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以微生物致病机制为靶点的炎症性肠病新型治疗策略。

Targeting microbial pathogenic mechanisms as a novel therapeutic strategy in IBD.

机构信息

Lighthouse Biopharma Consulting, LLC, 39 Emerald Glen Lane, Salem, CT, 06420, USA.

出版信息

Mol Med. 2024 Aug 13;30(1):122. doi: 10.1186/s10020-024-00840-9.

DOI:10.1186/s10020-024-00840-9
PMID:39135000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321147/
Abstract

BACKGROUND

Current therapy for patients suffering from inflammatory bowel diseases (IBD) is focused on inflammatory mechanisms exclusively and not the dysbiotic microbiota, despite growing evidence implicating a role for intestinal microbes in disease.

MAIN BODY

Ongoing research into the intestinal microbiota of IBD patients, using new technologies and/or deeper application of existing ones, has identified a number of microorganisms whose properties and behaviors warrant consideration as causative factors in disease. Such studies have implicated both bacteria and fungi in the pathogenesis of disease. Some of these organisms manifest mechanisms that should be amenable to therapeutic intervention via either conventional or novel drug discovery platforms. Of particular note is a deeper characterization of microbial derived proteases and their destructive potential.

CONCLUSION

Given the steady progress on the mechanistic role of the microbiota in inflammatory diseases, it is reasonable to anticipate a future in which therapeutics targeting microbial derived pathogenic factors play an important role in improving the lives of IBD patients.

摘要

背景

目前,炎症性肠病 (IBD) 患者的治疗方法仅专注于炎症机制,而不是针对肠道失调的微生物群,尽管越来越多的证据表明肠道微生物在疾病中起作用。

主要内容

使用新技术和/或更深入地应用现有技术对 IBD 患者的肠道微生物群进行的持续研究,已经确定了许多微生物,其特性和行为值得考虑作为疾病的致病因素。这些研究表明,细菌和真菌都与疾病的发病机制有关。其中一些生物体表现出的机制应该可以通过传统或新型药物发现平台进行治疗干预。值得特别注意的是,对微生物衍生蛋白酶及其破坏潜力的更深入表征。

结论

鉴于在微生物群在炎症性疾病中的作用的机制方面取得的稳步进展,可以合理地预期,针对微生物衍生的致病因子的治疗方法将在改善 IBD 患者的生活方面发挥重要作用。

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本文引用的文献

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Efficacy and safety of fecal microbiota transplantation in the treatment of ulcerative colitis: a systematic review and meta-analysis.粪便微生物群移植治疗溃疡性结肠炎的疗效和安全性:系统评价和荟萃分析。
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Bacteriophage therapy against pathological Klebsiella pneumoniae ameliorates the course of primary sclerosing cholangitis.噬菌体治疗对病理性肺炎克雷伯菌的影响可改善原发性硬化性胆管炎的病程。
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Evidence for a Causal Role for Escherichia coli Strains Identified as Adherent-Invasive (AIEC) in Intestinal Inflammation.证据表明,黏附侵袭性(AIEC)大肠杆菌菌株在肠道炎症中起因果作用。
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Safety and Efficacy of an AIEC-targeted Bacteriophage Cocktail in a Mice Colitis Model.AIEC 靶向噬菌体鸡尾酒在小鼠结肠炎模型中的安全性和疗效。
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Targeted suppression of human IBD-associated gut microbiota commensals by phage consortia for treatment of intestinal inflammation.靶向抑制人类 IBD 相关肠道微生物共生体的噬菌体组合治疗肠道炎症。
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Nature. 2022 Mar;603(7902):672-678. doi: 10.1038/s41586-022-04502-w. Epub 2022 Mar 16.
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Chronic liver disease enables gut Enterococcus faecalis colonization to promote liver carcinogenesis.慢性肝病使肠道粪肠球菌定植,从而促进肝癌的发生。
Nat Cancer. 2021 Oct;2(10):1039-1054. doi: 10.1038/s43018-021-00251-3. Epub 2021 Sep 27.
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Nat Microbiol. 2022 Feb;7(2):262-276. doi: 10.1038/s41564-021-01050-3. Epub 2022 Jan 27.
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