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直觉:生物标志物和生物传感器在革新炎症性肠病(IBD)诊断和预后方面的潜力——全面综述

Gut Feeling: Biomarkers and Biosensors' Potential in Revolutionizing Inflammatory Bowel Disease (IBD) Diagnosis and Prognosis-A Comprehensive Review.

作者信息

Teixeira Beatriz, Gonçalves Helena M R, Martins-Lopes Paula

机构信息

DNA & RNA Sensing Lab, Department of Genetics and Biotechnology, Universidade de Trás-os-Montes e Alto Douro, 5000-901 Vila Real, Portugal.

BioISI-Instituto de Biosistemas e Ciências Integrativas, Faculdade de Ciências, Universidade de Lisboa, 1749-016 Lisboa, Portugal.

出版信息

Biosensors (Basel). 2025 Aug 7;15(8):513. doi: 10.3390/bios15080513.

Abstract

Inflammatory Bowel Diseases (IBDs) are complex, multifactorial disorders with no known cure, necessitating lifelong care and often leading to surgical interventions. This ongoing healthcare requirement, coupled with the increased use of biological drugs and rising disease prevalence, significantly increases the financial burden on the healthcare systems. Thus, a number of novel technological approaches have emerged in order to face some of the pivotal questions still associated with IBD. In navigating the intricate landscape of IBD, biosensors act as indispensable allies, bridging the gap between traditional diagnostic methods and the evolving demands of precision medicine. Continuous progress in biosensor technology holds the key to transformative breakthroughs in IBD management, offering more effective and patient-centric healthcare solutions considering the One Health Approach. Here, we will delve into the landscape of biomarkers utilized in the diagnosis, monitoring, and management of IBD. From well-established serological and fecal markers to emerging genetic and epigenetic markers, we will explore the role of these biomarkers in aiding clinical decision-making and predicting treatment response. Additionally, we will discuss the potential of novel biomarkers currently under investigation to further refine disease stratification and personalized therapeutic approaches in IBD. By elucidating the utility of biosensors across the spectrum of IBD care, we aim to highlight their importance as valuable tools in optimizing patient outcomes and reducing healthcare costs.

摘要

炎症性肠病(IBD)是复杂的多因素疾病,目前尚无治愈方法,需要终身护理,且常常需要进行手术干预。这种持续的医疗需求,加上生物药物使用的增加和疾病患病率的上升,显著增加了医疗系统的经济负担。因此,为了应对一些仍与IBD相关的关键问题,出现了许多新颖的技术方法。在探索IBD错综复杂的领域时,生物传感器作为不可或缺的助力,弥合了传统诊断方法与精准医学不断变化的需求之间的差距。生物传感器技术的持续进步是IBD管理实现变革性突破的关键,考虑到“同一健康”方法,可提供更有效且以患者为中心的医疗解决方案。在此,我们将深入探讨用于IBD诊断、监测和管理的生物标志物领域。从成熟的血清学和粪便标志物到新兴的基因和表观遗传标志物,我们将探索这些生物标志物在辅助临床决策和预测治疗反应方面的作用。此外,我们还将讨论目前正在研究的新型生物标志物在进一步优化IBD疾病分层和个性化治疗方法方面的潜力。通过阐明生物传感器在IBD护理各个方面的效用,我们旨在强调它们作为优化患者治疗效果和降低医疗成本的宝贵工具的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/12384142/13c6feb3f11b/biosensors-15-00513-g001.jpg

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