性食道炎和食道微生物群
Xiaohan Zhang1,2, Nana Zhang1, Zikai Wang1,3
1Microbiota Division, Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
Frontiers in cellular and infection microbiology
|August 21, 2023
概括
性食道炎 (EoE) 涉及食道微生物组的变化,患者观察到血的增加和Firmicutes的减少. 本综述探讨了这些微生物转变如何驱动EoE病变和炎症.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 性食道炎 (EoE) 是一种日益严重的慢性炎症性食道疾病.
- 它的致病性仍然不清楚,但食道微生物群越来越被认为是关键的调节者.
- 对EoE及其相关微生物群的研究是一个快速扩展的领域.
研究的目的:
- 审查对食道微生物群的现有研究.
- 探索微生物群介导的EOE的潜在机制.
- 了解EoE与食道微生物组之间的相互作用.
主要方法:
- 关于EoE和食道微生物群的已发表研究的文献综述.
- 对EoE患者微生物组成和多样性的发现进行分析.
- 综合关于微生物群在EoE病原和免疫反应中的作用的证据.
主要成果:
- 在EoE患者中观察到食道微生物组的变化,特别是Hemophilus的增加和Firmicutes的减少.
- 虽然α多样性可能没有显著差异,但特定的细菌变化与EoE有关.
- 微生物透可以激活食道细胞和免疫反应,导致炎症.
结论:
- 食道微生物群在EoE的启动和延续中发挥着重要作用.
- 免疫通路,包括收费类受体,都与微生物群驱动的EoE进展有关.
- 像PPI和皮质类固醇这样的治疗方法可能会调节食道微生物群,但需要进一步研究.
相关概念视频
Esophageal Strictures-I: Introduction
139
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
139
Barrett Esophagus-II: Clinical Manifestations and Management
192
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
192
Barrett Esophagus-I: Introduction
123
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
123
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
349
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
349
What is Monogastric Digestion?
71.5K
The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
71.5K
Esophagus
998
The esophagus, a muscular conduit linking the pharynx and stomach, measures roughly 10 inches (25.4 cm) and sits behind the trachea. It remains collapsed when not swallowing. The esophagus follows a predominantly straight path through the thoracic mediastinum and enters the abdominal cavity through a diaphragmatic opening known as the esophageal hiatus.
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...
998


