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炎症促进肠道纤维化:从机制到临床。

Inflammation accelerating intestinal fibrosis: from mechanism to clinic.

机构信息

Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China.

Department of Clinical Laboratory, Aerospace Clinical Medical College, Aerospace Central Hospital, Beijing, 100039, China.

出版信息

Eur J Med Res. 2024 Jun 18;29(1):335. doi: 10.1186/s40001-024-01932-2.


DOI:10.1186/s40001-024-01932-2
PMID:38890719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11184829/
Abstract

Intestinal fibrosis is a prevalent complication of IBD that that can frequently be triggered by prolonged inflammation. Fibrosis in the gut can cause a number of issues, which continue as an ongoing challenge to healthcare systems worldwide. The primary causes of intestinal fibrosis are soluble molecules, G protein-coupled receptors, epithelial-to-mesenchymal or endothelial-to-mesenchymal transition, and the gut microbiota. Fresh perspectives coming from in vivo and in vitro experimental models demonstrate that fibrogenic pathways might be different, at least to some extent, independent of the ones that influence inflammation. Understanding the distinctive procedures of intestinal fibrogenesis should provide a realistic foundation for targeting and blocking specific fibrogenic pathways, estimating the risk of fibrotic consequences, detecting early fibrotic alterations, and eventually allowing therapy development. Here, we first summarize the inflammatory and non-inflammatory components of fibrosis, and then we elaborate on the underlying mechanism associated with multiple cytokines in fibrosis, providing the framework for future clinical practice. Following that, we discuss the relationship between modernization and disease, as well as the shortcomings of current studies. We outline fibrosis diagnosis and therapy, as well as our recommendations for the future treatment of intestinal fibrosis. We anticipate that the global review will provides a wealth of fresh knowledge and suggestions for future fibrosis clinical practice.

摘要

肠纤维化是 IBD 的一种常见并发症,通常由长期炎症引发。肠道纤维化会导致一系列问题,这对全球医疗体系来说仍是一个持续的挑战。肠纤维化的主要原因包括可溶性分子、G 蛋白偶联受体、上皮细胞-间充质或内皮细胞-间充质转化以及肠道微生物群。来自体内和体外实验模型的新观点表明,纤维生成途径可能不同,至少在某种程度上独立于影响炎症的途径。了解肠纤维化的独特过程应该为靶向和阻断特定纤维生成途径、评估纤维化后果的风险、检测早期纤维化改变以及最终实现治疗开发提供现实基础。在这里,我们首先总结了纤维化的炎症和非炎症成分,然后详细阐述了与纤维化中多种细胞因子相关的潜在机制,为未来的临床实践提供了框架。之后,我们讨论了现代化与疾病的关系以及当前研究的不足之处。我们概述了纤维化的诊断和治疗,并提出了我们对未来治疗肠纤维化的建议。我们预计,这篇综述将为未来的纤维化临床实践提供丰富的新知识和建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/1777f18253cc/40001_2024_1932_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/3d78505a84de/40001_2024_1932_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/4f253ae86fe5/40001_2024_1932_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/9d1f0e84a647/40001_2024_1932_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/1777f18253cc/40001_2024_1932_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/3d78505a84de/40001_2024_1932_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/4f253ae86fe5/40001_2024_1932_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/9d1f0e84a647/40001_2024_1932_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fb/11184829/1777f18253cc/40001_2024_1932_Fig4_HTML.jpg

相似文献

[1]
Inflammation accelerating intestinal fibrosis: from mechanism to clinic.

Eur J Med Res. 2024-6-18

[2]
Role of Epithelial-to-Mesenchymal Transition in Inflammatory Bowel Disease.

J Crohns Colitis. 2019-4-26

[3]
Intestinal fibrosis in IBD--a dynamic, multifactorial process.

Nat Rev Gastroenterol Hepatol. 2009-4

[4]
Pathogenesis of Intestinal Fibrosis in Inflammatory Bowel Disease and Perspectives for Therapeutic Implication.

Dig Dis. 2017

[5]
Stromal Cell Regulation of Intestinal Inflammatory Fibrosis.

Cell Mol Gastroenterol Hepatol. 2024

[6]
The role of cytokine and immune responses in intestinal fibrosis.

J Dig Dis. 2020-6

[7]
Role of non-inflammatory factors in intestinal fibrosis.

J Dig Dis. 2020-6

[8]
Preventing fibrosis in IBD: update on immune pathways and clinical strategies.

Expert Rev Clin Immunol. 2024-7

[9]
Cellular and Molecular Mechanisms of Intestinal Fibrosis.

Gut Liver. 2023-5-15

[10]
Metabolic modulation during intestinal fibrosis.

J Dig Dis. 2020-6

引用本文的文献

[1]
Pathophysiology of anastomotic stricture following rectal anastomosis: Insights into mechanisms, risk factors, and preventive strategies.

World J Gastrointest Pathophysiol. 2025-6-22

[2]
Intestinal Fibrosis in Crohn's Disease: Pathophysiology, Diagnosis, and New Therapeutic Targets.

J Clin Med. 2025-6-8

[3]
Disease-Specific Novel Role of Growth Differentiation Factor 15 in Organ Fibrosis.

Int J Mol Sci. 2025-6-14

[4]
Circulating RIPK3 level predicts all-cause mortality in patients on maintenance hemodialysis: a 4-year prospective cohort study.

BMC Nephrol. 2025-5-27

[5]
Comparative gastrointestinal organoid models across species: A Zoobiquity approach for precision medicine.

Regen Ther. 2025-1-8

本文引用的文献

[1]
Fibrosis in IBD: from pathogenesis to therapeutic targets.

Gut. 2024-4-5

[2]
Interleukin-34 Mediates Cross-Talk Between Stromal Cells and Immune Cells in the Gut.

Front Immunol. 2022

[3]
Intestinal Fibrosis in Inflammatory Bowel Disease and the Prospects of Mesenchymal Stem Cell Therapy.

Front Immunol. 2022

[4]
Role of TGF-Beta Signaling in Beta Cell Proliferation and Function in Diabetes.

Biomolecules. 2022-2-26

[5]
The Molecular Mechanisms of Intestinal Inflammation and Fibrosis in Crohn's Disease.

Front Physiol. 2022-2-11

[6]
Expression of Fibrosis-Related Genes in Liver and Kidney Fibrosis in Comparison to Inflammatory Bowel Diseases.

Cells. 2022-1-18

[7]
GDF10 inhibits cell proliferation and epithelial-mesenchymal transition in nasopharyngeal carcinoma by the transforming growth factor-β/Smad and NF-κB pathways.

Carcinogenesis. 2022-3-24

[8]
Immunological Regulation of Intestinal Fibrosis in Inflammatory Bowel Disease.

Inflamm Bowel Dis. 2022-3-2

[9]
Revisiting fibrosis in inflammatory bowel disease: the gut thickens.

Nat Rev Gastroenterol Hepatol. 2022-3

[10]
Diet in Intestinal Fibrosis: A Double-Edged Sword.

Nutrients. 2021-9-9

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