克罗恩病中的分子和细胞生物标志物:从致病源到临床应用
Alexander Blagov1, Marina D Sazonova2, Anastasia I Ryzhkova3
1Laboratory of angiopathology, Institute of General Pathology and Pathophysiology, 8, Baltiiskaya Street, 125315 Moscow, Russia. al.blagov2014@gmail.com.
Cellular and molecular biology (Noisy-le-Grand, France)
|December 6, 2025
概括
诊断克罗恩病 (CD) 是很困难的. 本综述探讨了当前和新兴的生物标志物,如微RNA和代谢学,以改善早期检测和个性化治疗这种慢性炎症性肠病.
科学领域:
- 胃肠病学 胃肠病学
- 生物标志物发现发现
- 炎症性肠道疾病研究研究
背景情况:
- 克罗恩氏病 (CD) 是一种慢性炎症性肠病,由于其异质性和重叠的症状,诊断具有挑战性.
- 目前的诊断方法 (临床,内镜,组织学,成像) 通常是侵入性的和耗时的.
- 需要提高诊断准确度和减少侵入性,以便更好地管理患者.
研究的目的:
- 审查用于诊断克罗恩病的已确定的生物标志物.
- 探索具有提高诊断准确性潜力的新和新兴生物标志物.
- 讨论生物标志物的临床实用性和在日常实践中的应用.
主要方法:
- 对克罗恩病当前诊断生物标志物的文献综述.
- 通过基因组学,蛋白质组学和代谢组学识别新兴生物标志物的探索.
- 对生物标志物的性能特征和临床相关性的分析.
主要成果:
- 已知生物标志物包括C反应蛋白,便calprotectin和抗Saccharomyces cerevisiae抗体.
- 新兴的生物标志物包括microRNA面板,代谢学特征和新型炎症媒介.
- 基因组,蛋白质组和代谢组的进步为提高诊断精度提供了有希望的候选人.
结论:
- 可靠的生物标志物对于改善克罗恩病的早期和准确诊断至关重要.
- 新兴生物标志物显示出非侵入性诊断和个性化治疗策略的潜力.
- 进一步了解生物标志物性能对于临床实施和改善患者结果至关重要.
相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
925
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
925
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
617
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
617
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
457
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
457
Inflammatory Bowel Disease I: Ulcerative Colitis
862
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
862
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
461
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
461
Chronic Bowel Disorders: Introduction
734
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...
734


