中国神经再生研究(英文版) ›› 2026, Vol. 21 ›› Issue (6): 2221-2242.doi: 10.4103/NRR.NRR-D-24-01419

• 综述:退行性病与再生 • 上一篇    下一篇

肠道微生物群-线粒体串扰治疗神经退行性疾病中:潜在机制和疗法

  

  • 出版日期:2026-06-15 发布日期:2025-09-17

The role of gut microbiota–mitochondria crosstalk in neurodegeneration: Underlying mechanisms and potential therapies

Tianjuan Ju# , Yaoyuan Zhang# , Lipeng Liu, Xitong Zhao, Xinwei Li, Changfeng Liu, Shukai Sun* , Li-an Wu*   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Pediatric Dentistry, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi Province, China
  • Online:2026-06-15 Published:2025-09-17
  • Contact: Shukai Sun, PhD, sunshukai0910@163.com; Li-an Wu, PhD, lianwu@fmmu.edu.cn.
  • Supported by:
    This study was supported by General Program of National Natural Science Foundation of China, No. 82370986 (to LAW) and Shaanxi Provincial Natural Science Foundation Key Project, No. 2023-JC-ZD-56 (to SS).

摘要:

新出现的证据表明,肠道微生物群可通过肠脑轴影响多种神经退行性疾病的病理表现。其中肠脑轴指的是肠道和中枢神经系统之间的串扰。更重要的是,线粒体被认为是肠道微生物群和大脑之间相互作用的重要介质。也就是说,肠道微生物可调节中枢神经系统中线粒体的功能,从而影响神经退行性疾病的进展。线粒体对于满足宿主大量神经元代谢需求、维持兴奋性和促进突触传递至关重要。功能失调的线粒体被认为是多种神经退行性疾病的重要标志物。因此,此次综述拟总结肠道微生物群-线粒体串扰对神经退行性疾病发展的复杂影响的最新见解,讨论神经退行性病变的潜在机制以及现有的潜在治疗策略。文章表明肠道微生物群与线粒体的相互作用在神经退化性疾病的发生和发展中起着至关重要的作用,而针对这种相互作用来治疗神经退行性病可能是未来一种有前景的治疗方法。此外,关于这种串扰对其他神经退行性疾病(如亨廷顿病和多发性硬化)的影响目前较少研究,且其潜在疗法的临床转化面临诸多挑战,需要根据不同个体独特的肠道微生物群制定个性化的治疗计划。

https://orcid.org/0000-0001-8909-328X (Li-an Wu)

关键词: 肠-脑轴, 微生物群-线粒体串扰, 神经炎症, 神经退行性疾病, 阿尔茨海默病, 帕金森病, 肌萎缩侧索硬化, 益生菌, 短链脂肪酸, 肠道菌群

Abstract: Emerging evidence suggests that the gut microbiota is closely associated with the pathological manifestations of multiple neurodegenerative diseases via the gut-brain axis, which refers to the crosstalk between the gut and the central nervous system. More importantly, mitochondria have been considered prominent mediators of the interplay between the gut microbiota and the brain. Intestinal microbes may modulate mitochondrial function in the central nervous system to affect the progression of neurodegenerative diseases. Mitochondria are essential for meeting the host’s substantial neuronal metabolic demands, maintaining excitability, and facilitating synaptic transmission. Dysfunctional mitochondria are considered critical hallmarks of various neurodegenerative diseases. Therefore, this review provides novel insights into the intricate roles of gut microbiota-mitochondrial crosstalk in the underlying mechanisms during the progression of neurodegeneration, as well as the existing potential therapeutic strategies for neurodegenerative disorders. These suggest intestinal microbiota-mitochondrial interaction play a crucial role in the occurrence and development of neurodegenerative diseases, and targeting this interaction may be a promising therapeutic approach to neurodegenerative diseases. However, this review found that there was relatively little research on the effect of this crosstalk on other neurodegenerative diseases, such as Huntington’s disease and Multiple sclerosis, and the potential therapeutic strategies were translated into clinical trials, which face many challenges in developing personalized treatment plans based on the unique gut microbiota of different individuals

Key words: Alzheimer’s disease, amyotrophic lateral sclerosis, gut microbiota, gut?brain axis, microbiota?mitochondria crosstalk, neurodegenerative diseases, neuroinflammation, Parkinson’s disease, probiotic, short chain fatty acid