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International Journal of Celiac Disease最新文献

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Recent Developments in Quorum Sensing-Based Suppression of Intestinal Pathogenic Bacteria 基于群体感应抑制肠道致病菌的研究进展
Pub Date : 2022-09-05 DOI: 10.12691/ijcd-10-1-4
Safir Ullah Khan, Munir Ullah Khan, Wang Li Chen
Quorum sensing (QS) is a way for bacteria to communicate with each other. It works by making, releasing, and identifying AIs (autoinducers). It is critical for the growth of microorganisms and is a vital component of the immune system. In the intestinal environment, Salmonella Typhimurium, Vibrio cholera, Clostridium difficile, Escherichia coli and other intestinal pathogens infect the host body, affecting the normal immune metabolism process of the host body, resulting in acute gastroenteritis, dysentery and other diseases. Antibiotics can treat the concurrent infection caused by intestinal pathogens in the traditional treatment. Because of this, antibiotics should be used sparingly. Overuse of antibiotics can lead to the expansion of a wide range of antibiotic resistance in bacteria, which can then spread and evolve through genetic mutation. In recent years, more studies have shown that bacterial biofilm formation, virulence factor production, and drug resistance inhibition can be regulated by manipulating the QS system. Firstly, the working paths of several typical bacterial QS systems were summarized. The therapeutic strategies of QS for several common intestinal pathogens were reviewed to provide some references for developing new therapeutic schemes for intestinal diseases and related inhibitors of intestinal pathogens.
群体感应(Quorum sensing, QS)是细菌相互沟通的一种方式。它通过制造、释放和识别ai(自动诱导器)来工作。它对微生物的生长至关重要,是免疫系统的重要组成部分。在肠道环境中,鼠伤寒沙门菌、霍乱弧菌、艰难梭菌、大肠杆菌等肠道病原菌感染宿主机体,影响宿主机体正常的免疫代谢过程,导致急性胃肠炎、痢疾等疾病。抗生素可以治疗传统治疗中肠道病原菌引起的并发感染。正因为如此,抗生素应该谨慎使用。过度使用抗生素会导致细菌对抗生素的耐药性范围扩大,然后通过基因突变传播和进化。近年来,越来越多的研究表明,细菌生物膜的形成、毒力因子的产生和耐药性的抑制可以通过操纵QS系统来调节。首先,总结了几种典型细菌QS系统的工作路径。综述了QS对几种常见肠道病原菌的治疗策略,为开发肠道疾病治疗新方案及相关肠道病原菌抑制剂提供参考。
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引用次数: 0
Trafficking of Cobalamin Transport Carrier Proteins in Celiac Disease 乳糜泻中钴胺转运载体蛋白的转运
Pub Date : 2022-09-05 DOI: 10.12691/ijcd-10-1-2
Hugh James Freeman
Absorption of vitamin B12 is normally complex, involves multiple carriers leading to uptake of this micronutrient in the distal small intestine. Vitamin B12 is mainly from animal sources and, after ingestion, becomes complexed to haptocorrin derived from salivary glands to prevent acid destruction in the stomach. In the duodenum, pancreatic proteases hydrolyze this haptocorrin permitting vitamin B12 binding to intrinsic factor, a protein derived from gastric parietal cells. Linkage to intrinsic factor permits trafficking to the cubulin receptor in the ileum allowing entry into the enterocyte. After uptake, vitamin B12 exits the cell linking to another carrier protein in the blood, transcobalamin II. This process allows the micronutrient to circulate systemically to other cells. In celiac disease, one or more steps in this intestinal absorptive process may be impaired leading to significant neurologic, hematologic and, often poorly appreciated, further superimposed gastrointestinal effects.
