国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (4): 577-581.DOI: 10.3760/cma.j.issn.1007-1245.2024.04.011
肠道免疫因素在炎症性肠病中的研究进展及治疗策略
潘广涛1 陈爱莹2
1盐城市中医院 南京中医药大学附属盐城中医院,盐城 224000;2高邮市中医医院脾胃病科,高邮 225600
收稿日期:
2023-07-26
出版日期:
2024-02-01
发布日期:
2024-03-07
通讯作者:
陈爱莹,Email:1549055667@qq.com
基金资助:
江苏省卫生健康委医学科研项目(Z2021068);2021年盐城市医学科技发展计划重点项目(YK2021004);2022年度江苏省科协青年科技人才托举工程(TJ-2022-097)
Research progress and treatment strategies of intestinal immune factors in inflammatory bowel disease
Pan Guangtao1, Chen Aiying2
1 Yancheng TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Yancheng 224000, China; 2 Department of Spleen and Stomach Diseases, Gaoyou Hospital of Traditional Chinese Medicine, Gaoyou 225600, China
Received:
2023-07-26
Online:
2024-02-01
Published:
2024-03-07
Contact:
Chen Aiying, Email: 1549055667@qq.com
Supported by:
Fund of Jiangsu Provincial Health Commission (Z2021068); Yancheng Medical Science and Technology Development Plan Key Project in 2021 (YK2021004); Fund of Youth Science and Technology Talents Support Project of Jiangsu Association for Science and Technology in 2022 (TJ-2022-097)
摘要:
炎症性肠病(inflammatory bowel disease,IBD)是由多种因素导致的肠道慢性炎症。近年来,随着研究的不断深入,肠道免疫因素逐渐受到临床及科研工作者的重视,为IBD的诊断和治疗提供了新兴研究方向。本文通过PubMed/Medline/Cochrane/SinoMed/知网/万方/维普等国内外医学数据库追溯了近20年的相关文献研究,对国内外文献中的肠道营养、肠道微环境、肠道氧供、肠道免疫因子以及昼夜节律等参与IBD发病的作用机制进行总结,旨在探索新的治疗靶点,为IBD的深入研究奠定基础。
潘广涛 陈爱莹.
肠道免疫因素在炎症性肠病中的研究进展及治疗策略 [J]. 国际医药卫生导报, 2024, 30(4): 577-581.
Pan Guangtao, Chen Aiying.
Research progress and treatment strategies of intestinal immune factors in inflammatory bowel disease [J]. International Medicine and Health Guidance News, 2024, 30(4): 577-581.
[1] Baumgart DC, Carding SR. Inflammatory bowel disease: cause and immunobiology[J]. Lancet, 2007, 369(9573):1627-1640. DOI: 10.1016/S0140-6736(07)60750-8. [2] Souza HN, Lora FL, Kulak CA, et al. Low levels of 25-hydroxyvitamin D (25OHD) in patients with inflammatory bowel disease and its correlation with bone mineral density[J]. Arq Bras Endocrinol Metabol, 2008, 52(4):684-691. DOI: 10.1590/s0004-27302008000400015. [3] Verway M, Behr MA, White JH. Vitamin D, NOD2, autophagy and Crohn's disease[J]. Expert Rev Clin Immunol, 2010, 6(4):505-508. DOI: 10.1586/eci.10.31. [4] Polidoro L, Properzi G, Marampon F, et al. Vitamin D protects human endothelial cells from H₂O₂ oxidant injury through the Mek/Erk-Sirt1 axis activation[J]. J Cardiovasc Transl Res, 2013, 6(2):221-231. DOI: 10.1007/s12265-012-9436-x. [5] Konijeti GG, Arora P, Boylan MR, et al. Vitamin D supplementation modulates T cell-mediated immunity in humans: results from a randomized control trial[J]. J Clin Endocrinol Metab, 2016, 101(2):533-538. DOI: 10.1210/jc.2015-3599. [6] Kong J, Zhang Z, Musch MW, et al. Novel role of the vitamin D receptor in maintaining the integrity of the intestinal mucosal barrier[J]. Am J Physiol Gastrointest Liver Physiol, 2008, 294(1):G208-G216. DOI: 10.1152/ajpgi.00398.2007. [7] Mouli VP, Ananthakrishnan AN. Review article: vitamin D and inflammatory bowel diseases[J]. Aliment Pharmacol Ther, 2014, 39(2):125-136. DOI: 10.1111/apt.12553. [8] Kamen