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Treating Multiple Food Allergies With Omalizumab. 用奥马珠单抗治疗多种食物过敏。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-15 DOI: 10.1053/j.gastro.2024.07.011
Marianna Arvanitakis
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引用次数: 0
Evaluating Research Strategy and Inclusion Criteria of Long-term Proton Pump Inhibitor Use. 评估长期使用质子泵抑制剂的研究策略和纳入标准。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI: 10.1053/j.gastro.2024.07.047
Yanqing Niu, Xiaherezhati Aihaiti, Man Li
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引用次数: 0
Dietary Pattern Linking to Intestinal Microbial Characteristics and Colorectal Cancer Risk. 膳食模式与肠道微生物特征和结直肠癌风险的关系。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-17 DOI: 10.1053/j.gastro.2024.08.012
Jun Sun
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引用次数: 0
Acquisition of Epithelial Plasticity and the Potential Origins of Biphenotypic Cells in Chronic Liver Injury. 上皮可塑性的获得,以及慢性肝损伤中双型细胞的潜在起源。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-27 DOI: 10.1053/j.gastro.2024.07.022
Stefani Tica, Brian Debosch
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引用次数: 0
Forging a Career in Digital Health Research. 开创数字健康研究事业。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-20 DOI: 10.1053/j.gastro.2024.07.013
Robert P Hirten
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引用次数: 0
The Search for the Ideal Weight Loss Drug: Targeting NTS-GLP1R Neurons for Satiety Without Aversion. 寻找理想的减肥药物:以 NTS-GLP1R 神经元为靶点,实现无厌恶感的饱腹感。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1053/j.gastro.2024.07.031
Lin Y Hung, Kara Gross Margolis
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引用次数: 0
The Integrated Stress Response in Pancreatic Development, Tissue Homeostasis, and Cancer. 胰腺发育、组织稳态和癌症中的综合应激反应。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-05-18 DOI: 10.1053/j.gastro.2024.05.009
Greg Malnassy, Leah Ziolkowski, Kay F Macleod, Scott A Oakes

Present in all eukaryotic cells, the integrated stress response (ISR) is a highly coordinated signaling network that controls cellular behavior, metabolism, and survival in response to diverse stresses. The ISR is initiated when any 1 of 4 stress-sensing kinases (protein kinase R-like endoplasmic reticulum kinase [PERK], general control non-derepressible 2 [GCN2], double-stranded RNA-dependent protein kinase [PKR], heme-regulated eukaryotic translation initiation factor 2α kinase [HRI]) becomes activated to phosphorylate the protein translation initiation factor eukaryotic translation initiation factor 2α (eIF2α), shifting gene expression toward a comprehensive rewiring of cellular machinery to promote adaptation. Although the ISR has been shown to play an important role in the homeostasis of multiple tissues, evidence suggests that it is particularly crucial for the development and ongoing health of the pancreas. Among the most synthetically dynamic tissues in the body, the exocrine and endocrine pancreas relies heavily on the ISR to rapidly adjust cell function to meet the metabolic demands of the organism. The hardwiring of the ISR into normal pancreatic functions and adaptation to stress may explain why it is a commonly used pro-oncogenic and therapy-resistance mechanism in pancreatic ductal adenocarcinoma and pancreatic neuroendocrine tumors. Here, we review what is known about the key roles that the ISR plays in the development, homeostasis, and neoplasia of the pancreas.

综合应激反应(ISR)存在于所有真核细胞中,是一个高度协调的信号网络,可控制细胞行为、新陈代谢和存活,以应对各种应激。当四种应激感应激酶(PERK、GCN2、PKR、HRI)中的任何一种被激活,使蛋白质翻译起始因子 eIF2α 磷酸化时,ISR 就会启动,使基因表达转向细胞机制的全面重新布线,以促进适应。尽管 ISR 已被证明在多种组织的稳态中发挥着重要作用,但有证据表明,它对胰腺的发育和持续健康尤为关键。胰腺外分泌和内分泌组织是人体中最具合成活力的组织之一,它在很大程度上依赖 ISR 来迅速调整细胞功能,以满足机体的新陈代谢需求。ISR对胰腺正常功能的硬连接以及对压力的适应可以解释为什么它是胰腺导管腺癌(PDAC)和胰腺神经内分泌肿瘤(PanNETs)中常用的促癌和抗治疗机制。在此,我们回顾了目前已知的 ISR 在胰腺的发育、稳态和肿瘤中发挥的关键作用。
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引用次数: 0
An Empirical Dietary Pattern Associated With the Gut Microbial Features in Relation to Colorectal Cancer Risk. 与大肠癌风险相关的肠道微生物特征的经验饮食模式。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-06 DOI: 10.1053/j.gastro.2024.07.040
Kai Wang, Chun-Han Lo, Raaj S Mehta, Long H Nguyen, Yiqing Wang, Wenjie Ma, Tomotaka Ugai, Hidetaka Kawamura, Satoko Ugai, Yasutoshi Takashima, Kosuke Mima, Kota Arima, Kazuo Okadome, Marios Giannakis, Cynthia L Sears, Jeffrey A Meyerhardt, Kimmie Ng, Nicola Segata, Jacques Izard, Eric B Rimm, Wendy S Garrett, Curtis Huttenhower, Edward L Giovannucci, Andrew T Chan, Shuji Ogino, Mingyang Song

Background & aims: Epidemiologic evidence for dietary influence on colorectal cancer (CRC) risk through the gut microbiome remains limited.