维生素B12的吸收通常是复杂的,涉及多个载体,导致远端小肠吸收这种微量营养素。维生素B12主要来自动物,摄入后与唾液腺分泌的触蛋白结合,以防止胃酸破坏。在十二指肠,胰腺蛋白酶水解这种接触蛋白,使维生素B12与内在因子结合,内在因子是一种来自胃壁细胞的蛋白质。与内在因子的联系允许运输到回肠中的cubulin受体,从而进入肠细胞。摄取后,维生素B12离开细胞,与血液中的另一种载体蛋白,转钴胺素II相连。这个过程允许微量营养素在其他细胞中进行系统循环。在乳糜泻中,肠道吸收过程中的一个或多个步骤可能受损,导致显著的神经学、血液学和(通常不被重视的)进一步叠加的胃肠道效应。
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引用次数: 0
Long-term Biological Treatment in Juvenile Idiopathic Arthritis: Benefits and Risks 青少年特发性关节炎的长期生物治疗:益处和风险
Pub Date : 2022-09-05 DOI: 10.12691/ijcd-10-1-5
Duca Emanuela, Harabagiu Marin, Maguran Ioana, Samaşca Gabriel, Sur Genel
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引用次数: 0
Molecular Mechanisms of Zinc Absorption in Health, Acrodermatitis Enteropathica and Celiac Disease 健康、肢端皮炎、肠病和乳糜泻中锌吸收的分子机制
Pub Date : 2022-09-05 DOI: 10.12691/ijcd-10-1-6
Hugh James Freeman
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引用次数: 0
Iron Deficiency with Anemia in Adult Celiac Disease: Complication or Presenting Clinical Feature 成人乳糜泻缺铁伴贫血:并发症或临床特征
Pub Date : 2022-09-05 DOI: 10.12691/ijcd-10-1-1
Hugh James Freeman
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引用次数: 1
Impact of the COVID-19 Pandemic in Romanian Celiac Disease Patients by E-Survey 新冠肺炎大流行对罗马尼亚乳糜泻患者的影响
Pub Date : 2022-09-05 DOI: 10.12691/ijcd-10-1-3
Vasile Daniel Balaban, A. Dima, Catalin Augustin Dima, A. Popp, C. Jurcut, M. Jinga
Background: The coronavirus disease 2019 (COVID-19) pandemic has immeasurably struck healthcare systems worldwide, generating disruptions in the care of chronic disease patients. We herein aimed to assess the impact of the COVID-19 pandemic on celiac disease (CD) patients. Materials and Methods: An online questionnaire with 46 cascade questions was designed and distributed through the social media channel of the Romanian CD patient association. Results: Altogether, 113 respondents accessed the questionnaire, of whom 95 adult CD patients with complete responses were included in the analysis. The median age of the surveyed participants was 44 years, with the majority (86.3%) being female. Despite concerns, the availability of gluten-free products was reported as being unchanged compared to before the pandemic by 3 out of 4 respondents. Also, our survey did not reveal significant changes regarding adherence to gluten-free diet during the pandemic, as assessed by Biagi score. However, 25.3% of respondents reported feelings of anxiety and 29.5% of depression, but only 3.2% benefited from psychological or psychiatric support. About one quarter of participants postponed their medical checkups due to fear of getting infected. One fifth of respondents declared having been infected with the novel coronavirus, but only 10% of them were hospitalized. One third of respondents had already gotten the COVID-19 vaccine and reported only minor side effects. Also, over half (57.9%) of survey participants declared they had not received enough information during the pandemic. Conclusions: Among our study respondents, availability and adherence to gluten-free diet was not markedly changed during the pandemic, but they were significantly impacted by the lack of CD-specific information about SARS-CoV2 infection and vaccination.
背景:2019 (COVID-19)冠状病毒疾病大流行,无限地袭击了全球卫生保健系统,生成中断在慢性疾病病人的护理。本研究旨在评估COVID-19大流行对乳糜泻(CD)患者的影响。材料与方法:设计了一份包含46个级联问题的在线问卷,并通过罗马尼亚CD患者协会的社交媒体渠道分发。结果:共有113名受访者访问了问卷,其中95名成年CD患者的完整回答被纳入分析。调查参与者的年龄中位数为44岁,大多数(86.3%)是女性。尽管存在担忧,但四分之三的受访者报告称,与大流行前相比,无麸质产品的可得性没有变化。此外,正如Biagi评分所评估的那样,我们的调查并未显示大流行期间对无麸质饮食的依从性发生重大变化。然而,25.3%的受访者表示感到焦虑,29.5%的人感到抑郁,但只有3.2%的人从心理或精神支持中受益。大约四分之一的参与者因为害怕被感染而推迟了体检。五分之一的受访者表示自己感染了新型冠状病毒,但其中只有10%的人住院治疗。三分之一的受访者已经接种了COVID-19疫苗,只报告了轻微的副作用。此外,超过一半(57.9%)的调查参与者表示,他们在大流行期间没有获得足够的信息。结论:在我们的研究受访者中,无麸质饮食的可获得性和依从性在大流行期间没有显着改变,但由于缺乏关于SARS-CoV2感染和疫苗接种的cd特异性信息,它们受到显著影响。
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引用次数: 0
Colorectal Cancer in Biopsy-defined Celiac Disease Seen over 30 Years: Rare, Even in Elderly Adults 结直肠癌活检确定的乳糜泻超过30年:罕见,即使在老年人
Pub Date : 2021-11-12 DOI: 10.12691/ijcd-9-3-5
Hugh J. Freeman
Some malignant disorders, including colorectal cancer (CRC), may be reduced in celiac disease. In this study, 154 older adults, including elderly adults over age 60 years, were seen over 30 years. All patients were biopsy-defined and treated with a gluten-free diet. A single elderly female had an early stage colon cancer in the cecum but a persistent iron deficiency anemia led to later detection of biopsy-defined celiac disease and a gluten-free diet mucosal response. This study indicates that colon cancer is rare in biopsy-defined celiac disease. In this study, there were no gastric, pancreatic or hepato-biliary tract cancers seen. Genetic and environmental dietary factors may play a role, however, the rarity of colorectal cancer in other celiac-associated colonic diseases (eg., collagenous or lymphocytic colitis) suggests that an immune-mediated protective effect may occur.
