文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

肠上皮细胞、上皮内淋巴细胞和肠道微生物群——乳糜泻发病机制的关键因素。

Intestinal epithelium, intraepithelial lymphocytes and the gut microbiota - Key players in the pathogenesis of celiac disease.

机构信息

Department of Pathology, The Children's Memorial Health Institute, Warsaw 04-730, Poland.

Department of Gastroenterology, Division of Neurogastroenterology and Motility, Great Ormond Street Hospital, London WC1N 3JH, United Kingdom.

出版信息

World J Gastroenterol. 2017 Nov 14;23(42):7505-7518. doi: 10.3748/wjg.v23.i42.7505.


DOI:10.3748/wjg.v23.i42.7505
PMID:29204051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5698244/
Abstract

Celiac disease (CD) is a chronic immune-mediated disorder triggered by the ingestion of gluten in genetically predisposed individuals. Before activating the immune system, gluten peptides are transferred by the epithelial barrier to the mucosal lamina propria, where they are deamidated by intestinal tissue transglutaminase 2. As a result, they strongly bind to human leucocyte antigens (HLAs), especially HLA-DQ2 and HLA-DQ8, expressed on antigen-presenting cells. This induces an inflammatory response, which results in small bowel enteropathy. Although gluten is the main external trigger activating both innate and adaptive (specific) immunity, its presence in the intestinal lumen does not fully explain CD pathogenesis. It has been hypothesized that an early disruption of the gut barrier in genetically susceptible individuals, which would result in an increased intestinal permeability, could precede the onset of gluten-induced immune events. The intestinal barrier is a complex functional structure, whose functioning is dependent on intestinal microbiota homeostasis, epithelial layer integrity, and the gut-associated lymphoid tissue with its intraepithelial lymphocytes (IELs). The aim of this paper was to review the current literature and summarize the role of the gut microbiota, epithelial cells and their intercellular junctions, and IELs in CD development.

摘要

乳糜泻(CD)是一种由遗传易感性个体摄入麸质而引发的慢性免疫介导性疾病。在激活免疫系统之前,肠上皮屏障会将麸质肽转运到黏膜固有层,在那里,它们被肠道组织转谷氨酰胺酶 2 去酰胺化。结果,它们与人类白细胞抗原(HLAs),特别是在抗原呈递细胞上表达的 HLA-DQ2 和 HLA-DQ8 强烈结合。这会引发炎症反应,导致小肠肠病。尽管麸质是激活固有免疫和适应性(特异性)免疫的主要外部触发因素,但它在肠腔中的存在并不能完全解释 CD 的发病机制。有人假设,在遗传易感个体中,肠道屏障的早期破坏会导致肠道通透性增加,这可能先于麸质诱导的免疫事件发生。肠道屏障是一个复杂的功能结构,其功能依赖于肠道微生物组稳态、上皮层完整性以及带有上皮内淋巴细胞(IEL)的肠相关淋巴组织。本文旨在综述目前的文献,并总结肠道微生物群、上皮细胞及其细胞间连接以及 IEL 在 CD 发展中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/7a7086fad979/WJG-23-7505-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/33f9519b7bac/WJG-23-7505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/489df92bdd99/WJG-23-7505-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/b56181509362/WJG-23-7505-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/7a7086fad979/WJG-23-7505-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/33f9519b7bac/WJG-23-7505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/489df92bdd99/WJG-23-7505-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/b56181509362/WJG-23-7505-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4444/5698244/7a7086fad979/WJG-23-7505-g004.jpg

相似文献

[1]
Intestinal epithelium, intraepithelial lymphocytes and the gut microbiota - Key players in the pathogenesis of celiac disease.

World J Gastroenterol. 2017-11-14

[2]
How the Microbiota May Affect Celiac Disease and What We Can Do.

Nutrients. 2024-6-14

[3]
Th17, intestinal microbiota and the abnormal immune response in the pathogenesis of celiac disease.

Gastroenterol Hepatol Bed Bench. 2015

[4]
Gliadin-dependent neuromuscular and epithelial secretory responses in gluten-sensitive HLA-DQ8 transgenic mice.

