Host-microbe interactions: Harnessing co-evolution to treat disease

宿主-微生物相互作用：利用共同进化来治疗疾病

• 批准号: 10222501
• 负责人: Janelle S Ayres
• 金额: $ 134.68万
• 依托单位: SALK INSTITUTE FOR BIOLOGICAL STUDIES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10222501
• 关键词: Affect; Animal Model; Back; Communicable Diseases; Communication; Complex; Disease; Evolution; Functional disorder; Health; Health Promotion; Infection; Longevity; Methods; Microbe; Occupations; Organism; Pathogenesis; Pathogenicity; Pathway interactions; Patients; Physiological; Physiology; Process; Property; Scientist; System; Techniques; Work; base; biological research; gut microbiota; healthspan; host-microbe interactions; microbiota; novel; novel strategies; novel therapeutic intervention; public health relevance; response

Abstract A new perspective for treating disease. There is a disconnect between our methods for treating diseases and our understanding of the mechanisms that keep us healthy; this needs to change. The past fifty years of biological research have done an excellent job of understanding disease pathogenesis by reducing the organism to its component parts, in order to understand the intricate details of how dysfunction of these parts leads to disease. A significant limitation to this approach, however, is that physiologies do not exist in isolation; when one system becomes dysfunctional, the whole body is affected. A second issue that complicates this approach is that current methods for treating disease primarily involve blocking pathogenic responses rather than inducing pathways that work to maintain health. The reason for this is two-fold: 1) scientists study disease, not health, and therefore do not understand the mechanisms that promote health; and 2) It is commonly assumed that blocking a pathogenic response will bring the patient back to a healthy state, which is not necessarily true. Therefore, rather than asking how we should treat disease, the question that should be asked is, “How is health maintained?” To understand and ultimately manipulate the complex multi-directional interactions that occur between all of our physiologies, a novel approach is proposed in this application. This approach is based on understanding that the body and its resident microbiota have co-evolved to rely on communication between all physiologies in order to maintain proper physiological function. The overall hypothesis of this proposal is that health is an active process that includes the induction of physiological mechanisms coordinated by microbes. By understanding the physiological mechanisms our bodies encode and how microbes coordinate these processes to maintain health, treatments that work to extend health-span and lifespan by overriding physiological decline can be developed, enabling patients to stay healthy despite infection. This application proposes a new paradigm for studying disease, where whole animal models, evolutionary principles and host- microbe interactions are used to define the properties and fundamental principles governing health. The work resulting from this application will establish a new conceptual framework and approaches in which to mechanistically understand what it means to be healthy and how this can be applied to treat diseases.

抽象的 治疗疾病的新观点。我们治疗疾病的方法之间存在断开连接 以及我们对使我们健康的机制的理解；这需要改变。过去的五十年 生物学研究在了解疾病发病机理方面做得很好 有机体到其组成部分，以了解这些部分功能障碍的复杂细节 导致疾病。但是，这种方法的一个重要限制是，生理不存在 隔离;当一个系统变得功能失调时，整个身体会受到影响。第二个问题 复杂的方法是，当前治疗疾病主要的方法涉及阻断致病性 反应而不是引起维持健康的途径。原因是两个方面：1） 科学家研究疾病，而不是健康，因此不了解促进健康的机制。 2）通常假定阻止致病反应会使患者恢复健康 状态，这不一定是正确的。因此，与其询问我们应该如何治疗疾病，而是问题 应该问，“健康如何维持？” 理解并最终操纵所有之间发生的复杂的多向相互作用 关于我们的生理学，在本应用中提出了一种新颖的方法。这种方法基于 了解身体及其居民微生物群已共同发展，以依靠所有人之间的交流 生理学以保持适当的生理功能。该提议的总体假设是 健康是一个活跃的过程，包括诱导由微生物协调的物理机制。 通过了解物理机制，我们的身体编码以及微生物如何协调这些 维持健康的过程，通过覆盖来延长健康跨度和寿命的治疗方法 可以开发生理下降，使患者能够保持健康的目的地感染。此应用程序 提案是一种用于研究疾病的新范式，整个动物模型，进化原理和宿主 - 微生物相互作用用于定义有关健康的特性和基本原则。工作 由此应用程序产生的将建立一个新的概念框架和方法 机械学上了解健康的含义，以及如何将其应用于治疗疾病。