Subramanian Arunkumar, Jahabardeen Afrarahamed, Thamaraikani Tamilanban, Vellapandian Chitra
Department of Pharmacology, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, Chennai 603203, India.
World J Gastroenterol. 2024 Jul 21;30(27):3356-3360. doi: 10.3748/wjg.v30.i27.3356.
The concept of inflammatory bowel disease (IBD), which encompasses Crohn's disease and ulcerative colitis, represents a complex and growing global health concern resulting from a multifactorial etiology. Both dysfunctional autophagy and dysbiosis contribute to IBD, with their combined effects exacerbating the related inflammatory condition. As a result, the existing interconnection between gut microbiota, autophagy, and the host's immune system is a decisive factor in the occurrence of IBD. The factors that influence the gut microbiota and their impact are another important point in this regard. Based on this initial perspective, this manuscript briefly highlighted the intricate interplay between the gut microbiota, autophagy, and IBD pathogenesis. In addition, it also addressed the potential targeting of the microbiota and modulating autophagic pathways for IBD therapy and proposed suggestions for future research within a more specific and expanded context. Further studies are warranted to explore restoring microbial balance and regulating autophagy mechanisms, which may offer new therapeutic avenues for IBD management and to delve into personalized treatment to alleviate the related burden.
炎症性肠病(IBD)的概念涵盖克罗恩病和溃疡性结肠炎,它是一种由多因素病因导致的复杂且日益严重的全球健康问题。自噬功能失调和微生物群失调均会导致IBD,二者的共同作用会加剧相关炎症状态。因此,肠道微生物群、自噬与宿主免疫系统之间现有的相互联系是IBD发病的决定性因素。影响肠道微生物群的因素及其影响是这方面的另一个要点。基于这一初步观点,本手稿简要强调了肠道微生物群、自噬与IBD发病机制之间的复杂相互作用。此外,它还探讨了针对微生物群的潜在靶点以及调节自噬途径用于IBD治疗,并在更具体和更广泛的背景下提出了未来研究的建议。有必要进行进一步研究以探索恢复微生物平衡和调节自噬机制,这可能为IBD管理提供新的治疗途径,并深入研究个性化治疗以减轻相关负担。