Microbiota intestinal, inflamação e ação dos probióticos: o estado da arte

  • Heloisa Alves da Silva Graduanda em Nutrição pela Universidade Federal de São Paul, Campus Baixada Santista, Santos-SP, Brasil.
  • Claudia Cristina Alves Pereira Professora Associada da Universidade Federal de São Paulo, Campus Baixada Santista, Santos-SP, Brasil.
Palavras-chave: Microbiota Intestinal, Probióticos, Inflamação

Resumo

Introdução: A adequada composição de microrganismos da microbiota intestinal acarreta o equilíbrio e bom funcionamento necessário para manter a resposta fisiológica do organismo. O desequilíbrio entre bactérias benéficas simbiontes e patogênicas determina a condição denominada disbiose, em que espécies simbiontes normalmente dominantes acabam sendo superadas em quantidades por microrganismos patogênicos que aumentam excessivamente em número. Objetivo: O objetivo do presente estudo foi identificar o papel da microbiota intestinal em diferentes condições clínicas e sua relação com o desequilíbrio do sistema imunológico ao desencadear a inflamação, além da possibilidade de tais processos serem modulados com a suplementação de probióticos. Materiais e Métodos: O presente estudo trata-se de uma revisão da literatura no qual foram selecionados artigos na base eletrônica de dados Pubmed/Medline. A busca de artigos publicados se limitou aos últimos 10 anos (2010 a 2020) e foram aplicados os descritores “gastrointestinal microbiome”, “probiotics”, “inflammation”. Resultados e Discussão: É possível observar a possibilidade de modulação da microbiota intestinal na prevenção e controle de inúmeras condições que envolvam alteração do estado imunológico e desequilíbrio inflamatório. A suplementação de probióticos pode ser considerada uma estratégia terapêutica ao trazer benefícios ao organismo no intuito de modular a imunidade e prevenir ou controlar determinadas condições de doenças. Conclusão: A disbiose intestinal pode prejudicar a saúde do seu hospedeiro e culminar no aparecimento ou agravamento de algumas doenças. Microrganismos comensais benéficos devem ser preservados em quantidade e qualidade para modular o microbioma intestinal. Diferentes cepas probióticas podem influenciar beneficamente células do sistema imunológico e diminuir a inflamação causada pela disbiose intestinal.

Referências

-Agustí, A.; Garcia-Pardo, M.P.; Lopez-Almela, I.; Campillo, I.; Maes, M.; Romani-Perez, M.; Sanz, Y. Interplay between the gut-brain axis, obesity and cognitive function. Front. Neurosci. Vol. 12. 2018.

-Amar, J.; Lange, C.; Payros, G.; Garret, C.; Chabo, C.; Lantieri, O.; Courtney, M.; Marre, M.; Charles, M. A.; Balkau, B.; Burcelin, R. Blood microbiota dysbiosis is associated with the onset of cardiovascular events in a large general population: the D.E.S.I.R. study. PloSone. Vol. 8. 2013.

-American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. Vol. 37. Suppl 1. 2013.

-Anders, H.J.; Andersen, K.; Stecher, B. The intestinal microbiota, a leaky gut, and abnormal immunity in kidney disease. Kidney Int. Vol. 83. 2013. p. 1010-1016.

-Anderson, G.; Seo, M.; Berk, M.; Carvalho, A.; Maes, M. Gut permeability and microbiota in parkinson disease: role of depression, tryptophan catabolites, oxidative and nitrosative stress and melatonergic pathways. Curr. Pharm. Des. Vol. 22. 2016. p. 6142-6151.

-Bailey, M.T. Exposure to a social stressor alters the structure of the intestinal microbiota: Implications for stressor-induced immunomodulation? BrainBehav. Immun. Vol. 25. 2011. p. 397-407.

-Baquero, F.; Nombela, C. The microbiome as a human organ. Clin Microbiol Infect. Vol. 18. 2012. p. 2-4.

-Bäumler, A.J.; Sperandio, V. Interactions between the microbiota and pathogenic bacteria in the gut. Nature. Vol. 535. 2016. p. 85-93.

-Belkaid, Y.; Hand, T.W. Role of the microbiota in immunity and inflammation. Cell. Vol. 157. 2014. p. 121-141.

