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The Ileitis of Ulcerative Colitis. Why Is It Not Crohn's Disease? 溃疡性结肠炎的回肠炎。为什么不是克罗恩病?
Pub Date : 2017-02-01 DOI: 10.1097/MIB.0000000000001006
B. Korelitz, S. Shamah
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引用次数: 1
P-099 Impact of Inflammatory Bowel Disease on Sexual Function of Patients in a Mexican Population P-099炎症性肠病对墨西哥人群患者性功能的影响
Pub Date : 2017-02-01 DOI: 10.1097/01.MIB.0000512619.42520.76
Mario Peralta Mateo, J. Goméz, Tomas Cortés Espinosa, H. Velázquez, J. Terrazas
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引用次数: 0
Damage of the Mucus Layer: The Possible Shared Critical Common Cause for Both Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS). 黏液层损伤:炎症性肠病(IBD)和肠易激综合征(IBS)的可能共同关键原因
Pub Date : 2017-02-01 DOI: 10.1097/MIB.0000000000001010
X. Qin
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引用次数: 13
P-232 YI A Grounded Theory Exploration of Self-management in Paediatric IBD 儿科IBD自我管理的基础理论探讨
Pub Date : 2017-02-01 DOI: 10.1097/01.MIB.0000512747.92245.32
Hilarious De Jesus
encouragement. A child will likely encounter many different staff over the course of their pediatric care. This tool provides continuity in the IBD education and expectations and a means of assessing progress towards self care This is best done in age appropriate stages with consistent reinforcement enabling the patient, family and health care team to feel confident that independence has been achieved.
鼓励。一个孩子可能会遇到许多不同的工作人员在他们的儿科护理过程中。该工具提供了IBD教育和期望的连续性,也是评估自我保健进展的一种手段。这最好在与年龄相适应的阶段进行,并不断加强,使患者、家属和卫生保健团队感到自信,认为已经实现了独立性。
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引用次数: 0
Inactivation of Digestive Proteases and Degradation of Mucus: The Possible Key Factors That Determined the Different Effects on the Gut by Antibiotics. 消化酶的失活和粘液的降解:决定抗生素对肠道不同影响的可能关键因素。
Pub Date : 2017-02-01 DOI: 10.1097/MIB.0000000000001015
X. Qin
To the Editor: I read with great interest the article by Ward et al published recently in this journal regarding the effect of antibiotics on dextran sulfate sodium–induced colitis.1 It is found that treatment with broadspectrum antibiotics protected mice against colitis by changes in gut microbiota. However, as discussed in the article,1 this is in contrast to multiple studies demonstrating antibiotics increased the risk of inflammatory bowel disease in human and colitis in animals in a variety of models. The mechanism behind this remains elusive. At present, the mainstream of research including this article still mainly focused on immune response of the body or the production of some bioactive agents such as short chain fatty acids by gut bacteria. Here I suggest that inactivation of digestive proteases within gut lumen and degradation of the mucus at gut surface may be actually the primary determinant factors for the observed effects of antibiotics. The evidence that I collected during the last 15 years made me to believe that impaired inactivation of digestive proteases due to reduction in gut bacteria in modern society may have played a causative role in the pathogenesis of inflammatory bowel disease.2,3 Studies showed that under conventional conditions, pancreatic digestive proteases are hardly detectable in the lower gut, whereas a large amount of them appeared in the large intestine of animals raised under germ-free conditions, suggesting the critical role of gut bacteria in inactivation of these digestive proteases in the lower intestine. Different kinds and doses of antibiotics may have different effects on digestive proteases inactivation. Nevertheless, mucin, the structural molecule of the protective mucus layer, is composed of 15% of a central core peptide and 85% of side carbohydrate branches that can only be effectively degraded in the existence of both digestive proteases from the pancreas and glycosidases from gut bacteria.4 Thus, as discussed in my articles,3,4 certain extent of reduction of gut bacteria by antibiotics may exacerbate the injury of gut as the result of accelerated degradation of the protective mucus layer by the synergic action of poorly inactivated digestive proteases and glycosides in the remaining gut bacteria, while further extensive reduction in gut bacteria may become less detrimental or even protective because of the striking decrease in bacterial glycosides and retarded degradation of the mucus layer as well as decreased infiltration of bacterial toxicant due to the decrease in bacterial load in gut lumen. This may have contributed explain the less gut damage in both poor hygiene and germ-free conditions,4 as well as the different effects of antibiotics on the gut. Therefore, I recommend conducting more research in this regard.
