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[儿童肠易激综合征的代谢组学研究进展]

[Research progress of metabolomics in children with irritable bowel syndrome].

作者信息

Chen Xiao-Long, Jiang Mi-Zu

机构信息

Department of Gastroenterology and Pediatric Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health/National Children's Regional Medical Center, Hangzhou 310052, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2024;26(9):989-994. doi: 10.7499/j.issn.1008-8830.2404130.

DOI:10.7499/j.issn.1008-8830.2404130
PMID:39267517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404471/
Abstract

Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder characterized by symptoms such as abdominal pain, diarrhea, constipation, and indigestion. Given its unclear etiology and pathogenesis, and the absence of specific biomarkers, clinical diagnosis and treatment of IBS continue to pose significant challenges. In recent years, metabolomics technology, known for its non-invasive, high-throughput, high-precision, and highly reproducible features, has been widely applied in the diagnosis, treatment, and prognosis of various diseases. Therefore, metabolomics technology is expected to offer novel insights and methodologies for the biological mechanism research, diagnosis, and treatment of IBS. This article reviews recent advancements in the application of metabolomics to IBS, exploring its potential value in the clinical diagnosis and treatment of children with this condition.

摘要

肠易激综合征(IBS)是一种常见的功能性胃肠疾病,其特征为腹痛、腹泻、便秘和消化不良等症状。鉴于其病因和发病机制尚不明确,且缺乏特异性生物标志物,IBS的临床诊断和治疗仍然面临重大挑战。近年来,以无创、高通量、高精度和高重复性为特点的代谢组学技术已广泛应用于各种疾病的诊断、治疗和预后评估。因此,代谢组学技术有望为IBS的生物学机制研究、诊断和治疗提供新的见解和方法。本文综述了代谢组学在IBS应用中的最新进展,探讨其在该病患儿临床诊断和治疗中的潜在价值。

相似文献

1
[Research progress of metabolomics in children with irritable bowel syndrome].[儿童肠易激综合征的代谢组学研究进展]
Zhongguo Dang Dai Er Ke Za Zhi. 2024;26(9):989-994. doi: 10.7499/j.issn.1008-8830.2404130.
2
Effect of Tong Xie Yao Fang on endogenous metabolites in urine of irritable bowel syndrome model rats.痛泻要方对肠易激综合征模型大鼠尿内源性代谢物的影响。
World J Gastroenterol. 2019 Sep 14;25(34):5134-5151. doi: 10.3748/wjg.v25.i34.5134.
3
Metabolomics analysis revealed metabolic changes in patients with diarrhea-predominant irritable bowel syndrome and metabolic responses to a synbiotic yogurt intervention.代谢组学分析揭示了腹泻型肠易激综合征患者的代谢变化以及对共生元酸奶干预的代谢反应。
Eur J Nutr. 2019 Dec;58(8):3109-3119. doi: 10.1007/s00394-018-1855-2. Epub 2018 Nov 3.
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Recent advances in pharmacological treatment of irritable bowel syndrome.肠易激综合征药物治疗的最新进展
World J Gastroenterol. 2014 Jul 21;20(27):8867-85. doi: 10.3748/wjg.v20.i27.8867.
5
Metabolic biomarkers in irritable bowel syndrome diagnosis.肠易激综合征诊断中的代谢生物标志物。
Clin Chim Acta. 2024 Jun 15;560:119753. doi: 10.1016/j.cca.2024.119753. Epub 2024 May 29.
6
Identification of Gut Microbiota and Metabolites Signature in Patients With Irritable Bowel Syndrome.识别肠微生物组和代谢产物特征在肠易激综合征患者中。
Front Cell Infect Microbiol. 2019 Oct 18;9:346. doi: 10.3389/fcimb.2019.00346. eCollection 2019.
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Application of metabolomics to the study of irritable bowel syndrome.代谢组学在肠易激综合征研究中的应用。
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Metabolomics reveals elevated urinary excretion of collagen degradation and epithelial cell turnover products in irritable bowel syndrome patients.代谢组学揭示了肠易激综合征患者尿液中胶原降解和上皮细胞更替产物的排泄增加。
Metabolomics. 2019 May 20;15(6):82. doi: 10.1007/s11306-019-1543-0.
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The role of serum gastric peptide ghrelin hormone level in irritable bowel syndrome at Zagazig University Hospitals.血清胃肽 ghrelin 激素水平在 Zagazig 大学医院肠易激综合征中的作用。
J Med Life. 2022 Dec;15(12):1525-1531. doi: 10.25122/jml-2022-0089.
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Functional constipation masked as irritable bowel syndrome.功能性便秘伪装成肠易激综合征。
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本文引用的文献

