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炎症性肠病中的生物标志物:对诊断、预后和治疗的见解

Biomarkers in inflammatory bowel diseases: insight into diagnosis, prognosis and treatment.

作者信息

Norouzinia Mohsen, Chaleshi Vahid, Alizadeh Amir Houshang Mohammad, Zali Mohammad Reza

机构信息

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Gastroenterol Hepatol Bed Bench. 2017 Summer;10(3):155-167.

Abstract

Inflammatory bowel disease (IBD) is a chronic disease of unknown etiology which mostly involves the intestine and requires a personalized approach for treatment. IBD represents a heterogeneous group of patients with inherently variable disease courses. Hence, the heterogeneity of patient populations may delay the diagnosis, clinical practice and initiation of appropriate treatment. Use of biomarkers for diagnosis and management of IBD is still necessary. Descriptions of the immunological pathway abnormalities in IBD improve assessment to identify the patient's disease status, and relative risk of progression to complicated disease behaviors, and this information may ultimately influence therapeutic decisions. In this study, we try to explain the role of biomarkers in early diagnosis, estimating prognosis, and target agents for correct managements of IBD's patients. This information might be important to provide insight into emerging panels of multiple IBD biomarkers and highlighting the essential role of personalizes panel for each patient.

摘要

炎症性肠病(IBD)是一种病因不明的慢性疾病,主要累及肠道,需要个性化的治疗方法。IBD代表了一组具有内在可变病程的异质性患者群体。因此,患者群体的异质性可能会延迟诊断、临床实践以及适当治疗的启动。使用生物标志物进行IBD的诊断和管理仍然是必要的。对IBD免疫途径异常的描述有助于改善评估,以确定患者的疾病状态以及进展为复杂疾病行为的相对风险,而这些信息最终可能会影响治疗决策。在本研究中,我们试图解释生物标志物在IBD患者的早期诊断、预后评估以及正确管理的靶向药物方面的作用。这些信息对于深入了解多种IBD生物标志物的新兴组合以及突出针对每位患者的个性化组合的重要作用可能具有重要意义。

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