首页|生物标志物在炎症性肠病中的研究进展

生物标志物在炎症性肠病中的研究进展

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炎症性肠病(inflammatory bowel disease,IBD)主要包括溃疡性结肠炎(ulcerative colitis,UC)和克罗恩病(Crohn's disease,CD),其诊断和预后具有挑战性,因为大多数临床症状并非 IBD所特有.到目前为止,尚无监测 IBD 的金标准测试.内窥镜检查和成像是提供有关疾病状态、位置和严重程度信息的基本诊断工具.然而,内窥镜的侵入性和高昂的成本使其不适合频繁监测 IBD患者的疾病活动,目前可用的基于血液和粪便的生物标志物提供了可重复使用的定量工具,可以补充临床评估,帮助临床医师诊断和治疗 IBD.基因组、蛋白质组和微生物组技术的进步促进了 IBD 新生物标志物的开发.文献调查表明,对 IBD 检测的生物标志物缺乏总结.本文综述了目前可用的生物标志物,介绍了 IBD生物标志物发现的最新进展.
Research progress of biomarkers in inflammatory bowel disease
Inflammatory bowel disease(IBD)mostly includes ulcerative colitis(UC)and Crohn's disease(CD).Its diagnosis and prognosis are challenging because that most clinical symptoms are not specific to IBD.To date,there is no gold standard test for monitoring IBD.Endoscopy and imaging are essential diagnostic tools that provide information about disease status,location,and severity.However,the invasive nature and high cost of endoscopy make it unsuitable for frequent monitoring of disease activity in patients with IBD,and currently available blood and fecal based biomarkers provide reusable quantitative tools that can complement clinical assessment and help clinicians diagnose and treat IBD.Advances in genome,proteome and microbiome technologies have facilitated the development of new biomarkers for IBD.Reviews of the literature showed that there is a lack of summary of biomarkers for IBD detection.This review re-viewed the available biomarkers and presented the latest advances in the discovery of IBD biomarkers.

BiomarkerInflammatory bowel diseaseFaecesMicroRNAsMicrobiomeProteomic

丁圣、韩际奥

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河南省直第三人民医院消化病诊疗中心,河南 郑州 450000

郑州人民医院消化内科

生物标志物 炎症性肠病 粪便 MicroRNAs 肠道微生物 蛋白质组学

河南省消化病学重点学科建设基金

20160260154

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(2)
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