-Bellenger, J.; Bellenger, S.; Escoula, Q.; Bidu, C.; Narce, M. N-3 polyunsaturated fatty acids: An innovative strategy against obesity and related metabolic disorders, intestinal alteration and gut microbiota dysbiosis. Biochimie. Vol. 159. 2019. p. 66-71.

-Berni, R. C.; Di Costanzo, M.; Leone, L. The epigenetic effects of butyrate: Potential therapeutic implications for clinical practice. Clin. Epigenetics. Vol. 4. 2012.

-Biagi, E.; Nylund, L.; Candela, M.; Ostan, R.; Bucci, L.; Pini, E.; Nikkïla, J.; Monti, D.; Satokari, R.; Franceschi, C.; Brigidi, P.; De Vos, W. Through ageing, and beyond: gut microbiota and inflammatory status in seniors and centenarians. PLoSOne. Vol. 17. 2010.

-Blumberg, R.; Powrie, F. Microbiota, disease, and back to health: a metastable journey. Sci. Transl. Med. Vol. 4. 2012. p. 137-137.

-Brüssow, Harald. “Probiotics and prebiotics in clinical tests: an update.” Faculty Rev. Vol. 8. 2019.

-Buffie, C.G.; Pamer, E.G. Microbiota-mediated colonization resistance against intestinal pathogens. Nature Reviews Immunology. Vol. 13. 2013. p. 790-801.

-Cerf-Bensussan, N.; Gaboriau-Routhiau, V. The immune system and the gut microbiota: friends or foes? Nat RevImmunol. Vol. 10. 2010. p. 735-744.

-Claesson, M.J.; Jeffery, I.B.; Conde, S.; Power, S.E.; O’Connor, E.M.; Cusack, S.; Harris, H.M.; Coakley, M.; Lakshminarayanan, B.; O’Sullivan, O.; Fitzgerald, G.F.; Deane, J.; O'Connor, M.; Harnedy, N.; O'Connor, K.; O'Mahony, D.; van Sinderen, D.; Wallace, M.; Brennan, L.; Stanton, C.; Marchesi, J.R.; Fitzgerald, A.P.; Shanahan, F.; Hill, C.; Ross, R.P.; O'Toole, P.W. Gut microbiota composition correlates with diet andhealth in theelderly. Nature. Vol. 488. 2012. 178-184.

-Clarke, T.B.; Davis, K.M.; Lysenko, E.S.; Zhou, A.Y.; Yu, Y.; Weiser, J.N. Recognition of peptidoglycan from the microbiota by Nod1 enhances systemic innate immunity. Nat. Med. Vol. 16. 2010. p. 228-231.

-D’Angelo, C.; Reale, M.; Costantini, E. Microbiota and Probiotics in Health and HIV Infection. Nutrients. Vol. 9. 2017.

-Delgado, S.; Sánchez, B.; Margolles, A.; Ruas-Madiedo, P.; Ruiz, L. Molecules Produced by Probiotics and Intestinal Microorganisms with Immunomodulatory Activity. Nutrients. Vol. 12. 2020.

-Dimidi, E.; Christodoulides, S.; Scott, S.M.; Whelan, K. Mechanisms of action of probiotics and the gastrointestinal microbiota on gut motility and constipation. Adv. Nutr. Vol. 8. 2017. p. 484-494.

-Dumitrescu, L.; Popescu-Olaru, I.; Cozma, L.; Tulba, D.; Hinescu, M.E.; Ceafalan, L.C.; Gherghiceanu, M.; Popescu, B.O. Oxidative stress andthe microbiota-gut-brainaxis. Oxid. Med. Cell. Longev. Vol. 2018. 2018.

-Estrada, J.A.; Contreras, I. Nutritional modulation of immune and central nervous system homeostasis: The role of diet in development of neuroinflammation and neurological disease. Nutrients. Vol. 11. 2019.

-Fei, N.; Zhao, L. An opportunistic pathogen isolated from the gut of an obese human causes obesity in germfree mice. ISME J. Vol. 7. 2013. p. 880-884.

-Filippo, C.; Cavalieri, D.; Di Paola, M.; Ramazzotti, M.; Poullet, J.B.; Massart, S.; Collini, S.; Pieraccini, G.; Lionetti, P. Impact of diet in shaping gut microbiota revealed by a comparative study in children from Europe and rural Africa. ProcNatlAcadSci. Vol. 107. 2010. p. 14691-14696.

