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炎症性肠病的双靶向治疗:粪菌移植能否成为其中的重要部分。

Dual-targeted treatment for inflammatory bowel disease: Whether fecal microbiota transplantation can be an important part of it.

机构信息

Department of Gastroenterology, The Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China.

出版信息

World J Gastroenterol. 2024 Sep 28;30(36):4025-4030. doi: 10.3748/wjg.v30.i36.4025.

DOI:10.3748/wjg.v30.i36.4025
PMID:39351254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11439114/
Abstract

Inflammatory bowel disease (IBD) is a chronic gastrointestinal inflammatory disease. With the emergence of biologics and other therapeutic methods, two biologics or one biologic combined with a novel small-molecule drug has been proposed in recent years to treat IBD. Although treatment strategies for IBD are being optimized, their efficacy and risks still warrant further consideration. This editorial explores the current risks associated with dual-targeted treatment for IBD and the great potential that fecal microbiota transplantation (FMT) may have for use in combination therapy for IBD. We are focused on addressing refractory IBD or biologically resistant IBD based on currently available dual-targeted treatment by incorporating FMT as part of this dual-targeted treatment. In this new therapy regimen, FMT represents a promising combination therapy.

摘要

炎症性肠病(IBD)是一种慢性胃肠道炎症性疾病。随着生物制剂和其他治疗方法的出现,近年来提出了使用两种生物制剂或一种生物制剂联合新型小分子药物来治疗 IBD。尽管正在优化 IBD 的治疗策略,但它们的疗效和风险仍需要进一步考虑。本社论探讨了目前与 IBD 的双靶向治疗相关的风险,以及粪便微生物群移植(FMT)在 IBD 联合治疗中的潜在巨大应用价值。我们专注于根据目前可用的双靶向治疗,将 FMT 纳入该双靶向治疗中,来解决难治性 IBD 或生物耐药性 IBD。在这种新的治疗方案中,FMT 代表了一种有前途的联合治疗。

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World J Gastroenterol. 2024 Sep 28;30(36):4025-4030. doi: 10.3748/wjg.v30.i36.4025.
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本文引用的文献

1
Back to the drawing board: Overview of the next generation of combination therapy for inflammatory bowel disease.回到绘图板:炎症性肠病新一代联合治疗概述。
World J Gastroenterol. 2024 Jul 7;30(25):3182-3184. doi: 10.3748/wjg.v30.i25.3182.
2
promotes esophageal squamous cell carcinoma progression and chemoresistance by enhancing the secretion of chemotherapy-induced senescence-associated secretory phenotype via activation of DNA damage response pathway.通过激活 DNA 损伤反应途径,增强化疗诱导的衰老相关分泌表型的分泌,促进食管鳞状细胞癌的进展和化疗耐药性。
Gut Microbes. 2023 Jan-Dec;15(1):2197836. doi: 10.1080/19490976.2023.2197836.
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Cancer Immunotherapy: Fecal Microbiota Transplantation Brings Light.癌症免疫疗法:粪便微生物移植带来曙光。
Curr Treat Options Oncol. 2022 Dec;23(12):1777-1792. doi: 10.1007/s11864-022-01027-2. Epub 2022 Oct 24.
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Gut microbiota influence immunotherapy responses: mechanisms and therapeutic strategies.肠道微生物群影响免疫治疗反应:机制和治疗策略。
J Hematol Oncol. 2022 Apr 29;15(1):47. doi: 10.1186/s13045-022-01273-9.
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Selecting the Best Combined Biological Therapy for Refractory Inflammatory Bowel Disease Patients.为难治性炎症性肠病患者选择最佳联合生物疗法。
J Clin Med. 2022 Feb 18;11(4):1076. doi: 10.3390/jcm11041076.
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Efficacy and Safety of Dual Biologic Therapy in Patients With Inflammatory Bowel Disease: A Review of the Literature.双重生物疗法治疗炎症性肠病患者的疗效与安全性:文献综述
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Novel trends with biologics in inflammatory bowel disease: sequential and combined approaches.炎症性肠病生物制剂的新趋势:序贯和联合治疗方法。
Therap Adv Gastroenterol. 2021 Apr 27;14:17562848211006669. doi: 10.1177/17562848211006669. eCollection 2021.
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Dual Biologic or Small Molecule Therapy for Treatment of Inflammatory Bowel Disease: A Systematic Review and Meta-analysis.双重生物制剂或小分子疗法治疗炎症性肠病:一项系统评价和荟萃分析。
Clin Gastroenterol Hepatol. 2022 Mar;20(3):e361-e379. doi: 10.1016/j.cgh.2021.03.034. Epub 2021 Mar 31.
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Science. 2021 Feb 5;371(6529):595-602. doi: 10.1126/science.abf3363.
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Cancer Res. 2021 Apr 15;81(8):2195-2206. doi: 10.1158/0008-5472.CAN-20-1659. Epub 2021 Jan 22.