Am J Physiol Gastrointest Liver Physiol. 2008-1

[5]
Toxic, immunostimulatory and antagonist gluten peptides in celiac disease.

Curr Med Chem. 2009

[6]
The role of infectious mediators and gut microbiome in the pathogenesis of celiac disease.

Arch Iran Med. 2015-4

[7]
Intestinal Barrier Function in Gluten-Related Disorders.

Nutrients. 2019-10-1

[8]
Celiac disease: Autoimmunity in response to food antigen.

Semin Immunol. 2015-9

[9]
Gut microbes and adverse food reactions: Focus on gluten related disorders.

Gut Microbes. 2014

[10]
Celiac disease: from pathogenesis to novel therapies.

Gastroenterology. 2009-12

引用本文的文献

[1]
Serological, Genetic, and Biochemical Insights into Celiac Disease Diagnosis and Vitamin D Deficiency in Romanian Children: A Comprehensive Cohort Study.

Int J Mol Sci. 2025-6-28

[2]
Beyond gluten-free diet: a critical perspective on phase 2 trials on non-dietary pharmacological therapies for coeliac disease.

Front Nutr. 2025-1-7

[3]
Celiac Disease and Liver Damage: The Gut-Liver Axis Strikes Back (Again)? A Retrospective Analysis in the Light of a Literature Review.

Nutrients. 2024-12-28

[4]
New insights into the intestinal barrier through "gut-organ" axes and a glimpse of the microgravity's effects on intestinal barrier.

Front Physiol. 2024-10-10

[5]
The epithelial barrier theory and its associated diseases.

Allergy. 2024-12

[6]
The NLRP3 inflammasome in allergic diseases: mechanisms and therapeutic implications.

Clin Exp Med. 2024-9-26

[7]
Role of Claudin- 3 as a biomarker of gut-skin axis integrity in patients with psoriasis.

Arch Dermatol Res. 2024-7-18

[8]
Reducing Immunoreactivity of Gluten Peptides by Probiotic Lactic Acid Bacteria for Dietary Management of Gluten-Related Diseases.

Nutrients. 2024-3-27

[9]
Celiac Disease: A Review from Genetic to Treatment.

Iran Biomed J. 2024-1-1

[10]
Intestinal mRNA expression analysis of polarity-related genes identified the discriminatory ability of CRB3 as a diagnostic marker for celiac disease.

Immun Inflamm Dis. 2024-2

本文引用的文献

[1]
Celiac Disease: Role of the Epithelial Barrier.

Cell Mol Gastroenterol Hepatol. 2017-1-14

[2]
The role of gluten consumption at an early age in celiac disease development: a further analysis of the prospective PreventCD cohort study.

Am J Clin Nutr. 2017-4

[3]
Intraepithelial lymphocytes, scores, mimickers and challenges in diagnosing gluten-sensitive enteropathy (celiac disease).

World J Gastroenterol. 2017-1-28

[4]
Linking the Human Gut Microbiome to Inflammatory Cytokine Production Capacity.

Cell. 2016-11-3

[5]
Revised Estimates for the Number of Human and Bacteria Cells in the Body.

PLoS Biol. 2016-8-19

[6]
Gut Microbiota Richness and Composition and Dietary Intake of Overweight Pregnant Women Are Related to Serum Zonulin Concentration, a Marker for Intestinal Permeability.

J Nutr. 2016-9

[7]
Microbiome-wide association studies link dynamic microbial consortia to disease.

Nature. 2016-7-7

[8]
Immunobiotic Lactobacillus strains reduce small intestinal injury induced by intraepithelial lymphocytes after Toll-like receptor 3 activation.

Inflamm Res. 2016-6-9

[9]
Secretory IgA in complex with Lactobacillus rhamnosus potentiates mucosal dendritic cell-mediated Treg cell differentiation via TLR regulatory proteins, RALDH2 and secretion of IL-10 and TGF-β.

Cell Mol Immunol. 2017-6

[10]
IL-15 functions as a danger signal to regulate tissue-resident T cells and tissue destruction.

Nat Rev Immunol. 2015-12

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索