DL, Tangpricha V. Vitamin D and molecular actions on the immune system: modulation of innate and autoimmunity[J]. J Mol Med (Berl), 2010, 88(5):441-450. DOI: 10.1007/s00109-010-0590-9. [9] Cantorna MT, Munsick C, Bemiss C, et al. 1,25-Dihydroxycholecalciferol prevents and ameliorates symptoms of experimental murine inflammatory bowel disease[J]. J Nutr, 2000, 130(11):2648-2652. DOI: 10.1093/jn/130.11.2648. [10] Jørgensen SP, Agnholt J, Glerup H, et al. Clinical trial: vitamin D3 treatment in Crohn's disease - a randomized double-blind placebo-controlled study[J]. Aliment Pharmacol Ther, 2010, 32(3):377-383. DOI: 10.1111/j.1365-2036.2010.04355.x. [11] Mathur J, Naing S, Mills P, et al. A randomized clinical trial of vitamin D3 (cholecalciferol) in ulcerative colitis patients with hypovitaminosis D3[J]. PeerJ, 2017, 5:e3654. DOI: 10.7717/peerj.3654. [12] Siva S, Rubin DT, Gulotta G, et al. Zinc deficiency is associated with poor clinical outcomes in patients with inflammatory bowel disease[J]. Inflamm Bowel Dis, 2017, 23(1):152-157. DOI: 10.1097/MIB.0000000000000989. [13] Cleynen I, Vazeille E, Artieda M, et al. Genetic and microbial factors modulating the ubiquitin proteasome system in inflammatory bowel disease[J]. Gut, 2014, 63(8):1265-1274. DOI: 10.1136/gutjnl-2012-303205. [14] Singh S, Dulai PS, Zarrinpar A, et al. Obesity in IBD: epidemiology, pathogenesis, disease course and treatment outcomes[J]. Nat Rev Gastroenterol Hepatol, 2017, 14(2):110-121. DOI: 10.1038/nrgastro.2016.181. [15] McLaughlin SD, Walker AW, Churcher C, et al. The bacteriology of pouchitis: a molecular phylogenetic analysis using 16S rRNA gene cloning and sequencing[J]. Ann Surg, 2010, 252(1):90-98. DOI: 10.1097/SLA.0b013e3181e3dc8b. [16] Boirivant M, Cossu A. Inflammatory bowel disease[J]. Oral Dis, 2012, 18(1):1-15. DOI: 10.1111/j.1601-0825.2011. 01811.x. [17] el-Omar E, Penman I, Cruikshank G, et al. Low prevalence of Helicobacter pylori in inflammatory bowel disease: association with sulphasalazine[J]. Gut, 1994, 35(10):1385-1388. DOI: 10.1136/gut.35.10.1385. [18] Rahier JF, Magro F, Abreu C, et al. Second European evidence-based consensus on the prevention, diagnosis and management of opportunistic infections in inflammatory bowel disease[J]. J Crohns Colitis, 2014, 8(6):443-468. DOI: 10.1016/j.crohns.2013.12.013. [19] 陈小丽,万珊珊,曹倩.炎症性肠病住院患者216例的难辨梭状芽孢杆菌感染危险因素和预后[J].中华消化杂志,2017,37(4):238-243. DOI:10.3760/cma.j.issn.0254-1432.2017. 04.004. [20] 中华医学会消化病学分会炎症性肠病学组.炎症性肠病合并机会性感染专家共识意见[J].中华消化杂志,2017,37(4):217-226. DOI:10.3760/cma.j.issn.0254-1432.2017. 04.001. [21] Hansen R, Russell RK, Reiff C, et al. Microbiota of de-novo pediatric IBD: increased Faecalibacterium prausnitzii and reduced bacterial diversity in Crohn's but not in ulcerative colitis[J]. Am J Gastroenterol, 2012, 107(12):1913-1922. DOI: 10.1038/ajg.2012.335. [22] Schwiertz A, Jacobi M, Frick JS, et al. Microbiota in pediatric inflammatory bowel disease[J]. J Pediatr, 2010, 157(2):240-244.e1. DOI: 10.1016/j.jpeds.2010.02.046. [23] Zhang SL, Wang SN, Miao CY. Influence of microbiota on intestinal immune system in ulcerative