-Fijan, S. Microorganisms with claimed probiotic properties: an overview of recent literature. Int J Environ Res Public Health. Vol. 11. 2014. p. 4745-4767.

-Flint, H.J.; Duncan, S.H.; Scott, K.P.; Louis, P. Links between diet, gut microbiota composition and gut metabolism. Proc. Nutr. Soc. Vol. 74. 2015. p. 13-22.

-Floch, M.H.; Walker, W.A.; Sanders, M.E.; Nieuwdorp, M.; Kim, A.S.; Brenner, D.A.; Qamar, A.A.; Miloh, T.A.; Guarino, A.; Guslandi, M.; Dieleman, L.A.; Ringel, Y.; Quigley, E.M.; Brandt, L.J. Recommendations for probiotic use-2015 Update: Proceedingsand consensus opinion. J. Clin. Gastroenterol. Vol. 49. 2015. p. 69-73.

-FAO/WHO. Food and Agriculture Organization; World Health Organization. Report of a Joint FAO/WHO working group on drafting guidelines for the evaluation of probiotics in food. De 30 de abril de 2002. London. 2002.

-Francino, M.P. Early development of the gut microbiota and immune health. Pathogens. Vol. 3. 2014. p. 769-790.

-Furusawa, Y.; Obata, Y.; Fukuda, S.; Endo, T.A.; Nakato, G.; Takahashi, D.; Nakanishi, Y.; Uetake, C.; Kato, K.; Kato, T.; Takahashi, M.; Fukuda, N.; Murakami, S.; Miyauchi, E.; Hino, S.; Atarashi, K.; Onawa, S.; Fujimura, Y.; Lockett, T.; Clarke, J.M.; Topping, D.L.; Tomita, M.; Hori,S.; Ohara, O.;Morita, T.; Koseki, H.; Kikuchi, J.; Honda, K.; Hase, K.; Ohno, H. Commensalmicrobe- derivedbutyrateinducesthedifferentiationofcolonicregulatory T cells. Nature. Vol. 504. 2013. p. 446-450.

-Gao, J.; Xu, K.; Liu, H.; Liu, G.; Bai, M.; Peng, C.; Li, T.; Yin, Y. Impact of the Gut Microbiota on Intestinal Immunity Mediated by Tryptophan Metabolism. Front. Cell. Infect. Microbiol. Vol. 8. 2018.

-Garrett, W.S.; Gordon, J.I.; Glimcher, L.H. Homeostasis and inflammation in the intestine. Cell. Vol. 140. 2010. p. 859-870.

-Gummesson, A.; Carlsson, L.M.; Storlien, L.H.; Backhed, F.; Lundin, P.; Lofgren, L.; Stenlof, K.; Lam, Y.Y.; Fagerberg, B.; Carlsson, B. Intestinal permeability is associated with visceral adiposity in healthy women. Obesity. Vol. 19. 2011. p. 2280-2282.

-Heiss, C.N.; Olofsson, L.E. Gut microbiota-dependent modulation of energy metabolism. J. InnateImmun. Vol. 10. 2018. p. 163-171.

-Hold, G.L. Gastrointestinal microbiota and colon cancer. Dig. Dis. Vol. 34. 2016. p. 244-250.

-Hooper, L.V.; Littman, D.R; Macpherson, A.J. Interactions between the microbiota and the immune system. Science. Vol. 336. 2012. p. 1268-1273.

-Human Microbiome Project Consortium. Structure, function and diversity of the healthy human microbiome. Nature. Vol. 486. 2012. p. 207-214.

-Hutchinson, A. N.; Tingö, L.; Brummer, R. J. The Potential Effects of Probiotics and ω-3 Fatty Acids on Chronic Low-Grade Inflammation. Nutrients. Vol.12. 2020.

-Infusino, F.; Marazzato, M.; Mancone, M.; Fedele, F.; Mastroianni, C. M.; Severino, P.; Ceccarelli, G.; Santinelli, L.; Cavarretta, E.; Marullo, A.; Miraldi, F.; Carnevale, R.; Nocella, C.; Biondi-Zoccai, G.; Pagnini, C.; Schiavon, S.; Pugliese, F.; Frati, G.; d'Ettorre, G. Diet Supplementation, Probiotics, andNutraceuticals in SARS-CoV-2 Infection: A Scoping Review. Nutrients. Vol. 12. 2020.

