Am J Gastroenterol:炎症性肠病患者的遗传风险、失调、宿主基因组和肠道微生物群分层研究

2018-02-03 zhangfan MedSci原创

研究证实遗传风险在炎症性肠病患者早期即可得到体现,致病微生物群中毒性因子的表达可能与炎症性肠病的发病机制有关

炎症性肠病(IBD)由克罗恩病(CD)和溃疡性结肠炎(UC)组成,其特点是病理生理学过程复杂,是遗传易感个体的生物腔内微生物异常免疫反应所致。近日研及人员采用新技术对宿主-微生物群相互作用关系进行评估。

利用全基因组测序和宏基因组学,研究人员对85名IBD患者进行临床特征、宿主基因组和粪便微生物代谢体评估,并将结果与146名志愿者结果进行比较,根据159种单核苷酸多态性和人类白细胞抗原(HLA)类型计算的遗传风险评分,并比较IBD患者与健康对照之间的差异。

研究发现,是否需要IBD生物治疗与基因风险高度相关,与肠道微生物群组成中等相关。相比于对照组,IBD患者粪便微生物群失调特征显著,核心微生物群多样化程度低,特异细菌富集或缺失,并且细菌毒因子富集。

研究证实遗传风险在炎症性肠病患者早期即可得到体现,致病微生物群中毒性因子的表达可能与炎症性肠病的发病机制有关。

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    2018-07-26 许安
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  6. 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href='/topic/show?id=2cee50e22c6' target=_blank style='color:#2F92EE;'>#微生物群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50722, encryptionId=2cee50e22c6, topicName=微生物群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3609256, createdName=zhu_jun9837, createdTime=Sun Feb 04 23:15:00 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1599973, encodeId=bd1c15999e346, content=<a href='/topic/show?id=508e6e03203' target=_blank style='color:#2F92EE;'>#炎症性肠病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67032, encryptionId=508e6e03203, topicName=炎症性肠病患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a9fa18776644, createdName=huangshifeng, createdTime=Sun Feb 04 23:15:00 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1547115, encodeId=93e6154e115f3, content=<a href='/topic/show?id=4ef26e01766' target=_blank style='color:#2F92EE;'>#炎症性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67017, encryptionId=4ef26e01766, topicName=炎症性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=09e813968720, createdName=12498dd9m15暂无昵称, createdTime=Sun Feb 04 23:15:00 CST 2018, time=2018-02-04, status=1, ipAttribution=)]
    2018-02-15 天涯183

    非常好的文章.学习了

    0

  7. 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time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1547115, encodeId=93e6154e115f3, content=<a href='/topic/show?id=4ef26e01766' target=_blank style='color:#2F92EE;'>#炎症性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67017, encryptionId=4ef26e01766, topicName=炎症性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=09e813968720, createdName=12498dd9m15暂无昵称, createdTime=Sun Feb 04 23:15:00 CST 2018, time=2018-02-04, status=1, ipAttribution=)]
    2018-02-05 虈亣靌

    非常好.谢谢分享

    0

  8. 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蠕虫寄生虫中的一种蛋白质有望带来炎症性肠道疾病的全新治疗方案,这种蛋白质可以避免目前免疫抑制剂药物带来的严重副作用。研究结果发表在《自然通讯》杂志上,这项研究表明,一种独特全新蠕虫蛋白,模仿人体中发现的一种细胞因子,称为转化生长因子β。

Am J Gastroenterol:炎症性肠病治疗方案的辅助决策

生物疗法的用药决策是高度个体化的,人口统计学和疾病特征对治疗决策的影响十分有限,每一个炎症性肠病患者的特征均十分显著,难以进行统计分类

Am J Gastroenterol:炎症性肠病患者接受长期激素治疗导致死亡风险增加

研究发现对于克罗恩病患者,接受抗TNF治疗相比于激素治疗可降低死亡、心血管事件以及骨折风险

Gastroenterology:炎症性肠病患者脑-肠相互作用的双向性

通过2年的随访证实,克罗恩病或溃疡性结肠炎患者病情与精神情绪心理障碍存在双向作用。对于炎症性肠病患者,心理状态监控和治疗与IBD疾病控制同样重要