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从肠道到新陈代谢:探索炎症性肠病和全身代谢功能障碍的交叉点
Raseen Tariq1, Richard K Sterling1, Anita Afzali2
1Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA.
Journal of clinical gastroenterology
|March 10, 2026
概括
炎症性肠道疾病 (IBD) 和肥胖等代谢障碍正在一起上升,这表明共享的途径. 解决代谢健康问题可能会改善IBD的结果和治疗反应.
科学领域:
- 胃肠道学和新陈代谢学
- 系统性炎症性疾病系统性炎症性疾病
- 代谢性并发症 代谢性并发症
背景情况:
- 炎症性肠病 (IBD),包括克罗恩氏病和性结肠炎,是慢性系统性炎症性疾病.
- IBD的流行率与肥胖和代谢障碍 (T2DM,CVD,CKD,MASLD,脂质失调) 的上升率并行.
- 共享的生物途径可能会将代谢功能障碍和肠道炎症联系起来,影响疾病的严重程度.
研究的目的:
- 审查关于IBD和代谢功能障碍之间的相互作用的当前知识.
- 突出临床影响,翻译见解和研究差距.
- 探索代谢健康如何影响IBD结果和治疗反应.
主要方法:
- 叙事审查综合现有文献.
- 流行病学和机理学研究的分析.
- 检查肥胖和胰岛素抵抗对IBD治疗的影响.
主要成果:
- 后炎症,脂肪组织重塑,肠道屏障功能障碍和改变的新陈代谢都与IBD的发病有关.
- 肥胖和胰岛素耐药性对IBD治疗结果产生负面影响,包括生物治疗反应和感染风险.
- 代谢导向疗法对IBD和代谢健康有潜在的双重益处.
结论:
- 整合代谢查和多学科护理对于改善IBD患者的治疗结果至关重要.
- 需要进一步的机制和干预研究来开发针对肠道炎症和代谢疾病的向治疗方法.
- 了解IBD-代谢功能障碍轴对于全面的患者管理至关重要.
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