colitis and its intervention[J]. Front Immunol, 2017, 8:1674. DOI: 10.3389/fimmu.2017.01674. [24] Tiratterra E, Franco P, Porru E, et al. Role of bile acids in inflammatory bowel disease[J]. Ann Gastroenterol, 2018, 31(3):266-272. DOI: 10.20524/aog.2018.0239. [25] Gevers D, Kugathasan S, Denson LA, et al. The treatment-naive microbiome in new-onset Crohn's disease[J]. Cell Host Microbe, 2014, 15(3):382-392. DOI: 10.1016/j.chom.2014.02.005. [26] Willing B, Halfvarson J, Dicksved J, et al. Twin studies reveal specific imbalances in the mucosa-associated microbiota of patients with ileal Crohn's disease[J]. Inflamm Bowel Dis, 2009, 15(5):653-660. DOI: 10.1002/ibd.20783. [27] Ferreira-Halder CV, Faria AVS, Andrade SS. Action and function of Faecalibacterium prausnitzii in health and disease[J]. Best Pract Res Clin Gastroenterol, 2017, 31(6):643-648. DOI: 10.1016/j.bpg.2017.09.011. [28] Del Chierico F, Abbatini F, Russo A, et al. Gut microbiota markers in obese adolescent and adult patients: age-dependent differential patterns[J]. Front Microbiol, 2018, 9:1210. DOI: 10.3389/fmicb.2018.01210. [29] Degirolamo C, Rainaldi S, Bovenga F, et al. Microbiota modification with probiotics induces hepatic bile acid synthesis via downregulation of the Fxr-Fgf15 axis in mice[J]. Cell Rep, 2014, 7(1):12-18. DOI: 10.1016/j.celrep.2014.02.032. [30] Campbell EL, Bruyninckx WJ, Kelly CJ, et al. Transmigrating neutrophils shape the mucosal microenvironment through localized oxygen depletion to influence resolution of inflammation[J]. Immunity, 2014, 40(1):66-77. DOI: 10.1016/j.immuni.2013.11.020. [31] Hatoum OA, Miura H, Binion DG. The vascular contribution in the pathogenesis of inflammatory bowel disease[J]. Am J Physiol Heart Circ Physiol, 2003, 285(5):H1791-H1796. DOI: 10.1152/ajpheart.00552.2003. [32] Wang GL, Jiang BH, Rue EA, et al. Hypoxia-inducible factor 1 is a basic-helix-loop-helix-PAS heterodimer regulated by cellular O2 tension[J]. Proc Natl Acad Sci U S A, 1995, 92(12):5510-5514. DOI: 10.1073/pnas.92.12.5510. [33] Schofield CJ, Ratcliffe PJ. Oxygen sensing by HIF hydroxylases[J]. Nat Rev Mol Cell Biol, 2004, 5(5):343-354. DOI: 10.1038/nrm1366. [34] Chowdhury R, Hardy A, Schofield CJ. The human oxygen sensing machinery and its manipulation[J]. Chem Soc Rev, 2008, 37(7):1308-1319. DOI: 10.1039/b701676j. [35] Ortiz-Barahona A, Villar D, Pescador N, et al. Genome-wide identification of hypoxia-inducible factor binding sites and target genes by a probabilistic model integrating transcription-profiling data and in silico binding site prediction[J]. Nucleic Acids Res, 2010, 38(7):2332-2345. DOI: 10.1093/nar/gkp1205. [36] Wicks EE, Semenza GL. Hypoxia-inducible factors: cancer progression and clinical translation[J]. J Clin Invest, 2022, 132(11):e159839. DOI: 10.1172/JCI159839. [37] Ivan M, Kondo K, Yang H, et al. HIFalpha targeted for VHL-mediated destruction by proline hydroxylation: implications for O2 sensing[J]. Science, 2001, 292(5516):464-468. DOI: 10.1126/science.1059817. [38] Van Welden S, Selfridge AC, Hindryckx P. Intestinal hypoxia and hypoxia-induced signalling as therapeutic targets for IBD[J]. Nat Rev Gastroenterol Hepatol, 2017, 14(10):596-611. DOI: 10.1038/nrgastro.2017.101. [39] 杨勇,张巍.