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短链脂肪酸在炎症性肠病中的治疗和免疫效应:系统评价。

Therapeutic and Immunologic Effects of Short-Chain Fatty Acids in Inflammatory Bowel Disease: A Systematic Review.

机构信息

Molecular and Mitochondrial Medicine Research Group, School of Medicine and Health Sciences, Catholic University of Valencia San Vicente Mártir, C/Quevedo No. 2, 46001 Valencia, Spain.

Translational Research Center San Alberto Magno CITSAM, Catholic University of Valencia San Vicente Mártir, C/Quevedo No. 2, 46001 Valencia, Spain.

出版信息

Int J Mol Sci. 2024 Oct 10;25(20):10879. doi: 10.3390/ijms252010879.

DOI:10.3390/ijms252010879
PMID:39456661
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11506931/
Abstract

Inflammatory bowel disease is a chronic condition characterized by recurrent intestinal inflammation. Its etiopathogenesis is driven by a series of events that disrupt the mucosal barrier, alter the healthy balance of intestinal microbiota, and abnormally stimulate intestinal immune responses. Therefore, numerous studies suggest the use of short-chain fatty acids and their immunomodulatory effects as a therapeutic approach in this disease. The objective of this systematic review was to synthesize previous evidence on the relevance and therapeutic use of short-chain fatty acids, particularly butyrate, in the immune regulation of inflammatory bowel disease. This systematic review of articles linking inflammatory bowel disease with short-chain fatty acids was conducted according to the PRISMA-2020 guidelines. The Medline and the Web of Science databases were searched in August 2024. The risk of bias was assessed using the Joanna Briggs Institute checklists. A total of 1460 articles were reviewed, of which, 29 met the inclusion criteria. Short-chain fatty acids, particularly butyrate, play a critical role in the regulation of intestinal inflammation and can be used as a strategy to increase the levels of short-chain fatty acid-producing bacteria for use in therapeutic approaches.

摘要

炎症性肠病是一种慢性疾病,其特征是反复发作的肠道炎症。其发病机制是一系列破坏黏膜屏障、改变肠道微生物群健康平衡、异常刺激肠道免疫反应的事件驱动的。因此,许多研究表明,短链脂肪酸及其免疫调节作用可作为该疾病的一种治疗方法。本系统评价的目的是综合以前关于短链脂肪酸(特别是丁酸盐)在炎症性肠病免疫调节中的相关性和治疗用途的证据。根据 PRISMA-2020 指南对将炎症性肠病与短链脂肪酸联系起来的文章进行了系统评价。于 2024 年 8 月在 Medline 和 Web of Science 数据库中进行了检索。使用 Joanna Briggs 研究所清单评估了偏倚风险。共审查了 1460 篇文章,其中 29 篇符合纳入标准。短链脂肪酸,特别是丁酸盐,在调节肠道炎症中起着关键作用,可以用作增加产生短链脂肪酸的细菌水平的策略,用于治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ca/11506931/594eb3587109/ijms-25-10879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ca/11506931/ef2d280fbba2/ijms-25-10879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ca/11506931/594eb3587109/ijms-25-10879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ca/11506931/ef2d280fbba2/ijms-25-10879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ca/11506931/594eb3587109/ijms-25-10879-g002.jpg

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