致编辑:我怀着极大的兴趣阅读了Ward等人最近在该杂志上发表的一篇关于抗生素对葡聚糖硫酸钠诱导的结肠炎的影响的文章研究发现,广谱抗生素治疗通过改变肠道菌群来保护小鼠免受结肠炎的侵袭。然而,正如文章中所讨论的,这与多项研究相反,这些研究表明抗生素增加了人类炎症性肠病和各种模型动物结肠炎的风险。这背后的机制仍然难以捉摸。目前,包括本文在内的主流研究仍主要集中在机体的免疫反应或肠道细菌产生短链脂肪酸等生物活性物质。在这里,我认为肠道内消化性蛋白酶的失活和肠道表面黏液的降解实际上可能是观察到的抗生素效果的主要决定因素。我在过去15年中收集的证据使我相信,由于现代社会肠道细菌减少而导致的消化蛋白酶失活受损可能在炎症性肠病的发病机制中起了致病作用。2,3研究表明,在常规条件下,胰腺消化蛋白酶在下肠中几乎检测不到,而在无菌条件下饲养的动物的大肠中却出现了大量的胰腺消化蛋白酶,这表明肠道细菌在下肠中这些消化蛋白酶的失活中起着关键作用。不同种类和剂量的抗生素对消化酶的失活效果不同。然而,黏液保护层的结构分子粘蛋白由15%的中心核心肽和85%的侧碳水化合物分支组成,只有在胰腺的消化蛋白酶和肠道细菌的糖苷酶同时存在的情况下才能有效降解因此,正如我在文章中所讨论的那样,抗生素在一定程度上减少肠道细菌可能会加剧肠道的损伤,因为在剩余的肠道细菌中,失活不良的消化蛋白酶和糖苷的协同作用加速了保护黏液层的降解。然而,肠道细菌的进一步广泛减少可能变得不那么有害,甚至具有保护作用,因为细菌糖苷的显著减少,黏液层的降解迟缓,以及由于肠道内细菌负荷的减少而减少的细菌毒物的浸润。这可能有助于解释在卫生条件差和无菌条件下肠道损伤较小,以及抗生素对肠道的不同影响。因此,我建议在这方面进行更多的研究。
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引用次数: 0
P-104 Association Between pANCA Status and Clinical Characteristics and Outcomes of Ulcerative Colitis: A Meta-analysis P-104与溃疡性结肠炎临床特征和结局的相关性:一项荟萃分析
Pub Date : 2017-02-01 DOI: 10.1097/01.MIB.0000512623.88262.5c
J. L. Hyun, Jun Park Jae
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引用次数: 1
Passing the Torch: Thank You from the Coeditors in Chief. 传递火炬:来自主编的感谢。
Pub Date : 2016-12-01 DOI: 10.1097/MIB.0000000000000976
R. Burakoff, R. Macdermott
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引用次数: 0
Barriers to Administration of Herpes Zoster Immunization in Patients with Inflammatory Bowel Disease. 炎性肠病患者接受带状疱疹免疫的障碍。
Pub Date : 2016-11-01 DOI: 10.1097/MIB.0000000000000942
F. Caldera, M. Hayney
REFERENCES 1. Bouma G, Strober W. The immunological and genetic basis of inflammatory bowel disease. Nat Rev Immunol. 2003;3:521–533. 2. Stoll M, Corneliussen B, Costello CM, et al. Genetic variation in DLG5 is associated with inflammatory bowel disease. Nat Genet. 2004;36: 476–480. 3. Nakamura H, Sudo T, Tsuiki H, et al. Identification of a novel human homolog of the Drosophila dlg, P-dlg, specifically expressed in the gland tissues and interacting with p55. FEBS Lett. 1998;433:63–67. 4. Tepass U, Tanentzapf G, Ward R, et al. Epithelial cell polarity and cell junctions in Drosophila. Annu Rev Genet. 2001;35:747–784. 5. Coradini D, Casarsa C, Oriana S. Epithelial cell polarity and tumorigenesis: new perspectives for cancer detection and treatment. Acta Pharmacol Sin 2011;32:552–564.
