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治疗慢性胰腺炎的新疗法:靶向胰腺星状细胞和巨噬细胞。

Novel therapeutics to treat chronic pancreatitis: targeting pancreatic stellate cells and macrophages.

机构信息

Department of Surgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.

出版信息

Expert Rev Gastroenterol Hepatol. 2024 Apr-May;18(4-5):171-183. doi: 10.1080/17474124.2024.2355969. Epub 2024 May 18.

Abstract

INTRODUCTION

Chronic pancreatitis (CP) is a persistent, recurrent, and progressive disorder that is characterized by chronic inflammation and irreversible fibrosis of the pancreas. It is associated with severe morbidity, resulting in intense abdominal pain, diabetes, exocrine and endocrine dysfunction, and an increased risk of pancreatic cancer. The etiological factors are diverse and the major risk factors include smoking, chronic alcoholism, as well as other environmental and genetic factors. The treatment and management of CP is challenging, and no definitive curative therapy is currently available.

AREAS COVERED

This review paper aims to provide an overview of the different cell types in the pancreas that is known to mediate disease progression and outline potential novel therapeutic approaches and drug targets that may be effective in treating and managing CP. The information presented in this review was obtained by conducting a NCBI PubMed database search, using relevant keywords.

EXPERT OPINION

In recent years, there has been an increased interest in the development of novel therapeutics for CP. A collaborative multi-disciplinary approach coupled with a consistent funding for research can expedite progress of translating the findings from bench to bedside.

摘要

简介

慢性胰腺炎(CP)是一种持续、反复和进行性的疾病,其特征为胰腺的慢性炎症和不可逆转的纤维化。它与严重的发病率有关,导致剧烈的腹痛、糖尿病、外分泌和内分泌功能障碍以及胰腺癌风险增加。病因多种多样,主要危险因素包括吸烟、慢性酒精中毒以及其他环境和遗传因素。CP 的治疗和管理具有挑战性,目前尚无明确的根治性治疗方法。

涵盖领域

本文综述的目的是提供已知介导疾病进展的胰腺中不同细胞类型的概述,并概述可能有效治疗和管理 CP 的潜在新的治疗方法和药物靶点。本文综述中呈现的信息是通过在 NCBI PubMed 数据库中使用相关关键词进行搜索获得的。

专家意见

近年来,人们对 CP 的新型治疗方法产生了浓厚的兴趣。协作式多学科方法加上持续的研究资金可以加快将研究结果从实验室转化到临床的速度。

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