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炎症性肠病的挑战与机遇:从当前治疗策略到基于类器官的模型

Challenges and opportunities in inflammatory bowel disease: from current therapeutic strategies to organoid-based models.

作者信息

Kong Lingjie, Chen Siyan, Huang Shenghao, Zheng Anzhe, Gao Sheng, Ye Jianzhong, Hua Chunyan

机构信息

School of the 2nd Clinical Medical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.

School of Ophthalmology & Optometry, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.

出版信息

Inflamm Res. 2024 Apr;73(4):541-562. doi: 10.1007/s00011-024-01854-z. Epub 2024 Feb 12.

Abstract

BACKGROUND

Inflammatory bowel disease (IBD) is an increasingly prevalent global health concern that has garnered substantial attention. However, the underlying mechanisms are still unclear and the current treatments have significant limitations. Intestinal organoids provide an in vitro model to explore the pathogenesis, test the therapeutic effects, and develop regenerative treatments as well as offer the potential to transform drug discovery of IBD.

METHODS

To advance our understanding of the whole story of IBD spanning from the pathogenesis to the current therapeutic strategies and latest advancements, a comprehensive search of major databases including PubMed, Scopus, and Web of Science was conducted to retrieve original articles and reviews related to IBD, organoids, pathogenesis and therapy.

RESULTS

This review deciphers the etiopathogenesis and the current therapeutic approaches in the treatment of IBD. Notably, critical aspects of intestinal organoids in IBD, such as their potential applications, viability, cell renewal ability, and barrier functionality are highlighted. We also discuss the advances, limitations, and prospects of intestinal organoids for precision medicine.

CONCLUSION

The latest strides made in research about intestinal organoids help elucidate intricate aspects of IBD pathogenesis, and pave the prospective avenues for novel therapeutic interventions.

摘要

背景

炎症性肠病(IBD)是一个日益普遍的全球健康问题,已引起广泛关注。然而,其潜在机制仍不清楚,目前的治疗方法存在重大局限性。肠道类器官提供了一个体外模型,用于探索发病机制、测试治疗效果、开发再生治疗方法,并为IBD的药物发现带来变革潜力。

方法

为了加深我们对IBD从发病机制到当前治疗策略及最新进展的全面理解,我们对包括PubMed、Scopus和Web of Science在内的主要数据库进行了全面检索,以获取与IBD、类器官、发病机制和治疗相关的原始文章和综述。

结果

本综述解读了IBD的病因发病机制及当前治疗方法。值得注意的是,突出了肠道类器官在IBD中的关键方面,如它们的潜在应用、活力、细胞更新能力和屏障功能。我们还讨论了肠道类器官在精准医学方面的进展、局限性和前景。

结论

肠道类器官研究的最新进展有助于阐明IBD发病机制的复杂方面,并为新型治疗干预开辟前瞻性途径。

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