已发表论文

丁酸和微生物在慢性炎症性疾病中的作用及基于微生物组的疗法

 

Authors Liu Z, Jiang Y, Fan Q, Li S, Wang Y

Received 5 June 2025

Accepted for publication 19 August 2025

Published 29 September 2025 Volume 2025:18 Pages 13465—13487

DOI https://doi.org/10.2147/JIR.S540163

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Ning Quan

Zhilin Liu, Yonghong Jiang, Qiuyue Fan, Sai Li, Yanni Wang

Department of Paediatrics, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, People’s Republic of China

Correspondence: Yonghong Jiang, Email jyh203225@126.com

Abstract: Butyric acid, produced by gut microbiota fermentation, has gained significant attention over the past decade. It shows strong therapeutic potential in both experimental and clinical treatments for inflammatory diseases across multiple systems. However, factors such as the host’s environment, genetics, and microbial lineage transmission influence gut microecology and butyric acid metabolism, resulting in variable and sometimes opposing, therapeutic effects. Consequently, precise personalized medicine is essential for diseases related to microbes and butyric acid. This review first introduces the fundamentals of butyric acid, focusing on its immune mechanisms and its effects on early-life microbiota. It then summarizes how microbes and butyric acid contribute to the treatment of systemic inflammatory diseases (eg, autoimmune diseases (AIDs), asthma, metabolic syndrome) and discusses the concept of Microbial Precision Therapy (MPT). Understanding butyric acid provides deeper insight into managing inflammatory diseases and supports precise medication and personalized therapy. This approach may offer more effective and safer strategies for multi-system inflammatory disorders.

Keywords: butyric acid, inflammatory diseases, microbial precision therapy, intestinal flora