肠道神经系统和炎症性肠道疾病
Shixian Wang1, Yufeng Wang2, Ji Miao1
1Division of Colorectal Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, P. R. China.
Gastroenterology report
|February 16, 2026
概括
肠道神经系统 (ENS) 或"第二大脑"对于肠道健康至关重要. 它的功能障碍导致炎症性肠病 (IBD) 和结直肠癌,但向ENS提供了新的治疗潜力.
科学领域:
- 神经胃肠病学 神经胃肠病学
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
背景情况:
- 肠道神经系统 (ENS),肠道的"第二个大脑",调节胃肠功能和平衡.
- 肠神经系统功能障碍与炎症性肠病 (IBD) 的病原发生有关.
研究的目的:
- 审查ENS和IBD之间的复杂相互作用.
- 要突出肠道神经系统在肠道平衡,炎症和结直肠癌中的作用.
- 讨论针对IBD和结直肠癌的ENS的新兴治疗策略.
主要方法:
- 对有关肠胃神经系统功能在胃肠道健康和疾病方面的现有文献的综述.
- 在实验性结肠炎模型中分析神经免疫交叉通话机制.
- 检查 ENS 对结直肠癌发展和进展的贡献.
主要成果:
- IBD患者表现出肠道神经病变,加剧炎症和屏障功能障碍.
- 肠质细胞 (EGC) 是肠道平衡的关键调节者,其功能障碍与慢性炎症和癌症有关.
- 神经免疫交叉显著影响结肠炎,ENS通过神经发生和入侵影响结肠直肠癌.
- 针对ENS活动的新兴疗法显示出IBD症状缓解的希望.
结论:
- 肠道神经系统是IBD病变和结直肠癌进展的关键因素.
- 针对ENS内的神经免疫相互作用,为胃肠道疾病提供了一个有前途的治疗途径.
- 需要进一步的研究和跨学科的方法,以充分理解和利用ENS的治疗效益.
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