1
Faecal and urine metabolites, but not gut microbiota, may predict response to low FODMAP diet in irritable bowel syndrome.粪便和尿液代谢物,但不是肠道微生物群,可能可以预测对肠易激综合征低 FODMAP 饮食的反应。
Aliment Pharmacol Ther. 2023 Aug;58(4):404-416. doi: 10.1111/apt.17609. Epub 2023 Jun 14.
2
Maternal separation leads to dynamic changes of visceral hypersensitivity and fecal metabolomics from childhood to adulthood.母体分离导致内脏敏感性和粪便代谢组学从儿童期到成年期的动态变化。
Sci Rep. 2023 May 11;13(1):7670. doi: 10.1038/s41598-023-34792-7.
3
Changes in signalling from faecal neuroactive metabolites following dietary modulation of IBS pain.肠易激综合征疼痛饮食调节后粪便神经活性代谢产物信号的变化
Gut. 2022 Dec 13. doi: 10.1136/gutjnl-2022-327260.
4
Effects of Chang-Kang-Fang Formula on the Microbiota-Gut-Brain Axis in Rats With Irritable Bowel Syndrome.肠康方对肠易激综合征大鼠微生物群-肠-脑轴的影响
Front Pharmacol. 2022 May 9;13:778032. doi: 10.3389/fphar.2022.778032. eCollection 2022.
5
Integrated fecal microbiome-metabolome signatures reflect stress and serotonin metabolism in irritable bowel syndrome.肠道微生物组-代谢组综合特征反映了肠易激综合征中的应激和 5-羟色胺代谢。
Gut Microbes. 2022 Jan-Dec;14(1):2063016. doi: 10.1080/19490976.2022.2063016.
6
Integrative analysis of the gut microbiome and metabolome in a rat model with stress induced irritable bowel syndrome.应激诱导肠易激综合征大鼠模型的肠道微生物组和代谢组的综合分析。
Sci Rep. 2021 Sep 2;11(1):17596. doi: 10.1038/s41598-021-97083-z.
7
Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis.低 FODMAP 饮食对肠易激综合征的疗效:系统评价和网络荟萃分析。
Gut. 2022 Jun;71(6):1117-1126. doi: 10.1136/gutjnl-2021-325214. Epub 2021 Aug 10.
8
A Distinct Faecal Microbiota and Metabolite Profile Linked to Bowel Habits in Patients with Irritable Bowel Syndrome.与肠易激综合征患者排便习惯相关的独特粪便微生物群和代谢物特征。
Cells. 2021 Jun 10;10(6):1459. doi: 10.3390/cells10061459.
9
Mucosal Biofilms Are an Endoscopic Feature of Irritable Bowel Syndrome and Ulcerative Colitis.黏膜生物膜是肠易激综合征和溃疡性结肠炎的内镜特征。
Gastroenterology. 2021 Oct;161(4):1245-1256.e20. doi: 10.1053/j.gastro.2021.06.024. Epub 2021 Jun 17.
10
Advances in the Study of Metabolomics and Metabolites in Some Species Interactions.代谢组学和一些种间相互作用代谢物研究进展。
Molecules. 2021 May 31;26(11):3311. doi: 10.3390/molecules26113311.