Kasti Arezina, Katsas Konstantinos, Nikolaki Maroulla D, Triantafyllou Konstantinos
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.
Microorganisms. 2025 Jan 15;13(1):171. doi: 10.3390/microorganisms13010171.
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.
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。
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