Abstract

The human gut is inhabited by diverse microorganisms that play crucial roles in health and disease. Gut microbiota dysbiosis is increasingly considered as a vital factor in the etiopathogenesis of irritable bowel syndrome (IBS), which is a common functional gastrointestinal disorder with a high incidence all over the world. However, investigations to date are primarily directed to the bacterial community, and the gut mycobiome, another fundamental part of gut ecosystem, has been underestimated. Intestinal fungi have important effects on maintaining gut homeostasis just as bacterial species. In the present article, we reviewed the potential roles of gut mycobiome in the pathogenesis of IBS and the connections between the fungi and existing mechanisms such as chronic low-grade inflammation, visceral hypersensitivity, and brain-gut interactions. Moreover, possible strategies targeted at the gut mycobiome for managing IBS were also described. This review provides a basis for considering the role of the mycobiome in IBS and offers novel treatment strategies for IBS patients; moreover, it adds new dimensions to researches on microorganism.

Highlights

  • Fungi are ubiquitous microbes existing in diverse environments and are indispensable members of human intestinal ecosystem

  • Only a few articles reported that this eukaryotic microbe or its metabolites have associated with irritable bowel syndrome (IBS) and how they interact with one another is still largely unknown

  • The most applied techniques for detecting fungi are 18S rRNA and internal transcribed spacer (ITS) sequencing. 18S rRNA sequencing can identify fungi at species level, and the highly conserved regions reflect phylogenetic relationships among species

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Summary

The Potential Role of Gut Mycobiome in Irritable Bowel Syndrome

Specialty section: This article was submitted to Fungi and Their Interactions, a section of the journal Frontiers in Microbiology. The human gut is inhabited by diverse microorganisms that play crucial roles in health and disease. Investigations to date are primarily directed to the bacterial community, and the gut mycobiome, another fundamental part of gut ecosystem, has been underestimated. Intestinal fungi have important effects on maintaining gut homeostasis just as bacterial species. We reviewed the potential roles of gut mycobiome in the pathogenesis of IBS and the connections between the fungi and existing mechanisms such as chronic low-grade inflammation, visceral hypersensitivity, and brain-gut interactions. This review provides a basis for considering the role of the mycobiome in IBS and offers novel treatment strategies for IBS patients; it adds new dimensions to researches on microorganism

INTRODUCTION
GUT MYCOBIOME
Mycobiome in IBS B
IRRITABLE BOWEL SYNDROME
PUTATIVE ROLES OF GUT MYCOBIOME IN IRRITABLE BOWEL SYNDROME PATHOGENESIS
Dietary Modification
Probiotics and Prebiotics
Fecal Microbiota Transplantation
Stool Frequency
Findings
AUTHOR CONTRIBUTIONS
Full Text
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