在从食道到结肠的eosinophilic肠道疾病中针对粘膜eosinophils的治疗方法
Khaliun Batkhurel1,2, Sharmila Prasad1, Michael Potter1,2
1NHMRC Centre of Research Excellence in Transforming Gut Health, University of Newcastle, Newcastle, New South Wales, Australia.
埃索诺菲尔性胃肠道疾病 (EGIDs) 正在增加,并且可能被诊断不足. 虽然疗法减少了乙氨基,但症状缓解有所不同,这表明超出乙氨基之外的复杂疾病途径.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 异性胃肠道疾病 (EGIDs),包括异性食管炎 (EoE) 和非EoE EGIDs,越来越普遍,并且可能被诊断不足.
- 虽然EoE的死亡率正常,但其他EGID的死亡风险增加. 在功能性消化不良等疾病中也注意到埃索诺菲尔的增加.
- 病原发生涉及氨基酸透,但治疗的可变症状反应表明非氨基酸通路也很重要.
研究的目的:
- 审查目前对EGID的理解和管理.
- 突出EGIDs的治疗策略和正在进行的研究.
- 讨论埃索诺菲尔和其他途径在EGID病变发生过程中的作用.
主要方法:
- 对EGID流行,诊断和治疗的现有文献的综述.
- 对EoE和非EoE EGIDs当前标准疗法的分析.
- 新兴药理学标和试验疗法的概述.
主要成果:
- 标准的EoE疗法包括PPI,局部皮质类固醇,饮食和dupilumab.
- 非EoE EGID的治疗通常涉及饮食,皮质类固醇或免疫调节剂;随机试验的数据有限.
- 向治疗可以减少乙酸的透,但症状反应不一致.
结论:
- EGIDs代表了胃肠道学日益关注的领域,其复杂的病理生理学.
- 目前对EoE的治疗方法已经确立,而非EoE EGID的治疗方法在可靠的临床试验数据中不那么明确.
- 未来的研究重点是针对特定炎症途径的新型药物治疗,以及改善症状管理.
更多相关视频
10:15Conditional Reprogramming of Pediatric Human Esophageal Epithelial Cells for Use in Tissue Engineering and Disease Investigation
Published on: March 22, 2017
09:01Non-invasive Assessment of the Efficacy of New Therapeutics for Intestinal Pathologies Using Serial Endoscopic Imaging of Live Mice
Published on: March 10, 2015
相关概念视频
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Drugs for Treatment of Ulcerative Colitis in IBD
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Drugs for Treatment of Diarrhea-Predominant IBS
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...
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
