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溃疡性结肠炎:治愈时间表。

Ulcerative colitis: Timeline to a cure.

作者信息

Pravda Jay

机构信息

Department of Disease Pathogenesis, Inflammatory Disease Research Centre, Palm Beach Gardens, FL 33410, United States.

出版信息

World J Gastroenterol. 2025 Jul 14;31(26):108375. doi: 10.3748/wjg.v31.i26.108375.

Abstract

Ulcerative colitis has baffled researchers since the early 20 century. The prevailing explanation attributes the chronic recurring episodes of bloody diarrhea and abdominal pain to some form of immune abnormality, despite the lack of supporting evidence. This highlights the critical need for innovative research directions and methodologies to uncover the cause and develop a cure for this disease. By analyzing existing data from less than a dozen previously published studies, a novel, evidence-based pathogenesis was constructed, implicating colonic epithelial hydrogen peroxide as a causal factor in the development of this disease. This newly identified mechanism informed the creation of a groundbreaking class of therapeutics, known as reducing agents, which have demonstrated remarkable success in resolving colonic inflammation and restoring colonic health in patients with refractory ulcerative colitis. This paper outlines the timeline of these publications and reinterprets the findings within the context of contemporary biomedical science.

摘要

自20世纪初以来,溃疡性结肠炎一直困扰着研究人员。尽管缺乏确凿证据,但普遍的解释是,将反复出现的血性腹泻和腹痛归因于某种形式的免疫异常。这凸显了迫切需要创新的研究方向和方法来揭示病因并找到治愈这种疾病的方法。通过分析此前发表的不到十二项研究中的现有数据,构建了一种基于证据的新发病机制,认为结肠上皮过氧化氢是该疾病发展的一个致病因素。这一新发现的机制为一类开创性的治疗药物——还原剂的研发提供了依据,这类药物在治疗难治性溃疡性结肠炎患者的结肠炎症和恢复结肠健康方面已取得显著成效。本文概述了这些出版物的时间线,并在当代生物医学科学的背景下重新解读了研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eac/12264756/f7ae64923d97/wjg-31-26-108375-g001.jpg

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