一些恶性疾病,包括结直肠癌(CRC),在乳糜泻中可能会减少。在这项研究中,154名老年人,包括60岁以上的老年人,在30岁以上。所有患者都进行活检,并接受无麸质饮食治疗。一位老年女性患有早期盲肠结肠癌,但持续性缺铁性贫血导致后来发现活检确定的乳糜泻和无麸质饮食粘膜反应。这项研究表明,在活检确定的乳糜泻中,结肠癌是罕见的。在这项研究中,没有发现胃癌、胰腺癌或肝胆道癌。遗传和环境饮食因素可能起作用,然而,结直肠癌在其他与乳糜泻相关的结肠疾病中的罕见性(例如。(如胶原性或淋巴细胞性结肠炎)提示免疫介导的保护作用可能发生。
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引用次数: 1
COVID-19 mRNA Vaccines are Safe and Effective COVID-19 mRNA疫苗安全有效
Pub Date : 2021-11-12 DOI: 10.12691/ijcd-9-3-4
C. Silaghi, M. Bordea, G. Klein, Corina Tritean, G. Sur, C. Aldea, G. Samașca, T. Timiș, Ioan-Alexandru Florian, P. Makovický, P. Makovicky, K. Rimárová
mRNA vaccines are a novelty in the medical world. The researchers created these vaccines in a short time, which led to many question marks. In this article, we have analyzed the perception of the world's countries on these vaccines.
mRNA疫苗在医学界是一种新事物。研究人员在短时间内研制出了这些疫苗,这引发了许多疑问。在这篇文章中,我们分析了世界各国对这些疫苗的看法。
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引用次数: 0
Gluten and Schizophrenia: What’s Next? 麸质和精神分裂症:下一步是什么?
Pub Date : 2021-11-12 DOI: 10.12691/ijcd-9-3-3
N. Boutrid, H. Rahmoune, M. Amrane
This letter is summarizing the pathophysiological, clinical and possible therapeutic relationship between dietary gluten and schizophrenia. In a short, updated overview we would highlight the mounting evidence of the possible efficiency of a gluten-free diet and the need of considering this option in managing schizophrenia.
这封信总结了饮食谷蛋白和精神分裂症之间的病理生理、临床和可能的治疗关系。在一个简短的,更新的概述中,我们将强调无麸质饮食可能有效的越来越多的证据,以及在治疗精神分裂症时考虑这种选择的必要性。
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引用次数: 0
A Celiac Mimicry: Kabuki Syndrome 腹腔模仿:歌舞伎综合症
Pub Date : 2021-11-12 DOI: 10.12691/ijcd-9-3-2
H. Rahmoune, N. Boutrid, Nadji Djerrad
Kabuki Syndrome is a rare genetic condition with a large panel of manifestations, including digestive symptoms that may simulate a celiac disease. We present a case of a very rare presentation of Kabuki Syndrome type 2.
歌舞伎综合征是一种罕见的遗传疾病,有多种表现,包括可能类似乳糜泻的消化系统症状。我们报告一个非常罕见的歌舞伎综合征2型的病例。
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International Journal of Celiac Disease
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