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《动物炎症性肠病:关于新出现的人畜共患病威胁的“同一健康”视角》

in Animal Inflammatory Bowel Disease: A One Health Perspective on Emerging Zoonotic Threats.

作者信息

Salvarani Felipe Masiero, Oliveira Hanna Gabriela da Silva, Uzal Francisco Alejandro

机构信息

Instituto de Medicina Veterinária, Universidade Federal do Pará, Castanhal 68740-970, PA, Brazil.

School of Veterinary Medicine, University of California, Davis, CA 95616, USA.

出版信息

Microorganisms. 2025 May 28;13(6):1233. doi: 10.3390/microorganisms13061233.

Abstract

Inflammatory bowel disease (IBD) in animals, a multifactorial gastrointestinal disorder marked by chronic inflammation, has increasingly been linked to infections. Recognized for its pathogenic role in human pseudomembranous colitis, is now emerging as a critical agent in veterinary medicine, particularly in livestock (e.g., cattle, pigs), companion animals (dogs, cats), and wildlife. Over the past five years, evidence has highlighted its association with IBD-like syndromes in animals, driven by toxin-mediated mechanisms (TcdA/TcdB), antibiotic-induced dysbiosis, and environmental spore transmission. This opinion article synthesizes recent findings on 's zoonotic potential, diagnostic ambiguities (e.g., distinguishing colonization from active infection), and therapeutic challenges, including antibiotic resistance. We emphasize the urgent need for integrated One Health strategies to mitigate risks to animal and human health, advocating for improved surveillance, novel therapies, and interdisciplinary research.

摘要

动物炎症性肠病(IBD)是一种以慢性炎症为特征的多因素胃肠道疾病,越来越多地与感染有关。因其在人类伪膜性结肠炎中的致病作用而被认可,现在正成为兽医学中的一种关键病原体,特别是在牲畜(如牛、猪)、伴侣动物(狗、猫)和野生动物中。在过去五年中,证据突出了它与动物中IBD样综合征的关联,这种关联由毒素介导机制(TcdA/TcdB)、抗生素诱导的生态失调和环境孢子传播驱动。这篇观点文章综合了关于其人畜共患病潜力、诊断模糊性(如区分定植与活跃感染)以及治疗挑战(包括抗生素耐药性)的最新发现。我们强调迫切需要综合的“同一健康”策略来降低对动物和人类健康的风险,倡导加强监测、开发新疗法以及开展跨学科研究。

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