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NLRP3炎性小体在肠易激综合征中的作用及调控:一项叙述性综述

The Role and the Regulation of NLRP3 Inflammasome in Irritable Bowel Syndrome: A Narrative Review.

作者信息

Kasti Arezina, Katsas Konstantinos, Nikolaki Maroulla D, Triantafyllou Konstantinos

机构信息

Department of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.

Hepatogastroenterology Unit, 2nd Department of Internal Propaedeutic Medicine, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, 12462 Athens, Greece.

出版信息

Microorganisms. 2025 Jan 15;13(1):171. doi: 10.3390/microorganisms13010171.


DOI:10.3390/microorganisms13010171
PMID:39858939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11767632/
Abstract

Irritable bowel syndrome (IBS) is a chronic disorder of the gastrointestinal tract. Its pathogenesis involves multiple factors, including visceral hypersensitivity and immune activation. NLRP3 inflammasome is part of the nucleotide-binding oligomerization domain-like receptor (NLR) family, a crucial component of the innate immune system. Preclinical studies have demonstrated that inhibiting NLRP3 reduces visceral sensitivity and IBS symptoms, like abdominal pain, and diarrhea, suggesting that targeting the NLRP3 might represent a novel therapeutic approach for IBS. This review aims to assess the NLRP3 inhibitors (tranilast, β-hydroxybutyrate, Chang-Kang-fang, paeoniflorin, coptisine, BAY 11-7082, and , highlighting the signaling pathways, and their potential role in IBS symptoms management was assessed. Although premature, knowledge of the action of synthetic small molecules, phytochemicals, organic compounds, and probiotics might make NLRP3 a new therapeutic target in the quiver of physicians' therapeutic choices for IBS symptoms management.

摘要

肠易激综合征(IBS)是一种胃肠道慢性疾病。其发病机制涉及多种因素,包括内脏高敏感性和免疫激活。NLRP3炎性小体是核苷酸结合寡聚化结构域样受体(NLR)家族的一部分,是固有免疫系统的关键组成部分。临床前研究表明,抑制NLRP3可降低内脏敏感性和IBS症状,如腹痛和腹泻,这表明靶向NLRP3可能是IBS的一种新型治疗方法。本综述旨在评估NLRP3抑制剂(曲尼司特、β-羟基丁酸、肠康方、芍药苷、黄连碱、BAY 11-7082等),强调信号通路,并评估它们在IBS症状管理中的潜在作用。尽管为时过早,但了解合成小分子、植物化学物质、有机化合物和益生菌的作用可能会使NLRP3成为医生治疗IBS症状的治疗选择中的一个新的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/11767632/19ca532757ed/microorganisms-13-00171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/11767632/19ca532757ed/microorganisms-13-00171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9078/11767632/19ca532757ed/microorganisms-13-00171-g001.jpg

相似文献

[1]
The Role and the Regulation of NLRP3 Inflammasome in Irritable Bowel Syndrome: A Narrative Review.

Microorganisms. 2025-1-15

[2]
Tranilast alleviates visceral hypersensitivity and colonic hyperpermeability by suppressing NLRP3 inflammasome activation in irritable bowel syndrome rat models.

Int Immunopharmacol. 2024-5-30

[3]
Chang-Kang-Fang alleviates diarrhea predominant irritable bowel syndrome (IBS-D) through inhibiting TLR4/NF-κB/NLRP3 pathway.

J Ethnopharmacol. 2024-8-10

[4]
Role of NLRP3 inflammasome in Bifidobacterium longum-regulated visceral hypersensitivity of postinfectious irritable bowel syndrome.

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[5]
Modulation of NLRP3 Inflammasome Attenuated Inflammatory Response Associated to Diarrhea-Predominant Irritable Bowel Syndrome.

Biomedicines. 2020-11-20

[6]
[Long-term probiotic administration for irritable bowel syndrome: a legal need].

Ter Arkh. 2023-10-11

[7]
Adenosine A Receptors: An Optional Target for the Management of Irritable Bowel Syndrome with Diarrhea?

J Clin Med. 2017-11-3

[8]
A randomized double-blind, placebo-controlled trial to evaluate the safety and efficacy of live CECT 7347 (ES1) and heat-treated CECT 7347 (HT-ES1) in participants with diarrhea-predominant irritable bowel syndrome.

Gut Microbes. 2024

[9]
Chemical profiles and pharmacological activities of Chang-Kang-Fang, a multi-herb Chinese medicinal formula, for treating irritable bowel syndrome.

J Ethnopharmacol. 2017-4-6

[10]
Paeoniflorin alleviates inflammatory response in IBS-D mouse model via downregulation of the NLRP3 inflammasome pathway with involvement of miR-29a.

Heliyon. 2022-12-15

引用本文的文献

[1]
Wuling powder ameliorates diarrhea-predominant irritable bowel syndrome in mice by modulating gut mucosal microbiota and alleviating intestinal inflammation.

Front Cell Infect Microbiol. 2025-8-14

[2]
The road to Rome IV and beyond: Evolution, refinements and future considerations for the Rome criteria for functional gastrointestinal disorders.

Indian J Gastroenterol. 2025-7-4

本文引用的文献

[1]
Inflammasomes in Intestinal Disease: Mechanisms of Activation and Therapeutic Strategies.

Int J Mol Sci. 2024-12-4

[2]
Pomegranate Peel Extract Mitigates Diarrhea-Predominant Irritable Bowel Syndromes via MAPK and NF-κB Pathway Modulation in Rats.

Nutrients. 2024-11-11

[3]
Bay 11-7082 mitigates oxidative stress and mitochondrial dysfunction via NLRP3 inhibition in experimental diabetic neuropathy.

Life Sci. 2024-12-15

[4]
Gut instinct: harnessing the power of probiotics to tame pathogenic signaling pathways in ulcerative colitis.

Front Med (Lausanne). 2024-9-11

[5]
Prevalence of Irritable Bowel Syndrome (IBS) in the Arab World: A Systematic Review.

Cureus. 2024-7-26

[6]
Probiotics suppress LL37 generated rosacea-like skin inflammation by modulating the TLR2/MyD88/NF-κB signaling pathway.

Food Funct. 2024-8-27

[7]
Coptisine alleviates colitis through modulating gut microbiota and inhibiting TXNIP/NLRP3 inflammasome.

J Ethnopharmacol. 2024-12-5

[8]
Protective effects of nordalbergin against LPS-induced endotoxemia through inhibiting MAPK/NF-κB signaling pathway, NLRP3 inflammasome activation, and ROS production.

Inflamm Res. 2024-10

[9]
IκBα kinase inhibitor BAY 11-7082 promotes anti-tumor effect in RAS-driven cancers.

J Transl Med. 2024-7-9

[10]
The TLR4/NF-κB/NLRP3 and Nrf2/HO-1 pathways mediate the neuroprotective effects of alkaloids extracted from Uncaria rhynchophylla in Parkinson's disease.

J Ethnopharmacol. 2024-10-28

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