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解析自噬调节在克罗恩病中的作用:从遗传机制到潜在治疗方法

Unraveling the role of autophagy regulation in Crohn's disease: from genetic mechanisms to potential therapeutics.

作者信息

Yuan Ziyue, Ye Jing, Liu Bo, Zhang Lan

机构信息

Sichuan Engineering Research Center for Biomimetic Synthesis of Natural Drugs, School of Life Science and Engineering, Southwest Jiaotong University, Chengdu, 610031, China.

Department of Biotherapy, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Adv Biotechnol (Singap). 2024 Mar 21;2(2):14. doi: 10.1007/s44307-024-00021-z.

DOI:10.1007/s44307-024-00021-z
PMID:39883213
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11740883/
Abstract

Autophagy serves as the primary intracellular degradation mechanism in which damaged organelles and self-cytoplasmic proteins are transported to the lysosome for degradation. Crohn's disease, an idiopathic chronic inflammatory disorder of the gastrointestinal tract, manifests in diverse regions of the digestive system. Recent research suggests that autophagy modulation may be a new avenue for treating Crohn's disease, and several promising small-molecule modulators of autophagy have been reported as therapeutic options. In this review, we discuss in detail how mutations in autophagy-related genes function in Crohn's disease and summarize the modulatory effects on autophagy of small-molecule drugs currently used for Crohn's disease treatment. Furthermore, we delve into the therapeutic potential of small-molecule autophagy inducers on Crohn's disease, emphasizing the prospects for development in this field. We aim to highlight the significance of autophagy modulation in Crohn's disease, with the aspiration of contributing to the development of more efficacious treatments that can alleviate their suffering, and improve their quality of life.

摘要

自噬是主要的细胞内降解机制,受损细胞器和自身细胞质蛋白通过该机制被转运至溶酶体进行降解。克罗恩病是一种胃肠道特发性慢性炎症性疾病,可出现在消化系统的不同部位。最近的研究表明,自噬调节可能是治疗克罗恩病的新途径,并且已有几种有前景的自噬小分子调节剂被报道可作为治疗选择。在本综述中,我们详细讨论了自噬相关基因突变在克罗恩病中的作用机制,并总结了目前用于治疗克罗恩病的小分子药物对自噬的调节作用。此外,我们深入探讨了小分子自噬诱导剂对克罗恩病的治疗潜力,强调了该领域的发展前景。我们旨在突出自噬调节在克罗恩病中的重要性,期望为开发更有效的治疗方法做出贡献,以减轻患者痛苦,提高其生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/a9b5f5af4a15/44307_2024_21_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/0b8f3d33bfe6/44307_2024_21_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/959477ba3fa5/44307_2024_21_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/01f4d5f4c2dd/44307_2024_21_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/8ba14a455c85/44307_2024_21_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/a9b5f5af4a15/44307_2024_21_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/0b8f3d33bfe6/44307_2024_21_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/959477ba3fa5/44307_2024_21_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/01f4d5f4c2dd/44307_2024_21_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/8ba14a455c85/44307_2024_21_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9507/11740883/a9b5f5af4a15/44307_2024_21_Fig5_HTML.jpg

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Cells. 2023 Jul 4;12(13):1779. doi: 10.3390/cells12131779.
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Sulfasalazine induces autophagy inhibiting neointimal hyperplasia following carotid artery injuries in mice.柳氮磺胺吡啶通过诱导自噬抑制小鼠颈动脉损伤后的内膜增生。
Front Bioeng Biotechnol. 2023 May 23;11:1199785. doi: 10.3389/fbioe.2023.1199785. eCollection 2023.
3
Xue-Jie-San prevents the early development of colitis-associated intestinal fibrosis by blocking Notch1 and FGL1 signaling pathways.
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J Ethnopharmacol. 2023 Oct 28;315:116678. doi: 10.1016/j.jep.2023.116678. Epub 2023 May 30.
4
Comparison of Effectiveness and Safety of Ustekinumab and Adalimumab As Induction or Maintenance Therapy in Patients With Moderate to Severe Crohn's Disease: A Systematic Review and Meta-Analysis.乌司奴单抗与阿达木单抗作为中重度克罗恩病患者诱导或维持治疗的有效性及安全性比较:一项系统评价与荟萃分析
Cureus. 2023 Apr 29;15(4):e38277. doi: 10.7759/cureus.38277. eCollection 2023 Apr.
5
Management of Perianal Crohn's Disease.肛周克罗恩病的管理。
Am J Gastroenterol. 2023 Aug 1;118(8):1323-1331. doi: 10.14309/ajg.0000000000002326. Epub 2023 Jun 19.
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Immunomodulators: still having a role?免疫调节剂:仍在发挥作用?
Gastroenterol Rep (Oxf). 2022 Nov 8;10:goac061. doi: 10.1093/gastro/goac061. eCollection 2022.
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PTPN2 in the Immunity and Tumor Immunotherapy: A Concise Review.PTPN2 在免疫和肿瘤免疫治疗中的作用:简要综述。
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