-Jacobson, A.N.; Choudhury, B.P.; Fischbach, M.A. The biosynthesis of Lipooligosaccharide from Bacteroides thetaiotaomicron. MBio. Vol. 9. 2018.

-Jandhyala, S.M.; Talukdar, R.; Subramanyam, C.; Vuyyuru, H.; Sasikala, M.; Nageshwar Reddy, D. Role of the normal gut microbiota. World J Gastroenterol. Vol. 21. 2015. p. 8787-8803.

-Kasubuchi, M.; Hasegawa, S.; Hiramatsu, T.; Ichimura, A.; Kimura, I. Dietary gut microbial metabolites, short-chain fatty acids, and host metabolic regulation. Nutrients Vol. 7. 2015. p. 2839-2849.

-Kau, A.L.; Ahern, P.P.; Griffin, N.W.; Goodman, A.L.; Gordon, J.I. Human nutrition, the gut microbiome and the immune system. Nature. Vol. 474. 2011. p. 327-336.

-Koenig, J.E.; Spor, A.; Scalfone, N.; Fricker, A.D.; Stombaugh,J.; Knight, R.; Angenent, L.T.; Ley, R.E. Succession of microbial consortia in the developing infant gut microbiome. ProcNatlAcadSci. Vol. 108. 2011. p. 4578-4585.

-König, J.; Wells, J.; Cani, P.D.; Garcia-Rodenas, C.L.; MacDonald, T.; Mercenier, A.; Whyte, J.; Troost, F.; Brummer, R.J. Human intestinal barrier function in health and disease. Clin. Transl. Gastroenterol. Vol. 7. 2016.

-Lambeth, S. M.; Carson, T.; Lowe, J.; Ramaraj, T.; Leff, J. W.; Luo, L.; Bell, C. J.; Shah, V. O. Composition, Diversity and Abundance of Gut Microbiome in Prediabetes and Type 2 Diabetes. Journalof diabetes andobesity. Vol. 2. 2015. p. 1-7.

-LeBlanc, J.G.; Chain, F.; Martin, R.; Bermudez-Humaran, L.G.; Courau, S.; Langella, P. Beneficial effects on host energy metabolism of short-chain fatty acids and vitamins produced by commensal and probiotic bacteria. Microb. CellFact. Vol. 16. 2017.

-Lloyd-Price, J.; Abu-Ali, G.; Huttenhower, C. The healthy human microbiome. Genome medicine. Vol. 8. 2016.

-Markowiak, P.; Slizewska, K. Effects of probiotics, prebiotics, and synbiotics on human health. Nutrients. Vol. 9. 2017.

-Michail, S.; Lin, M.; Frey, M. R.; Fanter, R.; Paliy, O.; Hilbush, B.; Reo, N. V. Altered gut microbial energy and metabolism in children with non-alcoholic fatty liver disease. FEMS microbiologyecology. Vol. 91. 2015. p. 1-9.

-Moreira, A.P.; Texeira, T.F.; Ferreira, A.B.; Peluzio, Mdo C.; Alfenas, R. C. Influence of a high-fat diet ongut microbiota, intestinal permeability and metabolic endotoxaemia. Br. J. Nutr. Vol. 108. 2012. p. 801- 809.

-Mu, Q.; Kirby, J.; Reilly, C.M.; Luo, X.M. Leaky gut as a danger signal for autoimmune diseases. Front. Immunol. Vol. 8. 2017.

-Nicholson, J.K.; Wilson, I.D. Opinion: understanding ’global’ systems biology: metabonomics and the continuum of metabolism. Nat. Rev. DrugDiscov. Vol. 2. 2013. p. 668-676.

-Nishio, J.; Honda, K. Immunoregulation by the gut microbiota. Cell. Mol. Life Sci. Vol. 69. 2012. p. 3635-3650.

-Owaga, E.; Hsieh, R. H.; Mugendi, B.; Masuku, S.; Shih, C. K.; Chang, J. S. Th17 Cells as Potential Probiotic Therapeutic Targets in Inflammatory Bowel Diseases. Internationaljournalof molecular sciences. Vol. 16. 2015. p. 20841-20858.

