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Review
. 2018 Mar;168(3-4):62-66.
doi: 10.1007/s10354-017-0592-0. Epub 2017 Sep 8.

Intestinal microbiome-gut-brain axis and irritable bowel syndrome

Affiliations
Review

Intestinal microbiome-gut-brain axis and irritable bowel syndrome

Gabriele Moser et al. Wien Med Wochenschr. 2018 Mar.

Abstract

Psychological comorbidity is highly present in irritable bowel syndrome (IBS). Recent research points to a role of intestinal microbiota in visceral hypersensitivity, anxiety, and depression. Increased disease reactivity to psychological stress has been described too. A few clinical studies have attempted to identify features of dysbiosis in IBS. While animal studies revealed strong associations between stress and gut microbiota, studies in humans are rare. This review covers the most important studies on intestinal microbial correlates of psychological and clinical features in IBS, including stress, anxiety, and depression.

Psychische Komorbidität ist häufig bei Reizdarmsyndrom (RDS). Die aktuelle Forschung weist auf eine Rolle des intestinalen Mikrobioms bei der viszeralen Hypersensitivität, bei Angst und Depression hin. Eine Steigerung der Krankheitssymptomatik bei psychischem Stress wurde beschrieben. Wenige klinische Studien haben versucht, Muster einer Dysbiose für RDS zu identifizieren. Während Tierstudien eine starke Assoziation zwischen Stress und Darm-Mikrobiom aufdeckten, sind Studien beim Menschen rar. Diese Übersicht umfasst die wichtigsten Studien über Zusammenhänge zwischen dem intestinalen Mikrobiom und psychischen und klinischen Aspekten bei RDS, inklusive Stress, Angst und Depression.

Keywords: Anxiety; Depression; Enterotype; Psyche; Stress.

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Conflict of interest statement

G. Moser, C. Fournier, and J. Peter declare that they have no competing interests.

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