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Editorial: an apple a day keeps colitis away.

机译:社论:每天吃一个苹果可以避免结肠炎。

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摘要

IBD often presents in childhood and persists throughout life [1]. CD and UC are the best-known forms and carry an elevated risk of colon cancer [2]. Dysfunction of the intestinal immune system is a major mechanism by which chronic inflammation occurs in colitis. Failure to regulate T cell responses in the intestinal or colonic mu-cosa leads to an inappropriate and sustained immunologic reaction, causing tissue injury. As a result of recent advances in the understanding of the mechanisms underlying IBD, diere have been several drugs introduced into the market over the past 20 years. These conventional colitis treatments reduce periods of active disease and maintain remission, but treatment outcomes are often marginal, patients become refractory, and there are dangerous side-effects, including cancer and death. It is thought that these side-effects result, in part, because some of the drugs have broad specificity and do not target any single type of white blood cell (e.g., cor-ticosteroids).
机译:IBD常表现在儿童时期,并贯穿一生[1]。 CD和UC是最广为人知的形式,并具有患结肠癌的高风险[2]。肠道免疫系统功能障碍是结肠炎中发生慢性炎症的主要机制。无法调节肠道或结肠粘膜中的T细胞反应会导致不适当的持续免疫反应,从而导致组织损伤。由于最近对IBD机理的了解有所发展,在过去的20年中,双杀已被引入市场。这些常规的结肠炎治疗缩短了活动性疾病的时间并保持了缓解,但是治疗结果往往是微不足道的,患者变得难治,并且存在包括癌症和死亡在内的危险副作用。认为这些副作用部分是由于某些药物具有广泛的特异性并且不针对任何单一类型的白细胞(例如皮质类固醇)所致。

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