College of Public Health, Medical, and Veterinary Sciences (CPHMVS), Cairns campus, James Cook University, QLD 4878, Australia; Australian Institute of Tropical Health and Medicine (AITHM), Cairns campus, James Cook University, QLD 4878, Australia.
College of Public Health, Medical, and Veterinary Sciences (CPHMVS), Cairns campus, James Cook University, QLD 4878, Australia; Australian Institute of Tropical Health and Medicine (AITHM), Cairns campus, James Cook University, QLD 4878, Australia.
Trends Pharmacol Sci. 2024 Oct;45(10):892-903. doi: 10.1016/j.tips.2024.08.003. Epub 2024 Sep 10.
Ulcerative colitis (UC) is one of the two forms of inflammatory bowel disease. It affects 5 million people globally, and is a chronic and recurring inflammation of the gastrointestinal tract with clinical presentation of abdominal pain, chronic diarrhea, rectal bleeding, and weight loss. The cause and the etiology of UC remain poorly understood. There is no cure and no 'gold standard diagnostic' for UC. The existing treatments are ineffective, and UC patients have a lower life expectancy with a risk of colorectal cancer. Recent studies in pathophysiology, clinical presentation, and biomarkers have significantly improved our understanding of UC. In this review we summarize recent advances in identifying novel clinical biomarkers, diagnostics, treatment targets, and emerging therapeutics. These insights are expected to assist in developing effective treatments for UC.
溃疡性结肠炎(UC)是炎症性肠病的两种形式之一。它影响全球 500 万人,是一种胃肠道的慢性复发性炎症,临床表现为腹痛、慢性腹泻、直肠出血和体重减轻。UC 的病因和发病机制仍不清楚。目前尚无治愈方法,也没有 UC 的“金标准诊断”。现有的治疗方法无效,UC 患者的预期寿命较短,且有结直肠癌的风险。最近在病理生理学、临床表现和生物标志物方面的研究极大地提高了我们对 UC 的认识。在这篇综述中,我们总结了识别新型临床生物标志物、诊断、治疗靶点和新兴治疗方法的最新进展。这些见解有望帮助开发针对 UC 的有效治疗方法。