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首页> 外文期刊>World Journal of Gastroenterology >Inflammatory bowel disease and celiac disease: Overlaps and differences
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Inflammatory bowel disease and celiac disease: Overlaps and differences

机译:炎症性肠病和腹腔疾病:重叠与差异

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Recent findings demonstrate the common genetic basis for many immune-mediated diseases, and consequently, the partially shared pathogenesis. We collected these findings and reviewed the extension of these overlaps to other disease characteristics. Two autoimmune diseases were selected that also share the specific target organ, the bowel. The etiology and immunopathogenesis of both conditions characterized by chronic intestinal inflammation, inflammatory bowel disease (IBD) and celiac disease (CeD), are not completely understood. Both are complex diseases with genetics and environment contributing to dysregulation of innate and adaptive immune responses, leading to chronic inflammation and disease. CeD constitutes a particular disease because the main environmental and genetic triggers are largely known. IBD comprises two main clinical forms, Crohn’s disease and ulcerative colitis, which most likely involve a complex interplay between some components of the commensal microbiota and other environmental factors in their origin. These multifactorial diseases encompass a broad spectrum of clinical phenotypes and ages of onset, although the clinical presentation often differs depending on childhood or adult onset, with greater heterogeneity commonly observed in adults.
机译:最近的发现证明了许多免疫介导疾病的共同遗传基础,并因此证明了部分共享的发病机理。我们收集了这些发现,并回顾了这些重叠对其他疾病特征的扩展。选择了两种自身免疫性疾病,它们也共享特定的靶器官-肠。以慢性肠炎,炎症性肠病(IBD)和腹腔疾病(CeD)为特征的两种疾病的病因学和免疫发病机理尚未完全了解。两者都是具有遗传学和环境的复杂疾病,导致先天性和适应性免疫反应失调,导致慢性炎症和疾病。 CeD构成特定疾病,因为主要的环境和遗传触发因素已广为人知。 IBD包括两种主要的临床形式:克罗恩病和溃疡性结肠炎,这很可能涉及共生微生物群的某些组成部分与其起源的其他环境因素之间的复杂相互作用。这些多因素疾病涵盖了广泛的临床表型和发病年龄,尽管临床表现通常取决于儿童或成人发病,通常在成人中观察到更大的异质性。

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