Current concept on the pathogenesis of inflammatory bowel disease-crosstalk between genetic and microbial factors: Pathogenic bacteria and altered bacterial sensing or changes in mucosal integrity take "toll"?

被引：110

作者：

Lakatos, Peter Laszlo

Fischer, Simon

Lakatos, Laszlo

Gal, Istvan

Papp, Janos

机构：

[1] Semmelweis Univ, Dept Med 1, H-1083 Budapest, Hungary

[2] Csolnoky F Cty Hosp, Dept Med 1, Veszprem, Hungary

[3] Kenezi Gy Cty Hosp, Dept Med 2, Debrecen, Hungary

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2006年 / 12卷 / 12期

关键词：

inflammatory bowel disease; ulcerative colitis; Crohn's disease; pathogenesis; microbial factors; genetics; NOD2/CARD15; SLC22A4/A5; DLG5;

D O I：

10.3748/wjg.v12.i12.1829

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The pathogenesis of inflammatory bowel disease (IBD) is only partially understood. Various environmental and host (e.g. genetic-, epithelial-, immune and non-immune) factors are involved. It is a multifactorial polygenic disease with probable genetic heterogeneity. Some genes are associated with IBD itself, while others increase the risk of ulcerative colitis (UC) or Crohn's disease (CD) or are associated with disease location and/or behaviour. This review addresses recent advances in the genetics of IBD. The article discusses the current information on the crosstalk between microbial and genetic factors (e.g. NOD2/CARD15, SLC22A46A5 and DLG5). The genetic data acquired in recent years help in understanding the pathogenesis of IBD and can identify a number of potential targets for therapeutic intervention. In the future, genetics may help more accurately diagnose and predict disease course in IBD. (C) 2006 The WJG Press. All rights reserved.

引用

页码：1829 / 1841

页数：13

共 172 条

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