首页|巨噬细胞极化在炎症性肠病中作用的研究进展

巨噬细胞极化在炎症性肠病中作用的研究进展

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炎症性肠病(IBD)是一组病因尚未明确的慢性非特异性肠道炎症性疾病,其发病机制可能与环境、遗传及肠道微生态等多因素相互作用导致的肠道免疫失衡有关。巨噬细胞作为免疫系统的重要组成部分,可维持肠道内促炎与抗炎反应的平衡。根据巨噬细胞不同表型及其分泌的不同细胞因子,可分为经典激活(M1)和替代激活(M2)两种极化类型。巨噬细胞的极化在肠道炎症的消退和黏膜的愈合中起关键作用。在IBD肠道免疫系统中,由巨噬细胞极化失衡引起的促炎因子与抗炎因子的不平衡会导致肠道黏膜炎症的持续进展及屏障功能受损,其在IBD中起到了关键的作用。巨噬细胞极化水平的变化可能会影响IBD的治疗效果。因此,靶向巨噬细胞极化可能是治疗IBD的重要靶点。该文总结了肠道巨噬细胞极化在IBD中的作用,以及调节巨噬细胞极化在IBD治疗中的影响,为研究IBD新的治疗方法提供参考。
Research progress on role of macrophage polarization in inflammatory bowel disease
Inflammatory bowel disease(IBD)is a group of chronic non-specific intestinal inflammatory diseases with unclear etiology.Its pathogenesis may be related to the intestinal immune imbalance caused by the interaction of multiple factors such as environment,genetics and intestinal microecology.Macrophages,as an important component of the immune system,can maintain a balance between pro-inflammatory and anti-in-flammatory responses in the intestine.Macrophages can be divided into two polarization types:classical activa-tion(Ml)and alternative activation(M2)according to the different phenotypes and cytokines secreted by macrophages.The polarization of macrophages plays a key role in the subside of intestinal inflammation and the healing of mucosa.In the intestinal immune system of IBD,the imbalance between pro-inflammatory and anti-inflammatory factors caused by macrophage polarization imbalance can lead to sustained progression of intestinal mucosal inflammation and impairment of barrier function,playing a key role in IBD.The changes in macrophage polarization levels may affect the therapeutic effect of IBD.Therefore,targeting macrophage po-larization may be an important target for the treatment of IBD.This article summarizes the role of intestinal macrophage polarization in IBD and the impact of regulating macrophage polarization in IBD treatment to pro-vide reference for studying the new treatment methods for IBD.

macrophagespolarizationinflammatory bowel diseasetreatmentreview

孙晓睿、张津铭、方智芸、沈海燕

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蚌埠医科大学,安徽蚌埠 233000

嘉兴市第二医院消化内科,浙江嘉兴 314000

巨噬细胞 极化 炎症性肠病 治疗 综述

浙江省医药卫生科技计划项目嘉兴市科技计划项目嘉兴市科技计划项目

2021KY11162022AY300312022AD30007

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(12)
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