INTESTINE Vol.21 No.4(3-3)


特集名 腸内細菌をめぐって
題名 機能性胃腸症と腸内細菌(3)消化管運動と腸内細菌
発刊年月 2017年 07月
著者 鎌田 和浩 京都府立医科大学消化器内科
著者 内藤 裕二 京都府立医科大学消化器内科
【 要旨 】 ここ数年間での解析法の発達により,腸内細菌叢の研究は目覚ましい進歩を遂げている.腸内細菌はわれわれの消化管でうまく共生しつつ,一方でわれわれにさまざまな影響を及ぼしている.消化管は腸内細菌叢の第一の接触部位であるとともに,それぞれにさまざまな信号伝達が行われている.消化管運動に関しても,腸内細菌の代謝物である短鎖脂肪酸,および胆汁酸の消化管内のGタンパク質受容体を介して,生体内への信号が送られることにより,消化管運動にかかわるPYYといった消化管ホルモンやセロトニンを代表とする神経伝達物質の分泌を刺激し,その運動調節に関与していると考えられている.また,消化管運動に影響する生理活性物質を放出する腸内細菌も存在している.
Theme Impacts of intestinal microbiota
Title Gastrointestinal motility and gut microbiota
Author Kazuhiro Kamada Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
Author Yuji Naito Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
[ Summary ] Over the past few years, research in the field of gut microbiota has made remarkable progress due to the development of analytical methods. Intestinal bacteria coexist in our gastrointestinal tract. On the other hand, they exert various influences on their hosts. The digestive tract is the first contact site for intestinal bacterial flora. Various bidirectional signal transductions exist between intestinal epithelial cells and the flora. Short-chain fatty acids and secondary bile acids, which are metabolites of gut microbiota, bind to specific G-protein coupled receptors on the endocrine cells of the gastrointestinal tract. This leads to stimulion of secretion of gastrointestinal hormones such as peptide YY or a physiologically active substance typified by serotonin. Gut microbiota can modulate gastrointestinal motility via their metabolites. In addition, some intestinal bacteria can release physiologically active substances affecting gastrointestinal motility directly. Microbiota and gut motility are clearly associated, and there may exist many signal transduction factors. However, it is still unclear what plays the major role in those signals or which components play essential roles. Those must be subjects of future analysis.
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