基于啮齿类动物粪菌移植临床前研究的方法学讨论
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成都中医药大学

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国家自然科学基金项目(面上项目,重点项目,重大项目);国家杰出青年科学基金


Methodological discussion based on preclinical studies of fecal bacteria transplantation in rodents
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Chengdu University of Traditional Chinese Medicine

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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan);The National Science Fund for Distinguished Young Scholars

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    摘要:

    粪菌移植(Fecal microbiota transplant, FMT) ,是一种以肠道微生物为靶向,通过将供体的粪便微生物移植到受体的胃肠道,以重构受体肠道菌群的治疗方式。但FMT应对不同疾病的作用机制及不良反应尚未明确,因而无法广泛应用于临床,仍需依赖临床前研究的深入。介于当前报道中实验细节高度不一致或不完整,加之缺乏权威的标准及建议,不仅严重影响了其研究结果的解释和实验过程的复制,同时阻碍了成果的临床转化。我们回顾并讨论了受体选择及移植样本收集、储存、移植材料制备、移植途径等关键步骤,以期能提高实验动物、耗材及劳动力等因素的利用率,为实现FMT临床前研究的可复制及标准化提供方法学建议与参考。

    Abstract:

    Fecal microbiota transplant (FMT) is a therapeutic modality that targets intestinal microorganisms by transplanting fecal microorganisms from the donor into the recipient's gastrointestinal tract in order to reconstitute the recipient's intestinal flora. However, the mechanism of action and adverse effects of FMT in response to different diseases have not yet been clarified, and thus it cannot be widely applied in the clinic, and still needs to rely on in-depth preclinical studies. The highly inconsistent or incomplete experimental details in current reports, coupled with the lack of authoritative standards and recommendations, not only seriously affect the interpretation of their findings and the replication of experimental procedures, but also hinder the clinical translation of the results. We review and discuss the key steps of recipient selection and graft sample collection, storage, graft material preparation, and grafting route, with the aim of improving the utilization of experimental animals, consumables, and labor, and providing methodological recommendations and references to achieve replicability and standardization of FMT preclinical studies.

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  • 收稿日期:2023-07-29
  • 最后修改日期:2024-01-10
  • 录用日期:2024-01-16
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