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辐射引起的肠损伤:从分子机制到临床翻译
Wenjue Wu1, Yubo Cai1, Zhi Yang1
1Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
辐射诱导肠道损伤 (RIII) 影响放射治疗患者,导致急性和慢性症状. 本综述探讨了RIII机制,生物标志物和治疗方法,包括天然化合物和新兴治疗方法,以改善患者的治疗结果.
科学领域:
- 胃肠道学和瘤学
- 辐射生物学 辐射生物学
- 翻译医学是一种翻译医学.
背景情况:
- 辐射引起的肠损伤 (RIII) 呈现急性和慢性症状,显著降低了放射治疗患者的生活质量.
- 目前对RIII的分子机制,诊断工具和治疗方法的了解有限,这阻碍了有效的患者管理.
- 对RIII.III进行改进的诊断和治疗策略有极大的需要.
研究的目的:
- 系统地审查RIII的致病性,重点关注免疫失调,表观遗传变化和肠道微生物群.
- 讨论潜在的生物标志物 (例如,miRNA,FABPs) 和治疗方法,包括放射保护剂,辐射减轻剂,天然化合物和新型干预措施.
- 总结最近临床翻译的进展,并提出RIII管理的未来研究方向.
主要方法:
- 对RIII病原,生物标志物和治疗方法的系统文献综述.
- 分析分子和细胞机制,包括免疫反应,表观遗传学和微生物群.
- 评估当前和新兴的治疗策略,天然产品和临床翻译.
主要成果:
- RIII病原发生涉及复杂的相互作用,包括辐射诱导的免疫失调,表观遗传变化和肠道微生物群失调.
- 像miRNA和FABP这样的潜在生物标志物显示出希望,但需要进一步验证临床适用性.
- 治疗策略包括辐射保护剂,辐射减轻剂,天然植物衍生化合物,TCM,干细胞治疗和微生物群移植.
结论:
- 解决RIII需要对其潜在机制有更深入的了解,以及开发敏感的诊断工具和有效的治疗方法.
- 自然产品和像干细胞移植这样的新兴疗法为RIII管理提供了有前途的途径.
- 未来的研究应该专注于完善风险分层,使早期干预成为可能,并加速临床转化,以改善被辐射患者的长期结果.
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