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炎症性肠病。

Inflammatory bowel disease.

机构信息

Department of Medicine II, Medical University Innsbruck, Austria.

出版信息

Annu Rev Immunol. 2010;28:573-621. doi: 10.1146/annurev-immunol-030409-101225.

Abstract

Insights into inflammatory bowel disease (IBD) are advancing rapidly owing to immunologic investigations of a plethora of animal models of intestinal inflammation, ground-breaking advances in the interrogation of diseases that are inherited as complex genetic traits, and the development of culture-independent methods to define the composition of the intestinal microbiota. These advances are bringing a deeper understanding to the genetically determined interplay between the commensal microbiota, intestinal epithelial cells, and the immune system and the manner in which this interplay might be modified by relevant environmental factors in the pathogenesis of IBD. This review examines these interactions and, where possible, potential lessons from IBD-directed, biologic therapies that may allow for elucidation of pathways that are central to disease pathogenesis in humans.

摘要

由于对大量肠道炎症动物模型的免疫学研究、对作为复杂遗传特征遗传疾病的突破性研究,以及对定义肠道微生物组组成的非培养方法的发展,人们对炎症性肠病(IBD)的认识正在迅速深入。这些进展使人们对共生微生物群、肠上皮细胞和免疫系统之间由遗传决定的相互作用,以及这种相互作用如何被 IBD 发病机制中的相关环境因素改变有了更深入的了解。这篇综述检查了这些相互作用,并在可能的情况下,从针对 IBD 的生物治疗中吸取了一些教训,这些治疗可能有助于阐明对人类疾病发病机制至关重要的途径。

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