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炎症性肠病中的肠壁功能障碍:病理生理学到精确治疗学
Balachandar Selvakumar1, Rani Samsudin1,2
1Microbiota Research Group, Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah 27272, United Arab Emirates.
炎症性肠病 (IBD) 涉及肠道屏障功能障碍,增加肠道透性和炎症. 本综述探讨了IBD的原因,生物标志物和针对肠道屏障恢复的治疗方法,以获得更好的患者结果.
科学领域:
- 胃肠道学和免疫学
背景情况:
- 炎症性肠病 (IBD),包括克罗恩氏病和性结肠炎,以慢性肠道炎症和肠壁功能障碍为标志.
- 这种功能障碍增加了肠道的透性,允许有害物质加剧炎症并导致系统性问题.
研究的目的:
- 综合审查肠道屏障功能障碍在IBD病变发生,严重程度和肠外并发症中的作用.
- 检查IBD的诊断生物标志物和肠道屏障恢复的治疗策略.
主要方法:
- 文献综述分析了IBD肠道屏障功能障碍的机制.
- 评估当前和新兴的诊断生物标志物 (例如,佐努林,便calprotectin,微生物特征).
- 针对肠道屏障恢复的治疗策略的批判性讨论.
主要成果:
- 肠道屏障功能障碍是多因素的,涉及遗传学,免疫失调,紧密结节变化和微生物群失衡.
- 诊断生物标志物在标准化和临床翻译方面面临挑战.
- 治疗策略包括抗炎药物,饮食改变和针对微生物群的治疗方法.
结论:
- 仍然存在关键的研究差距,即障碍功能障碍是IBD的原因还是结果,生物标志物标准化和治疗翻译.
- 多学科研究和先进技术对于个性化IBD治疗和改善患者治疗结果至关重要.
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