Methods: Leveraging 307 men and 212 women with stool metagenomes and dietary data, we characterized and validated a sex-specific dietary pattern associated with the CRC-related gut microbial signature (CRC Microbial Dietary Score [CMDS]). We evaluated the associations of CMDS with CRC risk according to Fusobacterium nucleatum, pks+Escherichia coli, and enterotoxigenic Bacteroides fragilis status in tumor tissue using Cox proportional hazards regression in the Health Professionals Follow-Up Study (1986-2018), Nurses' Health Study (1984-2020), and Nurses' Health Study II (1991-2019).

Results: The CMDS was characterized by high industrially processed food and low unprocessed fiber-rich food intakes. In 259,200 participants, we documented 3854 incident CRC cases over 6,467,378 person-years of follow-up. CMDS was associated with a higher risk of CRC (Ptrend < .001), with a multivariable hazard ratio (HRQ5 vs Q1) of 1.25 (95% CI, 1.13-1.39). The association remained after adjusting for previously established dietary patterns, for example, the Western and prudent diets. Notably, the association was stronger for tumoral F nucleatum-positive (HRQ5 vs Q1, 2.51; 95% CI, 1.68-3.75; Ptrend < .001; Pheterogeneity = .03, positivity vs negativity), pks+E coli-positive (HRQ5 vs Q1, 1.68; 95% CI, 0.84-3.38; Ptrend = .005; Pheterogeneity = .01, positivity vs negativity), and enterotoxigenic Bacteroides fragilis-positive CRC (HRQ5 vs Q1, 2.06; 95% CI, 1.10-3.88; Ptrend = .016; Pheterogeneity = .06, positivity vs negativity), compared with their negative counterparts.

Conclusions: CMDS was associated with increased CRC risk, especially for tumors with detectable F nucleatum, pks+E coli, and enterotoxigenic Bacteroides fragilis in tissue. Our findings support a potential role of the gut microbiome underlying the dietary effects on CRC.

背景与目的:通过肠道微生物组对大肠癌(CRC)风险产生饮食影响的流行病学证据仍然有限:利用 307 名男性和 212 名女性的粪便元基因组和膳食数据,我们描述并验证了与 CRC 相关的肠道微生物特征(CRC 微生物膳食评分 [CMDS])相关的性别特异性膳食模式。我们在健康专业人员随访研究(Health Professionals Follow-up Study,1986-2018 年)、护士健康研究(Nurses' Health Study,NHS,1984-2020 年)和 NHS II(1991-2019 年)中使用 Cox 比例危险回归法,根据肿瘤组织中的核酸镰刀杆菌、pks+大肠埃希氏菌和肠毒性脆弱拟杆菌(ETBF)状态评估了 CMDS 与 CRC 风险的相关性:CMDS的特点是工业加工食品摄入量高,而未经加工的富含纤维的食品摄入量低。在 259,200 名参与者中,我们记录了在 6,467,378 人年的随访中发生的 3,854 例 CRC 病例。CMDS与较高的CRC风险相关(PtrendQ5vs.Q1),为1.25(95%CI,1.13-1.39)。在调整了先前确定的饮食模式(如西方饮食和谨慎饮食)后,这种关联仍然存在。值得注意的是,肿瘤核酸酵母菌阳性(HRQ5vs.Q1,2.51;95%CI,1.68-3.75;Ptrendheterogeneity=0.03,阳性与阴性)、pks+大肠杆菌阳性(HRQ5vs.Q1,1.68;95%CI,0.84-3.38;Ptrend=0.005)(Pheterogeneity=0.01,阳性 vs. 阴性),以及 ETBF 阳性 CRC(HRQ5vs.Q1,2.06;95%CI,1.10-3.88;Ptrend=0.016)(Pheterogeneity=0.06,阳性 vs. 阴性):CMDS与CRC风险增加有关,尤其是在组织中可检测到F. nucleatum、pks+E. coli和ETBF的肿瘤中。我们的研究结果支持肠道微生物组在饮食对 CRC 的影响中的潜在作用。
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引用次数: 0
Reply. 对 Niu 等人的答复
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI: 10.1053/j.gastro.2024.09.020
Hanseul Kim, Long H Nguyen
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引用次数: 0
Management of Small Bowel Crohn's Disease Strictures: To Cut, to Stretch, or to Treat Inflammation? 小肠克罗恩病狭窄的治疗:切割、拉伸还是治疗炎症?
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-31 DOI: 10.1053/j.gastro.2024.08.030
Cathy Lu, Brian G Feagan, Joel G Fletcher, Mark Baker, Stefan Holubar, Florian Rieder
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引用次数: 0
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Gastroenterology
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