Department of Rehabilitation, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, PR China.
Department of Chemistry and Biochemistry, College of Medicine, University of Fallujah, Fallujah, Iraq.
Int Immunopharmacol. 2024 Aug 20;137:112486. doi: 10.1016/j.intimp.2024.112486. Epub 2024 Jun 19.
The two primary forms of inflammatory disorders of the small intestine andcolon that make up inflammatory bowel disease (IBD) are ulcerative colitis (UC) and Crohn's disease (CD). While ulcerative colitis primarily affects the colon and the rectum, CD affects the small and large intestines, as well as the esophagus,mouth, anus, andstomach. Although the etiology of IBD is not completely clear, and there are many unknowns about it, the development, progression, and recurrence of IBD are significantly influenced by the activity of immune system cells, particularly lymphocytes, given that the disease is primarily caused by the immune system stimulation and activation against gastrointestinal (GI) tract components due to the inflammation caused by environmental factors such as viral or bacterial infections, etc. in genetically predisposed individuals. Maintaining homeostasis and the integrity of the mucosal barrier are critical in stopping the development of IBD. Specific immune system cells and the quantity of secretory mucus and microbiome are vital in maintaining this stability. Th22 cells are helper T lymphocyte subtypes that are particularly important for maintaining the integrity and equilibrium of the mucosal barrier. This review discusses the most recent research on these cells' biology, function, and evolution and their involvement in IBD.
两种主要形式的小肠和结肠炎症性疾病构成了炎症性肠病(IBD),即溃疡性结肠炎(UC)和克罗恩病(CD)。虽然溃疡性结肠炎主要影响结肠和直肠,但 CD 影响小肠和大肠,以及食管、口腔、肛门和胃。尽管 IBD 的病因尚不完全清楚,还有很多未知因素,但鉴于该疾病主要是由免疫系统对胃肠道(GI)道成分的刺激和激活引起的,因此免疫系统细胞的活性,特别是淋巴细胞,对 IBD 的发展、进展和复发有显著影响,这是由于遗传易感性个体的环境因素(如病毒或细菌感染等)引起的炎症。维持黏膜屏障的内稳态和完整性对于阻止 IBD 的发展至关重要。特定的免疫系统细胞以及分泌黏液和微生物组的数量对于维持这种稳定性至关重要。Th22 细胞是辅助性 T 淋巴细胞亚型,对于维持黏膜屏障的完整性和平衡尤为重要。本综述讨论了这些细胞的生物学、功能和进化及其在 IBD 中的作用的最新研究。