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从干细胞衍生的肠道类器官对炎症性肠病建模的见解。

Insights into Modeling Inflammatory Bowel Disease from Stem Cell Derived Intestinal Organoids.

作者信息

Zhao Qi, Shao Miaoli, Ma Lisha, Zhou Renfang

机构信息

The Affiliated Wenling Hospital of Wenzhou Medical University (The First People's Hospital of Wenling), Taizhou, Zhejiang Province, China.

出版信息

Stem Cell Rev Rep. 2025 Apr 29. doi: 10.1007/s12015-025-10887-8.

Abstract

Inflammatory bowel disease (IBD), encompassing Crohn's disease (CD) and ulcerative colitis (UC), is a multifactorial, immune-mediated condition marked by chronic gastrointestinal inflammation. This condition significantly impairs patients' quality of life and represents a major public health challenge globally. Pathogenesis of IBD arises from complex interplay among genetic predisposition, environmental factors, immune dysregulation, and microbial dysbiosis. Although significant strides have been made in unraveling these mechanisms, existing therapeutic options remain inadequate in addressing the full spectrum of clinical needs, underscoring the urgent demand for innovative strategies. Regenerative medicine has emerged as a promising frontier, offering novel tools for therapeutic development. We briefly consolidated current knowledge on IBD pathogenesis and treatments, emphasized the pivotal potential of human intestinal organoids (including adult stem cell-derived organoids and pluripotent stem cell- derived organoids) as a robust platform for mechanistic studies and treatment exploration. Leveraging this technology, we aim to advance personalized and next-generation therapies for IBD.

摘要

炎症性肠病(IBD)包括克罗恩病(CD)和溃疡性结肠炎(UC),是一种多因素、免疫介导的疾病,其特征为慢性胃肠道炎症。这种疾病严重损害患者的生活质量,是全球范围内一项重大的公共卫生挑战。IBD的发病机制源于遗传易感性、环境因素、免疫失调和微生物群落失调之间的复杂相互作用。尽管在揭示这些机制方面已经取得了重大进展,但现有的治疗选择在满足所有临床需求方面仍然不足,这凸显了对创新策略的迫切需求。再生医学已成为一个有前景的前沿领域,为治疗开发提供了新工具。我们简要总结了目前关于IBD发病机制和治疗的知识,强调了人类肠道类器官(包括成体干细胞来源的类器官和多能干细胞来源的类器官)作为机制研究和治疗探索的强大平台的关键潜力。利用这项技术,我们旨在推进IBD的个性化和下一代治疗。

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