Han Dong Soo
Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea.
Intest Res. 2014 Jul;12(3):178-83. doi: 10.5217/ir.2014.12.3.178. Epub 2014 Jul 25.
The incidence and prevalence of inflammatory bowel disease (IBD) in Asia has witnessed a rapid increase within a few decades. The genetic susceptibility and epidemiologic backgrounds in the Asian population have been found to be different from that of Western populations. There is an extensive crosstalk between gut microbiota and human hosts, with evidence of reciprocal interactions. It is well known that gut microbiota can affect the host immune system and in turn, host genetic backgrounds can affect gut microbiota reciprocally. Evidences have implicated gut microbes in the development of IBD, but no causative microorganisms have been identified. Recent advances in sequencing technology and computational analysis have now made identification of complex gut microbiomes accessible. Further research targeting gut microbiota could help in identifying biomarkers to predict clinical response, and therapeutic modalities that might affect their resilience.
在短短几十年间,亚洲炎症性肠病(IBD)的发病率和患病率迅速上升。研究发现,亚洲人群的遗传易感性和流行病学背景与西方人群不同。肠道微生物群与人类宿主之间存在广泛的相互作用,并有相互影响的证据。众所周知,肠道微生物群可影响宿主免疫系统,反过来,宿主遗传背景也可相互影响肠道微生物群。有证据表明肠道微生物与IBD的发生有关,但尚未确定致病微生物。测序技术和计算分析的最新进展现已使识别复杂的肠道微生物群落成为可能。针对肠道微生物群的进一步研究可能有助于识别预测临床反应的生物标志物,以及可能影响其恢复力的治疗方式。