Lahey Hospital & Medical Center, Burlington, Massachusetts.
Brigham and Women's Hospital, Boston, Massachusetts.
Inflamm Bowel Dis. 2019 May 16;25(Suppl 2):S24-S30. doi: 10.1093/ibd/izz077.
Novel technologies is part of five focus areas of the Challenges in IBD research document, which also includes preclinical human IBD mechanisms, environmental triggers, precision medicine and pragmatic clinical research. The Challenges in IBD research document provides a comprehensive overview of current gaps in inflammatory bowel diseases (IBD) research and delivers actionable approaches to address them. It is the result of a multidisciplinary input from scientists, clinicians, patients, and funders, and represents a valuable resource for patient centric research prioritization. In particular, the novel technologies section is focused on prioritizing unmet clinical needs in IBD that will benefit from novel technologies applied to: 1) non-invasive detection and monitoring of active inflammation and assessment of treatment response; 2) mucosal targeted drug delivery systems; and 3) prevention of post-operative septic complications and treatment of fistulizing complications. Proposed approaches include development of multiparametric imaging modalities and biosensors, to enable non invasive or minimally invasive detection of pro-inflammatory signals to monitor disease activity and treatment responses. Additionally, technologies for local drug delivery to control unremitting disease and increase treatment efficacy while decreasing systemic exposure are also proposed. Finally, research on biopolymers and other sealant technologies to promote post-surgical healing; and devices to control anastomotic leakage and prevent post-surgical complications and recurrences are also needed.
新型技术是《炎症性肠病研究挑战》文件五个重点关注领域之一,该文件还包括临床前人类 IBD 发病机制、环境触发因素、精准医学和实用临床研究。《炎症性肠病研究挑战》文件全面概述了炎症性肠病(IBD)研究中的当前差距,并提供了可操作的方法来解决这些问题。它是来自科学家、临床医生、患者和资助者的多学科投入的结果,代表了以患者为中心的研究优先级别的宝贵资源。特别是,新型技术部分侧重于确定 IBD 中未满足的临床需求,这些需求将受益于应用于以下方面的新型技术:1)非侵入性检测和监测活跃炎症,评估治疗反应;2)粘膜靶向药物输送系统;3)预防术后脓毒症并发症和治疗瘘管并发症。提出的方法包括开发多参数成像模式和生物传感器,以实现非侵入性或微创检测促炎信号,从而监测疾病活动和治疗反应。此外,还提出了用于局部药物输送的技术,以控制持续不愈的疾病,提高治疗效果,同时减少全身暴露。最后,还需要研究生物聚合物和其他密封剂技术以促进术后愈合;以及控制吻合口漏和预防术后并发症和复发的装置。