Department of Surgery, Yale University School of Medicine, New Haven, CT 06520, USA.
Department of Cellular & Molecular Physiology, Yale University School of Medicine, New Haven, CT 06520, USA.
Future Med Chem. 2019 Apr;11(8):847-855. doi: 10.4155/fmc-2018-0313. Epub 2019 Apr 17.
Gastrointestinal illnesses pose a significant worldwide disease burden and are associated with an array of medicinal and surgical therapies. Standard pharmaceutical options have adverse effects, prompting the rise of nutraceutical or food-derivative therapies. Here, we present an overview of the current nutraceutical therapies in gastrointestinal disease. We then introduce the calcium-sensing receptor (CaSR) as a novel therapeutic target. A G-protein-coupled receptor found in apical and basal intestinal cells, the CaSR modulates intestinal fluid secretion and mucosal integrity. Applying nutraceuticals that upregulate the CaSR may alleviate symptoms seen across a spectrum of illnesses. At last, we discuss how nanoparticle technology can be implemented to effectively deliver nutraceuticals to diseased regions of the intestine, thereby minimizing systemic side effects.
胃肠道疾病在全球范围内造成了巨大的疾病负担,并与一系列药物和手术治疗相关。标准的药物治疗方法有不良反应,促使人们采用营养疗法或食物衍生疗法。在这里,我们概述了胃肠道疾病的当前营养疗法。然后,我们介绍钙敏感受体 (CaSR) 作为一种新的治疗靶点。CaSR 是一种在肠腔细胞和基底细胞中发现的 G 蛋白偶联受体,调节肠道液体分泌和黏膜完整性。应用上调 CaSR 的营养疗法可能会缓解一系列疾病的症状。最后,我们讨论了如何实施纳米颗粒技术,以有效将营养疗法递送至肠道的患病区域,从而最大程度地减少全身副作用。