteria	-^［33］
Obesity/T2DM	High-fat diet induced obesity/T2DM	Amuc_1100	-^［39］

Disease	Mouse model	Determinant	Effect （+/-）
Colitis	DSS induced colitis	Bacteria	-/+^{［17， 20］}
		AmEV	-^［18］
		Amuc_1100	-^［19］
Colitis	Salmonella typhimurium-infected colitis	Bacteria	+^［22］
Colitis	Il10^-/- mice spontaneous colitis	Bacteria	+^［23］
CAC	AOM/DSS induced CAC	Amuc_1100	-^［19］
CRC	Apc^Min/+ mice spontaneous CRC	Bacteria	-^［25］
CRC	HCT116/CT26 subcutaneously transplantation tumor	Bacteria	-^［25］
ALD	Alcohol induced ALD	Bacteria	-^［30］
Liver injury	ConA induced liver injury	Bacteria	-^［31］
Obesity/T2DM	High-fat diet induced obesity/T2DM	Bacteria	-^［33］
Obesity/T2DM	High-fat diet induced obesity/T2DM	Amuc_1100	-^［39］

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嗜黏蛋白阿克曼菌在肠道相关疾病中作用的研究进展

Research progress in the role of Akkermansia muciniphila in gut-related diseases

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