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胆汁酸及其受体:炎症性肠病的潜在治疗靶点。

Bile acids and their receptors: Potential therapeutic targets in inflammatory bowel disease.

机构信息

Department of Gastroenterology, The First Affiliated Hospital of Hunan Normal University (Hunan Provincial People's Hospital), Changsha 410005, Hunan Province, China.

出版信息

World J Gastroenterol. 2023 Jul 21;29(27):4252-4270. doi: 10.3748/wjg.v29.i27.4252.

Abstract

Chronic and recurrent inflammatory disorders of the gastrointestinal tract caused by a complex interplay between genetics and intestinal dysbiosis are called inflammatory bowel disease. As a result of the interaction between the liver and the gut microbiota, bile acids are an atypical class of steroids produced in mammals and traditionally known for their function in food absorption. With the development of genomics and metabolomics, more and more data suggest that the pathophysiological mechanisms of inflammatory bowel disease are regulated by bile acids and their receptors. Bile acids operate as signalling molecules by activating a variety of bile acid receptors that impact intestinal flora, epithelial barrier function, and intestinal immunology. Inflammatory bowel disease can be treated in new ways by using these potential molecules. This paper mainly discusses the increasing function of bile acids and their receptors in inflammatory bowel disease and their prospective therapeutic applications. In addition, we explore bile acid metabolism and the interaction of bile acids and the gut microbiota.

摘要

慢性和复发性胃肠道炎症性疾病是由遗传和肠道菌群失调之间的复杂相互作用引起的,被称为炎症性肠病。由于肝脏和肠道微生物群之间的相互作用,胆汁酸是一类在哺乳动物中产生的非典型类固醇,传统上以其在食物吸收中的功能而闻名。随着基因组学和代谢组学的发展,越来越多的数据表明,胆汁酸及其受体调节炎症性肠病的病理生理机制。胆汁酸作为信号分子发挥作用,通过激活多种影响肠道菌群、上皮屏障功能和肠道免疫学的胆汁酸受体。通过利用这些潜在分子,可以为炎症性肠病提供新的治疗方法。本文主要探讨了胆汁酸及其受体在炎症性肠病中的作用及其潜在的治疗应用,并探讨了胆汁酸代谢和胆汁酸与肠道微生物群的相互作用。

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