在肠道脑轴调节和易怒肠综合征进展之间交叉交谈期间的分子信号:综合性综述
Shiv Vardan Singh1, Risha Ganguly1, Kritika Jaiswal1
1Department of Biochemistry, University of Allahabad, Allahabad (Prayagraj) 211002, Uttar Pradesh, India.
World journal of clinical cases
|July 20, 2023
概括
刺激性肠综合征 (IBS) 涉及肠道大脑轴 (GBA). 肠道微生物群和神经递质如血清素显著影响IBS病理生理学,需要进一步研究向疗法.
科学领域:
- 胃肠病学 胃肠病学
- 神经胃肠病学 神经胃肠病学
- 微生物组研究 微生物组研究
背景情况:
- 刺激性肠综合征 (IBS) 是一种影响健康的慢性功能性胃肠疾病.
- 肠胃综合症的病理生理学是复杂的,肠脑轴 (GBA) 被确定为一个关键的病因因素.
- 在IBS的临床异常包括内脏过敏,改变肠道运动性和自主神经系统功能障碍.
研究的目的:
- 审查肠道微生物群和肠道大脑轴在IBS中的作用.
- 总结信号通路,调节器和IBS当前的治疗方法.
- 确定改善IBS管理的研究缺口.
主要方法:
- 审查关于IBS,肠道微生物群和肠道大脑轴的现有科学文献.
- 分析涉及动物模型 (正常和无细菌) 和人类数据的研究.
- 检查神经递质,特别是血清素在IBS中的作用.
主要成果:
- 肠道微生物群的组成和多样性在IBS病因学中起着关键作用.
- 在GBA内部的双向信号受微生物群,饮食和心理因素的影响.
- 血清素 (5-基胺) 是一个关键的神经递质,调节肠道功能和IBS的疼痛.
结论:
- 了解GBA中的相互连接信号对于IBS管理至关重要.
- 需要进一步的研究来开发IBS的新和向疗法.
- 肠道微生物群及其与大脑的相互作用是IBS病理生理学的核心.
相关概念视频
Irritable Bowel Syndrome I: Introduction
321
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
194
Drugs for Treatment of Diarrhea-Predominant IBS
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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
216
Chronic Bowel Disorders: Introduction
489
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
489
Irritable Bowel Syndrome III: Medical and Nursing Management
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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Drugs for Treatment of Constipation-Predominant IBS
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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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