-Papadimitriou, K.; Zoumpopoulou, G.; Foligné, B.; Alexandraki, V.; Kazou, M.; Pot, B.; Tsakalidou, E. Discovering probiotic microorganisms: in vitro, in vivo, genetic and omics approaches. Frontiers in microbiology. Vol. 6. 2015.

-Pereira, S.S.; Alvarez-Leite, J.I. Low-grade inflammation, obesity, and diabetes. Curr. Obes. Rep. Vol. 3. 2014. p. 422-431.

-Peterson, L.W.; Artis, D. Intestinal epithelial cells: Regulators of barrier function and immune homeostasis. Nat. Rev. Immunol. Vol. 14. 2014. p. 141-153.

-Plaza-Diaz, J.; Ruiz-Ojeda, F.J.; Gil-Campos, M.; Gil, A. Mechanisms of action of probiotics. Adv. Nutr. Vol. 10. 2019. p 49-66.

-Rinninella, E.; Raoul, P.; Cintoni, M.; Franceschi, F.; Miggiano, G.; Gasbarrini, A.; Mele, M. C. What is the Healthy Gut Microbiota Composition? A Changing Ecosystem across Age, Environment, Diet, and Diseases. Microorganisms. Vol. 7. 2019.

-Ríos-Covián, D.; Ruas-Madiedo, P.; Margolles, A.; Gueimonde, M.; de Los Reyes-Gavilán, C.G.; Salazar, N. Intestinal Short Chain Fatty Acids and their Link with Diet and Human Health. Front. Microbiol. Vol. 7. 2016.

-Rizzetto, L.; Fava, F.; Tuohy, K.M.; Selmi, C. Connecting the immune system, systemic chronic inflammation and the gut microbiome: The role of sex. JournalofAutoimmunity. Vol. 92. 2018. p. 12-34.

-Rosser, E.C.; Mauri. C. A clinical update on the significance of the gut microbiota in systemic autoimmunity. J Autoimmun. Vol. 74. 2016. p. 85-93.

-Rosser, E.C.; Oleinika, K.; Tonon, S.; Doyle, R.; Bosma, A.; Carter, N.A.; Harris, K.A.; Jones, S.A.; Klein, N.; Mauri, C. Regulatory B cells are induced by gut microbiota-driven interleukin-1β and interleukin-6 production. Nat Med. Vol. 20. 2014. p. 1334-1339.

-Selvanantham, T.; Lin, Q.; Guo, C. X.; Surendra, A.; Fieve, S.; Escalante, N. K.; Guttman, D. S.; Streutker, C. J.; Robertson, S. J.; Philpott, D. J.; Mallevaey, T. NKT Cell-Deficient Mice Harbor an Altered Microbiota That Fuels Intestinal Inflammation during Chemically Induced Colitis. Journal of immunology. Vol. 197. 2016. p. 4464-4472.

-Sender, R.; Fuchs, S.; Milo, R. Are We Really Vastly Outnumbered? Revisiting the Ratio of Bacterial to Host Cells in Humans. Cell. Vol. 164. 2016. p. 337-340.

-Sen, T.; Cawthon, C. R.; Ihde, B. T.; Hajnal, A.; DiLorenzo, P. M.; de La Serre, C. B.; Czaja, K. Diet-driven microbiota dysbiosis is associated with vagal remodeling and obesity. Physiology & behavior. Vol. 173. 2017. p. 305-317.

-Shin, N.R.; Whon, T.W.; Bae, J.W. Proteobacteria: microbial signature of dysbiosis in gut microbiota. TrendsBiotechnol. Vol. 33. 2015. p. 496-503.

-Smith, P.M.; Howitt, M.R.; Panikov, N.; Michaud, M.; Gallini, C.A; Bohlooly - Y.M., Glickman, J.N.; Garrett, W.S. The microbial metabolites, short-chain fatty acids, regulate colonic Treg cell homeostasis. Science. Vol. 341. 2013. p. 569-573.

-Spiljar, M.; Merkler, D.; Trajkovski, M. The immune system bridges the gut microbiota with systemic energy homeostasis: focus on TLRs, mucosal barrier, and SCFAs. Front. Immunol. Vol. 8. 2017.