炎症性肠病免疫发病机制的研究进展[J].中国实验诊断学,2012,16(1):181-183. DOI:10.3969/j.issn.1007-4287.2012.01.079. [40] 张亚姝,成海燕(综述),邹颖(审校).Th9细胞及其与炎症性肠病关系的研究进展[J].医学研究生学报,2016,29(12):1334-1339. DOI:10.16571/j.cnki.1008-8199.2016.12.023. [41] Chen Z, Yu K, Zhu F, et al. Over-expression of CD200 protects mice from dextran sodium sulfate induced colitis[J]. PLoS One, 2016, 11(2):e0146681. DOI: 10.1371/journal.pone.0146681. [42] West NR, Hegazy AN, Owens BMJ, et al. Oncostatin M drives intestinal inflammation and predicts response to tumor necrosis factor-neutralizing therapy in patients with inflammatory bowel disease[J]. Nat Med, 2017, 23(5):579-589. DOI: 10.1038/nm.4307. [43] Swanson GR, Burgess HJ, Keshavarzian A. Sleep disturbances and inflammatory bowel disease: a potential trigger for disease flare?[J]. Expert Rev Clin Immunol, 2011, 7(1):29-36. DOI: 10.1586/eci.10.83. [44] Liang X, Bushman FD, FitzGerald GA. Rhythmicity of the intestinal microbiota is regulated by gender and the host circadian clock[J]. Proc Natl Acad Sci U S A, 2015, 112(33):10479-10484. DOI: 10.1073/pnas.1501305112. [45] Tang X, Guo D, Lin C, et al. hCLOCK causes rho-kinase-mediated endothelial dysfunction and NF-κB-mediated inflammatory responses[J]. Oxid Med Cell Longev, 2015, 2015:671839. DOI: 10.1155/2015/671839. [46] Yu X, Rollins D, Ruhn KA, et al. TH17 cell differentiation is regulated by the circadian clock[J]. Science, 2013, 342(6159):727-730. DOI: 10.1126/science.1243884. [47] Arjona A, Sarkar DK. The circadian gene mPer2 regulates the daily rhythm of IFN-gamma[J]. J Interferon Cytokine Res, 2006, 26(9):645-649. DOI: 10.1089/jir.2006.26.645. [48] 谢成,晏维,付妤.生物钟与炎症性肠病[J].临床消化病杂志,2016,28(6):390-393. DOI:10.3870/lcxh.j.issn.1005- 541X.2016.06.19. |
[1] | 陈妙玲 韩玉贞. PD-L1与肿瘤相关巨噬细胞在乳腺癌中的研究进展 [J]. 国际医药卫生导报, 2024, 30(5): 732-735. |
[2] | 刘红杰 李星 程晓. 细菌溶解产物联合甲强龙对支气管肺炎患儿的疗效 [J]. 国际医药卫生导报, 2024, 30(4): 540-544. |
[3] | 胡少博 张娜莉 程静梅. 血清KL-6水平与NSCLC患者PD-1相关免疫性肺炎的关联性 [J]. 国际医药卫生导报, 2024, 30(4): 602-605. |
[4] | 姜军选 方圆. 补中益气汤在驱动基因阴性NSCLC免疫治疗中的应用价值 [J]. 国际医药卫生导报, 2024, 30(2): 305-309. |
[5] | 袁燕平 张卢舜. Wnt蛋白在皮肤鳞状细胞癌与基底细胞癌中的表达情况研究 [J]. 国际医药卫生导报, 2024, 30(1): 33-37. |
[6] | 李逸群 易丽君 陈庆勇 李云荣 李红 安姝憬. 喉鳞状细胞癌中HPV与TAP、CD8、HLA表达的相关性及临床意义 [J]. 国际医药卫生导报, 2024, 30(1): 112-119. |
[7] | 刘玉姣 王超 刘菲. 中西医结合治疗产后盆底肌筋膜疼痛的研究进展 [J]. 国际医药卫生导报, 2023, 29(9): 1204-1207. |
[8] | 柯金 王恒石 张善兰. 卡瑞利珠单抗免疫相关不良反应临床分析 [J]. 国际医药卫生导报, 2023, 29(9): 1258-1262. |
[9] | 黄育涛 王鸿武. 儿童原发性免疫性血小板减少症预后因素的研究 [J]. 国际医药卫生导报, 2023, 29(8): 1117-1121. |
[10] | 张衡 潘广涛 殷鸣 张平 尹霞. 自体脂肪移植在整形外科中的研究进展 [J]. 国际医药卫生导报, 2023, 29(7): 889-892. |
[11] | 姚文杰 宋凯雨 姜冠桐 陈茜 周瑾. 桥本甲状腺炎的研究进展 [J]. 国际医药卫生导报, 2023, 29(6): 741-744. |
[12] | 吴雪梅 张玉杰 解胜华. 银屑病与心血管共病关系的研究进展 [J]. 国际医药卫生导报, 2023, 29(4): 453-456. |
[13] | 袁晓莉 王振波. 食管鳞癌的肿瘤免疫微环境和免疫检查点抑制剂研究进展 [J]. 国际医药卫生导报, 2023, 29(3): 310-314. |
[14] | 凌娟 曾慧兰. 双特异性抗体在复发难治多发性骨髓瘤中的治疗进展 [J]. 国际医药卫生导报, 2023, 29(3): 319-323. |
[15] | 詹霞 李志霞. 特发性肥厚性硬脑脊膜炎1例 [J]. 国际医药卫生导报, 2023, 29(3): 430-433. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||