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在炎症性肠病中的作用:现有知识和观点。

The role of in inflammatory bowel disease: Current knowledge and perspectives.

机构信息

University of Bristol, Bristol, United Kingdom.

Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Front Immunol. 2023 Jan 6;13:1089600. doi: 10.3389/fimmu.2022.1089600. eCollection 2022.


DOI:10.3389/fimmu.2022.1089600
PMID:36685588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9853388/
Abstract

Inflammatory bowel diseases, including Crohn's disease and ulcerative colitis, is a chronic relapsing gastrointestinal inflammatory disease mediated by dysregulated immune responses to resident intestinal microbiota. Current conventional approaches including aminosalicylates, corticosteroids, immunosuppressive agents, and biological therapies are focused on reducing intestinal inflammation besides inducing and maintaining disease remission, and managing complications. However, these therapies are not curative and are associated with various limitations, such as drug resistance, low responsiveness and adverse events. Recent accumulated evidence has revealed the involvement of mucin-degrading bacterium () in the regulation of host barrier function and immune response, and how reduced intestinal colonisation of probiotic can contribute to the process and development of inflammatory bowel diseases, suggesting that it may be a potential target and promising strategy for the therapy of inflammatory bowel disease. In this review, we summarise the current knowledge of the role of in IBD, especially focusing on the related mechanisms, as well as the strategies based on supplementation with , probiotics and prebiotics, natural diets, drugs, and herbs to promote its colonisation in the gut, and holds promise for -targeted and -based therapies in the treatment of inflammatory bowel disease.

摘要

炎症性肠病,包括克罗恩病和溃疡性结肠炎,是一种由对常驻肠道微生物菌群的免疫反应失调引起的慢性复发性胃肠道炎症性疾病。目前的常规治疗方法包括氨基水杨酸盐、皮质类固醇、免疫抑制剂和生物疗法,这些方法不仅专注于减轻肠道炎症,还专注于诱导和维持疾病缓解,并管理并发症。然而,这些治疗方法并不能治愈疾病,而且存在各种局限性,例如耐药性、低反应性和不良反应。最近积累的证据表明,粘蛋白降解菌 () 在调节宿主屏障功能和免疫反应方面的作用,以及益生菌减少肠道定植如何促进炎症性肠病的发生和发展,这表明它可能是炎症性肠病治疗的一个潜在靶点和有前途的策略。在这篇综述中,我们总结了 在 IBD 中的作用的现有知识,特别是重点介绍了相关机制,以及基于补充 、益生菌和益生元、天然饮食、药物和草药来促进其在肠道中的定植的策略,为针对 的治疗和基于 的治疗炎症性肠病提供了希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd86/9853388/c61a1fd04ecd/fimmu-13-1089600-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd86/9853388/603b368bf2ee/fimmu-13-1089600-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd86/9853388/c61a1fd04ecd/fimmu-13-1089600-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd86/9853388/603b368bf2ee/fimmu-13-1089600-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd86/9853388/c61a1fd04ecd/fimmu-13-1089600-g002.jpg

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本文引用的文献

[1]
Alters Gut Microbiota and Immune System to Improve Cardiovascular Diseases in Murine Model.

Front Microbiol. 2022-6-14

[2]
Zingiber officinale and Panax ginseng ameliorate ulcerative colitis in mice via modulating gut microbiota and its metabolites.

J Chromatogr B Analyt Technol Biomed Life Sci. 2022-7-1

[3]
Amino acid-balanced diets improved DSS-induced colitis by alleviating inflammation and regulating gut microbiota.

Eur J Nutr. 2022-10

[4]
Traditional Chinese Medicine Alleviates Ulcerative Colitis via Modulating Gut Microbiota.

Evid Based Complement Alternat Med. 2022-3-9

[5]
Integrated microbiome-metabolomics analysis reveals the potential therapeutic mechanism of Zuo-Jin-Wan in ulcerative colitis.

Phytomedicine. 2022-4

[6]
Inulin Improves Diet-Induced Hepatic Steatosis and Increases Intestinal Genus Level.

Int J Mol Sci. 2022-1-17

[7]
Protects Against Psychological Disorder-Induced Gut Microbiota-Mediated Colonic Mucosal Barrier Damage and Aggravation of Colitis.

Front Cell Infect Microbiol. 2021

[8]
Akkermansia muciniphila in inflammatory bowel disease and colorectal cancer.

Chin Med J (Engl). 2021-10-26

[9]
Total flavone of Abelmoschus Manihot improves colitis by promoting the growth of Akkermansia in mice.

Sci Rep. 2021-10-21

[10]
Hyaluronan-induced alterations of the gut microbiome protects mice against infection and intestinal inflammation.

Gut Microbes. 2021

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