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炎症性肠病的研究进展和展望:综述

Research advancements and perspectives of inflammatory bowel disease: A comprehensive review.

机构信息

The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, China.

Department of Gastroenterology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

出版信息

Sci Prog. 2024 Apr-Jun;107(2):368504241253709. doi: 10.1177/00368504241253709.

Abstract

Inflammatory bowel disease (IBD) is a chronic inflammatory disease with increasing incidence, such as Crohn's disease and ulcerative colitis. The accurate etiology and pathogenesis of IBD remain unclear, and it is generally believed that it is related to genetic susceptibility, gut microbiota, environmental factors, immunological abnormalities, and potentially other factors. Currently, the mainstream therapeutic drugs are amino salicylic acid agents, corticosteroids, immunomodulators, and biological agents, but the remission rates do not surpass 30-60% of patients in a real-life setting. As a consequence, there are many studies focusing on emerging drugs and bioactive ingredients that have higher efficacy and long-term safety for achieving complete deep healing. This article begins with a review of the latest, systematic, and credible summaries of the pathogenesis of IBD. In addition, we provide a summary of the current treatments and drugs for IBD. Finally, we focus on the therapeutic effects of emerging drugs such as microRNAs and lncRNAs, nanoparticles-mediated drugs and natural products on IBD and their mechanisms of action.

摘要

炎症性肠病(IBD)是一种发病率不断上升的慢性炎症性疾病,包括克罗恩病和溃疡性结肠炎。IBD 的准确病因和发病机制尚不清楚,一般认为与遗传易感性、肠道微生物群、环境因素、免疫异常以及潜在的其他因素有关。目前,主流的治疗药物是氨基水杨酸制剂、皮质类固醇、免疫调节剂和生物制剂,但在真实环境中,缓解率不超过 30-60%的患者。因此,有许多研究关注新兴药物和生物活性成分,这些药物和生物活性成分具有更高的疗效和长期安全性,可实现完全深度愈合。本文首先对 IBD 的发病机制进行了最新、系统和可靠的综述。此外,我们还对 IBD 的当前治疗方法和药物进行了总结。最后,我们重点介绍了 microRNAs 和 lncRNAs、纳米颗粒介导的药物和天然产物等新兴药物对 IBD 的治疗效果及其作用机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4596/11113063/6dc31b9d3845/10.1177_00368504241253709-fig1.jpg

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