-Thorburn, A.N.; Macia, L.; Mackay, C.R. Diet, metabolites, and “western- lifestyle” inflammatory diseases. Immunity. Vol. 40. 2014. p. 833-842.

-Torres-Fuentes, C.; Schellekens, H.; Dinan, T.G.; Cryan, J.F. The microbiota- gut-brain axis in obesity. Lancet Gastroenterol. Hepatol. Vol. 2. 2017. p. 747-756.

-Tran, C.D.; Grice, D.M.; Wade, B; Kerr, C.A.; Bauer, D.C.; Li, D.; Hannan, GN. Gut permeability, its interaction with gut microflora and effects on metabolic health are mediated by the lymphatics system, liver and bile acid. Future Microbiol. Vol. 10. 2015. p. 1339-1353.

-Trompette, A.; Gollwitzer, E.S.; Yadava, K.; Sichelstiel, A.K.; Sprenger, N.; Ngom-Bru, C.; Blanchard, C.; Junt, T.; Nicod. L.P.; Harris. N.L.; Marsland, B.J. Gut microbiota metabolism of dietary fiber influences allergic airway disease and hematopoiesis. Nat. Med. Vol. 20. 2014. p. 159-166.

-Tsai, Y.L.; Lin, T.L.; Chang, C.J.; Wu, T.R.; Lai, W.F.; Lu, C.C.; Lai, H.C. Probiotics, prebiotics and amelioration of diseases. J BiomedSci. Vol. 26. 2019.

-Vaughn, A. C.; Cooper, E. M.; DiLorenzo, P. M.; O'Loughlin, L. J.; Konkel, M. E.; Peters, J. H.; Hajnal, A.; Sen, T.; Lee, S. H.; de La Serre, C. B.; Czaja, K. Energy-dense diet triggers changes in gut microbiota, reorganization of gut brain vagal communication and increases body fat accumulation. Acta neurobiologia experimentalis. Vol. 77. 2017. p. 18-30.

-Vinolo, M.A.; Rodrigues, H.G.; Nachbar, R.T.; Curi, R. Regulation of inflammation by short chain fatty acids. Nutrients. Vol. 3. 2011. p. 858-876.

-Wang, Y.; Li, X.; Ge, T.; Xiao, Y.; Liao, Y.; Cui, Y.; Zhang, Y.; Ho, W.; Yu, G.; Zhang, T. Probiotics for prevention and treatment of respiratory tract infections in children: A systematic review and meta-analysis of randomized controlled trials. Medicine. Vol. 95. 2016.

-Warden, C.C. The Toxemic Factor in Rheumatoid Arthritis. Cal State J Med. Vol. 7. 1909. p. 299-301.

-Yang, G.; Liu, Z.; Yang, P.C. Treatment of allergic rhinitis with probiotics: An alternative approach. N. Am. J. Med. Sci. Vol. 5. 2013. p. 465-468.

-Zhang, C.; Yin, A.; Li, H.; Wang, R.; Wu, G.; Shen, J.; Zhang, M.; Wang, L.; Hou, Y.; Ouyang, H.; Zhang, Y.; Zheng, Y.; Wang, J.; Lv, X.; Wang, Y.; Zhang, F.; Zeng, B.; Li, W.; Yan, F.; Zhao, Y.; Pang, X.; Zhang, X.; Fu, H.; Chen, F.; Zhao, N.; Hamaker, B.R.; Bridgewater, L.C.; Weinkove, D.; Clement, K.; Dore, J.; Holmes, E.; Xiao, H.; Zhao, G.; Yang, S.; Bork, P.; Nicholson, J.K.; Wei, H.; Tang, H.; Zhang, X.; Zhao, L. Dietary modulation of gut microbiota contributes to alleviation of both genetic and simple obesity in children. EBioMedicine. Vol. 2. 2015. p. 968-984.

Publicado
2022-07-07
Como Citar
Silva, H. A. da, & Pereira, C. C. A. (2022). Microbiota intestinal, inflamação e ação dos probióticos: o estado da arte. RBONE - Revista Brasileira De Obesidade, Nutrição E Emagrecimento, 15(95), 743-755. Recuperado de https://www.rbone.com.br/index.php/rbone/article/view/1769
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Artigos Científicos - Revisão