引用1。王志强,王志强。炎症性肠病的免疫学和遗传学基础。中华免疫学杂志。2003;3:521-533。2. Stoll M, Corneliussen B, Costello CM,等。DLG5基因变异与炎症性肠病有关。中国生物医学工程学报,2004;36:476 - 498。3.Nakamura H, Sudo T, Tsuiki H,等。一种新的果蝇dlg人类同源基因的鉴定,P-dlg在腺组织中特异性表达并与p55相互作用。科学通报,1998;43(3):63 - 67。4. 张建军,张建军,张建军,等。果蝇上皮细胞极性和细胞连接。医学学报。2001;35:747-784。5. 张建军,张建军,张建军,等。上皮细胞极性与肿瘤发生的关系研究进展。医药学报,2011;32(5):552 - 564。
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引用次数: 0
Perinuclear Antineutrophil Cytoplasmic Antibody with a Large Portion Being Anti-β-Glucuronidase, May Have Played a Causative Role in the Pathogenesis of Inflammatory Bowel Disease. 核周抗中性粒细胞胞质抗体大部分为抗β-葡糖苷酸酶,可能在炎症性肠病的发病机制中起致病作用。
Pub Date : 2016-11-01 DOI: 10.1097/MIB.0000000000000927
X. Qin
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引用次数: 0
How Sugar and Soft Drinks Are Related to Inflammatory Bowel Disease? 糖和软饮料与炎症性肠病有何关系?
Pub Date : 2016-06-01 DOI: 10.1097/MIB.0000000000000774
X. Qin
IBD. NHE3 knockout mice, which display congenital mild diarrhea and reduced body weight develop spontaneous colitis when housed in a conventional facility, and lethal colitis when exposed to low concentrations of dextran sulfate sodium. However, housing these mice in an ultraclean facility improved colitis symptoms emphasizing the importance of the gut microbiome in the development of colitis, as well as an immunomodulatory effect of NHE3 downregulation in IBD. Along these lines, we would like to point to our recent identification of germline mutations in NHE3 and in a regulator of NHE3, guanylate cyclase C in patients with congenital sodium diarrhea. Congenital sodium diarrhea refers to an intractable diarrhea of intrauterine onset with high fecal sodium loss. Recessive NHE3 mutations resulted in absent or nonfunctional protein in a subset of patients, and NHE3 was downregulated in another subset of congenital sodium diarrhea patients harboring constitutively activating and hyper-stimulating mutations in guanylate cyclase C. Interestingly, several patients with germline guanylate cyclase C and NHE3 mutations developed IBD, with varying ages of onset implicating reduced NHE3 activity as a predisposition for IBD. Taken together, NHE3 might be considered to play a role in the composition of the gut microbiota, and its deficiency may thus contribute to dysbiosis observed in patients with IBD.
炎症性肠病。NHE3基因敲除小鼠表现出先天性轻度腹泻和体重减轻,在常规设施中饲养时发生自发性结肠炎,暴露于低浓度葡聚糖硫酸钠时发生致死性结肠炎。然而,将这些小鼠置于超净设施中改善了结肠炎症状,强调了肠道微生物组在结肠炎发展中的重要性,以及NHE3下调在IBD中的免疫调节作用。沿着这些思路,我们想指出我们最近在先天性钠性腹泻患者中发现的NHE3和NHE3调节剂鸟苷酸环化酶C的种系突变。先天性钠性腹泻是指一种以高粪钠流失为起病的难治性宫内腹泻。隐性NHE3突变导致一部分患者的蛋白缺失或无功能,而另一部分先天性钠性腹泻患者的NHE3表达下调,这些患者的鸟苷酸环化酶C具有组成性激活和超刺激突变。有趣的是,一些种系鸟苷酸环化酶C和NHE3突变的患者发展为IBD,不同的发病年龄暗示NHE3活性降低是IBD的易感因素。综上所述,NHE3可能被认为在肠道微生物群的组成中发挥作用,因此它的缺乏可能导致IBD患者的生态失调。
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引用次数: 3
期刊
Inflammatory Bowel Disease
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