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炎症性肠病的免疫学基础

The Immunological Basis of Inflammatory Bowel Disease.

作者信息

Silva Francesca A R, Rodrigues Bruno L, Ayrizono Maria de Lourdes S, Leal Raquel F

机构信息

Inflammatory Bowel Disease Research Laboratory, Gastrocentro, Surgery Department, University of Campinas (UNICAMP), Medical School, Campinas, SP, Brazil.

出版信息

Gastroenterol Res Pract. 2016;2016:2097274. doi: 10.1155/2016/2097274. Epub 2016 Dec 14.

Abstract

Inflammatory bowel diseases (IBDs) are chronic ailments, Crohn's disease and ulcerative colitis being the most important. These diseases present an inflammatory profile and they differ according to pathophysiology, the affected area in the gastrointestinal tract, and the depth of the inflammation in the intestinal wall. The immune characteristics of IBD arise from abnormal responses of the innate and adaptive immune system. The number of Th17 cells increases in the peripheral blood of IBD patients, while Treg cells decrease, suggesting that the Th17/Treg proportion plays an important role in the development and maintenance of inflammation. The purpose of this review was to determine the current state of knowledge on the immunological basis of IBD. Many studies have shown the need for further explanation of the development and maintenance of the inflammatory process.

摘要

炎症性肠病(IBD)是慢性疾病,其中克罗恩病和溃疡性结肠炎最为重要。这些疾病呈现出炎症特征,根据病理生理学、胃肠道受累区域以及肠壁炎症深度的不同而有所差异。IBD的免疫特征源于先天性和适应性免疫系统的异常反应。IBD患者外周血中Th17细胞数量增加,而调节性T细胞数量减少,这表明Th17/调节性T细胞比例在炎症的发生和维持中起重要作用。本综述的目的是确定关于IBD免疫基础的当前知识状态。许多研究表明,炎症过程的发生和维持仍需要进一步解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7417/5192315/e6fd6067a304/GRP2016-2097274.001.jpg

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